
終身學習是對自己最好的投資。在這個飛速迭代的時代,醫學發生著日新月異的變化,新方法、新理念層出不窮,隻有學習,永遠不會晚。廣州中醫藥大學第一附屬醫院脊柱專科主任醫師、廣州中醫藥大學第一附屬醫院白雲醫院骨傷科負責人姚珍鬆教授自醫學院畢業後參加工作,到現在一直堅守著“生命不息,學習不止”的治學初心。仁醫醫療特別邀請到姚珍鬆教授做專題訪問,他與我們分享了他的從醫經曆、到世界各地不同醫院進修學習的重要性、在德國慕尼黑哈拉興骨科醫院訪學的收獲以及對年輕醫生的建議等。

姚珍鬆教授到德國慕尼黑哈拉興骨科醫院訪學
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# 姚珍鬆教授訪談錄 #
1、您是何時決定從醫的呢?為什麼選擇脊柱外科?
When did you determine to be a doctor? And why did you choose Spine Surgery?
wogaokaodeshihoujiubaokaoleyixueyuanxiao,jiuduguizhouzhongyiyaodaxue,benkexuedeshizhongyigushangxi。daxuebiyezhihou,woliuzaiwomenzhongyiyaodaxuedierfushuyiyuangongzuo。danbenkedejiaoyuchengduzhishimodaoyixuedemenkan。dangleyishengzhihou,wofaxiangukedezhishihaoruyanhai,xuyaobuduanxuexi。zaixuexideguochengzhong,wofaxianjizhuwaikezhegeyazhuankeyouhenduotiaozhan、很多機遇,我希望了解和學習更多知識。從研究生畢業之後,大概在2000年左右,我就決定從事脊柱外科這個行業。


I applied for medical school after College Entrance Examination, and I finally studied in Guizhou University of Traditional Chinese Medicine. I majored in Orthopedics and Traumatology of Traditional Chinese Mmedicine(TCM) during my undergraduate education study. After graduation, I worked in the Second Hospital Affiliated with the Guizhou University of Traditional Chinese Medicine. However, the undergraduate education just like the introduction to medicine. As I became a doctor, I realized that there were so much to learn about Orthopedics. While I kept learning, I found that Spine Surgery, the sub-specialty, has a lot of challenges, opportunities and things I want to know as well. In around 2000, after post-graduate graduation, I was determined to work in Spine Surgery.
2、您的早年經曆如何塑造你的成就?
How did your early experiences shape your achievements?
我(wo)隻(zhi)是(shi)一(yi)個(ge)普(pu)通(tong)的(de)專(zhuan)科(ke)醫(yi)生(sheng),說(shuo)成(cheng)就(jiu)永(yong)遠(yuan)是(shi)說(shuo)不(bu)上(shang)的(de)。每(mei)個(ge)人(ren)的(de)成(cheng)長(chang)都(dou)是(shi)有(you)一(yi)個(ge)過(guo)程(cheng)的(de)。我(wo)覺(jiao)得(de)自(zi)己(ji)還(hai)是(shi)挺(ting)幸(xing)運(yun)的(de),在(zai)我(wo)的(de)人(ren)生(sheng)成(cheng)長(chang)曆(li)程(cheng)和(he)職(zhi)業(ye)生(sheng)涯(ya)磨(mo)煉(lian)的(de)過(guo)程(cheng)中(zhong),得(de)到(dao)我(wo)的(de)老(lao)師(shi)、同道的大力支持,總的來說我的職業之路還算是挺順利的。
如(ru)果(guo)要(yao)說(shuo)我(wo)的(de)成(cheng)長(chang)曆(li)程(cheng),我(wo)想(xiang)可(ke)能(neng)還(hai)是(shi)歸(gui)功(gong)於(yu)我(wo)的(de)初(chu)心(xin)。就(jiu)像(xiang)我(wo)剛(gang)剛(gang)說(shuo)到(dao),高(gao)考(kao)的(de)時(shi)候(hou)我(wo)就(jiu)想(xiang)學(xue)醫(yi),我(wo)在(zai)本(ben)科(ke)的(de)時(shi)候(hou)就(jiu)報(bao)考(kao)了(le)骨(gu)傷(shang)係(xi)這(zhe)個(ge)專(zhuan)業(ye)。所(suo)以(yi)從(cong)醫(yi)學(xue)角(jiao)度(du)來(lai)看(kan),一(yi)旦(dan)報(bao)考(kao)了(le)醫(yi)學(xue)院(yuan)校(xiao)就(jiu)基(ji)本(ben)確(que)定(ding)了(le)自(zi)己(ji)的(de)人(ren)生(sheng)規(gui)劃(hua),就(jiu)跟(gen)醫(yi)學(xue)這(zhe)個(ge)方(fang)向(xiang)打(da)交(jiao)道(dao)。在(zai)我(wo)一(yi)跨(kua)入(ru)醫(yi)學(xue)院(yuan)大(da)門(men),我(wo)就(jiu)下(xia)定(ding)決(jue)心(xin)成(cheng)為(wei)一(yi)名(ming)好(hao)醫(yi)生(sheng),實(shi)現(xian)自(zi)己(ji)的(de)人(ren)生(sheng)目(mu)標(biao),更(geng)好(hao)地(di)為(wei)患(huan)者(zhe)解(jie)決(jue)問(wen)題(ti)。
我在上大學的時候,在學習上沒有虛度光陰,大學5年nian本ben科ke教jiao育yu中zhong每mei年nian都dou拿na了le第di一yi名ming,也ye拿na了le一yi等deng獎jiang學xue金jin。大da學xue畢bi業ye的de時shi候hou,我wo還hai獲huo得de了le我wo們men貴gui州zhou省sheng的de省sheng級ji優you秀xiu大da學xue畢bi業ye生sheng獎jiang勵li,畢bi業ye之zhi後hou我wo被bei擇ze優you錄lu取qu,留liu在zai我wo們men貴gui州zhou中zhong醫yi藥yao大da學xue第di二er附fu屬shu醫yi院yuan的de骨gu科ke工gong作zuo。


gongzuosannianzhihou,wofaxianwodezhishichubeihewohuodedeqitajiaoyudezhishijilei,yuanyuanbuzuyizhichengwochengweiyigehaoyisheng。suoyiwojiaodejinyibudexuexishibixude。houmianwotongguokaoyanjinruguangzhouzhongyiyaodaxue,jinrugushangzhuanyejixuxuexi。zaizhongyiyaodaxuexuexidesannianli,wobazijideshijianchongfenliyongqilai。yanjiushengsannian,wodechengjiyeshiminglieqianmao。qijianwozenghuodeguoyouxiuyanjiushengjiangxuejin,huodeguodengtietaojiangxuejin、南nan粵yue優you秀xiu研yan究jiu生sheng和he曾zeng憲xian梓zi獎jiang學xue金jin。研yan究jiu生sheng畢bi業ye之zhi後hou,我wo又you比bi較jiao幸xing運yun地di被bei擇ze優you錄lu取qu,留liu在zai我wo們men廣guang州zhou中zhong醫yi藥yao大da學xue第di一yi附fu屬shu醫yi院yuan骨gu科ke工gong作zuo。理li論lun上shang的de積ji累lei對dui我wo從cong醫yi的de職zhi業ye打da下xia初chu步bu的de基ji礎chu。




