[577 has been changed all...578 has also been modified, and I will be released tomorrow. Recently, my father-in-law found out that the Cas is in the late stage. I guess the update will be unstable, and it may be interrupted by then. Please forgive me]

[There are so many articles on hospital construction]

At present, Zhejiang University Kennel is at a juncture: the new crown epidemic has profoundly changed the international and domestic medical environment, and the hospital is facing a new round of leapfrog development after being approved as a "dual center". "At this time, the concept of 'strengthening hospital' is particularly important." Secretary Shu Qiang believes.

Hospitals are also promoting the development of medical research in multiple dimensions through various methods.

The hospital's attention and investment in scientific research can be seen from the ongoing multi-campus planning and construction-

First, the strategic cooperation agreement signed by the hospital and the Deqing People's Government - establishing a 1,000-bed children's medical center with an investment of 3 billion yuan and covering an area of ​​200 acres. The center is mainly used to build four major centers: a research center, a medical center, a children's public health center and an education, teaching and training center.

Secondly, a children's medical center established by the hospital in cooperation with the Yiwu People's Government has 600 beds. Given the diverse local population structure, it is conducive to collecting different samples for research, the research center is committed to the development of fetal medicine.

In addition, the upcoming Binjiang Phase II Campus has a 10-story building of 10,000 square meters dedicated to scientific research; and the Moganshan Campus, which will be built soon, will also build a 30,000 square meters scientific research building, which will also provide a scientific research platform for professional scientific researchers.

"The establishment of these scientific research platforms is very important for the development of hospitals," Secretary Shu Qiang laughed. First of all, there are outputs of scientific research papers, and secondly, it is very helpful for cultivating students, because the Academy of Pediatrics trains sixty or seventy masters and doctors every year. These scientific research platforms will play a big role when cultivating them with scientific research. "In addition, this is also conducive to the training of pediatric talents in a broader sense. We always hope to retain the talents we cultivate. As long as we stay, no matter whether they are in scientific research or clinical practice."

Given the fact that clinicians are busy with business and lack of skills in doing scientific research, Zhejiang University Kennel has adopted a "clinical scientific research"-type in-depth cooperation model in the past three or four years, that is, clinicians are encouraged to observe, discover, raise questions, and then scientific researchers analyze, study problems, and cooperate in depth, and finally jointly sign the paper when it is published.

"In this way, clinicians are more motivated to discover problems, because someone helps with research and can also sign together." Secretary Shu Qiang laughed and said that this teamwork model is very popular with clinicians and will not increase the burden of scientific research, and it is very helpful for their career growth.

From the perspective of the hospital, after implementing this cooperation model, the "effect is very obvious", Shu Qiang said. Taking the China Hospital Science and Technology Value Ranking (STEM) as an example, Zhejiang University Children's Hospital ranked second in children's specialty hospitals last year, but in the past few years, it has been hovering between third, fourth and fifth.

Speaking of the hospital's influence, Shu Qiang lamented that when he went to Cincinnati Hospital to study in 2006, there was only one building at that time, and now three scientific research buildings have been established. As a third-ranked pediatric hospital in the United States, Cincinnati has only five or six hundred beds, but they have achieved very small clinical practice and strong scientific research. The famous polio vaccine was invented by the hospital.

"Their system is different from ours," Shu Qiang introduced that foreign hospitals have a lot of scientific research funds and can decide how to spend it on their own, including it can be used to pay wages, etc. Therefore, the hospital has no burden on it and only needs to provide venues. The country still owes a little bit in this area. "What should we do in this situation?" He said that at present, as the country progresses, we can only strengthen our awareness and strive to make more efforts in clinical practice.

"Talent problem is the biggest challenge"

"Talent is the most important thing. Without excellent talents, no matter how good the platform or idea is, no one will promote the realization."

When talking about pediatric talents, Shu Qiang blurted out this sentence.

In order to solve the common problem of scarcity of pediatric talents, Zhejiang University Kennel has used all its strength.

Let’s start with the cultivation of talents in medical schools.

During the 13th Five-Year Plan period, the hospital also made great efforts to cultivate pediatric talents from the student stage - established the School of Pediatrics, School of Medicine, Zhejiang University, to carry out full-chain career development and training of pediatric talents, creating a closed loop from on-school education for medical students to post-graduate regular training, specialized training and on-the-job continuing education.

"These are all carried out under the organization of the Academy of Pediatrics, which provides a good foundation for the cultivation of high-level pediatric talents." Shu Qiang said.

