The nurse’s concern was not unfounded.
Could an intern who just arrived at this departnt imdiately perform clinical procedures? Moreover, this isn’t a typical clinical procedure.
In surgery, tasks like writing dical records and dealing with paperwork, as long as they don’t involve invasive dical procedures on the human body, are generally more casually assigned by teachers to students. Even if sothing goes wrong, it’s not life-threatening.
In internal dicine, procedures involving endoscopic equipnt are among the few invasive dical operations perford within the departnt, and they are critical skills that greatly test an internist’s abilities. Most internal dicine doctors find such procedures challenging, let alone dical students.
After all, internists differ from surgeons. Internists tend to have less dexterity in handling anatomical procedures. This isn’t because internists are naturally less skilled, but because their opportunities to engage with human anatomy during dical study and work are significantly fewer compared to surgeons. Surgeons play around with anatomy far more frequently, making such operations easier for them to grasp. For instance, surgeons often have their own anatomical specin rooms, whereas internists rarely have access to such resources.
Unfortunately, as dical technology develops, the overall skill requirents for doctors continue to rise. In surgery, surgeons need to learn techniques like laparoscopic and thoracoscopic procedures. In internal dicine, doctors are now expected to master endoscopic techniques.
Can internists avoid using endoscopes? They can, but in so hospitals, internal dicine departnts don’t yet have access to this new technology. However, if doctors choose not to learn or practice new techniques, their business might get poached by other departnts, which directly impacts their financial earnings.
Take bronchoscopy, for instance. At Guoxie, it’s perford by the respiratory departnt, cardiothoracic surgery, and even the ICU. This situation is common in other hospitals as well, demonstrating that every departnt wants a share of the revenue, bringing money back into its own pocket.
To compete for expertise in certain procedures, doctors must hone their technical skills to be the best—better than anyone else.
At Guoxie, which departnt has the most outstanding bronchoscopy techniques?
The consensus among the hospital’s doctors is that there’s no definitive answer. This is because bronchoscopy has wide applications. In certain areas, respiratory specialists excel at diagnostic bronchoscopies. In terms of bronchoscopic foreign body removal, cardiothoracic surgeons might perform better. In tasks like sputum suction, ICU doctors often stand out.
From these examples, it’s evident that both surgical and internal dicine departnts follow the sa principle: practice makes perfect. If internists want to truly outperform surgeons, they must work tirelessly and practice extensively.
It’s fair to say that the internists at Guoxie work very hard. Knowing they can’t match surgeons in anatomical expertise—what do they do? They actively go back to strengthen their foundational coursework.
"I happen to know Teacher Ren," Xin Yanjun shared a little secret with the students. "I privately treated him to a al so I could revisit the anatomy room at the dical school and brush up on the basics again."
Teacher Ren’s history of being "bribed" was personally revealed by Xin Yanjun herself. Xie Wanying held back a laugh.
"You guys don’t need to treat him to als. You’ll learn well by studying under him in your class."
Xin Yanjun’s words made Xie Wanying nod in agreent. Teacher Ren’s contributions to their class had indeed been trendous. It could be said that without Teacher Ren laying down a solid foundation in anatomy for their class, it would have been difficult for her classmates to stand out during internships. Instead, they’d likely continue to earn the ridicule of being the "overly ambitious but under-skilled eighth class."
Xie Wanying glanced at Teacher Xin again and thought about how difficult life was for clinical teachers. Even after graduating as excellent students and starting to work, they still needed to privately return to dical school to brush up on lessons during overti hours—all to avoid falling behind the advancents in dical technology.
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