另一方麵,在我的職業教育過程中,我得到很多老師各個方麵的專業支持,在骨科的各個方向:創傷、脊柱、關節,包括我們中醫藥大學的拳頭產品股骨頭壞死、髖關節方向都作了學習。
還有一個非常重要的經曆,我上研究生和剛剛工作這幾年,在我們主任帶領下,也學習了不少顯微外科、手外科這方麵的知識和技能。研究生畢業的時候我可以獨立完成斷指再植、皮瓣移植這樣的手術。
另外一個就是工作之後,單位、老師和同事給了我不少支持,讓我到不同的地方參加學習培訓、繼續教育。所以說從這幾個方麵,大學的教育,年輕醫生時候的訓練,以及工作之後的繼續教育、學習,與各位專家同道的學習一直沒有落下有關係。
Achievement is an overstatement for me as a normal specialist. In my opinion, the development of every person is a step-by-step process. Sometimes I regard myself as a very lucky person, because during my life and career, I have gained strong supports from my teachers and colleagues. All in all, my career is somewhat a smooth journey.
In my view, it may be my original aspiration leading my development. Just like what I have mentioned before, I was determined to study medicine after the College Entrance Examination, and I applied for Orthopedics and Traumatology in undergraduate education. So from the perspective of Medicine, once you apply for a medical school that you basically define your life and devote yourself to Medicine.
Since I have become a medical student, my goal is to be a good doctor and to better help patients. So I studied hard in university. I took the first place for 5 consecutive years during undergraduate study and won the first-class scholarship. I also won the Guizhou Provincial Excellent Graduate in my graduation year. Then I was accepted on merit to work in the Second Hospital Affiliated with the Guizhou University of Traditional Chinese Medicine.
After 3 years of work, I realized that my knowledge and what I had learned from university were not enough to support me to be a good doctor. Thus I think that further study is a must. Then I passed the post-graduate examination and got enrolled in Guangzhou University of Chinese Medicine(GZUCM) to study Orthopedics and Traumatology. During the 3 years of post-graduate study, I made full use of my time. I was one of the Top Students for 3 consecutive years. Besides, I have won the Excellent Graduate Scholarship, Deng Tietao Scholarship, Zeng Xianzi Scholarship as well as the Outstanding Postgraduate of Guangdong Award. After graduation, I was very lucky to be invited to work in the Orthopedics Department of the First Affiliated Hospital of Guangzhou University of Chinese Medicine. The theoretical accumulation has underlain the preliminary foundation of my career.
In addition, during my clinical practice, I have received professional supports from many mentors in different specialties, such as Traumatology, Spine, Joint and two advantaged specialties of GZUCM- Femoral Head Necrosis and Hip Joint.
Also, there is another important experience for me. In the early years of my career, my director guided me to learn a lot of knowledge and techniques about Microsurgery and Hand Surgery, so I can perform surgeries like replantation of amputated finger and skin flap transplantation independently after postgraduate graduation.
And since I have begun my career, my teachers, colleges and the hospital I work in are very supportive to me, and they encouraged me to participate in training and continue studying in different places. All in all, the education I accepted in college, the training I participated in early career, the further study, learning I joined during my career, and the study from experts and colleagues all the time help me make my achievements.
3、您對打算從事脊柱外科工作的年輕醫生有什麼好的建議?
What is your suggestion to young doctors who are new to Spine Surgery?
