For medical students, removing the word "learning" in the middle will face many hurdles. How can medical students really apply what they have learned in books to clinical application? How to digest the psychological test when the diagnosis and treatment may be biased when it is not yet skilled?
Wen | He Doudou
It has always been impossible to ignore the fact that doctors are always labeled as "redeemers" and missions. In the face of illness and life and death, it seems that only doctors are the only straws that can be grasped. As Dr. Tao Yong said in the program: "In the past, when science and technology were not developed, people mistakenly regarded witchcraft as medical technology, and in the current era of developed science and technology, people mistakenly regarded medical technology as witchcraft." "The third season of Tencent Video's "Heartwarming Offer" (hereinafter referred to as "offer3") turned the camera to the medical industry, and under the theme of showing the growth of medical students, it also let the audience understand the unity and multi-faceted of doctors.
After being a lawyer for the previous season, the program team began to consider the career direction that lawyers could explore after that. In the view of Zhang Lianghui, producer of "Heartwarming Offer 3", there are two reasons for choosing the medical industry this time. On the one hand, because the model of "Heartwarming Offer" itself is to choose a career and obtain career growth, after a series of explorations, the program team believes that this profession must have a threshold and is a profession that takes a long time to accumulate experience. On the other hand, after research, the program team believes that doctors and lawyers are professions that meet such standards and have deep humanistic precipitation, from the perspective of creative sensibility, the process of research is the process of impressing the main creative team, they saw the shining and moving moments in this profession, and finally decided to show the details of the doctor's career to the public.
After determining the medical field, the recurrence of the epidemic has become one of the biggest obstacles in the early stage of the program group. Because of the uncertainty, the program team is making preparations every day for the possibility of not being able to shoot at any time. I wanted to take one step at a time, but I didn't expect to get to the present step by step: successfully filming, finishing the film, meeting the audience, and getting good feedback. And this is only one of the countless communications between the program team and the Second Hospital of Zhejiang University in order to be able to shoot smoothly.
As a century-old hospital and a large-scale tertiary public hospital, why did you agree to join offer3 to do this thing that some people seem to be "in the limelight"? For Wang Jian'an, secretary of the Party Committee of the Second Hospital of Zhejiang University, the reason is none other than the original intention of "Chinese doctors need to be fully understood". Through such an opportunity, we not only want to let the society understand that it is not easy for medical students to grow and grow, but also want the public to know that Chinese doctors are responsible for life, responsible for inheritance, and responsible for innovation. They, thousands of hammers and hammers into steel!
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Unusual hospital offers
When contacting the hospital in the early stage, because it was a "heartwarming offer" after all, the program team still set its sights on the top hospitals in China, and according to the list of Chinese hospital rankings (Fudan Hospital Rankings) searched, to contact the top hospitals in the country. In this process, there are those who refuse, and there are those who are interested in continuing to communicate. After docking again and again, the Second Hospital of Zhejiang University (hereinafter referred to as the hospital) and the program group have a preliminary intention to negotiate.
After face-to-face communication with the Tencent program group, the director of the hospital's publicity center, Fang Xu, first learned that this was a variety show, followed by medical students. She approached the directors of the Teaching Department and the Human Resources Department and began to discuss the possibilities with them. One is how to tell the story of the medical student, and the other is the most worrying question at the time: what to do with offer. Director Fang learned that the most important thing in the past of the show was to give the winner a real offer, but this matter is almost impossible under a system like a hospital.
As a top three public hospital, Lu Yan, director of the Human Resources Department, said that the incoming doctors are officially prepared, and there is a strict process for recruitment, it is impossible to give an offer casually, and there is no possibility from the form. Secondly, the three professional departments presented in the program, the minimum threshold is a doctoral student, and it is impossible for a master's degree to enter. However, the program needs to present the state of medical students at all levels, which makes it more difficult to give offers.
▲ The heartwarming choice of medical students - zhejiang university second hospital / picture source Tencent video heartwarming offer official weibo
Xie Xiaojie, director of the Teaching Department, explained that the hospital needs multiple dimensions to judge whether medical students can graduate and enter the workforce, and it is not possible to develop clinical ability and professionalism after more than 40 days of clinical training. Secondly, medical students have different academic backgrounds and grades, and if the bits and pieces of these training processes are exposed to the public eye, the differentiated performance is also easy to cause public misunderstanding, so it is necessary to be cautious and discussed.
Fang's worries didn't stop there. From the propaganda level, doing a good job is a positive guide, and once there is a bad pool, it will bring all kinds of public opinion pressure to the hospital. However, considering that in the past, the form of dissemination of medical content was mainly based on special reports and documentaries, and the image of doctors was sometimes extremely displayed in front of the public: or heroes or "white wolves", resulting in a black and white label illusion, she wanted to be able to show medical students, medical staff, and hospitals to the public from multiple angles through this show, which is the most worthwhile place to do this. Secondly, the layman looks at the liveliness, the insider looks at the doorway, in addition to the public, how to let the medical group recognize the content of the program is an important problem.
