The gap between Chinese and American medicine is not high-tech, and the gap in technology is easy to make up. Even many Chinese teachers do better than American teachers. Let's take a look at how professional teachers answer China's clinical medical technology and how big is the US gap? Which departments are very different from the United States? Which departments are closer? Is there more than the US department (except Chinese medicine)?
Reply:
Yesterday, I met someone who had a meeting on the plane. When I talked about the gap between China and the United States, everyone disagreed. Today, I will talk about many shortcomings of medical treatment. The gap between China and the United States is not high-tech, and the gap in technology is easy to make up. Even many Chinese teachers do better than American teachers.
The gap lies in internal strength. It has fallen behind from the moment of entering the medical school. The medical courses can be roughly divided into basic courses, clinical courses and clinical training.
The gap in the basic course:
The basic courses in China are written and explained by the teachers who do the research. List all the knowledge points. The boring ones can't catch the key points, and it doesn't tell you how this knowledge point relates to the clinic. The basic textbooks in foreign countries are written by clinical teachers. The clinical experience is compiled into a book, a biochemical half-case, and the average basic class of each student has accumulated 20,000 cases. The graduation day of the university is the time when the basic course is completely forgotten.
The difference between 20,000 real cases and 0 cases is that the doctor's internal strength is not external work, and the internal work is invisible, which is the legendary clinical experience. It is very beautiful without internal surgery and does not affect general work. However, in the face of critically ill patients with rapidly changing conditions, when the disease exceeds the scope of the undergraduate department involving other systems, there is a strong sense of powerlessness, and it is easy to make wrong decisions. For example, aspirin commonly used in cardiology is a taboo in the Department of Nephrology. Because cardiology is commonly used in low-dose aspirin, the side effects of kidney failure are almost never emphasized. Therefore, many doctors have forgotten the side effects of aspirin in kidney after a long time in cardiology, and will open NSAIDs for patients with fever with renal failure. Not paying attention, leading to many tragedies that should not happen.
20,000 cases are 20,000 clinical experience, and 0 cases have no clinical experience. Under the domestic system, everyone's experience must be clinically advanced before they can begin to accumulate. What is clinical experience? In view of the backwardness of the textbooks and the lack of sharing of clinical experience, it is often the clinical experience to see the bloody lessons.
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