If no one has any questions, letâs move on to the next item on the agenda.
Director Tan continued: âBefore, our workflow was: Pre-hospital emergency careâEmergency DepartmentâImaging DepartmentâOperating Room. Now, we have shortened these four steps to three: Pre-hospital emergency careâEmergency DepartmentâOperating Room.â
âWhen the injured arrive at the Emergency Department and have completed blood transfusion and other emergency treatments, they go directly to the operating room. Imaging examinations are performed in the operating room. We have transformed two minimally invasive surgery rooms into dedicated operating rooms for the Trauma Emergency Center. These rooms are equipped with CT navigation, which functions as a CT machine. That means our operating tables can perform CT scans, producing immediate images and results.â
âWe have reassigned two adept doctors and technicians from the Imaging Department to handle the CT scans in this operating room, integrating diagnosis and surgery in one process. This innovation was proposed by Doctor Yang. Director Han and I thought it was a great idea as it saves time.â
âIn the future, we aim to further streamline our process from Pre-hospital emergency careâOperating Room, a unidirectional flow, making the operating room a comprehensive place for emergency treatment, inspection, and surgery. We will have a level trauma emergency center located on the first floor, staffed by surgeons, anesthesiologists, radiologists, and trauma ICU doctors, forming an integrated team.â
âStarting from tomorrow, all doctors from the Trauma Orthopedics, including those reassigned from other departments, will be trained in trauma surgery techniques under the supervision of Doctor Yang. Everyone needs to pass the standards. The requirements vary according to the doctorâs rank. Director Han and I also need to pass. Those who fail will be downgraded. Those who do not meet the standard will be transferred and sent to help in the Physical Examination Center!â
Dean Xia stood up and said, âWhat Director Tan just mentioned is actually happening, and Iâve signed off on the paperwork.â
âRegardless of a doctorâs rank, the training plan will detail the training modules, with three levels: up-to-standard, qualified, and excellent. Those who are merely qualified will pass. Those who excel will be given significant responsibilities, and for those who are unfit, they will be downgraded! If standards are not met, they will be laid off!â
âWhat does the downgrade mean? If you are currently an associate chief physician, sorry, you will be demoted to attending physician. And what is meant by being laid off? Stop practicing surgery. The Physical Examination Center has been busy lately. The senior director has asked me for additional staff several times. Those who do not meet our standards will all be transferred to help out in the Physical Examination Center.â
âThe order is here. Itâs been discussed at the Hospital Committee and Iâve approved it with my signature. I donât want to see anyoneâs name on the downgrade and transfer list. Let me be clear, the Trauma Emergency Center is an initiative by the hospital to establish a top-ranking department in G city and nationwide. Everyone must keep up unconditionally.â
âThose who fall behind, sorry, will be eliminated!â
âThe upcoming Academic Conference is crucial for our reputation. There will be no room for negotiation in our showdown with the Japanese team. Whether capable or not, attendance is mandatory. If there is anyone not ready to face this, raise your hand now. I will sign off immediately, and tomorrow you can start work at the Physical Examination Center. After three years, you can retake the examination for a chance to switch positions.â
Dean Xiaâs voice was booming and resounding, so authoritative that he just needed a table to slam on to punctuate his words, only there was no table since he was sitting in the front row.â
There was no applause. Everyone became vigilant. These new changes were not a game, but were serious matters. Once Dean Xia announced that someone would be transferred, the person really would be transferred. There would be little hope of returning to their previous position. The room was filled with tension.â
Several directors who led teams were serious-faced as well. Director Han and Director Tan were preparing to face the Frontlines themselves. This was a real-life battle.â
Director Bai was looking a bit agitated and uneasy. But he had nothing to say. When even Director Han has to take the training, there is no room for objection.â
âOuyang, we old bones are going to be tossed around.â Director Bai said to Director Ouyang.
Director Ouyang glanced at Director Han and then whispered back, âOld Bai, it is not about being tossed around. This is a grand strategy of the hospital. As leaders of our respective teams, we should take the lead and cooperate actively.â
Director Bai glanced sideways. Since when did he become so cautious that he canât even voice his grievances anymore?
âWhere is Old Ding?â Director Bai inquired.
Director Ouyang surveyed the teaching room: âHe was just here, but heâs disappeared again. Ohââ
Director Ouyang sighed. In this situation, Old Ding, who failed to see clearly the situation and still acted carelessly, was in danger. He needed to warn him promptly.
âXiao Yang!â Dean Xia called.
Yang Ping immediately stood up.
