Zhejiang University Second Hospital WeChat public account
For medical students, removing the word "learning" in the middle will face many obstacles. How can medical students truly apply what they have learned from books to clinical application? How to digest the psychological test when diagnosis and treatment may be biased when you are not proficient?
has always been unable to ignore the fact that doctors are always called "redemptor" and mission. In the face of illness and life and death, it seems that only doctors are the only life-saving straw that can be grasped. Just as Dr. Tao Yong said in the program: "In the past, when technology was underdeveloped, people mistakenly regarded witchcraft as medical skills. In the present, people mistakenly regarded witchcraft as witchcraft." Tencent Video "Heart-warming Offer" Season 3 (hereinafter referred to as "offer3") turned the camera to the medical industry. With the theme of showing the growth of medical students, the audience also learned about the multifaceted aspects of doctors.
After working as a lawyer in the last season, the program team began to consider the career direction that lawyers can explore afterwards. In the view of Zhang Lianghui, the producer of "'s heart-warming offer3", there are two reasons for choosing the medical industry this time. On the one hand, since the model of "The Heart-wrenching Offer" is to choose a career by yourself and gain career growth, the program team believed that this career must have a threshold and a career that requires a long time of experience accumulation. On the other hand, after investigation, the program team believed that doctors and lawyers were professions that met such standards and had a deep humanistic precipitation. From the perspective of creative sensibility, the process of research was a process that impressed the creative team. They saw the shining and moving moments in this profession and finally decided to show the details of their doctor's career to the public.
After determining the medical field, the repeated outbreak of the epidemic has become one of the biggest resistances for the program team in the early stage. Because of uncertainty, the program team is preparing for filming at any time every day. I thought about taking one step at a time, but I didn’t expect to get to the present step by step: I completed the film successfully, met the audience, and received good feedback. And this is just one of the countless communications between the program team and Zhejiang University Second Hospital in order to be able to film smoothly.
As a century-old famous hospital and a large Grade A public hospital, why did it agree to join "offer3" to do something that some people seem to be "popular"? For Wang Jianan, Party Secretary of Zhejiang University Second Hospital, the reason is nothing more than that, he only has the original intention of "Chinese doctors need to be fully understood." Through such an opportunity, we not only want the society to understand that it is difficult for medical students to grow and cultivate medical students, but also want the public to know that Chinese doctors are responsible for life, inheritance, and innovation. They can only become steel after being tempered by hard work!
1, unusual hospital offer
When contacting the hospital in the early stage, because it was a "heart-wrenching offer", the program team still focused on the TOP-level hospitals in China. According to the searched list of the Chinese hospital rankings (Fudan Hospital Rankings) and contacted the top hospitals in the country. During this process, some people refuse, some people who are interested can continue to communicate. After repeated docking, Zhejiang University Second Hospital (hereinafter referred to as the hospital) and the program team had preliminary negotiation intentions.
After having a face-to-face conversation with the Tencent program team, the director of the hospital's propaganda center first learned that this is a variety show, and secondly it is about medical students. She found two directors of the teaching department and the human resources department and began to discuss the possibility of this matter with them. One is how to continue the story of medical students, and the other is the most concerned question at that time: what to do if the offer is offered. Director Fang learned that the most important thing in the program in the past was to give the winner a real offer, but this is almost impossible under a system like the hospital.
As a public hospital of the Grade 3, Director Lu Yan of the Human Resources Department said that the incoming doctors are formally organized, and recruitment has strict procedures. It is impossible to give a single offer, and there is no possibility in terms of form. Secondly, the lowest threshold for the three professional departments presented in the program is all doctoral students, and it is impossible to enter a master's degree.However, the program needs to present the status of medical students at all levels, which increases the difficulty of giving offers.
The heart-warming choice of medical students - Zhejiang University Second Hospital/Picture source Tencent Video Heart-warming offer official Weibo
Director Xie Xiaojie of the Teaching Department explained that the hospital needs multiple dimensions to judge whether medical students can graduate and start a job. It is not that more than 40 days of clinical training can develop clinical ability and professional qualities. Secondly, medical students have different academic backgrounds and grades. If they expose every bit of these training process to the public's perspective, differentiated performances can easily cause public misunderstandings, so they need to be carefully discussed. The
sequence is more than just the worry. From a publicity perspective, doing well is a positive guidance. Once there is a mistake, it will bring various public pressure to the hospital. However, considering the spread of medical content in the past, it mainly consists of special reports and documentaries, and the image of a doctor is sometimes displayed in extreme terms in the public: either a hero or a "white wolf", creating a black or white label illusion. She also wants to show medical students, medical staff, and hospitals to the public through this program, which is the most worthwhile thing to do. Secondly, outsiders watch the excitement, while those who are experts look at the tricks. In addition to the public, how to enable the medical community to recognize the content of the program is an important problem.
