(500 words, half an hour)

"You must be busy, yes, be busy, don't sit there all the time, it looks dead."

Shao Li held the manuscript that had been revised more than ten times in her hand and looked at the young doctors in the office with a serious face: "I said it twice last time, you must be energetic and discuss the symptoms of the patient more intensely. The audience should look at the contradictions. Do you understand the contradictions? Only when there is a debate or even arguing can there be a contradiction!"

"But the nature of our work is to read medical records. Now we don't even have a patient, so how can we get busy?"

Chen Bing is no longer Chen Bing two years ago. Not only has he lost a lot of weight, he also dared to chat with Shao Li in a "tit-for-tat way": "Sister Li, let us go. If you really want to have a conflict, you can go to the emergency department of other hospitals. There are conflicts there every day, and you don't bring any duplicates every day."

"This is the task assigned by you, Brother Qi. Besides, you must have the approval of the other hospital leaders when you go to other hospitals. When it is really time to broadcast, you must obtain the consent of a bunch of patients and family members..."

It’s not that Shao Li hasn’t considered Chen Bing’s opinions.

The leaders of other hospitals are easy to handle. She has some skills and no problems. However, the emergency department can only win by quantity when choosing diseases. It looks very dangerous. If the filming is really done, the plot will not fluctuate, and there are still many repetitive things.

And the most important thing lies with the patients and their families.

Emergency patients have a very urgent course of illness, and more than 90% of them refuse to shoot. Even if the surveillance and post-event interviews are combined, the clips that can be used are limited in the end due to the request of the parties involved. It is possible that the film lasted for several hours, and the final number of films can be broadcasted is less than 10 minutes.

Instead of doing this, it is better to specialize in the diagnostic department of the medical center.

Although the patient's condition is not that critical, the importance is that there is enough content, the course of the disease is long, and the diagnosis process is confusing. As long as the patient signs the broadcast agreement, the medical record alone can be expanded for more than ten or twenty minutes.

The medical record itself is just an appetizer that arouses the audience's curiosity, and the key content still depends on the doctor to support it.

"Or just take a picture as usual, the reality is the most important thing." Hu Dongsheng suddenly said, "Anyway, we are doing this, we must be like other doctors, so what's the point?"

Shao Li had no choice but to ask the photographer to take a few shots before asking: "Do you have any cases that need to be discussed?"

"Yes, yes, but the discussion was finished yesterday." Hu Dongsheng scratched his scalp, "I'm really embarrassed."

"The discussion is over?"

Shao Li couldn't help biting her lips, and her teeth were dyed light red: "It's okay to finish the discussion, you can pretend to be good. Think about what happened yesterday, and do it again, is it okay?"

The case discussion chaired by Hu Dongsheng yesterday was not long, about 15 minutes, and the whole process was divided into two parts.

Part of it is to determine the relevant symptoms, and the other part is to make differential diagnosis.

There is nothing special about the symptoms, and you can draw a conclusion by looking at the test results. In terms of differential diagnosis, Hu Dongsheng and Chen Bing argued a lot, and finally found Ji Qing and made a final judgment.

There are smooth and conflicts, good rhythm, and less than half an hour of discussion, it seems that Shao Li can reproduce it.

But when it was really time to do it, they couldn't get in. Everyone present either had a stiff facial expression or was overly nervous, and even stuttered when speaking. This feeling was obviously wrong, and they didn't have the confidence that the diagnostic department should have.

After struggling for 2 hours, Shao Li shook her head as she looked at the clip she took: "How can Qi Jing disappear at this critical moment?"

"Sister Li, don't say it so exaggeratedly. Brother Qi is just going to the United States." Hu Dongsheng looked at the several cases that had just been passed to him from the intern and said, "And you have recorded an interview video before."

"Interview is interview, case discussion is case discussion, and the impact is different."

Hu Dongsheng is very strong and has basically been responsible for the daily work of the diagnosis department. However, if he wants to give the people in front of him a medical record that needs to be discussed and solved, he still lacks some experience in digging holes: "If this happens, he can only wait for him to come back."

"You don't have anything else to discuss?"

Shao Li still didn't give up: "Just let me take a wide angle at that time, and make some intense discussion clips to intersperse, pinch off the sound, and then..."

