I Can See Health

   Chapter 838 Fellow (Thanks to the leader of a large cucumber I)

  Mayo has an unwritten custom.

   Clinicians must wear shirts to work every day.

   One shirt per day, and not the same color.

   Fortunately, Lu Chen brought three shirts with him this time, otherwise he would have to go to the supermarket temporarily to buy.

   And the people in the United States have large clothes, so Lu Chen may not be able to buy what suits him.

   Enter Mayo.

   Every visiting doctor in Mayo will be assigned a special reception doctor.

   The person in charge of receiving Lu Chen is a young American doctor named Amy.

   Mayo's physician level is different from Huaxia.

   Here, there are only two levels!

   Residents and attending physicians.

A    resident doctor, i.e. in training, is not qualified to practice medicine independently.

   Attending doctor refers to the process of completing training and being able to practice medicine independently without the selection of professional titles.

   In Mayo, and even the entire United States, there is no deputy director, the academic title of director.

   Mayo's so-called director is just an administrative position, equivalent to a domestic section director.

   In addition, after the residency training, some people still need to do 1 to 3 years of "fellowship" for clinical subspecialty training.

   Huaxia’s standardized training for resident physicians, and subsequent special accompaniment, are all imitated by countries such as Europe and the United States.

   But now it seems that some painted tigers are not anti-dogs.

  Many places in China are no longer mandatory for resident physician training.

  …

  Amy introduced the general situation of Mayo to Lu Chen.

   In the words, there is a sense of pride.

  Mayo has more than 4,500 physicians and scientists, including more than 3,000 doctors and more than 1,000 scientists.

   There are 58,000 managers and logisticians, including medical assistants, nurses, technicians, secretaries, statisticians, as well as electricians, plumbers, cleaners, etc.

   Among more than 62,000 employees, the ratio of staff to doctors is close to 13:1.

   These support staff provide strong support for physicians and facilitate physicians to better serve their patients.

A ratio of   13:1 is impossible and unimaginable in China.

   However, it is this kind of cooperation that provides Mayo's staff and patients with a feeling of incomparable happiness.

   "Lu, in the next period of time, you will study with a Fellow."

  Fellow, as the most "high-level" echelon in the long medical training process in the United States.

   They manage the department's residents and interns.

   Usually have the most contact with patients, and if there are problems that cannot be handled, they will be reported to the attending physician.

   After the attending physician gives the corresponding diagnosis and treatment advice, the Fellow will perform the final execution.

   Therefore, those who can participate in the Mayo Fellow training are the elites of doctors from all over the world!

  The walls of the Mayo Medical Center are covered with photos of Fellows from Mayo's creation in 1930 to the present.

   In addition, Lu Chen also learned.

  Mayo is a typical "eat a big pot of rice"!

   All wages are the same.

  The doctor's salary has nothing to do with the amount of surgery, the number of tube beds, the number of inspections and tests, etc.!

  The difference in wages mainly depends on the length of time spent in Mayo.

   However, as long as you stay at Mayo for five years, wages and salaries peak.

   That is to say, an attending physician who has worked in Mayo for five years is paid exactly the same salary as an attending physician who has worked in Mayo for 20 years.

   Of course, the salary for administrative positions will be slightly higher, not much higher.

   And administrative positions are rotated every few years, and there is no such thing as working until retirement.

   For a while, Lu Chen was somewhat envious of this work mode.

   Doctors will not do any more examinations or tests because of performance.

   Just focus on clinical.

   No wonder Mayo can attract many top medical talents from all over the world!

  Lu Chen was shocked before he actually entered Mayo's clinical practice.

"Lu, next, I'll take you to see the Fellow you're going to follow." Amy took Lu Chen to the Cardiovascular Medicine ward, he looked down at his watch, "At this time, they should be discussing the case now. ."

   Came to the case discussion room of the Cardiology Department.

  Lu Chen found that the layout of the ward here was completely different from Huaxia.

   Gently push the door open.

   There were about a dozen doctors of different skin colors sitting around.

   There are old professors with gray hair and young people with vigor.

  Lu Chen and Amy sat in the corner of the classroom without disturbing everyone's discussion.

   For the cases that Mayo has to discuss

  Lu Chen was very interested.

   He looked at the projector screen on the podium, where the discussion was about a patient with intractable angina.

   The patient is a 65-year-old man with multiple myeloma and refractory hematuria.

   When he saw the basic condition of this patient, Lu Chen was taken aback.

   Sure enough, it's Mayo!

   The cases that you see casually and put in other places are basically difficult and severe cases.

  Under the stage, the doctors had a heated discussion.

  A doctor who is about thirty-five years old is standing on the podium, talking eloquently.

"The patient is not only difficult to get through, but also has severe hematuria, and the life expectancy is 6 to 12 months. During this process, the patient developed symptoms of grade 3 to 4 angina pectoris, and the family doctor carried out a stress test on him. The results suggest that The patient had extensive inferior wall ischemia."

   "The problem we are facing now is the patient's next diagnosis and treatment plan."

   At this time, Lu Chen also saw the composition of their entire medical team.

   Sitting at the top, the white-haired old professor is the attending doctor of the team, that is, the most senior doctor.

  The middle-aged blond male doctor is the Fellow of the team and is currently undergoing specialized cardiovascular training.

   And the rest of the team, in addition to residents, interns, and visiting doctors from other parts of the country.

   After Amy's prompt, Lu Chen knew that there were Indians, Filipinos, Japanese in this team, and of course the most were Americans.

   After a question from a Fellow in the team.

  These residents and interns were very active in the discussions and put forward many constructive comments.

   However, the Fellow and the attending doctor were obviously not satisfied with everyone's answer.

  Fellow asked again:

   "Is this patient treated conservatively with drugs or surgical treatment? Even if revascularization can be performed, should we choose a bare metal stent or a drug-eluting stent?"

   After this question came out, all the residents and interns, including the visiting physician with the same identity as Lu Chen, were a little silent.

   "Mr. Amy, may I answer?"

   Lu Chen whispered to Amy beside him.

  Amy was stunned for a moment, then nodded with a smile: "Of course, Lu, you must remember that you are also part of the team."

"Okay, thank you."

   At this moment, Lu Chen suddenly raised his hand and said, "Can I answer?"

   Everyone in the room looked at Lu Chen who was sitting in the corner with very puzzled and surprised eyes.

   (end of this chapter)