What has this neurology center done from rise to excellence?

Discipline construction is an eternal topic, and there are many stories about the development of excellent disciplines. However, in only three years, there are not many disciplines from scratch, from weak to strong, from obscurity to outstanding, and the Neuromedicine Center of Huizhou Third People’s Hospital (hereinafter referred to as "Neuromedicine Center") is one of the legends.

The field visit of the health community to the Neuromedical Center began with an academic exchange activity organized by the department. Although the scale of academic activities is small, the focus is prominent, and the time is not long, but it is streamlined and efficient. Compared with when it was established three years ago, the current Neuromedical Center is more vigorous and energetic. Team members love life, work, persistent pursuit and dedication. In this activity, we also heard two good news: the Neuromedical Center joined the Pearl River Specialized Medical Cerebrovascular Disease Alliance; The newly introduced 3D catheter machine in the Neuromedical Center is turned on.

During the subsequent visit, the health community experienced the earth-shaking changes in the Neuromedical Center by understanding the discipline layout, feeling the working environment, participating in the morning shift and case discussion, observing the operation, and communicating with medical staff and patients.

New thinking and building a new framework

Back in March, 2016, the Neuromedical Center has just been established. Li Xuesong, who has been engaged in clinical research of neurosurgery for many years, has just taken on the responsibility of the director of the Neuromedical Center, and is faced with a department to be revitalized: small department scale, few beds and patients, low operation difficulty, simple disease types, treatment to be standardized, and chaotic working conditions of medical staff.

How to solve the dilemma of discipline development in primary hospitals? How to embody the medical mission of people-oriented and serving the people?

Li Xuesong has his own thoughts, "Building a safe, comfortable, efficient and accurate system of diagnosis and treatment of nervous system diseases in the hearts of the people!" Li Xuesong began to build this department into a treasure of Huizhou Third People’s Hospital step by step according to his own decisions and goals.

Neuromedical Center at the beginning of its establishment in 2016

In order to better strengthen the discipline construction and further promote the sustainable development of medical treatment, teaching, scientific research and prevention, adjusting the framework, optimizing the structure and expanding the scale is the first step in the development of management discipline in Li Xuesong.

He integrated neurosurgery and neurology, which have been established in the hospital for more than 20 years, into the medical center, forming a brand-new structural framework, and set up seven "5+2" neurological wards, with beds expanded from 150 in 2017 to 300 today. At the same time, a rehabilitation island, a neuroelectrophysiological examination area, an outpatient clinic, a training base for neurology, a multi-functional conference room, a multi-functional vascular examination room, a physical therapy room and an occupational therapy room have been set up, realizing one-stop diagnosis and treatment services for local nervous system-related diseases.

Architecture of Neuromedical Center

Neurosurgery has added a general ward and a severe ward, and cooperated with the discipline of traditional Chinese medicine to establish a wake-up ward combining traditional Chinese and western medicine. "It is mainly aimed at patients with deep coma and even similar plant living conditions for wake-up treatment." Li Xuesong introduced that in order to realize the integration of patients’ medical treatment, nursing and rehabilitation, and increase the ways of patients’ treatment, they also set up a rehabilitation island in the ward, which organically combined rehabilitation treatment with neurology.

Now, the Neuromedical Center is still planning to build a laboratory for molecular diagnosis and treatment, a hyperbaric oxygen treatment department, a hospice ward, and a national advanced stroke center. "This is an important task that we must be competent for." Li Xuesong is a shoo-in.

After the framework is laid, the next step is the refined management of disciplines and the in-depth development of sub-specialties.

 "Be big first and then strong, and do fine work." Li Xuesong said that the strong connotation of discipline construction can not be separated from the three premises of "specialty, concentration and singleness".