The industry is well aware that pediatric hospitals have always had little income and government subsidies are also limited. In order to cultivate talents, Zhejiang University College Denmark tries every means to attract "living money" through multiple channels, including corporate, social, government and individuals. The acquisition of Zhejiang University College Denmark's "dual-center" platform in the past two years has greatly promoted the injection of such public welfare funds.

In 2016, Zhejiang University established the "Pediatric Talent Training Foundation", hoping to provide financial support for pediatric talent training through social funds and other forms. Soon, the Hong Kong Run Run Shaw Fund fulfilled its promise to donate 30 to 40 million Hong Kong dollars to Zhejiang University for talent training for Zhejiang University's pediatrics, and an additional 70 million Hong Kong dollars, totaling 100 million Hong Kong dollars, which is systematically used for pediatric science construction, talent training, etc.

"The use of this 100 million yuan is relatively flexible. Children's hospitals have to make demands and can be approved by the fund board." Shu Qiang said that the current money is mainly used for talent introduction - the hospital has introduced sixty or seventy scientific research talents during the 13th Five-Year Plan period. This fund provides very effective support to avoid affecting the income and performance of doctors within the hospital.

It is worth mentioning that in order to attract and compete for talents with the greatest efforts, Zhejiang University Kennel’s policy on introducing talents has both common high salaries and personalized “one person, one policy”. If the scientific research output is insufficient during the doctoral period and the ability is still lacking, a transitional stage is allowed.

In addition, when communicating with the local government, the two campuses of Moganshan and Yiwu, the hospital also talked about the talent training funds. In addition to the construction of the campus, the two local governments also agreed to support the training of pediatric talents, and each spent several hundred million.

"These funds will also be used for talent training and introduction. After all, after the two campuses are built within three years, a large number of doctors are needed, and these doctors cannot be transferred from the current campus, so we have to prepare now and spend money to introduce doctors and train doctors." Shu Qiang said.

As for personal donations, President Shu Qiang revealed that the hospital is seeking more caring people to help the hospital develop, and there has been progress. "If things go well, the donations obtained will also be used to introduce, cultivate talents, discipline construction, etc.."

All these things, the hospital will focus on projects with talent as its core, and it has also achieved certain results. It is understood that during the 13th Five-Year Plan period, a total of more than 60 scientific researchers were introduced, including part-time, double-employed and full-time.

"In fact, to a certain extent, hospitals, like enterprises, rely on doctors and nurses to work hard to treat medical treatment every year. If you only rely on this money to support scientific researchers, one or two dozen will definitely not be able to support hundreds of them," Shu Qiang said.

Do you dare to spend 30 million yuan to introduce robots?

For Shu Qiang, innovation is not an option, but a must, especially after being promoted to the first echelon of the National Pediatric Hospital.

"We can basically have the same level of medical care, teaching and scientific research in the first-tier hospitals. Only by innovating in all aspects can we have the opportunity to develop better and faster," he said.

The introduction of the fourth generation of Da Vinci robots to make clinical technological breakthroughs can reflect the urgency and courage of Zhejiang University Kennel in "innovation".

In 2020, Zhejiang University Kennel decided to invest 30 million yuan to be the first in the country to introduce the fourth-generation Da Vinci surgical system. Before this, the industry was questioned whether pediatric surgery is suitable for robotic surgery - because the number of robotic surgeries used in children was very small in the past, and secondly, it was mostly done using third-generation robots in general hospitals. Due to the lack of experience of doctors and the bulky surgical instruments, many doctors believe that robotic surgery is only suitable for older children and is forbidden to use young children.

So even in the courtyard of Zhejiang University's pediatrics, there were different opinions on whether the 30 million should be invested. Before introducing the fourth generation of Da Vinci surgical system, Shu Qiang led the team to conduct careful investigations:

First of all, the feasibility and necessity of Da Vinci's operation in the field of pediatric surgery, the hospital leadership team and professional departments inside and outside the hospital, and experts conducted multiple rounds of discussion and analysis.

Secondly, to demonstrate economics, a set of equipment invests 30 million, how many surgeries can be performed every year after introduction? Can the amount of surgery meet the minimum requirements?

Finally, after repeated analysis and evaluation, although it was still believed that there were certain risks, the hospital leadership team still decided to introduce it!

"Innovation sometimes strives for courage," said Shu Qiang.