After so many "impossibles", after several rounds of negotiations, everyone agreed that training can be used as a resume, giving some priority recommendations, and sending an offer for hospital-level interviews, which is feasible. Promote the best without violating the recruitment policy.
introduction said that this program was able to be filmed smoothly. After the hospital leaders said "you can give it a try", in addition to the above three departments, they also received support from all aspects of administrative and clinical departments such as hospital infection, skills center, quality control, medical, nursing, logistics, customer service, security, IT, etc. From May 2021 to early September when the two sides started to work together, the program team went to Hangzhou to hold countless meetings. The difficult preparation process for more than four months also paved the way for the smooth shooting in the next forty days.
It is worth mentioning that in order to learn more about variety shows, Fang Xu specially went online to make up for what variety shows are and what reality shows are. She learned that the program may be a double-edged sword. If it succeeds, it is a display of society. If it fails, it may be an uncontrollable fermentation of public opinion. But now the facts after the broadcast have proved that when both parties of the cooperation put aside the gimmicks, start from professionalism, and put people first, everything is positive and positive, and the audience's feedback will not disappoint them.
2. The cute medical students are still a word different from the doctors
. Regarding the overall feelings of medical students, Zhang Lianghui believes that after the online and offline contact before the shooting, she thinks these students are "pretty calm", which is also the part that surprised her. Previously, she had worried that everyone would be more or less nervous about such shootings, but the entire medical student group was very calm. They were more worried that their poor performance would embarrass the school and teachers. Before the shooting of
started, because it was written test and interview sessions at the beginning, 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 very cute. The cute point is that they really focused on the internship experience and process itself, and they considered whether they could learn something from it, whether they could perform well, and whether they would gain and grow. This purity touched all the main creators, including Zhang Lianghui.
The beliefs of medical students are also issues that need to be considered in the interview stage/Picture source Tencent Video's heart-warming offer official Weibo
"Heart-warming offer3" chief screenwriter Li Ruoyu thinks it is quite interesting that they often ask some questions, such as whether this experiment can be brought to the program and whether this paper can be written during recording. They are more concerned about their academic affairs, "so they are quite simple and realistic." Of course, there is also a curiosity for recording programs, and they will ask the program team what they want to take, which teachers come to take them, which schools will come, etc.
Regarding the selection of medical students' academic qualifications and appearance, Li Ruoyu said that the first round of interviews of the program team will always assess their majors. After the written test, they will ask experts for an interview and use some emergency questions to assess their professional level. After that, an interview will be conducted to judge the character's personality traits and see if it can show the group appearance of medical students. There will be deeper conversations and predictions later.
Zhang Lianghui believes that whether it is the lawyer season or the medical student season, there is always a good wish for what kind of young people to choose, which is to hope that the offer can have long-term vitality, rather than doing things that count one season. Based on this, the program team chose to use different career fields as cross-sectional perspectives to show what young people who are just entering the workplace are like. The longer the program "lives", the more interesting the appearance that can be displayed will be. When choosing a person, no matter what the profession looks like, they will always choose some vivid and vivid characteristics that represent the current young people. They are very real and very free, and are even loyal to some of their true thoughts and loves.
When talking about the keywords of medical students' traits, Zhang Lianghui believes that it is true and love. Due to the particularity of their profession, they will spend a long time in this industry, and work tasks are also a huge challenge. They need to love this profession very much in order to find their sense of value in it and persevere for a long time. What they reflect is also a typical example of career choices for young people today: more people are not choosing a job that makes money to support themselves, but choosing their lifelong career.
Keep the real and love medical students/Picture source Tencent Video's heart-warming offer official Weibo
For medical students, removing the word "learning" in the middle will face many obstacles. Zhang Jianmin, chief physician of neurosurgery, told Southern Weekend that he believes that the most difficult step is that medical students truly use what they learn from books to clinical application, and there is a big difference between the two. For example, Liu Chang, a Chinese medicine student in the program, is a postdoctoral student. The study exams in textbooks are not difficult at all, but she has to manage patients and deal with clinical problems. She has not encountered them before and is very frustrated. This is the real situation. When theoretical knowledge is implemented, how should we deal with it? In principle, will there be any mistakes? This is something that medical students are very worried about. If handled improperly, it may have serious consequences. Such fear will inevitably determine that medical students have a slow and familiar process. Only by observing and practicing more can they continue to grow.