首shou先xian我wo非fei常chang恭gong喜xi和he讚zan賞shang年nian輕qing醫yi生sheng進jin入ru骨gu科ke,尤you其qi是shi進jin入ru脊ji柱zhu外wai科ke這zhe個ge專zhuan業ye。從cong我wo個ge人ren來lai看kan,在zai骨gu科ke亞ya專zhuan業ye分fen化hua的de方fang向xiang之zhi中zhong,脊ji柱zhu外wai科ke算suan是shi一yi個ge挑tiao戰zhan,學xue習xi曲qu線xian比bi較jiao長chang、學xue習xi周zhou期qi比bi較jiao長chang,工gong作zuo中zhong遇yu到dao困kun難nan的de機ji會hui也ye比bi較jiao多duo。如ru果guo您nin有you信xin心xin依yi從cong自zi己ji的de內nei心xin,接jie受shou脊ji柱zhu外wai科ke這zhe個ge方fang向xiang,我wo從cong內nei心xin表biao示shi佩pei服fu和he讚zan賞shang。
congxuexijizhuwaikezhegejiaodu,yanzhezhegefangxiangxuyaowomenfuchugengduonuli,fuchugengduoxinxue,xuyaogengchangshijiandelilunxuexi,haiyouzhuanyejishudepeixun。woxiangzhiyaowomencongjigefangmian:第一,紮實理論學習;第二,全方位的技能培訓;第三,保持開放的學習心態,逐步成長。我相信總有一天我們能夠達到自己內心的彼岸。
First, I feel so happy that young doctors choose to work in Orthopedics, especially the specialty of Spine Surgery. In my point, among all the sub-specialties of Orthopedics, Spine Surgery is a challenging one because it has a long learning curve and learning cycle, and it has more difficulties in work. If you are confident and determined to work in Spine Surgery, I would appreciate and admire your determination from the bottom of my heart.
To study Spine Surgery, we must put more effort, study harder as well as spend more time in theoretical study and specialized techniques training. My suggestions are as below. Firstly, make a solid theoretical foundation; secondly, participate in all-rounded technique training; thirdly, maintain an open mindset and gradually grow. I believe that one day we will achieve the goals in our inner hearts.
4、您曾到過德國、美國、馬來西亞及國內多個著名醫院訪學進修,您認為到不同醫院或者不同國家訪學的重要性?
Since you have made academic visits to Germany, America, Malaysia and some domestically renowned hospitals, what do you think about the importance of making academic visits to different hospitals or countries?
yixueshiyigefeichangdianxingdehuodaolaoxuedaolaodexingye。womenyidingyaozishizhizhongdebaochixuexi,yizhizaixuexidelushang,cainengrangwomendezhishihejinengdadaomanzuhuanzhexuyao、幫助患者解決問題的職業要求。因為醫學是不斷發展、日新月異的,尤其是21世紀以後,醫學和現代科學進入高速發展的快車道,發展速度越來越快,所以我們的知識要跟上時代的步伐,就必須要不斷學習。
在zai學xue習xi的de過guo程cheng中zhong,不bu同tong的de團tuan隊dui各ge有you所suo長chang,而er且qie不bu同tong的de教jiao授shou有you不bu同tong的de做zuo事shi風feng格ge和he工gong作zuo技ji巧qiao,他ta們men把ba握wo的de前qian沿yan理li念nian都dou是shi不bu一yi樣yang的de。我wo們men通tong過guo不bu同tong的de學xue習xi,結jie合he自zi己ji的de知zhi識shi儲chu備bei、單位的條件,可以借鑒其他教授專家的長處來作為自己發展的方向。在學習的過程中,如果隻是自己閉門造車、自己看書是遠遠不夠的,所以我們必須要走出去,多看、多學、多聽、多交流才能發現我們自己的不足在哪裏,現在時代的前沿在哪裏,最好的技術在哪裏。
Medicine is a typically life-long career. We must keep learning all the time, only in this way, can we meet the occupational demands of satisfying patients’ needs and helping them resolve problems with our knowledge and skills. Due to the rapid development of medicine, especially in the 21st century, the development of medicine and modern science has entered a fast lane of rapid development, and the speed of development is getting faster and faster. Therefore, we must keep learning in order to keep up with the pace of the times.
Different teams have their own strengths, and different professors have distinctive styles and working skills, and they grasp different cutting-edge ideas. Through learning from different teams and professors, we can draw on the strengthens of other professors and experts as a direction for our own development, in combination with our knowledge and the actual situations of our own hospitals. In the process of learning, it is not enough to divorce ourselves from reality and read books alone, so we must step out of the comfort zone and see more, learn more, listen more, communicate more to find out where our weaknesses are, where the front of times is and where the best technique is.
5、是什麼機遇讓您來到德國慕尼黑哈拉興骨科醫院訪學?您認為去德國訪學最大的收獲是什麼?
What was the opportunity that brought you to make an academic visit to Schön Klinik München Harlaching in Germany? And what do you think was the biggest gain in this academic visit to Germany?