Hu Dongsheng didn't give her much hope and said directly: "The cases in the diagnosis department have been cleared recently, and this one is the only one left."

"This is too unlucky!" Shao Li saw that she missed the opportunity and had no choice but to ask, "When will he return to China?"

"He didn't say exactly when, but it shouldn't be too long." Hu Dongsheng stopped his work, "He got a J-1 visa, the kind of exchange visitor, and he will be back in one year at most."

The production of the documentary has already been carried out, so how could Shao Li wait for so long: "It will take one year?"

"The visa time is one year. If the matter can be done properly, I might come back early."

Shao Li was busy making some modifications to the script and asked, "Can you come back in three months?"

"This..." A trace of helplessness flashed across Hu Dongsheng's face, but he quickly hid it. "I don't know about this. You can call him."

"Okay, I can only do this first. Anyway, I have videos of you interviews in my hand. I will cut the episodes back when I go back, hoping to make a decent match. As for a certain manager, let's see the situation... With his temper, it's midnight to hit him now, so I definitely don't have any good results."

Shao Li was obviously annoyed by the production of the documentary.

She originally wanted to make two movies, each with a length of 30-40 minutes, which mainly talks about the work of the diagnostic department. In terms of style, she hopes to try to get to the detective and arrest the murderer. She lays out some medical records in the first half, and it doesn't matter if she goes around in circles. After several intense case discussions in the second half, she finally locked in the "murderer".

But who knew that the movie at the end of 2006 became popular quickly when it first released, with very good ratings. As a result, the TV station forced her to shoot three more movies in 2007.

Medical diagnosis is similar to case determination, and evidence needs to be paid attention to.

But if the whole process is put in front of the audience, the diagnosis is completely different from the judgment.

Because more down-to-earth than criminal investigations that require more root in the lives of the parties, medicine has an invisible threshold. Of course, forensics also have thresholds, but the proportion in the investigation process does not account for much, and it is easier to describe.

At this time, the diagnostic department, which focuses on medical record research, is less innovative the more it takes, and instead it is easier to find out the various tricks and gain more advantage.

If you cannot break through innovation, your viewership will naturally decline.

Qi Jing, the initiator of the documentary, gradually lost her enthusiasm. Especially since the end of last year, this guy always worked on some strange things, which made people completely confused. Since then, the work of the documentary has been on Shao Li's shoulders.

"Sister Li, don't put too much pressure on yourself."

Chen Bing comforted him: "After our hospital applies for the Third B, we should build an internal medicine emergency department next year, and the interventional room is also being built. We can completely change the style in the future."

"Yes, it turns out that there will be regulations and political training in the year. We will implement it with Minghai here."

Shao Li has been taking on medical special topics in the past two years, and she definitely not only serves Qi Jing. But there are few positive things that attract attention except medical disputes and disputes. The regular training plan discussed this year is a shot of heart-warming agent. According to urban specifications, Danyang will definitely have many regular training bases.

In her opinion, this is indeed a good idea.

The training locations are basically all in tertiary hospitals, which allows doctors with practice certificates to better understand what the highest-level medical process is like. After entering the job after training, the previous habits will be retained.

But in fact, the geniuses in the diagnosis department have seen through this a long time ago.

Domestic doctors are indeed not of good quality, and the regional differences are very large. I urgently need correct guidance from tertiary hospitals. In this context, the regular training plan seems reasonable, but in fact, its essence is to squeeze labor force in a different way. Compared to formally hiring a doctor, such an internship is still cheaper.

The reality is that, except for some hospitals with bottom-line conditions, a large part of the income from regular medical training cannot be guaranteed at all.

Of course, the expansion of the hospital and the entry of regular training of medical institutions will definitely have a great effect on the selection of materials, but these are all later stories. The current documentary is still a difficult problem for Shao Li.

There was always a thought in her arms that made this beauty who was over 2 years old no longer look as free and easy as she was two years ago. Faced with a group of young doctors, she couldn't complain and left in the diagnosis department before she left.

"You are too unkind. How could Brother Qi come back in three months?" Chen Bing looked at Hu Dongsheng and complained, "It took him five years when he applied for a visa!"