Neurology in most hospitals is divided into sub-specialties according to industry standards, such as tumor, blood vessel, function, spine, spinal cord and pediatric neurosurgery. However, Li Xuesong found that this model is not conducive to the long-term development of the Neuromedical Center. Li Xuesong, who has rich experience in visiting abroad, implanted the most advanced international diagnosis and treatment technology and treatment concept into the Neuromedical Center, and took the lead in proposing the sub-specialty construction plan in Huizhou. After careful consideration, he systematically refined and co-opted the sub-specialties of the department, and successively set up eight study groups, namely, precise surgical treatment of cerebrovascular diseases, interventional treatment of cerebrovascular diseases, multidisciplinary diagnosis and treatment of neurotumors (gliomas and metastatic tumors), endoscopic treatment of sellar region and midline skull base lesions, precise treatment of hypertensive cerebral hemorrhage, sub-specialty of neurospinal surgery, neurological function and neurological severity, in order to conform to "standardization, accuracy, minimally invasive and safety".

Li Xuesong recalled that at the beginning of the establishment of the Neuromedical Center, the scope of diagnosis and treatment of diseases in the Neurofunctional Group was limited, covering only trigeminal neuralgia and facial spasm. Today’s functional science group is very different from the past, and Parkinson’s disease group and epilepsy group have been added to the original study group subdivision, making its work more detailed and in-depth.

In the future, the Neuromedical Center will also set up a pediatric neurosurgery group and a peripheral neurology group. "We want to achieve all branches of neurology, including spastic diseases, dystonia diseases, psychopsychology, etc."

The comprehensive coverage of disease spectrum, accurate and precise diagnosis and treatment of diseases, and systematic training of talents, Li Xuesong believes that this is the significance of subject subdivision.

Li Xuesong, director of the Center for Neuromedicine of Huizhou Third People’s Hospital.

Following the development route of sub-specialties, Li Xuesong reorganized the positions and talents of the Neuromedical Center, made clear the development direction and goals of everyone, and made leaders for each study group, giving them a "small world" to give full play to their strengths and apply their learning.

"Now everyone not only has a broader display space, but also has high enthusiasm and becomes more confident and hopeful." With the in-depth development of the sub-specialty of the Neuromedical Center, Director Wen Shihong, the leader of the neuroendoscopic treatment group for sellar region and midline skull base diseases, has a deep understanding.

"A rising tide lifts all boats and promotes each other, so as to better promote the development of disciplines." Li Xuesong introduced that talents were very scarce before the Neuromedical Center. In order to strengthen the construction of talent team, for more than three years, the Neuromedical Center has introduced one doctor and one postdoctoral fellow, one returnee and five masters, and trained one doctor, among whom four are above the title of associate senior. While enriching the strength of scientific research team, the quality of talents has also been qualitatively improved.

New technologies and new services

After graduating from university in 1999, Li Xuesong has worked hard in the medical treatment, teaching and scientific research of neurosurgery for nearly 20 years, and has made great achievements in the clinical application research of brain trauma, brain protection and prevention and treatment of cerebrovascular diseases. In recent years, he has presided over many provincial and municipal scientific research projects and published more than 50 scientific research papers. He took the lead in leading the team to carry out more than 30 new technologies and new projects in the field of neurology in this region, filling a number of technical gaps in eastern Guangdong, and the overall treatment level ranks among the advanced in the province.

Li Xuesong performed surgical treatment for patients.

In order to meet the regional conditions and serve the local people and the development of disciplines, Li Xuesong regards cerebrovascular disease as the first major treatment disease in the Neuromedical Center, and comprehensively studies and grasps the characteristics and diagnostic criteria of cerebrovascular disease. Up to now, the Neuromedical Center has carried out more than 40 new treatments, including facial paralysis, aneurysm, craniocerebral trauma, intracranial hematoma, hypertensive cerebral hemorrhage, glioma and other common, multiple and emergency diseases of the nervous system. In eastern Guangdong, it took the lead in carrying out complex skull base surgery assisted by 3D printing technology, deep brain electrode (DBS) implantation for Parkinson’s disease, stent embolectomy and other surgical treatments, and introduced gamma knife and micro-balloon compression for trigeminal neuralgia. The business volume has been increasing at an average monthly rate of 80% to 130%, with an annual operation volume of more than 1,000. Nowadays, the Neuromedical Center is constantly moving towards high quality, high level and internationalization, providing the safest and most effective diagnosis and treatment services for patients.

New measures set a new record

How to cross and integrate with other disciplines and strengthen in-depth cooperation?