首(shou)先(xian)承(cheng)蒙(meng)我(wo)們(men)醫(yi)院(yuan)幾(ji)年(nian)前(qian)開(kai)始(shi)的(de)一(yi)個(ge)高(gao)水(shui)平(ping)醫(yi)院(yuan)建(jian)設(she)項(xiang)目(mu),資(zi)助(zhu)醫(yi)生(sheng)到(dao)國(guo)外(wai)學(xue)習(xi),我(wo)有(you)幸(xing)被(bei)選(xuan)中(zhong)了(le)。被(bei)選(xuan)中(zhong)之(zhi)後(hou),我(wo)能(neng)夠(gou)去(qu)德(de)國(guo)哈(ha)拉(la)興(xing)骨(gu)科(ke)醫(yi)院(yuan),首(shou)先(xian)感(gan)謝(xie)仁(ren)醫(yi)醫(yi)療(liao)幫(bang)我(wo)牽(qian)線(xian)搭(da)橋(qiao),聯(lian)係(xi)到(dao)了(le)Mayer教授的醫院。我之前也閱讀過Mayer教授的文獻和著作,我知道他是公認的OLIF手術的創始人,他們團隊是全球聞名的,我一直希望到他那裏去學習。


剛好那年有這個機會,仁醫醫療幫我聯係到哈拉興骨科醫院學習。我是2017年下半年去的,在那裏訪學幾個月,我覺得這段曆程對我來說是非常開心、非fei常chang重zhong要yao的de一yi段duan時shi光guang。在zai哈ha拉la興xing骨gu科ke醫yi院yuan學xue習xi的de這zhe幾ji個ge月yue,我wo感gan覺jiao與yu我wo之zhi前qian在zai國guo內nei的de學xue習xi,和he其qi他ta短duan時shi間jian的de國guo外wai學xue習xi是shi不bu一yi樣yang的de。我wo也ye更geng進jin一yi步bu認ren識shi到dao了le微wei創chuang、精準化是脊柱外科以後發展的一個堅定方向。在哈拉興骨科醫院,他們的很多技術理念從2017年的時候已經很普遍,對我自己後麵開展的工作是一個非常重要的經曆。


在慕尼黑哈拉興骨科醫院訪學留影
Our hospital started a high-level hospital construction project a few years ago, subsidizing some doctors to study abroad, and I was very lucky to be chosen. After that I studied in Schön Klinik München Harlaching in Germany. First I would like to thank Gloryren for helping me to contact Prof. Mayer’s hospital. I had read his papers and literature before, and I know that he is recognized as the founder of OLIF surgery. In addition, his team is renowned throughout the world, so I really want to study from him. There was an opportunity at that time, and Gloryren helped me to apply for an academic visit to Schön Klinik München Harlaching. I visited Germany in the second half of 2017, and I stayed there for several months and I feel that this journey was a very happy and important time for me. In those months at Schön Klinik München Harlaching, I felt that it was very different from previous studies at home and other short-time studies abroad. And I realized that minimal invasion and precision are the firm directions for developing Spine Surgery in the future. I found that a lot of technical theories have been prevalent in Schön Klinik München Harlaching since 2017, which is also a very crucial experience for me to implement the work later.
6、可以跟我們分享一下您在訪學期間最深刻的事情嗎?
Can you please share the most impressive experience during your academic visit with us?
zaideguoxuexishiyiduanfeichangyukuaidejingli。wojiaodezaihalaxinggukeyiyuanlimian,woyinxiangzuishenkedeshiyiyuandeyouxuhuaheanjing。halaxinggukeyiyuanzuoweiguojizulianzhuoyueyiliaozhongxin,tademenzhenhuanzhe、康複患者、住院患者都不少,但是醫院裏麵非常安靜,像花園式的單位。


姚教授鏡頭下的哈拉興骨科醫院
在德國學習期間,我看到他們這兒不管是病房、門診還是手術室,每個環節都非常安靜,但是井然有序、高效地進行著。不知不覺之中,這個病看好了,這個檢查已經完成了,這個手術也做好了,非常愉快的過程就結束了。



教授、醫生、護理人員和其他工作人員,每個人的工作都很緊湊,但又淡定從容,不會慌慌張張、吵吵雜雜,所有的一切都在他們的把控之中,又悄然無聲地高效完成了,這個對我來說非常觸動。我希望在我以後的職業生涯中,我和我們團隊也能夠淡定、安全和有效地把患者的問題解決了,而且在非常愉快輕鬆的氛圍下解決是最好的。當然我想這個可能需要很長時間。


Studying in Germany is a very enjoyable experience. What impressed me most in Schön Klinik München Harlaching was that the hospital was in well order and quiet. As a treatment center for FIFA, it has many clinic patients, rehabilitation patients and hospitalized patients, but the hospital is very quiet, just like a garden.
While studying in Germany, I saw that every procedure on the wards, in the outpatient clinics and in the operating rooms was performed very quietly, but in an orderly and efficient manner. Before you know it, the condition has been taken care of, the test has been completed, the operation has been done all in a very pleasant way. Professors, doctors, nursing staff and other staff are very busy, but they are calm and confident, and they will never be anxious and noisy. They make everything under control and finish work efficiently and quietly, which touches me most. Therefore, I really hope that if I meet any problem in my career, our team can also resolve patients’ problems calmly, safely and efficiently, what’s more, it would be better to resolve problems in a relaxing and delightful atmosphere. However, it may take a very long time to realize this goal.
7、到德國訪學要做什麼準備?
What preparations should we make for academic visit to Germany?
