I, Tomoya Aki, am not a bootlicker

A private institution unique in the Japanese medical community.

Although everyone in the Neon University Hospital is a civil servant, the existence of the Medical Bureau system means that all personnel in the entire department, including associate professors, lecturers, and teaching assistants, are hired by the chief professor.

In university hospitals, there is generally no dismissal, only resignation.

If you don't resign, it will be a personnel transfer, which is usually known as exile to a remote area.

Here we have to talk about the existence of affiliated hospitals.

There is a dependency relationship between clinical departments in hospitals at all levels and the corresponding departments in university affiliated hospitals, which are commonly referred to as affiliated hospitals.

For example, the Department of Gastroenterology and Surgery at the University of Tokyo Hospital where Tomoya Aki and his colleagues are currently working has thirteen affiliated hospitals in Tokyo alone and ten affiliated hospitals outside the city.

The boss of the department in the related hospital, that is, the chief professor there, was sent by Professor Sasaki here, and then layer by layer, a network of relationships was formed.

It can be said that the Medical Bureau is actually the one that decides most of the personnel arrangements in the affiliated hospitals.

In other words, if you make the chief professor unhappy at the Tokyo University Affiliated Hospital, and if you have no connections, since you are a civil servant, even if it is difficult to fire you, you can just be transferred and asked to go out to cool off.

Similarly, above the director professor, the department director, vice dean and dean have greater power.

At the same time, in a university hospital, even though it is collectively called the Tokyo University faction, there is also a secret power struggle, which is divided into different factions, including possible divisions within a department. After all, like Professor Sasaki, he has prepared two associate professors.

Then in the university's medical school, there are also people who can influence the affiliated hospital, such as Professor Yano, whom Tomoya Aki knows.

Here we are talking about a chief professor, who has great power. The Affiliated Hospital of Tokyo University is the center, so being a chief professor here can radiate to all the affiliated hospitals of the department.

"If you stay in the university hospital and don't aim to be a professor, then you are sick."

Aki Tomoya bit off a piece of tempura and thought to himself.

Those who choose to stay in the university hospital have this idea to a greater or lesser extent.

Among the same period, Suzuya was the one who was least secretive.

Working as a civil servant in a university hospital, instead of thinking about becoming a professor, do you just want to be a doctor and make money?

In terms of making money, private hospitals make more money, and they are happy to offer high salaries to poach people.

Chapter 409 The sparrow knows the ambition of the swan

The poaching of talents by private hospitals and the rise of medical corporate groups have also provided new options for many people who have been underappreciated in university hospitals and have been unable to get promoted despite their seniority.

Coupled with the weakening of the medical sector in recent years, the authority of university hospitals has gradually shown signs of decline, and a large number of outstanding doctors have been attracted by high salaries to go abroad or join private hospitals.

The competitors of university hospitals are no longer just competing behind closed doors with national university hospitals or private university hospitals, but also have to face the medical corporate groups behind them.

But at the same time, the advantages of university hospitals still exist, most of the talents are still in the hands of medical universities, and the attraction of the white tower still exists for most people.

The system of the Medical Bureau makes the performance of a department represent the ability of the professor. The professor has absolute power in the department and controls financial power and personal connections.

There are always many VIP patients who choose university hospitals.

University hospitals that have the ability to train talent and are backed by medical schools of medical universities have advantages in talent reserves.

However, it is unclear how long this advantage will last, especially after the emergence of medical cliques represented by medical corporation groups, the annual talent loss rate in university hospitals is increasing year by year.

After all, not everyone is willing to stay in a university hospital forever.

The high salaries and more relaxed atmosphere of private hospitals are also their advantages.

So a cycle started wrong.

Gain experience and hone your medical skills in university hospitals and affiliated hospitals. If there is an opportunity for promotion, you will choose to stay in the university hospital. If there is no opportunity and you are unwilling to continue to gain experience, then choose a private hospital.

Although a university hospital cannot accommodate so many people, it is understandable that they are poached by private hospitals.

But because of the existence of the Medical Bureau, those people who used to go to the affiliated hospitals to make money are still people from the university hospital.

However, looking at the talent loss rate in university hospitals every year, those who used to go to affiliated hospitals are now more willing to make money in private hospitals.

The loss of talent to private hospitals has also weakened the influence of professors and university hospitals.

Competition in Japan's medical community is not only in the field of medical treatment, nor is it only within a department or a university hospital. There is also the gradual rise of wealthy private hospitals and medical corporate groups.

However, as of now, the university hospital still represents the highest standard in Japan's medical field.

Competitiveness is gradually increasing. Those who cannot keep up with the pace of medical progress and cannot adapt to competitiveness will only face elimination.

If he were to look for similar people among the people he knows, Tomoya Aki felt that Suzuya should be the one closest to him, rather than Takagi or Majima, with whom he has a better relationship.

Want a seat in the university hospital, which is probably what everyone who wants to climb the white tower wants.

Director professor.

To be honest, ever since he decided to study medicine, Tomoya Aki has been thinking about his future goals.

If you stay in a university hospital, becoming chief professor is your biggest goal.

If you are not tempted after seeing some of the manifestations of the director professor's power, you would be lying.

At least An Yilun also had such an idea, and it had already sprouted in his mind.

But it’s too early to say these things now. Let’s finish the clinical internship first.

"Takagi-kun, I really envy you."

"Ok?"

Takagi was a little confused about what Aki Tomoya suddenly said and didn't understand what he meant.

In the face of Takagi's doubts, Akitomo did not explain anything, and then started to finish his lunch.

