I can see health

Chapter 838 Fellow (Thanks to the leader of a big cucumber I)
Mayo has an unwritten custom.

Clinicians have to wear shirts to work every day.

One shirt per day, and not 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 in the United States have clothes that are too big, so Lu Chen may not be able to find the right one for him.

Enter Mayo.

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

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

Mayo's level of physician is different from that of Huaxia.

Here, there are only two levels!

Resident and Attending Physician.

Residents, that is, in training, are not qualified to practice medicine independently.

The attending doctor refers to the person who has completed the training and can practice medicine independently, and there is no process of selecting professional titles.

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

The so-called director of Mayo is only an administrative position, which is equivalent to the director of a department in China.

In addition, after the resident training is over, some of them need to do 1 to 3 years of "fellowship" for clinical subspecialty training.

Huaxia's standardized training for resident physicians, as well as the following special escorts, are all modeled after those in Europe and the United States.

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

In many places in China, the mandatory training of resident physicians is no longer mandatory.

……

Amy introduced the general situation of Mayo to Lu Chen.

There is a sense of pride in the words.

Mayo has more than 4500 physicians and scientists, including more than 3000 doctors and more than 1000 scientists.

There are 58000 managers and support staff, including medical assistants, nurses, technicians, secretaries, statistical experts, electricians, plumbers, cleaners, etc.

Among the more than 62000 employees, the ratio of employees to doctors is close to 13:1.

These support staff provide support to physicians and enable them 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 an extremely happy feeling.

"Lu, for 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, 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 opinion, the Fellow will implement it finally.

Therefore, those who can participate in the Mayo Fellow training are the elite among doctors from all over the world!
On the walls of the Mayo Medical Center, there are photos of Fellows since Mayo was founded in 1930 to the present.

In addition, Lu Chen also learned.

Mayo is the quintessential "eat big pot"!
Everyone's salary is the same.

The doctor's salary has nothing to do with the number of operations, the number of beds, the number of tests prescribed, etc.!

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

However, as long as the time spent in Mayo reaches five years, the salary will reach its peak.

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

Of course, the salaries of administrative positions will be slightly higher, not much higher.

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

For a while, Lu Chen was a little envious of this working mode.

Doctors will never do any more checks or tests because of their performance.

Just focus on the clinical.

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

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

"Lu, next, I'll take you to see the Fellow you want to follow." Amy brought Lu Chen to the cardiovascular medicine ward, and 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 ward here is completely different from Huaxia.

Gently push the door open.

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

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

Lu Chen and Amy sat in the corner of the classroom, not disturbing everyone's discussion.

Cases that are discussed at Mayo

Lu Chen was very interested.

He looked at the projector screen on the podium, and the content of the discussion was a patient with intractable angina pectoris.

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

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

It really is Mayo!

Cases that you see casually, put in other places, are basically difficult and severe diseases.

In the audience, all the doctors had a heated discussion.

A doctor, about 35 years old, is standing on the podium, talking freely.

"The patient is not only difficult to get familiar with, but also has severe hematuria. The life expectancy is 6-12 months. During this process, the patient developed symptoms of angina pectoris of grade 3-4. The family doctor conducted a stress test on him, and the results indicated that Patient has massive inferior wall ischemia."

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

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

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

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

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

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

After the Fellow in the team asks questions.

These residents and interns all actively participated in the discussion and put forward many constructive opinions.

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

Fellow asked again:
"Is this patient treated conservatively with drugs or surgically? Even if he can undergo revascularization, should he choose a bare metal stent or a drug-coated stent?"

After the question was asked, all the residents and interns, including the visiting physician with the same status as Lu Chen, fell silent.

"Mr. Amy, may I answer?"

Lu Chen asked Amy in a low voice.

Amy was taken aback for a moment, then nodded with a smile: "Of course, Lu, you have to remember that you are also a member of 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.

(End of this chapter)