More than 3 million students advance wave upon wave every year for majors that are ＂rolled up＂ than programmers.

This original article originated from "DT Finance" in WeChat official account, author: Ami, editor: Zheng Xiaohui, Tang Yeqin, design: Zheng Shuya.

"I don’t know if I can last until tomorrow."

In the pilot film released in the third season of "Exciting offer", a medical student who was criticized by the teaching doctor cried and said this sentence.

This is not melodramatic or weak resistance to pressure. When other professions face deadline, the medical practitioners face a real life hanging by a thread. In order to become a qualified doctor, medical students not only have to pass a lot of exams, but also go through a long period of practical investigation. The road to advancement is difficult and long.

At present, the mainstream training process of medical students in China is "5+3+3". 5-year undergraduate, 3-year master and 3-year doctor. To become a clinician who can practice medicine independently, we must undergo "3+x" standardized training, that is, 3 years of standardized training for residents and 2-4 years of standardized training for specialists. There are thousands of roads, and there is only one road to success, that is, learning by doing and learning by doing.

　

No matter what growth path a medical student chooses, only when he has a diploma, a degree certificate, a medical practitioner qualification certificate and a training certificate, can he be qualified to get the primary title of "resident" and have the qualification to practice medicine. In the future, we will further attack the attending physician, deputy chief physician and chief physician.

This road to attack is often composed of countless cases and sleepless nights. According to a survey conducted by Dr. Lilac in 2017, high-intensity and long-term work is a common problem faced by doctors.

According to the research results of clove doctors, nearly 70% of doctors work more than 50 hours a week during working hours. On outpatient day, 60% of doctors need to see more than 30 cases every half day; On the operation day, 40% of doctors face more than 8 hours of operation time every day.

　

People in ordinary industries get up at 7 o’clock, and some doctors may have just finished the night shift to get ready for bed; People in the general industry eat at 12 o’clock, and some doctors may be saving patients on the operating table.

After the doctor goes home, some time will be occupied by work and study, and there are many "invisible working hours". Dong Liang said in the interview article of the third season of "Exciting offer": "There is no difference between going to work and going to work as a doctor. If you want to describe it in one sentence, it is called’ not the busiest, only the busier’."

It sounds incredible but true, which makes every ordinary person in the role of doctor bear a lot of unimaginable pressure.

We also received some contributions from doctors. It is understood that doctors in different hospitals, different departments and different ranks have different salaries. Generally speaking, the monthly income of an ordinary young doctor is about 10 thousand yuan, and some may even be less. It can be said that the workload and income of many doctors are actually not proportional.

But even so, there are still waves of outstanding young people who have embarked on the road of studying medicine under various pressures. According to the data of health personnel of the National Bureau of Statistics, from 2016 to 2019, the number of newly-added medical practitioners is about 170,000-200,000, with an increase rate of about 6.4%-6.7%.

Why do people still want to be a doctor despite all kinds of difficulties? How many difficulties do you have to go through on the road to becoming a doctor? How did they overcome difficulties and persist?

In the third season of "Exciting offer" recently launched by Tencent Video, the program group focused on the medical industry and truly presented the clinical practical training and challenges that medical students must experience in order to become qualified doctors and realize their medical ideals.

We also interviewed Tao Yong, an ophthalmologist, Professor Zhang Jianmin, the program instructor, Yan Sheng, chief physician of hepatobiliary and pancreatic surgery, Dong Liang, deputy chief physician of cardiovascular medicine, and several medical students in the program, and got some answers.

Confessions of medical students: Four Great Classical Novels has 3.55 million words and my textbook has 5.97 million words.

According to the 2019 China Health Statistics Yearbook, in 2018, the number of medical students in colleges and universities in China reached 3.05 million. This figure, which increased by 82.3% compared with 2008, is still growing rapidly.

Although the number of medical students is increasing year by year, they have to face many problems. According to the interviews with several medical students in the third season of "Exciting offer", we further understand the real daily life of medical students.

First of all, exams are the most common pain for medical students. When other disciplines still use the term "exam week" to refer to the final exam, it often takes a month for medical students to complete the exam. Feng Chen, a graduate student of neurosurgery medicine, has the most impression that he has taken 13 specialized courses, while other general subjects may only be about half.