Li Xuesong told the health sector that they have taken such measures as cross-ward rounds, regular discussion of difficult cases, monthly central meeting and quality control meeting, etc. to achieve cross-discipline and establish a high degree of integration of sub-specialized scientific groups with MDT model. "This not only makes the division of disciplines precise, detailed and in-depth, but also takes into account the coordination and cooperation between them."

The Neuromedical Center always adheres to the concept of "tolerance, mutual assistance, learning and development" and adheres to the diagnosis and treatment mode with medical quality, patient safety and medical service as the core.

On the day of the interview, Li Xuesong had just successfully completed the surgical treatment of a cerebral aneurysm. "This kind of case is very complicated and the cost of interventional surgery is very high." However, under the conditions of controlling risks, ensuring operation effect and combining with patients’ family conditions, Li Xuesong chose a safer operation method that is more in line with the needs, which not only ensured the operation quality, avoided multiple surgical injuries, but also saved high medical expenses for patients and greatly reduced their pain and economic pressure.

The health community learned in the Neuromedical Center that even though their business growth has doubled now, it is their primary pursuit to strive to achieve the best treatment effect with the optimized diagnosis and treatment process and the most reasonable treatment method.

"We absolutely don’t allow overtreatment and subjective misdiagnosis and mistreatment." It has always been Li Xuesong’s concept of diagnosis and treatment in the center to formulate individualized treatment plan and give consideration to the patient’s economic situation without taking economic benefits as the purpose.

In addition to setting up a monitoring team to conduct random checks, the medical quality will be strictly controlled in the ward rounds of department directors, teaching ward rounds, quality control meetings, surgical treatment plan discussions and monthly staff meetings, and once problems are found, they will be improved in time. Adverse medical events, patient complaint rate and medical disputes have obviously decreased, and the quality of medical care has been greatly improved and upgraded compared with the earlier period.

Doctors make rounds to discuss the patient’s condition.

Humanistic fresh air gathers new culture of the department

The service tenet of Huizhou Third People’s Hospital is "benefiting the heart and benevolence, benefiting the people and well-being". The hospital attached great importance to the construction of humanistic hospitals and took the lead in setting up the first branch of humanistic medicine in Guangdong-Huizhou Medical Association Humanities Branch.

Li Xuesong, who also advocates humanistic medicine, relies on the fertile humanistic soil of the hospital, organically integrates medical humanities and discipline development, trains humanistic doctors, humanistic nurses and builds humanities departments, and humanistic feelings have penetrated into everyone’s blood.

"Humanities and technology should be integrated into one and cannot be separated." Li Xuesong thinks this is a new challenge for doctors.

"Patient-centered" is the humanistic concept that Li Xuesong instilled in the medical staff of the department the most in his daily work. He further explained its connotation to the health sector: First, based on evidence-based medicine, scientifically diagnose and treat patients, and doctors should have superb skills and exquisite skills; The second is to have humanistic feelings, compassion, love and compassion; The third is to make joint decisions and think from the patient’s point of view.

"With the existence of medical humanities, medical technology and equipment have shown warm-hearted and warm-hearted services." Li Xuesong won the favor and respect of many patients for his superb medical skills and unique personality charm. Every patient said that he was lucky to meet Li Xuesong. In the ward of the Neuromedical Center, the health community heard all kinds of praise voices such as "good environment, good technology and good service", "very good" and "benevolent doctors".

Li Xuesong has specially set up a doctor-patient communication room with video function in the ward, which is convenient for preoperative communication with patients’ families, making joint decisions with them and respecting their decisions, thus effectively enhancing the trust between doctors and patients.

They also designed a doctor-patient communication wall, health tips, a wish wall, and a spiritual oxygen station on the ward wall to actively create a warm and harmonious atmosphere for patients. In addition, a speech therapy room and a psychotherapy room were set up separately in the ward to purchase walkers, issue greeting cards and hold a "warm little family" symposium for patients. On the occasion of the festival, Li Xuesong also organized everyone to write blessings and send blessing bags to patients, optimize services from details and reflect humanistic care from thoughts and actions.

Collective participation in voluntary blood donation activities

"The essence of medicine is to help patients relieve their pain. Medical practice is patient-centered, not disease-centered. Doctors should be a model that combines science and technology, humanistic spirit and philosophy and art." In 2016, Li Xuesong was awarded the honorary title of "National Humanities Doctor" at the annual meeting of Humanities Medicine of Chinese Medical Doctor Association.

