Every year when graduation is approaching, there will be many friends in the Lilac Garden who ask questions about the choice of department.
Source: Lilac Garden
Who doesn't love a job with less life and more money? But in reality, such a job is hard to come by.
Today, let's take stock of the departments in the hospital that work overtime until the sky is dark.
Surgical system
Departments that exploded overtime in the surgical system: general surgery, orthopedics, neurosurgery.
Departments with less overtime: anorectal surgery, vascular surgery, nail and breast surgery.
As
A surgical brick mover spends more than half of his day doing surgery.
At 7:50 in the morning, the ward round, 8:30 a.m., the operation began, and at noon, the operating room continued the operation with two lunches, without a lunch break, and soaked in the operating room.
In hospitals with a large number of surgeries, it is generally 6-7 o'clock after the operation.
After the operation, I returned to the ward, and only then did I start to change dressings, write medical records, handle discharge, and complete work other than surgery, and often I could go home after 9 p.m. to eat and rest.
If you are in charge of critically ill patients, you should make rounds on weekends and holidays and closely observe the changes in your condition.
They often work 80+ hours per week, far exceeding the standard of "8 hours per day and 40 hours per week" in the "Regulations of the State Council on Working Hours of Employees".
In most hospitals, the night shift arrangement is that the staff on duty will leave work the next day and implement flexible work hours, that is, they can leave work after handling patients.
After the surgeon is on duty overnight, the next day is often full of surgeries, and the 36+ hours in the hospital is extremely suffocating.
In the surgical department, it is not uncommon to leave the house at 7 a.m. on the first day and rush home at 9 p.m. the next day.
In the surgical system, the classic representative of overtime is orthopedics.
This is especially true in the Department of Trauma and Orthopedics, where the night shift is an emergency operation after the operation every day.
A colleague from the trauma and orthopedic department next door said that three of the four consecutive night shifts were in the operating room, and the remaining night shift did a small midnight debridement and suture in the dressing change room.
Gynecologic
Gynecology is an operating department, and the reason for overtime is almost the same as that of the surgical system, but in general, the overtime hours are shorter than those of orthopedics and other departments.
In obstetrics, changes in the timing of normal delivery often lead to overtime in the delivery room.
As one of the few operating departments in the hospital that rarely has ordinary surgery, almost all obstetric surgeries are emergency cesarean sections, and every night shift is extremely sad.
Department of Anesthesiology
If the day shift of the anesthesiology department encounters too many surgeries and cannot be completed, then it is necessary to accompany the surgical department to work overtime to complete the surgical anesthesia task of the day shift.
And in the night shift, the so-called iron anesthesia, flowing water surgery.
After the surgeon finishes the operation, he can go back and stare at the sleep, and the anesthesiologist has to turn around and look at the one next door after the anesthesiologist is done......
It's hard to put into words......
pediatrics
The busyness of pediatrics comes from the difficulty in diagnosing pediatric diseases, the lack of examinations, the cautious use of drugs, and the low remuneration due to high work pressure.
As a result, there are fewer and fewer pediatricians, and the decrease in pediatricians directly leads to a busier pediatrics.
Cause and effect alternate, vicious circle.
Internal Medicine System
Departments with more overtime in the internal medicine system: cardiology, gastroenterology, and respiratory medicine.
Departments with less overtime: endocrinology, geriatrics, hematology.
Internal medicine is now becoming more and more saudible.
Interventional surgeries in cardiology, gastroenterology, respiratory medicine and other departments are becoming more and more endoscopic.
Therefore, there are often a lot of surgeries, and with the medical records that cannot be written by the internal medicine department, it is common for patients to work overtime.
Cardiology can be described as a surgical department in internal medicine, with many acute and critical cases and many emergency surgeries.
Rescue and surgery are continuous, and it is a representative of overtime in internal medicine.
Emergency Department / ICU
Although overtime in the emergency department and ICU is relatively low, it is common to leave work after the next shift.
But when I was in the ICU and on duty, I really understood what a sleepless night was.
There are many critically ill patients, their conditions change rapidly, and they are constantly busy, which is very hard.
The inexhaustible blood, the unremembered inspection indicators, and the overwhelming enemy at the time of shift change all add a further psychological burden on the basis of the overloaded workload.
Write at the end
Compared with 996, in fact, doctors' overtime and on-duty work can be said to be more than equal.
Some people joke that the so-called resident doctors, that is, the doctors who live in the hospital, are the best and cheapest labor.
Before being promoted to chief, it may be the same for everyone, who survived the long night and could see the dawn.
In fact, every position has its own hardships, the medical records that cannot be written in internal medicine, the sit-ups that can't stop on the night shift, the nursing position is even more difficult to rest, and the administrative functional departments also often face various examinations.
Each has its own difficulties and hardships, there is no most tired, only more tired.
"The road is obstructive and long-term, and the future can be expected."
From the Lilac Garden