如果不是疫情影響的話,可能很多同事、同道或者學者們都有機會去國外訪學,現在疫情影響可能很多人出行計劃會擱置甚至取消。
如(ru)果(guo)有(you)機(ji)會(hui)去(qu)德(de)國(guo)學(xue)習(xi),從(cong)我(wo)個(ge)人(ren)經(jing)驗(yan)來(lai)看(kan),主(zhu)要(yao)是(shi)做(zuo)三(san)個(ge)方(fang)麵(mian)的(de)準(zhun)備(bei)。一(yi)個(ge)是(shi)簽(qian)證(zheng),在(zai)單(dan)位(wei)辦(ban)好(hao)手(shou)續(xu),我(wo)當(dang)時(shi)做(zuo)的(de)是(shi)公(gong)務(wu)簽(qian),這(zhe)個(ge)程(cheng)序(xu)會(hui)久(jiu)一(yi)點(dian),後(hou)來(lai)拿(na)了(le)一(yi)個(ge)申(shen)根(gen)簽(qian)證(zheng),簽(qian)證(zheng)基(ji)本(ben)上(shang)在(zai)手(shou)續(xu)齊(qi)備(bei)的(de)情(qing)況(kuang)下(xia)是(shi)沒(mei)問(wen)題(ti)的(de)。當(dang)然(ran)現(xian)在(zai)疫(yi)情(qing)影(ying)響(xiang)可(ke)能(neng)有(you)點(dian)不(bu)一(yi)樣(yang)。
第di二er,就jiu是shi很hen多duo同tong道dao都dou會hui擔dan心xin的de語yu言yan問wen題ti。德de國guo的de官guan方fang語yu言yan是shi德de語yu。德de語yu我wo也ye不bu懂dong,去qu之zhi前qian我wo也ye很hen擔dan心xin,去qu到dao那na兒er我wo發fa現xian其qi實shi在zai德de國guo的de醫yi院yuan,在zai很hen多duo公gong共gong場chang所suo,大da多duo數shu人ren的de英ying語yu都dou非fei常chang好hao,我wo們men可ke以yi用yong英ying語yu跟gen他ta們men進jin行xing交jiao流liu。隻zhi要yao我wo們men自zi己ji的de英ying語yu能neng夠gou過guo關guan,交jiao流liu是shi完wan全quan沒mei有you問wen題ti的de。

姚教授與不同國家的訪學學員
第di三san,我wo們men作zuo為wei醫yi生sheng出chu去qu訪fang學xue主zhu要yao是shi學xue習xi,那na麼me學xue習xi的de時shi候hou需xu要yao做zuo好hao基ji礎chu規gui劃hua。因yin為wei訪fang學xue作zuo為wei一yi個ge寶bao貴gui的de經jing曆li,時shi間jian不bu可ke能neng太tai長chang,每mei個ge人ren都dou有you自zi己ji的de事shi情qing。接jie受shou訪fang學xue的de培pei訓xun單dan位wei不bu可ke能neng接jie收shou學xue者zhe太tai長chang時shi間jian,所suo以yi一yi定ding要yao自zi己ji提ti前qian做zuo好hao規gui劃hua,根gen據ju自zi己ji的de專zhuan業ye方fang向xiang、自己的興趣點、想進修哪些內容,提前和教授做好溝通,提前做好規劃。有意識地選擇跟自己的目標、zhuanchangyiyangdeyiyuanquxuexi。birushuowozengjingdaiguodedeguomuniheihalaxinggukeyiyuan,yijizhuwaikeweili,tamendeweichuangjiushifeichanghaodelingyu。lingwaitamendeyundongsunshangyehenhao,yinweitashiguojizulianzhuoyueyiliaozhongxin,duiyuyundongsunshangganxingqudetongdaoyeshiyigefeichangbucuodexuanze。
There will be chances for colleagues or scholars to make academic visits abroad if there is no COVID-19 pandemic, however, many people have to delay or cancel their plan because of this epidemic.
If you have a chance to study in Germany, from my experience, it’s necessary to make preparations in 3 aspects mainly. The first one is visa, you should go to the embassy to complete the formalities. I applied for the official visa at that time, and its procedure took a long time, then I applied for the Schengen Visa. Basically, the application for visa is easy if you have complete formalities. But under the COVID-19 epidemic, the application may be different.
The second one is the language problem that concerns many colleagues. German is the native language of Germany, while I can’t speak German, so I was very worried about the language barrier before I went to Germany. When I got there, I found that actually in German hospitals and many public places, most people can speak very good English, and we can communicate with them in English. If you can speak English, you don’t need to concern about the communication problems.
Thirdly, the aim of academic visit for us as a doctor is studying, so we should make a plan about it. The academic visit is a valuable experience, since it is a short-time visit, and everyone has his own learning content. The training unit responsible for academic visit is unlikely to accept scholars for a long time, thus you should plan for your time in advance. You should communicate with the professor, and make the plan in advance according to your specialties, your interest, the contents you want to further study. And you should choose a hospital that has the same goal and expertise with you. For example, I have studied in Schön Klinik München Harlaching, whose MIS Spine Surgery is a renowned one. Besides, this hospital is very good at Sports Orthopedics because it is a treatment center for FIFA, therefore it is a good choice for colleagues interested in Sports Orthopedics.
8、作為一名碩士研究生導師,您覺得中德兩國老師的授課方式最明顯的差別是哪些?
As a postgraduate tutor, what are the most obvious differences in teaching methods between Chinese and German teachers?