Zhang Qia, a medical graduate student at Zhejiang University, recalled that the exam that frightened him most was Clinical Comprehensive Skills Training. Because this course needs to be familiar with the theoretical knowledge of "women and children inside and outside" (internal medicine, surgery, gynecology, pediatrics), the number of words in the textbook reaches 5.97 million (the total number of words in Four Great Classical Novels such as "Water Margin" and "Journey to the West" is 3.35 million), so when he recites, he is often prone to the embarrassment of "turning over Ma Dongmei and closing the book".

High-intensity study and review make the nerves of medical students tense for a long time. Liu Chang of Zhejiang University has been frantically preparing for war in the school cafe for 48 hours in a row. "Inorganic chemistry, organic chemistry, biochemistry, physical chemistry, cell biology … directly lie in the school hospital after the exam."

In order to decompress ourselves and the classmates around us, everyone will take pains and have fun.

During the exam week of junior and senior year, Feng Chen will review all night in the study room with six roommates. Feng Chen recalled: "There are only two folding beds in the study room, so six people sleep in three groups, and each person can only get two hours of sleep time, and each other will record the strange sleeping positions of the heroes." Noble bought a mobile phone case when he went to the hospital for an internship on the night shift. The mobile phone case said "Night shift is safe".

When Tao Yong was a student, he often encountered various unexpected difficulties in scientific research and experiments. In order to complete the fundus experiment of miniature pigs, Tao Yong had to find out where to buy pigs. There is no anesthetic for transporting pigs and raising pigs, and Tao Yong has to find a way to borrow it from the zoo veterinary station. When talking about this experience now, Tao Yong said to DT Finance with a smile, "It was overcome with teeth at that time, and the sacrifice was a handful of falling hair.".

Everyone knows that trying to get through all this is not only for a beautiful report card, but also for consolidating their theoretical foundation, and then applying their knowledge to clinical practice and scientific research in the future to treat as many patients as possible.

Nothing is easy all the way to study medicine, and some people have thought about giving up and doubting their own value.

Noble first faced with life and death, it collapsed. It was a grandfather who was admitted to the hospital many times because of repeated heart failure. The last time he was hospitalized, his heart failure was aggravated by severe infection. The teacher took Gao Jie and other interns to rescue him for several hours, using cardiopulmonary resuscitation and defibrillation, but the grandfather died.

At that moment, Noble suddenly questioned himself and his career-"Can we really save the lives of patients?"

It was not until the family members came to thank Gao Sheng and other doctors after handling the matter that Gao Sheng suddenly felt the greatness of the doctor. "Medical treatment is not only saving lives, but also comforting lives, which has strengthened my idea of’ I want to be a doctor and be a good doctor’." Noble said.

This is also the original intention of many medical students to choose medicine. In mid-November, "Exciting offer" organized 15 program viewing sessions with 11 key medical colleges such as peking university health science center and China Medical University, and 4 985 and 211 colleges such as Jinan University and Northeastern University. More than 500+ famous medical students participated, of which 70% were medical students.

After watching the film, the program group also conducted a simple interview for medical students. When it comes to the main reasons why people want to be medical students, their answers are mainly as follows: they want to be noble people like doctors and want to help people suffering from illness around them.

It is the motivation for medical students to continue to explore on the medical road to let each patient "leave the hospital awake and walk for reexamination". If we can get the encouragement and support from patients, they will get the greatest spiritual satisfaction.

As Tao Yong told DT Finance, "After the medical injury incident, I got the care of many old patients. They supported and encouraged me and helped me out of the predicament of my life, just as I once helped them. When a doctor becomes a patient, the patient becomes a doctor. This will make me feel that the doctor’s contribution, the patient is well aware, and the contribution is worthwhile. "

Teaching doctor: There is a big gap between the imaginary work on campus and the actual work in the hospital.

"The biggest difference between medical students and doctors is the difference in ability and experience." In Dong Liang’s eyes, it is when students turn their attention from exam results, textbook knowledge and scientific research papers to focusing on patients and helping patients’ condition as the bottom line that medical students change from students to doctors.