Under so many "impossibilities", after several rounds of consultation, it was agreed that training could be used as a resume, some priority recommendations could be given, and an offer for a hospital-level interview could be issued. On the basis of not violating the recruitment policy, we will promote excellence.
Fang Xu said that this program can be filmed smoothly, after the hospital leaders said "you can try it", in addition to the above three departments, it has also received support from all aspects of administrative and clinical departments such as hospital sense, skill center, quality control, medical affairs, nursing, logistics, customer service, security, AND. From the beginning of the run-in between the two sides in May 2021 to the beginning of September, the program team went to Hangzhou to hold countless meetings, and the difficult preparation process of more than four months also paved the way for the smooth shooting of more than 40 days in the next 40 days.
It is worth mentioning that in order to understand more about variety shows, Fang Xu specially went to the Internet to make up lessons on what is a variety show and what is a reality show, she learned that the show may be a double-edged sword, success is a kind of display of society, failure may be uncontrollable public opinion fermentation. But now after the broadcast, it turns out that when the two partners put aside the gimmick, start from the professional, people-oriented, all are positive and positive, and the audience's feedback will not disappoint them.
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Lovely medical students, and doctors are still a word apart
For the overall feelings of medical students, Zhang Lianghui believes that in the online and offline contact before shooting, she feels that these student groups are "quite normal", which is also the part that surprises her. Previously, she had worried that everyone would have some nervousness about such shooting, but the entire medical student group was very calm, and they were more worried about their bad performance and embarrassing the school and teachers.
Before the shooting, because it was a written test and an interview link, someone came to Hangzhou with a box of books, and would use his mobile phone to prepare for the exam on the subway, which made Zhang Lianghui think they were particularly cute. The cute point is that they really focus on the experience and process of this internship itself, considering whether they can learn in it, whether they can perform well, whether they will gain and grow, which purely makes all the main creators, including Zhang Lianghui, very moved.
▲ The sense of belief of medical students is also a question that needs to be considered during the interview stage / Picture source Tencent Video's heartwarming offer official Weibo
Li Ruoyu, the chief screenwriter of "Heartwarming Offer 3", found it very interesting that they often asked some questions, such as whether this experiment could be brought to the program, and whether the paper could be taken to the recording time to write. They are more concerned about their academic affairs, "so they are still quite simple and real." "Of course, there is no lack of curiosity to record the program, and will ask the program team what to test, which teachers will bring them, which school people will come, and so on."
For the selection of medical students' academic qualifications and appearance, Li Ruoyu said that the first round of interviews of the program group is always to assess their profession, find experts to interview after the written test, and assess their professional standards through some emergency questions. After that, an interview is conducted to judge the personality characteristics of the characters and see if they can show the group appearance of medical students. There will be deeper conversations and prejudgments after that.
Zhang Lianghui believes that whether it is a lawyer season or a medical student season, the offer always has a good wish for what kind of young people to choose, hoping that the offer can have a long-term vitality, rather than a season of doing a season of things. Based on this, the program team chose to use different career fields as a cross-section to show what young people who have just entered the workplace are like, and the longer the program "lives", the more interesting the facial things that can be shown will be. When choosing people, no matter what the profession looks like, they will always choose some vivid and vivid characteristics that can represent the current young people, they are very real, very free, and they are loyal to some real ideas and things they love in their hearts.
When it comes to the key words of the characteristics of medical students, Zhang Lianghui believes that it is true and loving. Due to the particularity of the profession, they will spend a long time in this line, and the work task is also a huge challenge, and they need to love this profession very much to find their own sense of value in it and to be able to stick to it for a long time. What they reflect is also a typical example of the career choices faced by young people today: more people are not choosing a job that earns money to support themselves, but is choosing their own lifelong career.
▲ Keep the real and loved medical students / Image source Tencent Video's heartwarming offer official Weibo
For medical students, removing the word "learning" in the middle will face many hurdles. Zhang Jianmin, chief physician of neurosurgery, told Southern Weekend that he believes that the saddest level is that medical students can really get the clinical application of what they have learned in books, and there is a big difference between the two. For example, Liu Chang, a TCM student in the program, is a postdoctoral scholar, and the study exam on the textbook is not difficult for her at all, but to manage patients and deal with clinical problems, she is lacking, she has not encountered it, and she is very frustrated. This is the real situation, when the theoretical knowledge is implemented, how to deal with it, in principle, will there be mistakes? This is something that medical students are afraid of, and if it is not handled properly, it can have serious consequences. Such fear psychology is bound to determine that medical students have a slow familiarization process, and only by observing and practicing more can they continue to grow.