這(zhe)個(ge)問(wen)題(ti)對(dui)我(wo)來(lai)說(shuo)是(shi)一(yi)個(ge)遺(yi)憾(han),因(yin)為(wei)我(wo)是(shi)去(qu)訪(fang)學(xue)的(de),主(zhu)要(yao)內(nei)容(rong)是(shi)針(zhen)對(dui)臨(lin)床(chuang),在(zai)手(shou)術(shu)觀(guan)摩(mo)這(zhe)一(yi)塊(kuai),對(dui)教(jiao)學(xue)尤(you)其(qi)是(shi)課(ke)堂(tang)教(jiao)學(xue)這(zhe)一(yi)塊(kuai)沒(mei)有(you)接(jie)觸(chu)到(dao)。但(dan)是(shi)在(zai)線(xian)下(xia)其(qi)他(ta)場(chang)合(he)和(he)老(lao)師(shi)們(men)討(tao)論(lun),以(yi)及(ji)我(wo)們(men)後(hou)麵(mian)的(de)學(xue)術(shu)交(jiao)流(liu)的(de)過(guo)程(cheng)中(zhong)和(he)大(da)家(jia)分(fen)享(xiang)到(dao),我(wo)們(men)國(guo)內(nei)的(de)研(yan)究(jiu)生(sheng)教(jiao)育(yu),包(bao)括(kuo)本(ben)科(ke)生(sheng)的(de)教(jiao)育(yu),我(wo)們(men)絕(jue)大(da)多(duo)數(shu)中(zhong)國(guo)學(xue)生(sheng)都(dou)是(shi)非(fei)常(chang)勤(qin)奮(fen)、努(nu)力(li)地(di)學(xue)習(xi),同(tong)時(shi)大(da)多(duo)數(shu)學(xue)生(sheng)都(dou)是(shi)非(fei)常(chang)清(qing)晰(xi)的(de),這(zhe)些(xie)學(xue)生(sheng)們(men)都(dou)是(shi)我(wo)們(men)非(fei)常(chang)喜(xi)歡(huan)的(de)。我(wo)們(men)骨(gu)科(ke)的(de)研(yan)究(jiu)生(sheng),我(wo)們(men)廣(guang)州(zhou)中(zhong)醫(yi)藥(yao)大(da)學(xue)的(de)學(xue)生(sheng)們(men)都(dou)非(fei)常(chang)優(you)秀(xiu),他(ta)們(men)都(dou)是(shi)通(tong)過(guo)很(hen)長(chang)時(shi)間(jian)的(de)學(xue)習(xi)輪(lun)訓(xun)選(xuan)拔(ba)出(chu)來(lai)的(de)。
但是我覺得和國外的研究生相比,國內的學生相對而言偏向於保守,在教學過程中跟老師的互動會少一些,參與討論、積(ji)極(ji)主(zhu)動(dong)提(ti)出(chu)問(wen)題(ti)的(de)時(shi)間(jian)和(he)機(ji)會(hui)少(shao)一(yi)點(dian)。可(ke)能(neng)跟(gen)我(wo)們(men)國(guo)內(nei)學(xue)生(sheng)的(de)學(xue)習(xi)任(ren)務(wu)重(zhong),溝(gou)通(tong)考(kao)核(he)的(de)內(nei)容(rong)比(bi)較(jiao)多(duo)也(ye)有(you)關(guan)係(xi)。可(ke)能(neng)跟(gen)我(wo)們(men)從(cong)小(xiao)受(shou)到(dao)的(de)教(jiao)育(yu),感(gan)覺(jiao)老(lao)師(shi)就(jiu)是(shi)高(gao)高(gao)在(zai)上(shang)的(de),不(bu)敢(gan)隨(sui)便(bian)向(xiang)老(lao)師(shi)提(ti)問(wen)題(ti)也(ye)有(you)關(guan)係(xi)。
從我自己研究生畢業,再加上我現在自己帶研究生,我是從內心讚賞那些能夠主動發現問題、提(ti)出(chu)問(wen)題(ti),和(he)老(lao)師(shi)一(yi)起(qi)分(fen)享(xiang)的(de)研(yan)究(jiu)生(sheng)。這(zhe)說(shuo)明(ming)他(ta)們(men)在(zai)積(ji)極(ji)思(si)考(kao),發(fa)現(xian)了(le)自(zi)己(ji)的(de)問(wen)題(ti)。而(er)且(qie)從(cong)老(lao)師(shi)的(de)角(jiao)度(du),我(wo)也(ye)非(fei)常(chang)希(xi)望(wang)學(xue)生(sheng)們(men)把(ba)他(ta)們(men)發(fa)現(xian)的(de)問(wen)題(ti)跟(gen)老(lao)師(shi)一(yi)起(qi)分(fen)享(xiang),一(yi)起(qi)討(tao)論(lun)解(jie)決(jue)這(zhe)個(ge)問(wen)題(ti)的(de)辦(ban)法(fa)。尤(you)其(qi)是(shi)做(zuo)科(ke)研(yan),我(wo)們(men)不(bu)要(yao)怕(pa)試(shi)錯(cuo)就(jiu)畏(wei)縮(suo)不(bu)前(qian)。因(yin)為(wei)不(bu)去(qu)探(tan)索(suo)不(bu)知(zhi)道(dao)這(zhe)個(ge)結(jie)果(guo)在(zai)哪(na)裏(li),不(bu)知(zhi)道(dao)最(zui)後(hou)會(hui)得(de)到(dao)什(shen)麼(me)樣(yang)的(de)效(xiao)果(guo)。
shouxianwomenbuyaoyinweidanxinfancuo,erbuqunulibuquchangshi,wojiaodewomenkeyibadanzishaoweifangdayidian,shaoweikaifangyidian,zheyangzidehuazijinenggouxuedegengduo,tongshilaoshiyenengtongguozaijiaoxueguochengzhongdedaogengduodeqifa。
It is a pity for me to fail this question. Because I was on the academic visit that focused on clinical practice and surgical observation, I did not know much about the teaching, especially the classroom instruction. But I discussed with some teachers on other offline occasions, and we had shared the Chinese post-graduate education as well as the undergraduate education in academic exchanges later. Most of our Chinese students are very diligent and study hard, and they have clear goals. We really like these students. The postgraduates in the Department of Orthopedics in GZUCM are very excellent, they are selected from a long-time learning and rotational training.
But compared with foreign postgraduates, I think that Chinese postgraduates may be more conservative for they have fewer interactions with teachers in class, and they do not actively join the discussion and ask questions. Maybe it is because our students have heavy study tasks and too many examinations. It may also have something to do with the education we have received since childhood that the teacher is superior, so we do not dare to casually ask teacher questions.
From my own postgraduate studies, plus the fact that I am now leading postgraduates myself, I always lavish praise on those postgraduates who are able to take the initiative to identify problems, ask questions and share them with their teachers. It means that they are actively thinking and discovering their questions. And from a teacher's point of view, I also hope that students can share their questions with teachers, together to resolve them. Especially for our scientific research, we should not afraid of making mistakes and not dare to try. If we don’t explore the question, we don’t know about the result and the effect in the end.
First of all, we should boldly take a try instead of being afraid of making mistakes. I think we can be more courageous and open-minded, so we can learn more and teachers can be inspired more in teaching.
9、您對於想出國進修的脊柱外科醫生有什麼好的建議?
What are your suggestions for Spine Surgery doctors who want to further study abroad?