Under the influence of Li Xuesong, the trend of medical humanities has subtly converged into the spiritual culture of the Neuromedical Center.

In 2017, they were named "National Humanities and Love Department" and became the first humanities department in Huizhou. In 2018, Huizhou Third People’s Hospital was named "National Love Hospital".

Li Xuesong admits that this is a hard-won honor. "The humanistic road has no end, it is accompanied by each other." He thinks that the Neuromedical Center is just a step ahead on this road.

"The director is also very concerned about the work and life of our doctors and nurses." Wen Jianping, the head nurse of the first neurosurgery department, told the health sector that Li Xuesong would ask doctors to take turns to step down for meals without affecting patients’ treatment. He also suggested that medical staff take turns to take vacations twice a year to give everyone a chance to enjoy life after work.

New forces create new business cards

"Leaders who don’t like learning can’t keep employees who love learning." Li Xuesong’s elegant speech and profound knowledge can’t be separated from his habit of reading every day for many years, and he also takes time to visit abroad every year.

The health sector found that Li Xuesong’s office can be described as a "small library". Besides documents, professional medical books and magazines, he also focused on studying national policies. His office is full of notebooks including morning meetings, departmental meetings, clean government education and political studies, academic exchanges at home and abroad, etc. He is going to organize these accumulated "wealth" into two books: Fine Management of Neurosurgery and Diagnosis and Treatment System of Grassroots Neurosurgery for your reference.

Li Xuesong is also good at surgical drawing. Whenever he encounters a new difficult operation, he will recall the operation by drawing records, and every six months, he will have a new notebook of surgical drawing for everyone to exchange and learn.

Li Xuesong and Professor Lawton of Barlow Institute of Neurosurgery in the United States discuss the treatment scheme of cerebrovascular disease.

Li Xuesong’s surgical drawing

In Li Xuesong’s eyes, besides making scientific and standardized diagnosis and treatment, improving the quality of treatment and serving patients well, it is also important for doctors to be knowledgeable.

In order to urge everyone to study, the Neuromedical Center has set up a library. Most of the books are from Li Xuesong’s private collections or purchased out of his own pocket, covering medical, psychological, philosophical, humanities, communication, literature, photography and other fields, thus diversifying the knowledge of medical staff.

On weekdays, Li Xuesong often organizes young doctors to learn new technologies and methods. He also gives them everything in professional skills, and he is also a mentor. In order to let young doctors broaden their thinking, update their ideas and raise their awareness, he actively encouraged everyone to participate in national academic exchange activities or visit and study in higher hospitals, and selected excellent young doctors to go abroad for further study, establish exchanges and contacts with foreign experts in the field of neurology, and keep up with the pace of the times and international standards.

"Going out and bringing in" is another way for Li Xuesong to further promote the all-round development of medical teaching and research in the Neuromedical Center.

In March this year, the Neuromedical Center just became the chairman of the branch of Neuroprosthetics Specialist of Huizhou Medical Association, actively organized and carried out a number of meaningful academic exchange activities, invited the big coffee in the academic field, preached and taught the doctors, and answered questions. Young doctors can not only learn knowledge, but also have the opportunity to stand on the platform to share experiences and gain more opportunities for promotion and exercise.

What impressed Wen Yiqi, a surgeon in the Neuromedical Center, most was that his understanding of disease treatment and the level of surgical treatment had improved.

Li Xuesong led the team to study and exchange in Queen Mary Hospital of the University of Hong Kong.

The so-called "the smell of wine is not afraid of the depth of the alley." With the continuous growth of the strength of the Neuromedical Center, the rapid expansion of business scope, the continuous improvement of popularity, and the increasing regional brand effect. In the past three years, the Neuromedical Center has established close cooperative relations with more than 20 provincial hospitals and research teams in China, and now it has laid a solid foundation for the further development of the discipline for the member units of China Parkinson’s Union, the core hospital of medical cooperation of Sanbo Brain Hospital of Capital Medical University, Huizhou Center for Accurate Diagnosis and Treatment of Cerebral Hemorrhage, Professor Ma Yi’s Studio of Neurosurgery of Liaoning Provincial People’s Hospital, and Huizhou Branch of Gamma Knife Therapy of the First Affiliated Hospital of Jinan University.

