Leaving your comfort zone requires courage, strength and hard work.
Written by | Tian Dongliang
Source | "Medical Community" public account
At the end of 2021, Dr. Zhu Bin took up his new post again, he left Beijing for many years of work and life, came to Shanghai, joined Shanghai Jiahui International Hospital, served as the director of the department of anesthesiology and acting director of the ICU.
This is the third hospital he has replaced since he resigned from the anesthesiology department of Peking Union Medical College Hospital in July 2015. In the more than five years since I left Concord, in Dr. Zhu Bin's own words, "There are occasional regrets, often challenges, and I have been growing." ”
He said: "Leaving your comfort zone requires courage, strength and hard work, choosing to work in Jiahui, I think it is also a kind of growth to experience things that I can't experience in public hospitals." ”
Introduction of surgical safety verification system
When he left Xiehe Hospital, Zhu Bin had been working in Xiehe for nearly 14 years, studying in Xiehe and growing up in Xiehe.
In August 2001, he went to Xiehe to study for a doctorate, under the supervision of Professor Ye Tiehu, an anesthesiologist. Although the training system had not yet been established at that time, Zhu Bin was a clinical doctor, so most of the time he was "immersed" in the clinical frontline. The work is very hard, but the income is still good, "when we were studying for a doctorate, our income was often higher than that of a resident." ”
After graduating with his doctorate, Zhu Bin stayed in the Department of Anesthesiology of Union Hospital. During his days at Xiehe, Zhu Bin gradually grew into the backbone of the department, focusing on the sub-specialty of cardiac anesthesia, and served as the leader of the sub-professional group of clinical safety and anesthesia quality control. As Professor Huang Yuguang, director of the Department of Anesthesiology of Concord, began to serve as the first director of the National Narcotic Quality Control Center, Zhu Bin served as the working secretary and the first working secretary. He said: "A lot of the leading work related to anesthesia quality control in the country began at that time. ”
Surgical safety verification, also known clinically as tripartite verification, has been included as one of China's "18 core medical quality and safety systems", and Zhu Bin is the doctor who introduced it to China. In the summer of 2008, Dr. Zhu Bin had just returned to Concord after 2 years of postdoctoral work at Duke University in the United States, and by chance he saw the "Surgical Safety Checklist" in the United States, which he felt was very practical and showed it to Director Huang Yuguang. "I said this is very good, do we want to translate the whole text and try it?"
Director Huang Yuguang also felt good after reading it and agreed to try it out in Corey. Zhu Bin translated it into Chinese and implemented it in the Anesthesiology Department of Union Hospital. At that time, Director Huang Yuguang was the president of the China Anesthesiologists Association, and he published the material translated by Zhu Bin in the association's official newsletter "News Letter". At the same time, the Chinese Hospital Association issued a notice to use the surgical safety checklist. In 2010, the Department of Medical Affairs of the Ministry of Health issued a document calling for the use of surgical safety checklists throughout the country.
In 2008, the World Health Organization launched the "Safe Surgery, Save Lives" campaign, and the initiator of the campaign, Dr. Atul Gawande emphasizes that the Surgical Safety Checklist is the last line of defense for surgical safety. In 2010, Dr. Atul Gawande was named to Time Magazine's 100 Influential World Figures, highlighting the importance of the checklist.
On the 10th anniversary of the implementation of the surgical safety verification system, Zhu Bin conducted a nationwide questionnaire survey and published some of the results in journals such as the Chinese Journal of Anesthesiology.
The survey found that the implementation of the domestic surgical safety checklist is not optimistic, and there are even some controversies. However, the respondents all agreed that surgical safety checks can reduce complications and improve the safety of patients' anesthesia surgeries, and hoped that they or their families would perform surgical safety checks when they underwent surgery.
After leaving Concord, Zhu Bin is full of gratitude and nostalgia whenever he recalls the time he worked in Concord. "One of the things I often say is That Choice is academic, I am always a Concordia person, never relax myself, and live up to the concord brand on my body."
