Those years when I hung up and upgraded in the hospital

Chapter 107 Wages and New Small Things
When Fang Yun walked back from the hospital, he saw the bank card information.

"Salary Income 3144R."

"Performance income 12331.12R."

The salary income is not bad, basically all intermediate professional titles have this salary level.Fang Yun didn't know how to calculate the 0.12 in performance.

But this income level of performance plus salary is no longer good in Ji City. It should be quite good, at least more than 90.00% of the people.

Of course, in fact, Fang Yun's income is not particularly large when he can perform the surgery himself.

Moreover, the monthly subsidy for occasional consultations and surgeries at Fengxian People's Hospital will also be included in the monthly income. Even if Fang Yun is not given a bank account, the Finance Department of Fengxian People's Hospital will This expenditure is reflected in the financial statements.

Therefore, Fang Yun actually has to pay some taxes.

But no matter what, plus the on-site consultation and surgery at Fengxian People's Hospital, my monthly income can be stable at about [-] after tax.

After reading it, Fang Yun felt very satisfied with the sum total in his heart.

Naturally, after putting aside this idea, Fang Yun was still thinking about the deputy senior professional title.

The National Health Commission has made slight modifications to the evaluation rules for deputy senior professional titles——

"The fifth point is that those who have held an intermediate professional title for five years but have only a bachelor's degree can apply for the exam by publishing two CSCD articles, or obtain a deputy senior professional title through particularly high-level operational proficiency. The competition system will be abolished and replaced by passing exams. take an exam."

“But the proficiency in operation is generally no less than the average level of associate professors in junior colleges in the province.”

In this regard, Fang Yun currently does not know what the average level of associate professors in this province is, and it is difficult to compare. Therefore, the route he can take is to publish another CSCD paper, which can be done after five years of intermediate level. Apply for the exam.

It is now the end of the third year. If you can apply for the associate senior examination in two years, then the 32-year-old associate chief physician is still pretty good.

There is also the sixth point, which is a bit too ambitious——

"The sixth point is that for particularly outstanding candidates, such as those who can publish high-quality CSCD papers or SCI papers, the maximum period can be reduced to 3 or 4 years with an intermediate professional title. The average professional level should not be lower than that of those with deputy senior professional titles in the province. "

"Specifically, it will be based on the ranking of the provincial medical association."

With this idea in mind, Fang Yun went to the sofa at home. After sitting down, he pressed his temples with the thumbs of both hands.

He murmured: "Although it is difficult to publish an article, the general environment in China is like this. If you want to take a 'shortcut', you still have to follow the crowd and publish when you need to."

"This is the second CSCD article. Do we still need to publish a meta-analysis?"

“If you don’t write a meta-analysis, what else can you write?”

Fang Yun originally planned to write a second article to see if he could write a case report, that is, a case report, but in recent months, Fang Yun has not encountered any special cases. The only special case belongs to the people of Feng County. Pigmentation encountered there in hospital.

But its specialness is what I encountered. In the industry, it is no longer a big problem. Editors of periodicals and magazines will definitely not be interested, so there is no need to write.

Then a simpler letter?

A letter is a letter written to the editor, mainly to find loopholes in articles that have been published in SCI journals and have good impact factors. However, this thing requires a relatively deep knowledge of literature reading to find loopholes.And thankless.

"Well, why don't we just write RCS in that small direction." Fang Yun thought for a long time and decided to use the little tricks he had made in clinical practice.

Clinical research articles are generally divided into RCT and RCS. RCT is a randomized controlled trial, that is, patients are randomly divided into groups when they are admitted to the hospital.

RCS, on the other hand, performs intervention first, and then retrospectively distinguishes the groups of these patients and collects data.

Although the evidence strength of RCS is not as strong as that of RCT, Fang Yun does not want to publish any SCI, and a CSCD article is enough.

What Fang Yun did was actually a very simple clinical trial.

After shoulder arthroscopy, the patient has obvious pain. General guidelines recommend local injection of Deproxone (betamethasone) for analgesia, but there is no special recommendation for this injection point.

Some experts think that it is better to inject into the joint cavity, some say that it is better to inject into the surrounding muscles, and some think that it is half and half, but no one has done a systematic comparison.

Fang Yun also discovered this small flaw when reading the literature, so in the past few months, he made a small episode through the thinking of medical epidemiology.

There are many shoulder arthroscopy patients in the department. Although the best thing is to control the variables, such as rotator cuff sutures and so on, the Prefecture People's Hospital does not have this condition and the materials are limited. Fang Yun can only do all the shoulder surgery. All patients who underwent arthroscopic surgery were included, and then at most one subgroup analysis and comparison was performed.

Currently, Fang Yun has personally handled 63 shoulder arthroscopic surgeries on patients, which is almost enough.

However, in this relatively small direction, clinical research within clinical guidelines will not cause harm to patients, because if there is harm, the guidelines will definitely not recommend this, so there is no need for approval from the ethics society.

After making this decision, Fang Xian decided to make the phone call slowly first.

For such postoperative pain management time, Fang Yun currently only collects data from the first day to five days after surgery, one month after surgery, and three months after surgery. Now he has to make phone calls slowly. According to Conduct follow-up surveys based on the patient's actual condition.

However, according to Fang Yun's own prediction, the two injections of Depotoxone at different locations have little effect on long-term prognosis. There is only a slight difference in the few days after the operation, especially the first to the third day after the operation. That’s all.

Just do it if you think of it. The time now is February 16th. The patients who can be investigated are the patients who underwent shoulder arthroscopic surgery before December 16th. I hope they will all cooperate.

Fang Yun pulled up the Excel sheet, which recorded the phone calls of patients and family members.

"Hello, hello, is this Xu Dajun? I'm Dr. Fang from the Prefecture People's Hospital..."

"Aoao, you are his daughter, right? Can you ask me a few questions? That's right, we are now doing a three-month follow-up after the arthroscopic surgery, and I just want to ask about Uncle Xu's shoulder joint. Pain, are you okay? Is there any obvious..."

"It's okay, right? I don't feel any pain at all. It's fine if I don't have any pain. Eh, eh, ok, the functional exercises are very active."

"It's no problem to do Tai Chi. He just did a shoulder joint cleaning, so he needs to move more."

"Okay, okay, okay, okay, check back regularly."

"That's it for the time being. Yes, we also need to follow up to understand the situation, which will be more conducive to the quality of our future management of patients who are about to undergo surgery. Thank you for your cooperation and response."

……

(End of this chapter)