Secondly, every patient is different, textbooks are written in classic cases, patients are standardized patients, but in the clinic, the real patient's condition is often complex. For medical students, this requires them to have a certain clinical thinking, to identify from the accumulation of comprehensive knowledge and experience, to achieve a ability to see the essence through the phenomenon. Another important point is that there may be some failed cases, helpless, complications, when not yet skilled, may lead to deviations in diagnosis and treatment, which is a huge psychological test for medical students, and even a psychological shadow.
In the emergency room, it is more daily to deal with critically ill patients, Zhang Jianmin believes that only after experiencing these tests, the heart will be strong. In the future, in the face of these complex diseases and patients, we can face them more calmly and calmly. "So it takes a big leap for medical students to go from school to clinic, and doctors and medical students have one word less, but they are completely different experiences."
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Record those unpredictable routines with your lens
"offer3" shoots more than ten hours a day, due to the particularity of the medical industry, the program team in order not to disturb the normal work of the hospital, most of the use of surveillance camera shooting. There are two scenes in the program, one is inside the hospital, the real working environment on the ward floor, and some teamwork tasks are completed in the public office area. During the recording period, the program team not only minimized the flow of staff and avoided disturbing the normal work and life of medical staff and patients, but also communicated with all patients and their families who may appear on camera, made informed consent, and protected patient privacy.
In the legal profession filmed in the first two seasons, due to the more expressive and confrontational nature of the profession, interns have a more extroverted performance in both negotiation and defense. However, the growth of a doctor is a more lengthy process of experience and accumulation, and it is more difficult to reflect the superb skills of individuals through the concentrated display of individuals, and many times it takes time to prove. This also doomed the program team to have a difficult task for a medical student to challenge him at the rookie stage.
What medical students can do at each step, what they can't do, what they can do and what they should do at what stage, all have strict professional norms, and the program team must follow the norms to set the feasibility, and it is impossible for them to do things beyond the scope of their capabilities.
In this professional control, the program group invited doctors from major hospitals as advisory groups in the early stage, and the teaching department of the Second Hospital of Zhejiang University followed up the whole process and guided the whole process, telling the program group which operations can be done and which cannot be done, and completely designed in accordance with the real medical student growth model.
▲ Lead the doctor to conduct a professional review of the work of medical students / Image source Tencent Video's heartwarming offer official Weibo
Li Honglei, deputy director of the teaching department of the Second College of Zhejiang University, said that in the selection of the early department, the hospital and the program group have always had a close discussion. The original intention of the program group is to choose departments that are closely related to the people, such as cardiovascular and cerebrovascular diseases, which are the first place in China. Secondly, I want to let the people who watch the program gain medical knowledge, such as the bad living habits of many young people have led to many diseases related to hepatobiliary and pancreatic surgery. The choice of neurosurgery is to unravel the mystery of brain surgery and show the results of clinical translational research in brain science such as brain-computer interface. Comprehensive consideration, not only can there be public familiarity, related to the people, but also can have a sense of high order, showing high-tech technology and achievements.
In terms of patient selection, Dong Liang, deputy chief physician of the Department of Cardiology, said that there are two main parts, some of which are chronic patients who are being treated and followed up, including rare diseases; others are random patients who appear in clinical consultation, including heart failure and myocardial infarction that the people are more concerned about. Cardiology beds turnover is fast, and a round of patients may not be discharged in more than four days, which also happens to help with the diversity of content. Due to the particularity of the disease, the treatment process of some complex patients is tortuous and long, which will run through the program. Yan Sheng, chief physician of hepatobiliary and pancreatic surgery, said that the concept of precision, minimally invasive and rapid rehabilitation of surgery (laparoscopic and robotic surgery) has increasingly become the mainstream of hepatobiliary and pancreatic surgery, so patients receiving minimally invasive surgical treatment are the main choices for this shooting. In addition, liver transplantation (including childhood liver transplantation) is a highly sophisticated surgical technique in the field of organ transplantation, which is also presented in the program. To the surprise of the program team, many patients were very happy, and even during the filming process, the medical students and the real patients became friends and established feelings.
▲ Medical students and patients have also established feelings / Image source Tencent Video's heartwarming offer official Weibo
In the view of the program team, the most difficult part of the shooting is the emergency medicine department. Because everything in the emergency department is sudden, from the perspective of the program group, it is a "very insecure thing." "No one knows when the patient will come, nor does he know what kind of patient will come and what kind of treatment will be, what the program team can do is to record, which is also the most wasted material."