Leave Concorde
Leaving Union Hospital, at least from Dr. Zhu Bin's own point of view, this decision was not difficult.
In 2008, Dr. Zhu Bin completed two years of postdoctoral research in the United States and returned to Union Medical College Hospital as scheduled, and two years later, he caught up with the first batch of "100 Talents Plan" of Peking Union Medical College Hospital. "I was admitted to the first batch and went back to Duke University Anesthesiology for half a year to study transesophageal cardiac ultrasound (TEE)."
When Zhu Bin studied transesophageal cardiac ultrasound at Duke University, according to his understanding, there were very few anesthesiologists who mastered this technology in China at that time, and this technology was very important in heart surgery and some large-scale surgeries. "With this technology, we can directly see the structure and function of the heart, and do not affect the surgeon's surgical operation, our heart surgery is getting safer and safer, the quality of surgery is getting higher and higher, and the prognosis of patients is getting better and better."
During his studies at Duke University, Zhu Bin met a heart surgeon who was also studying there, and after returning to China, the heart surgeon went to a large 3,000-bed hospital in Wuhan to set up a cardiac surgery department and extended an invitation to Zhu Bin.
"I didn't hesitate much to make the decision." For the reason why there was not much hesitation, Zhu Bin did not explain too much, probably because he had been in Xiehe for a long time, wanted to see what the outside world looked like, and left to do better what he liked and was good at.
After Zhu Bin left Xiehe, he spent about 10 months in Wuhan, mainly because the department of cardiac surgery stopped functioning after completing 10 heart surgeries, and he felt that he could not continue to stay there and play his professional expertise. So he resolutely returned to Beijing and joined Peking University International Hospital.
At that time, the director of the Department of Anesthesiology of Peking University International Hospital was Professor Feng Yi of the Department of Anesthesiology of Peking University People's Hospital, a well-known anesthesiologist in China and an expert respected by Dr. Zhu Bin. At the same time, the director of cardiac surgery at Peking University International Hospital is Professor Xu Jianping, who was the director of the Adult Surgery Center of Fuwai Hospital of the Chinese Academy of Medical Sciences.
Professor Xu Jianping is a master and leading expert in the field of heart valve surgery in China. In Zhu Bin's impression, Professor Xu is not only "excellent in martial arts", but also a very gentle person, and everyone in the team likes him and respects him. This is also the most attractive place for Zhu Bin, who has room for cardiac anesthesia and transesophageal cardiac ultrasound technology.
In the past five years in Peking University International Hospital, Zhu Bin, as the main member of the cardiac anesthesia team and intraoperative TEE operation, has had more than 400 cases of main anesthesia heart surgery and more than 1,000 independent and comprehensive TEE examinations in the past three years. As the main completer of TEE examination and TEE intervention-guided treatment in internal medicine departments such as cardiology, Zhu Bin has completed more than 150 cases of 3DTEE left atrial appendage (LAA) thrombosis examination in patients with non-valvular atrial fibrillation in the past three years, of which nearly 20 cases of one-stop treatment of non-valvular atrial fibrillation (atrial fibrillation radiofrequency ablation + LAA blockade) under TEE guidance. Assisted the Department of Neurology and Critical Care Medicine to complete more than 10 cases of TEE activation of normal saline tests. In addition, he is also committed to the training and promotion of TEE technology, and the perioperative cardiac ultrasound (TEE) training course he is responsible for is one of the 6 best successor programs of Peking University Health School in 2020.
Shanghai drift
At the end of 2021, Zhu Bin left Beijing again and chose to become a "Shanghai drift" doctor.
For this job change, Zhu Bin said that at first he did not have a particularly big determination to come to Shanghai Jiahui International Hospital, and when he received the invitation, he did some homework and found a lot of attractions for him, so he came.