Secondly, every patient is different. The textbooks are written with classic cases, and the patients are all standardized patients , but in clinical practice, the real patient's condition is often complicated. For medical students, this requires them to have a certain degree of clinical thinking, and they must identify it from the accumulation of comprehensive knowledge and experience to achieve the ability to see the essence through phenomena. Another very important thing is that some failed cases may be encountered, helpless and complications may lead to deviations in diagnosis and treatment when they are not proficient. This is a huge psychological test for medical students, and even a psychological shadow.
In the emergency room, he deals with critically ill patients every day. Zhang Jianmin believes that only after experiencing these tests can he be strong inside. In the future, only by facing these complex diseases and patients can we face them more calmly. "So it takes a big leap for medical students to go from school to clinical practice. Doctors and medical students lack one word, but it is a completely different experience."
3. Use the lens to record unpredictable daily
"offer3" filmed more than ten hours a day. Due to the particularity of the medical industry, in order not to disturb the normal work of the hospital, the program team mostly uses surveillance cameras to shoot. There are two scenes in the program. One is the real working environment inside the hospital and the ward floors, and some teamwork tasks are completed in the public office area built.During the recording period, the program team not only minimizes the flow of staff and avoids disturbing the normal work and life of medical staff and patients, but also communicates with all patients who may appear on the camera and their families, provide informed consent, and protects patients' privacy. The lawyer industry filmed in the first two seasons of
has more expression and confrontationality in professional attributes, and interns have more outgoing performance in negotiations and defenses. But the growth of a doctor is a process of longer experience and continuous accumulation, and it is difficult to demonstrate his superb skills through personal concentrated display, and it often takes time to prove it. This also destined that it would be difficult for a medical student to challenge him in the rookie stage.
What medical students can and cannot do at each step, what they can and should do at which stage they can do, have strict professional norms. The program team must follow the norms to set feasibility, and it is impossible for them to do things beyond their abilities.
In terms of this professional control, the program team invited doctors from major hospitals as consulting groups in the early stage. Later, the teaching department of Zhejiang University Second Hospital followed up and guided the program team through the whole process, telling them what operations can be done and what cannot be done, and designed completely according to the real growth model of medical students.
Teaching physicians conduct professional review of medical students' work/Picture source Tencent Video's heart-warming offer official Weibo
Li Honglei, deputy director of the teaching department of Zhejiang University Second College, said that in the early selection of departments, the hospital and the program team have always had close discussions. The original intention of the program team was to choose departments closely related to the people, such as , cardiovascular and cerebrovascular diseases, , is the number one in the highest incidence of diseases in China. Secondly, people who want to watch the show 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 uncover the mystery of brain surgery and show the results of brain-computer interface and other brain science clinical transformation research. Taking it comprehensively, it can not only have public familiarity, concern the people, but also have a sense of high-end technology and achievements.
In terms of patient selection, Dong Liang, deputy chief physician of the Department of Cardiovascular Medicine, said that there are two main parts: some are chronic patients under treatment and follow-up, including rare disease ; the other are random patients that appear in clinical treatment, including heart failure , myocardial infarction, etc., which are more concerned by the people. The cardiology department beds are quickly turned, and patients may be discharged from the hospital in less than four days in one round, which also happens to help with the diversity of content. Due to the particularity of the disease, the treatment process for some complex patients is long and long, and will run through the program. Yan Sheng, chief physician of the Department of Hepatobiliary and Pancreatic Surgery, said that the concepts of precision, minimally invasiveness and rapid rehabilitation in surgery (laparoscopic and robotic surgery) have become the mainstream of hepatobiliary and pancreatic surgery, so patients undergoing minimally invasive surgery are the main choices for this shooting. In addition, liver transplantation (including children's liver transplantation) is a high-end surgical technology in the field of organ transplantation and has also been presented in the program. What surprised the program team was that many patients were happy, and even during the filming process, the medical students and those real patients became friends and established feelings.
The medical students also established feelings between patients/picture source Tencent video’s heart-warming offer official Weibo
In the view of the program team, the most difficult part of shooting is the emergency medicine department. Because everything in the emergency department is sudden, it is a "very insecure thing in terms of the program team's physical sense." No one knows when the patient will come, nor what kind of patients will come and what treatment will be. What the program team can do is record, which is also the link with the most waste materials.