Takagi is such a nice person. His family runs a hospital which is doing well. He doesn't seem like the kind of hospital that would be acquired by a medical corporation due to poor management.

He probably represents the private hospital faction that looks down on university hospitals but also likes the outstanding talents that come out of university hospitals.

It has been almost two months since the clinical internship, and Takagi obviously still doesn't like the atmosphere in the university hospital.

After all, this university hospital has a bit of a bureaucratic flavor, which is obviously a constraint for Takagi, who yearns for freedom.

He would never last long in the university hospital.

"Perhaps Takagi-kun will be the first one among us to go abroad."

Suzuya speculated at this time.

His words scared Tomoya Aki.

This sudden tacit understanding made An Yilun a little surprised.

At this moment, Aki Tomoya also wanted to say that great minds think alike.

After completing his medical training, Takagi will most likely go abroad for further studies. The reason is probably that this guy doesn't like university hospitals, and university hospitals can't accommodate an outlier like him.

However, when it comes to going abroad, Japanese people are not very interested in people who have studied abroad. Local universities are very useful, and brands like the University of Tokyo are the most popular.

But it also depends on the situation. For example, Takagi already has the brand of the University of Tokyo. If he can make a name for himself abroad, he will also be very popular.

Gao Mu doesn't have to worry about all these. After all, this guy will inherit his own hospital in the future. As for him, he just wants to develop in the direction of neurosurgery, then recruit a group of people to set up a new neurosurgery department in his own hospital.

"What do you mean by going abroad or not? Suzuya, what do you want to say?"

Takagi frowned. He didn't notice Aki Tomoya's reaction, but felt that Suzuya was mocking him.

At this time, there was no happy expression on his face.

"No, I just want to say that you, Mr. Takagi, have lofty ambitions. How does the saying go? How can a sparrow understand the ambitions of a swan?"

Suzuya laughed, Takagi's scary eyes didn't intimidate him much.

Upon hearing this, Takagi was so angry that he laughed instead, because Suzuya was no longer trying to hide his feelings, and everyone could smell the sarcasm in the air.

How can a sparrow understand the ambition of a swan? This irony was extremely harsh to Takagi.

"Ah."

Gao Mu endured it and didn't refute anything.

He was just thinking about what Suzuya had just said, and his eyes were filled with thoughts.

"I'll go first, I have something else to do."

Aki Tomoya stood up, picked up his plate and was about to leave.

As for the conflict between Suzuya and Takagi, he actually had no way to resolve it.

The horoscopes of these two people are in conflict with each other. Unless they are separated, there is no way they can stay together peacefully.

Of course, the main problem is still Takagi's side.

He didn't refute what Suzuya said just now, except that Takagi would be the first among them to go abroad for further studies, but he didn't quite agree with the rest.

And to be honest, Suzuya's words were indeed a bit harsh.

"Sparrow" is obviously a satire on Takagi.

He can just go back and inherit the family hospital in the future, but is it wrong for others to stay and try to climb up?

This is the most crucial reason why Suzuya dislikes Takagi. He doesn't care or pay attention to other aspects.

Chapter 410 I am so happy

The days passed quickly. After all, there was very little rest time arranged during clinical internship. There was always something to do, so there was no way to slow down.

After more than half a year of clinical internship rotation, when it was almost the end of the year, Aki Tomoya and four others rotated to the Radiology Department, where the workload was not much lighter.

It’s just that because it’s close to the end of the year and there’s still CBT at the beginning of next year, the School of Medicine and the University Hospital have reserved some rest time for them.

It will probably be around the New Year, which is the winter vacation.

Their summer vacation this year is over, but they still have a winter vacation. However, it is only because they have to take the CBT exam at the beginning of the year that they will be given some breathing time.

However, just because they don’t have to accompany their seniors on duty in the hospital during the period around the New Year doesn’t mean they can relax.

CBT at the beginning of the year is important.

It is so important that if you fail it, you will not be eligible to take the subsequent medical qualification examination.

However, the passing rate of CBT is as high as that of the medical qualification certificate.

This is only a comforting word for medical students.

But in fact, CBT, which has more than 20,000 questions, requires a lot of preparation in advance. At the same time, you have to do rotating clinical internship in the hospital, during which you will lose a lot of hair.

Even though I was told that I could rest, in reality, I couldn't.

After the New Year, I had to go back to the hospital and prepare for CBT while doing my internship.

"It wasn't done by a human."

The first greeting after the New Year is this sentence.

Everyone was joking with each other and were about to return to their days of working like slaves.

When asked about their CBT exam preparation, everyone said it was going well and seemed very confident.

The CBT exam is in February.

At that time, I had to go back to university to take exams.

After rotating through three departments in the hospital, they returned to the School of Medicine to take the CBT exam from February 13th to 15th.

The CBT exam is very tedious and lasts for three consecutive days.

This is a written subject test. Everything you have learned before must be taken out again and tested at once.

This CBT can even be said to be a mock exam for the physician qualification examination. Of course, this mock exam must be passed, otherwise you will not be qualified to take the most important qualification exam.

The test results will be out in April.

If you pass the test, you will continue to stay in the hospital and then start taking OSCE, which is the practical test, in the final stage of clinical internship.

Before that, everything will be done, continue the internship and wait for the results. If you pass, you can stay, if you don’t, just leave.

The results came out in April, and 97 people including Aki Tomoya passed the exam in the same period with almost no surprises.

The high pass rate of CBT is 100% reflected in the third grade of East China Normal University.

The clinical internship will end in September, and the OSCE practical exam will be in August.

The results of CBT mean the beginning of the final stage of clinical internship.

In fact, it’s not too early to start cheering, “The hard days are finally coming to an end!”