The entire film crew is dozens of people, plus equipment, to carry out such a shooting in the hospital, to protect the privacy of patients, do not affect the normal medical work of the hospital, this difficulty is imaginable. In order not to disturb, the number of people during the filming process will be greatly reduced, and non-essential personnel will not enter the hospital, only the camera and director will enter. The program team made a lot of cabinets to hide people, try to integrate the surrounding environment, the middle layer of single-sided mirror, the camera has been hiding in the cabinet, through the single-sided mirror to shoot, a day does not come out. Someone delivers food halfway through, and goes to the toilet when no one is there. "It's so that all the doctors and patients can't see our existence, hide it inside, and then shoot silently."
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"Once you enter the medical door, it is as deep as the sea"
One of the principles of the program team is that they will not interfere with and guide the medical students' current state, everything that happens in it needs to be solved and faced by themselves, and no one will help them, because the reality is like this. Once the "three sons of God" forgot to bring the key when they returned to the dormitory, they thought that the program team would come to open the door for them, but they did not. Then they would call the teacher themselves, open the office door, and then go to the office and take out their keys and go home to open the door.
Everything happens naturally, everything happens in a real and normal environment.
During the filming process, the hospital carried out strict epidemic prevention and control every day, adhering to the principle of "medical safety above all else". For example, badge wristbands were made for all staff, and the health code and itinerary code were checked every day, as well as the nucleic acid test results before entering the hospital. A three-person team for epidemic prevention and control has also been set up to manage the epidemic prevention situation of the filming personnel in each department, during which random inspections will be carried out from time to time, and the elimination of equipment is even more inevitable.
As one of the teachers, Zhang Jianmin wants to present the standardization and rigor of hospital teaching to the public, and secondly, through the perspective of the film crew, he can have a certain reference and thinking. For example, the participation of medical students in health education and follow-up of patients after discharge are very necessary. This is the specific problem of small doctors and big doctors in the specific teaching, that is to say, "health work should be moved forward", and prevention and control education should be done well, so that the momentum of disease development can be suppressed. The second is the importance of the return visit work, medical workers are not only to treat the patient's physical pain, but also to soothe their psychological trauma, to carry out some psychological counseling, including the society to call for the lifting of these diseases, etc., are in addition to the treatment itself should be strengthened front-end and back-end work. Dong Liang said that the show has no script, and the medical students are "starring in their true colors". The program group only observes and records, and does not interfere with the real clinical diagnosis and treatment process and the growth of medical students.
▲ Different styles of instructors escort the growth of medical students / Image source Tencent Video's heartwarming offer official Weibo
Through the program, we all learned that medical students have a long way to go to become doctors. Even the folk saying goes, "Persuade people to study medicine, and the sky will strike thunder", Dong Liang said that this is not only said by outsiders, but also often joked between their doctors. But in addition to the joke, we can glimpse that this road is destined to be difficult, and very people can insist. Zhang Jianmin believes that medical students are really hard, and they must be mentally prepared before applying for the exam, but they are bitter, which is also a profession with a great sense of life value, when the patient recovers in your hands, the sense of achievement is indescribable. Dong Liang feels that doctors pay attention to inheritance, and they were taught by teachers at the time, and now they will teach to medical students without reservation. The profession of doctor may be the most likely to feel the pressure of peers, and when students have a complete garage, medical students may not have begun to have an income. This is a decades of training, and it is also the only way to become a good doctor.
In the process of interviewing the main creative team of the program group, they quipped: "Finally found that an industry is more bitter than us." "Based on their understanding, they also found that this is a lifelong learning industry, the threshold is very high, the possibility of changing careers is very small, and they believe that this road must continue to go on." Once you enter the medical door, it is as deep as the sea", the bet is not only time. It is also through the program that many viewers issued an exclamation that "someone is better than me and works harder than me", Liu Chang directly chose to make up classes all night when he found himself insufficient on the first day, making up for his shortcomings, and only slept for about an hour, which made the program team admire. Li Ruoyu said: "I will always remember her appearance that day, and there is a reason why people are excellent." ”
The path of a medical student to a doctor is like the darkness before dawn. During the week of filming the emergency medicine department, the staff all stayed in the emergency room, and Zhang Lianghui said that she really had the feeling of seeing a lot of human suffering. After the rescue in the show, Lu Xiao took the medical students out of the emergency building to see the sunrise scene, and she was greatly touched. "I think it's so hard for everyone, maybe the emergency room is a more extreme and condensed place, there is a lot of suffering in that place, and there is a lot of relief after the emergency." Watching the scene at sunrise makes me think I see something very romantic about this professional group. ”
Yes, wearing white coats, after the speed of life and death, standing in the morning light, it is really romantic.
(Topic)
The article originated from Southern Weekend
Text | Ho Bean Bean