The entire film crew is dozens of people, plus the equipment, so this kind of shooting is required in the hospital, so as to protect the privacy of patients and not affect the normal medical work of the hospital. This difficulty is conceivable. In order not to disturb the filming, the number of people will be greatly reduced during the shooting process. Non-essential personnel will not enter the hospital, only the camera and the director will enter.The program team made many hidden cabinets, trying to integrate the surrounding environment as much as possible. There is a single-sided mirror in the middle, and the camera has been hiding in the cabinet and shooting through the single-sided mirror, without coming out for a day. Someone delivered food in the middle of the way, and when no one was there, they went to the toilet. "It is to make all doctors and patients unable to see our existence, so they hide it inside, and then shoot silently."
4. "As soon as you enter the medical school, it is a principle that you will not interfere with and guide medical students in the current state. Everything that happens here needs to be solved and faced by themselves. No one will help them, because this is the reality. Once, the "Three Sons of Shenwai" returned to the dormitory and forgot to bring the keys. They thought the program team would come to open the door for them, but they didn't. Then they themselves would call the teacher, open the office door, then go to the office to take out their keys and go home to open the door.
Everything happens naturally, everything happens in a real and normal environment. During the shooting process of
, the hospital carried out strict epidemic prevention and control every day, adhering to the principle of "medical safety is above everything". For example, a badge wristband was made for all staff, and the health code and itinerary code were checked every day, as well as the nucleic acid test results were only allowed to enter the hospital. A three-person team for epidemic prevention and control was also established to manage the epidemic prevention situation of each department, and random inspections will be conducted during the period, and the disinfection of equipment is inevitable.
As one of the teaching teachers, Zhang Jianmin wanted to present the public with the norms and rigorous teaching of hospitals. Secondly, he also observed through the perspective of the film crew, which can give some reference and thinking. For example, medical students participate in health education and follow-up of patients after discharge are very necessary. This is the issue of small doctors and large doctors in specific teaching, that is, "hygiene work must be moved forward", and prevention and control education must be done well so that the momentum of disease development can be suppressed. The second is the importance of the return visit. Medical workers not only need to treat the physical illnesses of patients, but also to soothe their spiritual trauma, and provide some psychological counseling, including the society calling for the elimination of these stigma, which are front-end and back-end work that should be strengthened outside of treatment itself. Dong Jun said that the program has no script and medical students are all "acting in their true colors". The program team only observes and records, and does not interfere with the real clinical diagnosis and treatment process and the growth of medical students.
The teaching physician with different styles protects the growth of medical students/Picture source Tencent Video's heart-warming offer official Weibo
Through the program, we all learned that medical students have a long way to go to become doctors. Even folk sayings say, "Please encourage people to study medicine, and the sky will hit lightning." Dong Jun said that this is not only what outsiders say, but doctors often make such jokes. But in addition to joking, we can see that this road is destined to be difficult and is beyond the reach of people. Zhang Jianmin believes that medical students are indeed hard-working and must be mentally prepared before applying for the exam, but hardship is the hardship. This is also a profession with a great sense of life value. When the patient recovers in your hands, the sense of accomplishment cannot be described. Dong Jun felt that doctors value inheritance. He taught them step by step by step by step by step by step by step by step, and now he will teach them to medical students without reservation. The profession of doctor may be the most likely profession to feel the pressure of peers. When students start a family and have complete houses, medical students may not have started to earn money. This has been decades of training and a must-see path to becoming a good doctor.
During the interview with the main creative team of the program team, they joked: "I finally found that an industry is more painful than us." Based on their understanding, they also discovered that this is an industry of lifelong learning, with a high threshold and a small possibility of changing careers. If you determine this path, you must continue to follow. "As soon as you enter the medical school, it's not just time to bet on it. It was also through the program that many viewers exclaimed that "someone is better than me and harder than me." When Liu Chang found out that he was inadequate on the first day, he directly chose to make up for his lessons all night to make up for his shortcomings. He only slept for about an hour, which made the program team admire him. Li Ruoyu said: "I will always remember how she looked that day. There is a reason why she is excellent."
The road for medical students to become doctors is very similar to the darkness before dawn. During the week of shooting the emergency medicine department, all the staff stayed in the emergency room. Zhang Lianghui said that she really felt like she had seen a lot of suffering in the world. After the rescue in the show, Lu Xiao took the medical students out of the emergency building to watch the scene of sunrise, which was very touched. "I would think it's so difficult for everyone. Maybe the emergency room is a more extreme and concentrated place. There was a lot of suffering in that place, and there was also a lot of relief after first aid. Watching the sunrise scene will make me feel that I have seen something very romantic in this professional group. "
Yes, they are wearing white coats, standing in the dim morning light after the speed of life and death.
(original title "How difficult and how romantic it is." Editor Huang Huixian)