作zuo為wei脊ji柱zhu外wai科ke醫yi生sheng,我wo非fei常chang讚zan賞shang和he欣xin賞shang年nian輕qing醫yi生sheng選xuan擇ze脊ji柱zhu外wai科ke這zhe個ge方fang向xiang。這zhe個ge方fang向xiang雖sui然ran累lei,雖sui然ran充chong滿man挑tiao戰zhan,但dan是shi它ta會hui激ji發fa我wo們men更geng多duo的de想xiang象xiang力li和he我wo們men努nu力li的de幹gan勁jin,尤you其qi是shi脊ji柱zhu外wai科ke醫yi生sheng需xu要yao不bu斷duan學xue習xi。那na麼me一yi個ge很hen重zhong要yao的de方fang麵mian就jiu是shi出chu國guo學xue習xi,包bao括kuo訪fang學xue或huo者zhe是shi出chu國guo念nian書shu、念(nian)博(bo)士(shi)。假(jia)設(she)有(you)這(zhe)樣(yang)的(de)想(xiang)法(fa),我(wo)個(ge)人(ren)是(shi)非(fei)常(chang)讚(zan)賞(shang)的(de)。尤(you)其(qi)是(shi)年(nian)輕(qing)的(de)時(shi)候(hou),抓(zhua)住(zhu)青(qing)春(chun)去(qu)學(xue)習(xi)更(geng)多(duo)的(de)知(zhi)識(shi),做(zuo)更(geng)豐(feng)富(fu)的(de)知(zhi)識(shi)儲(chu)備(bei)。如(ru)果(guo)說(shuo)你(ni)有(you)這(zhe)個(ge)想(xiang)法(fa),我(wo)的(de)第(di)一(yi)建(jian)議(yi)是(shi)一(yi)定(ding)要(yao)堅(jian)持(chi),一(yi)定(ding)要(yao)努(nu)力(li)去(qu)實(shi)現(xian)。其(qi)實(shi)成(cheng)長(chang)的(de)路(lu)是(shi)無(wu)限(xian)的(de),隻(zhi)要(yao)我(wo)們(men)勇(yong)敢(gan)地(di)跨(kua)出(chu)這(zhe)一(yi)步(bu),肯(ken)定(ding)是(shi)沒(mei)有(you)問(wen)題(ti)的(de)。
另(ling)外(wai)一(yi)個(ge)在(zai)學(xue)習(xi)的(de)過(guo)程(cheng)中(zhong),可(ke)能(neng)會(hui)遇(yu)到(dao)各(ge)種(zhong)各(ge)樣(yang)的(de)問(wen)題(ti)。從(cong)我(wo)自(zi)己(ji)有(you)限(xian)的(de)學(xue)習(xi)經(jing)曆(li)來(lai)看(kan),總(zong)的(de)來(lai)說(shuo)隻(zhi)要(yao)我(wo)們(men)有(you)充(chong)分(fen)的(de)準(zhun)備(bei),我(wo)們(men)有(you)一(yi)個(ge)良(liang)好(hao)的(de)學(xue)習(xi)態(tai)度(du)、作息時間,自己做好規劃,我們出國學習都能夠收獲不少。不管從知識、人生經曆、技能以及我們以後學術交流搭建人脈方麵都是很有幫助的。
dangranduiyuchuguoxuexi,youqishiyijingdangyishengdewomen,youyugongzuodeyuanyinmeiyoushijianqulianxilaoshi。woxiangwomenkeyizaiyouxiandeshijiannei,tongguoyixiebijiaohaodepingtai,birushuorenyiyiliaobangwomenlianxiwomenganxingqudezhuanye、老lao師shi和he學xue校xiao,我wo想xiang這zhe個ge是shi一yi個ge很hen好hao的de捷jie徑jing。我wo發fa自zi內nei心xin地di希xi望wang想xiang要yao去qu學xue習xi的de年nian輕qing同tong道dao們men,或huo者zhe是shi還hai沒mei有you工gong作zuo的de學xue者zhe,希xi望wang你ni們men一yi旦dan下xia定ding決jue心xin,就jiu一yi直zhi努nu力li地di走zou下xia去qu。
As a Spine surgeon, just like what I have mentioned before, I really appreciate and admire young doctors working in Spine Surgery. Though it is challenging and exhausting, it can inspire our imagination and drive us to work hard, particularly that a Spine surgeon should keep learning. And studying abroad including academic visits, undergraduate education and doctoral education abroad is very important for doctors. I personally appreciate it if you want to study abroad. Especially when you are young, you should study more at a young age and enrich your acknowledge. If you plan to study abroad, my first suggestion is that you must be persevered and try to realize your goal. In fact, there are endless routes of growth, if we boldly step out the first step, we can realize our goals.
In addition, in the process of learning, we may encounter all kinds of difficulties. From my limited learning experience, generally speaking, if we have complete preparations, a good attitude of studying, a regular schedule and a detailed plan, we can learn a lot from the academic visit. It helps us enrich our knowledge, life experience, learn more techniques and build up our networks for academic exchanges in the future.
However, for those of us who are to study abroad, especially those of us who are already doctors and do not have time to contact teachers due to our work, I think we can turn to some better platforms, such as Gloryren, to help us contact the tutors and institutions we are interested in, within the limited time we have. And I sincerely suggest young colleagues or scholars who haven’t participated in work yet that once you have made up your mind to do this, you should keep on working hard.
10、您對脊柱外科未來發展有什麼看法?
What is your view on the future development of Spine Surgery?