"I didn't lie to him, there's always something wrong with this."

"What's the point in the US physician license exam..."

......

Although Chen Bing said so, what they said had appeared once on Qi Jing.

The American doctor practice examination is divided into three stages, namely basic medical theoretical knowledge, application and operation of clinical medical knowledge, clinical practice and advanced evaluation. (1)

Because it is a full English question set and subsequent interview oral language, considering the multi-stage and long time span, the entire exam is very difficult. Whether it is the comprehensive Western medicine exam for the postgraduate entrance examination, the qualification examination for practicing physicians who entered the industry, or the subsequent regular training examination, it is impossible to compare with it.

Generally, the first stage will take several months of preparation for ordinary candidates. If their English fails, the time will be extended indefinitely.

But for Qi Jing, these are just the foundation.

Basic knowledge is far from clinical practice, for clinicians, its characteristic is that it is easy to forget and remember. This is especially true for old men who have experienced many exams. They only need to review for a few days to return to their previous exam status.

However, what Qi Jing wants this time is not just passing the exam, what he wants is high scores, absolutely high scores.

So after half a month of preparation for the exam, he took the computer exam in Minghai in September and received a notice of passing the exam at the end of October. Then, with Coent's recommendation, he was invited by the University of Washington Medical Center and obtained a visa in early November.

The speed of the entire process exceeded everyone's expectations.

Qi Jing is now working in the emergency department of the Medical Center. If nothing unexpected happens, he will receive the second phase of the exam in December.

In addition to assessing the application of clinical knowledge, medical record inquiry and recording, as well as several necessary operations are required in the second stage. For domestic candidates, this level is very difficult, especially the colloquial expression of professional terms. If you do not have a deep foundation, it will be difficult to pass.

Ordinary candidates need to prepare for the second stage of the exam for about one year.

Generally, the first stage will take several months of preparation for ordinary candidates. If their English fails, the time will be extended indefinitely.

But for Qi Jing, these are just the foundation.

Basic knowledge is far from clinical practice, for clinicians, its characteristic is that it is easy to forget and remember. This is especially true for old men who have experienced many exams. They only need to review for a few days to return to their previous exam status.

However, what Qi Jing wants this time is not just passing the exam, what he wants is high scores, absolutely high scores.

So after half a month of preparation for the exam, he took the computer exam in Minghai in September and received a notice of passing the exam at the end of October. Then, with Coent's recommendation, he was invited by the University of Washington Medical Center and obtained a visa in early November.

The speed of the entire process exceeded everyone's expectations.

Qi Jing is now working in the emergency department of the Medical Center. If nothing unexpected happens, he will receive the second phase of the exam in December.

In addition to assessing the application of clinical knowledge, medical record inquiry and recording, as well as several necessary operations are required in the second stage. For domestic candidates, this level is very difficult, especially the colloquial expression of professional terms. If you do not have a deep foundation, it will be difficult to pass.

Ordinary candidates need to prepare for the second stage of the exam for about one year.

Generally, the first stage will take several months of preparation for ordinary candidates. If their English fails, the time will be extended indefinitely.

But for Qi Jing, these are just the foundation.

Basic knowledge is far from clinical practice, for clinicians, its characteristic is that it is easy to forget and remember. This is especially true for old men who have experienced many exams. They only need to review for a few days to return to their previous exam status.

However, what Qi Jing wants this time is not just passing the exam, what he wants is high scores, absolutely high scores.

So after half a month of preparation for the exam, he took the computer exam in Minghai in September and received a notice of passing the exam at the end of October. Then, with Coent's recommendation, he was invited by the University of Washington Medical Center and obtained a visa in early November.

The speed of the entire process exceeded everyone's expectations.

Qi Jing is now working in the emergency department of the Medical Center. If nothing unexpected happens, he will receive the second phase of the exam in December.

In addition to assessing the application of clinical knowledge, medical record inquiry and recording, as well as several necessary operations are required in the second stage. For domestic candidates, this level is very difficult, especially the colloquial expression of professional terms. If you do not have a deep foundation, it will be difficult to pass.

Ordinary candidates need to prepare for the second stage of the exam for about one year.
Chapter completed!