Chapter 834 Fellow (Thanks to the Leader of 1 Cucumber I)

Mayo has an unwritten custom.

Clinicians must wear their shirts to work every day.

One shirt every day, and it cannot be the same color.

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

Moreover, people here in the United States tend to have larger clothing sizes, so Lu Chen may not always be able to buy something that suits him.

Enter Mayo.

Every visiting physician who comes to Mayo will be assigned a dedicated receptionist.

The person in charge of receiving Lu Chen was a young American doctor named Ay.

The level of doctors at Mayo is different from that in China.

Here, there are only two levels!

Residents and attending physicians.

Resident doctors are those who are in training and are not qualified to practice medicine independently.

Attending doctors refer to those who have completed training and can practice medicine independently. There is no process for selecting professional titles.

At Mayo, or even in the entire United States, there is no such academic title as deputy director or director.

The so-called director at Mayo is just an administrative position, equivalent to the domestic department director.

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

China's standardized training of resident doctors, as well as the subsequent dedicated companionship, are all modeled after those in Europe and the United States.

But now it seems that there are some people who paint tigers instead of dogs.

Many places in China no longer require mandatory training for resident doctors.

…

ay introduced the general situation of Mayo to Lu Chen.

There was a sense of pride in his words.

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 support staff, including medical assistants, nurses, technicians, secretaries, statistical experts, as well as electricians, plumbers, cleaners, etc.

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

These support staff provide physicians with the support they need to better serve their patients.

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

However, it is this kind of cooperation that provides Mayo employees and patients with an incomparable feeling of happiness.

"Lu, during 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.

I usually have the most contact with patients. If there are problems that cannot be solved, I will report them to the attending physician.

After the attending physician gives the corresponding diagnosis and treatment opinions, the fellow will finally perform the procedure.

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

The walls of the Mayo Medical Center are covered with photos from Mayo's founding.

In addition, Lu Chen also learned.

Mayo is a typical "big pot meal"!

Everyone's salary level is the same.

A doctor's salary has absolutely nothing to do with the number of surgeries, number of beds, number of examinations and tests ordered, etc.!

The difference in salary mainly depends on the length of time at Mayo.

However, as long as you stay at Mayo for five years, your salary will reach its peak.

In other words, the salary of an attending physician who has worked at Mayo for five years is exactly the same as that of an attending physician who has worked at Mayo for 20 years.

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

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

For a moment, Lu Chen was a little envious of this working model.

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

Just focus on clinicals.

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

Lu Chen was already shocked before he actually entered Mayo's clinic.

"Lu, next, I'll take you to see the fellow you want to follow." Ay brought Lu Chen to the cardiovascular medicine ward. He looked down at his watch, "At this time, they should be discussing the case now. ”

Come to the case discussion room of the Department of Cardiology.

Lu Chen found that the layout of the wards here was completely different from that in China.

Open the door gently.

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

Among them were gray-haired old professors and energetic young people.

Lu Chen and Ay sat in the corner of the classroom and did not disturb everyone's discussion.

Cases discussed at Mayo

Lu Chen was very interested.

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

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

Lu Chen was shocked when he saw the patient's basic condition.

It’s indeed Mayo!

The cases we see casually in other places are basically difficult and severe cases.

In the audience, many doctors had heated discussions.

A doctor, about thirty-five years old, was standing on the podium and talking.

"The patient is not only difficult to make, 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. The family doctor performed a stress test on him, and the results showed that the patient had a large area of ​​inferior wall ischemia. UU Reading wwｗ.uukanshｕ.net "

"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.

The white-haired old professor sitting at the top is the attending physician of the team, that is, the most senior physician.

The middle-aged blond male doctor is a fellow in the team and is currently undergoing cardiovascular specialty training.

In addition to residents and interns, the other people in the team also include visiting doctors from other parts of the country.

After ay's reminder, Lu Chen knew that there were Indians, Filipinos, Japanese, and of course the largest number of Americans in this team.

After the fellows in the team asked questions.

These residents and interns participated in the discussion very actively and put forward many constructive suggestions.

However, the fellow and the attending physician were obviously not satisfied with the answers.

The fellow asked again:

"Should this patient be treated with conservative medication or surgery? Even if revascularization is possible, should a bare metal stent or a drug-coated stent be chosen?"

After this question, all the residents and interns, including the visiting physician with the same status as Lu Chen, were silent.

"Mr. Ay, can I answer?"

Lu Chen asked Ay in a low voice.

Ay was stunned at first, then smiled and nodded: "Of course, Lu, you have to remember that you are also a hospital in the team."

"Okay, thank you."

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

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

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