After introducing the fourth generation of Da Vinci robots, doctors felt more intuitively and comprehensively that the machine has improved greatly in many aspects than the third generation, such as the finer arm. Therefore, after professional training for doctors, Zhejiang University Children's Hospital was the first to carry out multidisciplinary Da Vinci robot surgery in the field of pediatric surgery in the domestic field of pediatric surgery in half a year. Currently, more than 360 surgeries have been completed, and breakthroughs have been achieved in many aspects such as tumors, urology, and general surgery:

The cardiac surgery team completed the first PDA ligation robotic surgery in the country;

Many disciplines such as urinary and tumor use the characteristics of the flexible arms of the fourth generation robot and strong adaptability of the instrument to achieve single-incision robot surgery through the umbilical cord;

Neonatal surgery begins to explore robotic surgical treatment of neonatal duodenal obstruction...

Dr. Tan Zheng, deputy director of the Department of Thoracic Surgery at Zhejiang University's School of Pediatrics, created a digital miracle of Da Vinci's robotic surgery for pediatric cardiothoracic surgery at home and abroad, completing more than 100 surgeries, making him the pediatrician with the largest number of surgeries and the highest frequency of surgery in this field.

"After we practiced it personally, we found that there are many benefits." Shu Qiang gave an example. Many patients used routine surgery and needed to be hospitalized for at least 7 to 10 days. Now, after using the fourth-generation robot, due to the small trauma, the children can go home the next day after the operation. Many diseases can undergo day surgery, and the cost of the surgery is more acceptable.

"After the previous artificial surgery, the relevant expenses were 20,000 to 30,000 yuan. Now after robot surgery, the expenses were 50,000 to 60,000 yuan." Shu Qiang introduced that although the cost has doubled, parents can basically accept it. The main reason is to consider the physical trauma and recovery of the child, psychological pressure, various inconveniences caused by long-term hospitalization, etc.

In addition, Shu Qiang also analyzed and summarized the benefits of robotic surgery to doctors:

Relieve doctor fatigue: Doctors can sit down and operate without having to stand all the time;

More stable movements: Doctors are prone to trembling hands after long-term surgery, while robots have defibrillation functions, making movements very accurate and stable;

Clear field of vision: It turns out that during naked eye surgery, it was magnified by a maximum of 3 to 5 times through a magnifying glass. Now it can be magnified by a robot nearly 20 times, and it is presented in three dimensions, making the vision clearer;

Very flexible: the robotic arm can rotate 360 ​​degrees of spheres, making it more flexible and convenient.

Shu Qiang introduced that at last year's National Pediatric Surgery Annual Conference, Zhejiang University Children's Hospital shared its surgical experience for five months after the introduction of robots. The audience at the venue was very strong. After the meeting, experts from many pediatric specialized hospitals were trying out robot surgery. "Some have purchased equipment and planned to carry out the operation."

This is a great encouragement for Shu Qiang and Zhejiang University Kennel. "We are currently exploring to see if the fourth-generation robotic surgery can be applied to all majors and ages in the field of pediatric surgery." He also said that he is also planning to do some things that empower the industry:

Establish a robot surgery alliance to provide academic exchange opportunities for industry insiders and promote the homogeneous development of robots in pediatric surgery nationwide;

Establishing a robot training base in the children's field in Moganshan Campus requires cooperation with the company and obtaining animal experiment qualifications;

A monograph on the use of robots in the field of pediatric surgery is compiled, focusing on the clinical robotic surgery cases and experiences in Zhejiang University's Kennel over the past six months. The content has been compiled and is scheduled to be published in May.

Although the introduction of the fourth generation of robots has opened up the development of pediatric surgery and hospitals, looking back at the decision at that time, Shu Qiang still felt it was not easy. "If you spend 30 million yuan to buy the machine and find that it is only suitable for a few departments, the waste will be great," he smiled and sighed: Innovation is not that simple.

After the COVID-19 pandemic, due to new changes in the disease spectrum and medical treatment model, many public hospitals are adjusting their development strategies, and Zhejiang University Kennel is no exception.

"We decided to make structural adjustments, enrich the field of internal medicine, and vigorously develop surgical medicine." Secretary Shu Qiang introduced that the epidemic has caused a sharp reduction in related respiratory diseases. The original internal medicine ward that was difficult to find is now vacant, which forces the hospital to make adjustments to internal medicine:

First, open up specialist outpatient clinics and cancel the number limit. For example, in the hospital's otolaryngology department, there are many patients, but an expert used to only see 50 numbers a day, and then he would not see the number limit. Now he is freeing up the number limit. If the expert has read 50 numbers a day and there are 50 numbers in the future, let the entire department solve the problem together. In short, as long as the patient comes, it will be solved and finished.

Second, doctors from patients' unsaturated departments are selected for training and switch to specialties with scarce sources, such as dermatology and entrapment departments.
Chapter completed!