從2000年至今,外科在zai國guo內nei是shi一yi個ge高gao速su發fa展zhan的de態tai勢shi,在zai國guo際ji上shang也ye是shi這zhe樣yang。在zai接jie下xia來lai的de一yi段duan時shi間jian,脊ji柱zhu外wai科ke的de微wei創chuang化hua和he精jing準zhun化hua應ying該gai是shi一yi個ge大da的de方fang向xiang。未wei來lai各ge種zhong鏡jing下xia減jian壓ya、鏡下融合和鏡下矯正,可能是脊柱外科醫生需要關注、掌握的技能。
隨著人工智能的普及,可能在不久的將來,我們在診療過程中能借助一些類似於人腦芯片、 AI技術這樣的高新技術手段,讓我們的手術操作、治療方案更個性化、更精準化也更微創化。所以我覺得未來我們醫生麵臨的技術手段會越來越多,尤其脊柱外科作為一個典型的技術依賴型、技術推動型專科,我們需要新技術、xinfangfalaizhichengwomenzhuanyedefazhanhekaizhangongzuo。womenyaotuozhanwomendeshiye,bawoqianyandeweichuangredian,tongshihaixuyaoxuexiguanyurengongzhinengzhefangmiandezhishi,kenengzaibujiudejianglai,zhehuichengweiwomenzhiliaoshouduanzhongbibukeshaodeyibufen。
對於醫學來說,最重要的是不能脫離本心。本心是解決人的問題、人ren文wen關guan懷huai,這zhe是shi非fei常chang重zhong要yao的de。我wo們men醫yi生sheng最zui主zhu要yao的de是shi通tong過guo各ge種zhong各ge樣yang的de手shou段duan幫bang患huan者zhe解jie決jue問wen題ti。然ran而er手shou段duan再zai好hao技ji術shu再zai先xian進jin,但dan是shi沒mei有you很hen好hao地di解jie決jue患huan者zhe的de問wen題ti,也ye不bu是shi最zui好hao的de選xuan擇ze。
chuantongshang,yishenghehuanzhezhijiandeguanxi,dazhishangshiyishengchuyuzhudaodiwei,huanzhedaduodoushitingcongyishengdejianyi,erqieanzhaoyishengdefanganlaizhixing。woxiangsuizhezhishipuji,henduohuanzhedoukeyiconggezhongqudaolejiedaojizhuwaikezaizhenliaofangmiandejineng、方法和優缺點。
tongshiyishenggegefangmiandejinengdoujubeile,kenengzaiyishenghehuanzhezhijian,guoquzhezhongyishengzhudaodemoshi,kenenghuibianchengyishenghehuanzheshangtaodemoshi。jiushishuoyishenghehuanzhezuoxialai,womenyongshenmezuiheshihuanzhedefangshilaijiejuehuanzhedewenti,butongdehuanzhesuiranshitongyangdezhenduan,danshikenengxuyaobutongdezhiliaofangfa,erqiehehuanzheshentiqingkuang、地域條件,還有傳統的文化來選擇治療方案。
所以我們在用微創、精準的理念、技ji術shu來lai武wu裝zhuang自zi己ji,同tong時shi更geng堅jian持chi不bu懈xie地di用yong人ren文wen關guan懷huai的de理li念nian,本ben著zhe一yi切qie以yi患huan者zhe的de利li益yi最zui大da化hua,用yong最zui適shi合he患huan者zhe的de方fang法fa來lai解jie決jue問wen題ti,讓rang人ren文wen關guan懷huai一yi直zhi貫guan穿chuan我wo們men的de始shi終zhong。
From around 2000 to the present, surgery has developed very rapidly over the years, both nationally and internationally. In the coming period, the Minimal Invasive and Precise Spinal Surgery should be a major direction. In the future, techniques such as Microscopic Decompression, Microscopic Fusion and Microscopic Correction may be the focus of Spine surgeons, and a must for doctors.
With the popularity of AI, we may introduce some high-tech means like the human brain chip, AI technology to the treatment soon, which enables our operations and treatments more individualized, precise and minimally invasive. Thus I think that we may encounter more and more technologies, in particular, Spine Surgery is a typically technology-dependent and technology-driven specialty. We need new technologies, new methods to support our development and implement works. To expand our cause and grasp the cutting-edge hot-spot of MIS, we should learn about AI, because it may be an indispensable part of our treatment methods in the near future.
For working in a medical career, the most important thing is that you can’t forget your original aspiration. Our aspiration is to resolve patients’ problems and provide humanistic care, which is very important for us. As a doctor, we mainly resolve patients’ problems through different means. Even though we have the best methods, the most advanced techniques, we couldn’t resolve patients’ problems well without original aspiration.
Traditionally, the doctor is dominant in the relationship between doctor and patient, and the patient listens to the doctor’s advice and implements doctor’s plan. I think that with the spread of knowledge, many patients can know about the techniques, methods, pros and cons of the surgical treatments from different channels.
As doctors are equipped with techniques in all aspects, the previous model of doctors in a dominant position may switch to the model of doctors discussing with patients. It means that the doctor and patient have face-to-face talks, and they decide the most appropriate method to resolve patient’s problems. Different patients may have the same diagnosis, but they may have different treatment methods, what’s more, the physical condition of patients, the regional condition and traditional culture should be considered as well in choosing treatment.
While we are arming ourselves with concepts and techniques of minimal invasion and precision, we should also adhere to the idea of humanistic care. In the spirit of optimizing the interests of the patient and using the most appropriate method to solve the problem, we should make humanistic care always throughout our practice.
廣州中醫藥大學第一附屬醫院白雲醫院
廣州中醫藥大學第一附屬醫院白雲醫院是一所集醫療、教學、科研、康複為一體的三級中醫醫院,是廣州中醫藥大學第一附屬醫院心血管、腫瘤、內分泌、脾胃病、針灸、婦科六大國家區域中醫診療中心分中心,擁有多個省級及以上名中醫傳承工作室,醫院堅守“傳承創新 精誠至善”的院訓,始終以患者至上,提供優質的診療服務。