However, teaching doctors also understand that doctors need to face many changes in their way of advancement, and medical students will encounter setbacks, blows and difficulties in different aspects for a long time during their internship.

The first is the lack of knowledge reserves. The process from medical students to doctors requires a lot of study and research. Even if you become a doctor, you need to keep learning the latest medical research results, expert consensus, new medical equipment and so on. Yan Sheng believes that if some people can’t accept a lot of information, it is easy to retreat.

Secondly, the gap between textbooks and reality. Yan Sheng explained to DT Finance: "Medical students are only exposed to textbook knowledge at school and see the theoretical side. But in the hospital, he will contact all kinds of very practical people and deal with patients, doctors, nurses, workers and even family members. " This requires medical students to get out of the imaginary work and face the real work.

The third is the contradiction between medical students’ personal planning and actual promotion. Yan Sheng calculated the time. If you want to be promoted from a resident to a chief physician smoothly, it will take at least 17 or 18 years. However, this is already the most ideal one in the promotion process-the clinical assessment and scientific research assessment in every link are up to standard, and every node does not fall behind, and it can enter the promotion list every time.

In fact, many people will get stuck in the process of upgrading from the intermediate title (attending physician) to the senior title (deputy director and chief physician) on the road of resident-attending physician-deputy chief physician-chief physician. Taking Shanghai as an example, in 2018, a total of 47 people in Shanghai registered for the evaluation of senior professional titles, but in the end only 22 doctors were promoted successfully, with a passing rate of only 46.8%.

Therefore, the hospital also has the saying of "old attending" (that is, the attending physician who has not been able to obtain a higher title in his career).

The gap between reality and ideal makes some medical students and doctors choose to give up after weighing. When asked whether they would try to retain students, three teaching doctors gave different answers.

Zhang Jianmin thinks: "If it is my student, I will definitely stay. It’s not easy to be a doctor. It’s a pity to give up. However, if a person feels that the pay is not commensurate with the return, he hopes to change his industry, change his life, change his life, and respect his personal choice, and he can only choose to respect it. "

Dong Liang said that he would not keep a student because he was talented. "Doctors are a very special profession. The first thing is medical ethics or sense of responsibility. If you don’t want to be a doctor with all your heart, it will be more terrible than those who are incapable."

Yan Sheng’s view is similar to Dong Liang’s. He thinks that the key to being a doctor is to like this industry and then give enthusiasm to it in order to do well. If there is no enthusiasm, the work itself will be very painful.

Yan Sheng also mentioned that "practitioners in any industry other than medicine can switch to medicine, and those who engage in medicine can also switch to other places. Under such circumstances, the development of various disciplines will intersect and the whole society will really flow. "

Write it at the end

Considering that doctors shoulder the responsibility of saving lives, the teachers in the third season of "Exciting offer" are particularly serious about the training and assessment of medical students. Due to the particularity of the industry, students who successfully pass the internship can’t get an offer directly as in previous seasons, only get an interview opportunity.

In the program, the doctor once severely criticized the medical students, "Those who kill chickens and ducks outside are better than you". Dong Liang also mentioned in the interview: "A good doctor in the true sense is absolutely very strict with himself. If the medical record is not qualified, the teacher will scold you. If the operation steps are unqualified and sterile, the teacher will hit you. "

However, Dong Liang also encouraged medical students to keep a normal mind and not be afraid of setbacks: "It’s strange that the case was well written at the beginning. You can get 100 points in the book, but I may not give you 50 points, because the book is not compared with your clinic. You need to keep learning to have a good understanding."

"Setbacks are always there, and life is full of setbacks. The biggest difference lies in how you look at setbacks. After 10,000 setbacks, you may have a good understanding (of the clinic) and reach a better state. "

This kind of real daily life and attitude is exactly what Chinese medicine students and doctors want to show us in the third season of the exciting offer.

They are faced with pressure from all sides and setbacks, but they show everyone around them the choice of being discouraged, brave or persistent after setbacks-hoping to let more people know more about the hardships of the medical industry, and hope that more people will be more determined and indomitable to become doctors after in-depth understanding.

As romain rolland said: "There is only one kind of heroism in the world, that is, to love life after recognizing the truth of life."

(Source: Weibo @ Tencent Video’s exciting offer)