Dean Xia said, âXiao Yang, you are now the head of the training group, and scoring will matter. For the exams of associate chief physicians and chief physicians, I will be present throughout. After the exam, you only need to provide me with the scores. The results will be announced on the spot, and the demotion or transfer will also take place immediately! If anyone is absent during training, they have to make up for it during their breaks. After three consecutive absences, a total of six, regardless of the reason, they will be deemed below standard. Weâve made it quite lenient already.â
âLet me announce the members of the Training Group: LeaderâYang Ping; Training Instructors: Chief InstructorâYang Ping, Group Instructors: Senior Titles GroupâTian Yuan, and Intermediate and Junior Titles GroupâSong Zimo, Jin Zhiwen, Zhong Yuanyi; Secretary: Zhang Lin; Liaison: Lu Xiaowu! After this meeting, each of you will receive a document detailing the specific training times and arrangements. If you have any questions, ask Zhang Lin, the training group secretary.â
âDoes anyone have any opinions? Starting from tomorrow, we need to slow down patient intake in the Orthopedics Outpatient Department and try not to schedule too many elective surgeries.â
Dean Xia glanced around the room. Usually, he was very authoritative in the hospital, which made everyone somewhat fearful. When he started to work, he was like a powerful lion. Now, he had brought out the big knife of downgrade and transfer. Everyoneâs heart would surely skip a beat at this.
What opinion do they have? Itâs getting harder to get by, someone has started sweating, the few who were taking notes had sweaty palms from clenching their pens.
âIf thereâs nothing else, we will adjourn. Training begins tomorrow, consider it as sharpening your sword before battle. Sometimes, sharpening your sword before battle works well.âDirector Han also stood up.
The meeting ended in a tense atmosphere. Everyone felt uneasy. They had never been this anxious since they started working.
âOuyang, life is becoming increasingly difficult.â Director Bai said, moving his overweight body.
Director Ouyang turned and then said, âOld Bai, we should keep up with the times. We, the older comrades should use ourselves as an example, support Director Hanâs strategy, no matter how hard and tiring it becomes, we must follow, we cannot fall behind, even Director Han has joined the battle.â
They kept talking and returned to the Trauma Orthopedics. Director Tan stayed in General Orthopedics, continuing his discussion with Director Han.
They both went to the department leaderâs office and sat down.
âHe joined the battle just for show!â Old Bai said.
Director Ouyang shook his head: âThis is not for show.â
âWhat about Old Ding? He disappeared today?â Old Bai mentioned Old Ding.
With an understanding tone, Director Ouyang said: âOld Bai, the situation is different now. Listen to this brotherly advice, when you need to admit defeat, admit it. Director Tan is really stronger than us, we need to follow him. As long as he doesnât step out of bounds too much, itâs okay. Director Han would surely look after us, after all, he needs people to work. You must never imitate Old Ding. Iâm just saying this between us two, if he continues like this, heâll be in trouble sooner or later!â
After saying this Director Ouyang stood up to leave, but Old Bai stopped him: âOuyang, whatâs wrong? Youâre leaving so soon, are you afraid of some talk?â
âIâm not afraid, I have to go. Brother, remember my words.â
Ouyang waved his hands, shook his head and left.
Director Hanâs office.
Dean Xia, Director Han, Director Tan, and Yang Ping were all present.
âXiao Yang, tomorrow afternoon, the assessment for me and Director Tan will start. I will invite all the directors to be present. Dean Xia will also be present, conduct the examination as you have prepared it, do not hold back.â Director Han said.
Yang Ping felt a bit reluctant: âShouldnât the two directors prepare a bit? Everyone else will have training before the exam.â
âNo need!â Director Tan was very firm.
âIn addition to us, give them the question papers as well. They will also participate in the exam, though their scores wonât count, it will be an experience. But our scores will count as a real examination! 80 marks to pass, 90 marks to be considered passable, 100 marks for excellence, if we fail, we will deal with it on the spot.â Director Han declared in an authoritative manner.
Yang Ping was feeling unsteady. Both directors must have their basic skills down, he was most afraid of the theory part, the questions were all set by him and it covered systemic anatomy, local anatomy, surgical approach, surgical operation, first-aid knowledge, physiology, pathology, pathophysiology, etc. The scope was broad and there were many questions, most of them were basic knowledge, which the directors might have forgotten since they were good at surgeries.
He hadnât shown the question papers to both directors before, what to do now?
âDirector? Should we firstââ Yang Ping found it hard to speak.
Director Han said, âXiao Yang, do you know why we are doing this? And why are we setting the passing score so high? Why are we making the training feel so intimidating?â
âWhy?â Yang Ping also didnât know.
Previously, they simply set the passing score at 60, and 80 to be considered competent, the training wasnât as strict, and they didnât make it so tense.
âFujiwara is afraid that I will cancel the live broadcast project, he specifically replied in an email, sayingâwe should not be nervous, same field live broadcast is only for academic exchange, promoting friendship, mutual learning, with no other intentions, they will also consider and the doctors who go on stage will be young instructors and teaching assistants!â Director Han said, his tone was downbeat.
Anyone could tell, it was a condescending tone.
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