Do doctors at Hefei 120 Emergency Center have days off?

Of course there is rest time, and each hospital has its own rules and regulations, but generally there are 12 hours of working hours alternating day and night every day, and eight to ten emergency operations tasks

Reference:

Typical examples of the work of emergency doctors

In addition to being busy rescuing and seeing doctors all day long, Liu Yong, the director of the emergency department, also often thinks about China's current 120.

Compared with foreign 120 emergency systems, China’s 120 is not comparable. “The gap is too big.” This is the common sense of many emergency doctors. “China’s emergency system still has a lot to do. ".

The threshold for doctors to enter the emergency system must be raised, and the quality of talents must be ensured. This kind of threshold setting is not only reflected in the entrance examination and graduation examination, but also the difficulty of the entry examination should be increased. "Of course, the assessment of emergency doctors is not just about their knowledge level, but more importantly, the assessment of their moral level." Liu Yong emphasized that this moral level is manifested in reverence for life, love for patients, and good communication skills with patients.

At present, it is a common problem for most hospitals to emphasize technical level over humanistic level when selecting emergency doctors.

In addition, emergency doctors are responsible for all first aid work before patients enter the emergency room. As an emergency doctor, you only have to face an emergency scene alone every time you appear on the scene. You also need to have strong stress resistance and the ability to bear independently.

A "cruel" reality is that it is often difficult to recruit suitable talents for hospital emergency departments.

A month ago, Liu Hongmei, chief of the personnel department of the Beijing Emergency Center, went to major job fairs in Beijing and announced recruitment information to major networks, media and medical institutions across the city. However, as of June 28 On that day, Liu Hongmei received only 14 resumes.

Since 2005, the number of undergraduate graduates recruited by the Beijing Emergency Center has been declining year by year. Due to the economic crisis this year, Liu Hongmei originally thought that the "harvest" would be better, but after relevant review procedures, only four people were admitted.

“This has a lot to do with the treatment of emergency doctors,” Liu Yong analyzed. Emergency doctors have high labor intensity, difficult working environment, high liability risks, and limited business development. However, this is not reflected "too much" in salary and income. On the contrary, in some hospitals, the "status" of emergency doctors is quite low.

Another reason why most medical students give up entering the emergency system is the high risk faced by emergency doctors. "We must establish a fair and scientific medical accident evaluation mechanism." Liu Yong said that the role of this evaluation mechanism is that "it is necessary to distinguish which are absolute misdiagnoses due to limitations in medical technology and which are relative misdiagnoses due to doctors' personal problems (such as doctors' medical technology level and doctor's attitude)."

Take myocarditis as an example. When an ordinary fever patient is sent to the emergency room, most doctors will not consider the possibility of "myocarditis". It is understood that the incidence rate of "myocarditis" in fever patients is one in 10,000. "If every fever patient comes in with suspicion of myocarditis and asks the patient to do an electrocardiogram first, the only reaction of the patient will be that the doctor performs indiscriminate examinations."

What if an emergency doctor happens to hit this "one in 10,000" chance? Is it reasonable to attribute this "one in 10,000" chance to the doctor? Liu Yong said .

In addition, regarding the medical disputes that doctors encounter all the time, Liu Yong believes that "hospitals should purchase medical liability insurance for doctors" in order to maintain the normal operation of the hospital and safeguard the legitimate rights and interests of doctors.

This suggestion has already reached the consensus of the medical community. As early as 2007, in response to the rising trend of violent incidents in hospitals in Guangzhou, which seriously interfered with the normal working order of hospitals, deputies to the Guangzhou Municipal People's Congress suggested forming local regulations as soon as possible and referring to the practices of other regions to promote medical liability insurance.

Under the current framework for resolving medical troubles, medical troubles are usually reduced to minor matters, and often end up with huge compensation from the hospital. "Medical liability insurance can recover as much as possible the losses caused by medical treatment." economic losses”.

The most important thing is that "the government must do something and not do something." Liu Yong said. "Do something" means that when hospitals are violently attacked by organizations with ulterior motives such as medical rioters, the government should step in and resolutely suppress them. "When doctor-patient disputes cross legal boundaries, the inaction of the government and law enforcement forces cannot be explained by any 'hardship and painstaking efforts.'"

The "what not to do" is that the government should leave the rewards and punishments of doctors, the identification of medical malpractice, and the resolution of medical disputes to local doctors' associations, and it is best for the government not to get involved. "The hearing system is also imperative." Only in this way can medical disputes be resolved peacefully.

Interview Notes

Interviewing Liu Yong is not an easy task. Not because of the big names, but because he really didn’t have the time. When I made an appointment with him for an interview on the afternoon of the 6th, he hurriedly interrupted 39 Health Network's request. The noise on the other side of the microphone told the author that there was "something going on" in the emergency department. Sure enough, Liu Yong politely told the author "I'm busy now." The second time I contacted Liu Yong was at 8:36 pm. At this time, Liu Yong’s phone was still busy. After trying to call several times, I finally got a call, but Liu Yong kindly reminded me, “We can’t call now.” I'm busy. If I'm busy and can't continue the interview, I apologize."

There was no formulaic interview outline, but a casual chat with Liu Yong. This method allows me to capture more details and allows me to feel the image of a flesh-and-blood emergency doctor. This image is not that of "Gao Daquan" or "a resentful woman". Like all doctors who stick to the front line of medical treatment, Liu Yong has a love for this job, a grievance that he can't understand for patients, and a sense of the various current problems. The helplessness of the system. But although the road was full of thorns, Liu Yong stayed in this position for twelve years and said he would choose to continue. The reason was that when he watched the lives on the verge of disappearing being pulled back from the hands of death by himself and his colleagues, he enjoyed and was intoxicated with the joy at that moment.

During the interview, when it came to the sense of accomplishment and the scene where the construction worker came back to life, Liu Yong felt as if it was yesterday. As for more deeds, Liu Yong said he did not want to talk more, because saving lives and healing wounds is what doctors "should" do. But for patients who don't understand doctors, and for those medical scenes that have lingering fears, Liu Yong can't calm down. Just like the scars on the body, which heal and then become bad, maybe the pain will always be there.

"Having been engaged in medical emergency for twelve years, have you ever complained?" There was a long silence on the other side of the microphone.

"Yes, but it's not about the work itself, but about the incomprehension of some patients and their families," Liu Yong said.

It was almost ten o'clock at night when the interview ended. When the bustling city becomes quiet and busy people prepare to take a rest, emergency doctors are waiting for a new call.