While extensively strengthening the alliance with superior hospitals, the Neuromedical Center actively responded to the government’s call to promote the integration of medical resources, the sinking of high-quality resources, and the integrated development of counties and townships. More than 10 continuing education training courses are held every year, and tens of thousands of people are trained. And through academic promotion, the establishment of medical associations and other means, to provide counterpart assistance, remote consultation, two-way referral and other services for primary hospitals, to promote the improvement of primary medical and health service capabilities. "In fact, it is also a process of learning and optimization for us." In Li Xuesong’s eyes, this connecting link has played an important role in promoting the development of the discipline.

At present, the Neuromedical Center has been widely concerned and recognized by domestic and provincial counterparts, and has become the benchmark of discipline construction in primary hospitals, and countless medical institutions have come to learn from it.

The latest group photo of the Neuromedical Center

The new track paints a new picture

Li Xuesong has many "labels" on his body: Huizhou famous doctor, outstanding young medical talents in Guangdong Province, Huizhou most beautiful young doctor, Huizhou good man (dedicated), Huizhou good doctor, Huizhou CPPCC member, etc. In the academic field, he is also a member of the Neuroendoscopy and Minimally Invasive Medicine Committee of China Medical Education Association, deputy director of the Neurosurgery Management Branch of Guangdong Medical Industry Association, deputy director of the Neurosurgery Branch of Guangdong Basic Medical Association, and deputy director of the Youth Committee of the Cerebrovascular Disease Professional Committee of China Research Hospital Association.

But he admits that he prefers to be a pure medical expert. In the planning of discipline construction in Li Xuesong, we will not only focus on the development of disciplines and specialties, but also attach importance to the transformation of clinical medicine, establish discipline brands, incorporate public welfare and "internet plus" into the main line of discipline development, optimize internal resources and make sub-specialties bigger and stronger on the basis of combining national policies, local needs and hospital development.

In this regard, Li Xuesong is confident. The new picture he painted for the Neuromedical Center is also on the paper: it has developed into a leading discipline that is well-known in the country, leading in the province and leading in eastern Guangdong, leading the construction of grassroots disciplines in the country out of a pioneering and innovative road.

The Neuromedical Center collectively revisited Dr. China’s oath

Discipline construction is the core of the development of a hospital, and it is the focus of many hospitals to promote the construction of discipline groups with a certain dominant discipline.

How to give full play to the radiation-driven role of dominant disciplines, integrate and cross-infiltrate with other disciplines, so as to comprehensively enhance the core competitiveness of discipline groups?

The health sector, together with a number of co-sponsored hospitals, carefully planned the "8th China Hospital Clinical Specialty Construction and Development Forum 2019" with the theme of "new specialty, new ecological medical care and new empowerment", which will be held in Nanjing from October 23 to 25, 2019.

At that time, medical professionals will be invited to share the essence of hospital specialty construction, explore the way of specialty development, and help the great plan of "Healthy China".

The era of great health is coming, and the medical profession is on the same stage.

Exploring the way of specialist development and creating a new medical ecology

The 8th China Hospital Clinical Specialty Construction and Development Forum 2019

Welcome to Nanjing in autumn and October.

Hotline:

Teacher Tian Yu 13651350566

Business cooperation:

Dong Yan: 18601197112

Email: dongyan@hmkx.cn.

Contact person attending the meeting:

Li Shuxiang: 15811214008

Beijing, Tianjin, Hebei, Shandong, Henan, Shanxi, Liaoning, Jilin, Heilongjiang and Inner Mongolia Autonomous Region.

Guo Chao: 17600236991

Shanghai, Jiangsu, Zhejiang, Anhui, Fujian, Sichuan, Chongqing, Gansu, Qinghai, Ningxia Hui Autonomous Region and Xinjiang Uygur Autonomous Region.

Zhang Qi: 18610145600

Guizhou, Yunnan, Guangxi Zhuang Autonomous Region, Xizang Autonomous Region, Jiangxi, Hubei, Hunan, Guangdong, Hainan and Shaanxi provinces.