The shortcomings of our surgeon education system exist in almost every level of doctors from the lowest to the highest. I just want to give examples of training for the best people, those who desire to have a higher career achievement in the field of surgery. When they graduated, they became hospital interns, but their time in the hospital was only one and a half years, occasionally two years, which was only slightly longer than the medical service period required by each medical degree applicant in Germany. On average It is not as long as the medical service period required by the University of Tokyo for every medical graduate. Interns are not only troubled by lack of experience, but also by too much experience. The tasks undertaken during the short internship service period are very heavy for him, and he is used to operating without preparation. Although he has gained the confidence and complacency that is very useful for handling emergencies, this often makes him He can't see his own shortcomings, which hinders the development of his career. A surgeon should get the greatest encouragement and support from his assistant. After all, he should spend a lot of time with his assistant every day, but this is only possible when they have enough opportunities for development.
However, although the interns have suffered during the short internship period, hospitals and surgeons have more difficulties. Every important hospital should have at least one surgeon, who can not only handle any possible emergencies, perform any surgical operation, but also recognize the general appearance of all common pathological tissue lesions. However, when the interns left the hospital, they had no experience. Eventually, he may enter a hospital as an attending physician, and then teach other doctors to perform operations that he has never learned before, or he may be unfamiliar with him at the operating table, or simply listen to them. I have never heard of it, or I have never seen it before, express my opinion.
We need a system that can train not only surgeons, but also high-level surgical experts, and we will definitely have it. These excellent surgeons can inspire the first young people in our country to dedicate their energy and lives to improve the level and standards of surgery. For every surgical teacher in the country, the need for reform must be obvious. Reform must be carried out from both hospitals and universities. We naturally expect our newly established institutions to be free from the shackles of tradition and provide sufficient funds to carry out such reforms. It is very desirable for medical schools to have an affiliated hospital, even if it is not absolutely necessary. It is necessary to establish a hospital staff organization as I proposed. It can provide long-term and thorough necessary training opportunities for those who are ready to engage in higher-level positions in medicine and surgery, and establish between the director and assistants Close and mutually reinforcing relationship.
The professors who have been teaching in the department in the past two years “have either no salary or very little salary, almost always lower than the salary of the university president, and it is almost impossible to make a living.” “Obviously,” Buck continued, “if those professors People in clinical disciplines have to live in private practice, and they will be forced to adjust their activities so as not to interfere with their practice." In addition, he also said, “I want to see if these capable people are appointed to manage university hospitals after they are trained by the university and get enough remuneration to let them give up private practice completely and devote all their time and energy to these. What will be the result of the teaching and investigation in the hospital." Time only allows me to give the briefest consideration to this proposition. I fully agree with this proposition. I have been thinking about it for a long time, perhaps twenty years or more. Nevertheless, I think it is very appropriate to ban surgery professors in universities from charging fees, which may be opposed by some people.
1.To become an impressive surgical teacher, collect a large number of important cases, become an influential surgeon, and have a thorough understanding of this profession, the surgeon must perform non-stop operations every day. Most of the surgeon's time must be spent in the operating room; as time goes by, general surgeons do more and more operations each year.
2.With a fixed salary, the surgeon can devote himself to the job of his choice. If he is inclined to research, he will ignore his clinical practice work; if he is a man who is naturally good at surgery, restricting him to accept fees so easily will make him feel annoyed.
In short, hospitals, operating rooms, and wards should all be laboratories, and they are the highest-level laboratories. We know from experience that where this concept prevails, it is not only conducive to higher education and medical science, but also the best To promote the welfare of patients.
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