As a doctor, Zhu Bin is most concerned about whether this platform can better display his professional talents. He first consulted his friend, Professor Hu Lingqun, a Chinese-American, about Jiahui, who was a professor of anesthesiology at Northwestern University, one of the initiators of the "Painless Childbirth Trip to China", and was also the director of the anesthesia department of Jiahui International Hospital.
Professor Hu Lingqun's feedback is that jiahui is a good platform, and the previous directors of anesthesiology are american doctors. This information made Zhu Bin particularly relaxed before the interview, "I thought at the time, if I could come to Jiahui, it would be good, after all, Professor Hu recommended it; if you can't come, there is no regret, after all, the previous directors of anesthesiology were American doctors." ”
Zhu Bin, who has worked in Peking Union Medical College Hospital for many years, also went through four rounds of interviews before entering Jiahui, and after these four rounds of interviews, Zhu Bin strengthened his determination to join Jiahui. The four interviewers, in addition to CEO Ge Feng, CMO Dr. Xiang Naiqiang, Director of Major Surgery Li Jun and Director of Internal Medicine Wei Meng are all doctors. "Dr. Xiang was a teacher to my former colleague concord when he was studying in the United States, which is remarkable, so I also have great respect for him, Professor Li Jun and Professor Wei Meng are also top experts in the industry, and I am naturally willing to be colleagues with these excellent people."
In addition, Jiahui is committed to creating a professional vision of "a platform for doctors to conduct pure clinical work with peace of mind", which is also what attracts Dr. Zhu Bin. 20% of the doctors in Shanghai Jiahui International Hospital are foreigners and is a high-end international hospital. Wouldn't coming to such a hospital produce a culture shock? Zhu Bin said: "I really don't, I just like this kind of international hospital atmosphere where management and operation are extremely standardized, medical behavior is extremely professional, and various cultures are intertwined." ”
What makes Zhu Bin sigh is that for an anesthesiologist like him to become a doctor in Jiahui International Hospital, he must also undergo training and assessment, and get four certificates: BLS (Basic Life Support), ALS (Advanced Life Support), PALS (Advanced Life Support for Children) and NRT (Neonatal Resuscitation Training). In his previous work, the hospital required Zhu Bin to hold only a BLS certificate, and when he was in Peking University International Hospital, he spontaneously took the ALS certificate. "I think that requiring doctors to get these four certificates is also a manifestation of being responsible for patients."
Another place that makes Zhu Bin marvel is the implementation of the "surgical safety verification system" by Jiahui, which was introduced by him to China and has not been implemented ideally in many hospitals in China so far.
Zhu Bin, who has been joining Shanghai Jiahui International Hospital for more than two months, has the position of director of the department of anesthesiology and acting director of the ICU, the two departments are of the same origin, Zhu Bin said: "If you want to provide patients with full-time, multi-dimensional and comfortable diagnosis and treatment services, and at the same time provide safety for major surgeries for high-risk patients, it is necessary to develop anesthesia departments and ICU. ”
Zhu Bin's goal is to build a medical ecological network system that adapts to the actual situation of China's medical and health care, so that Jiahui Medical will become a necessary and beneficial supplement outside China's public medical system and meet the diversified medical needs of the Chinese people. At the same time, it also relies on the international resources and vision of Jiahui Medical, integrates into China's local professional academic system, and creates Jiahui's anesthesia business card.
Although it has been 6 years since he left Peking Union Medical College Hospital, Zhu Bin believes that when he came to Shanghai Jiahui International Hospital this time, he can be regarded as a real public hospital. Because although the Peking University International Hospital where I worked before was a social capital medical institution, it basically followed the model of the Peking University Medical Department in terms of development, and Jiahui was the medical system that was different from China's public hospitals.
"Although both systems provide medical services, the evaluation requirements are different and the requirements for doctors are also different, so I cherish this job opportunity." Zhu Bin said, "Even if I have the idea of returning to a public hospital in the future, I am afraid that I will have to ask myself first, will there be a 'culture shock'?"
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