Can dermatology be linked with emergency department?

Under normal circumstances, there is a dermatological emergency in a third-class hospital. Dermatology emergency mainly treats some acute allergic reactions or acute attacks of chronic skin diseases. However, if anaphylactic shock occurs clinically, it should be handled by the emergency department. Treatment in emergency department is more timely and effective. The principle of clinical treatment is that if the patient's vital signs are stable and there is no possibility of anaphylactic shock or acute laryngeal edema, dermatological treatment is needed. Otherwise, if the patient's vital signs are unstable, the emergency department will treat him first.

According to the current training in China, dermatologists must first pass the training of two disciplines in dermatology, and skin beauty or other directions should be subdivided by doctors or the direction with heavy workload after work.

In other words, a master's degree in dermatology and venereology is first of all a dermatologist who can see a doctor; Secondly, it is the skin beauty doctor who can make beauty.

Medical beauty is something that the country requires a doctor to do, but it is actually very easy to get started, and patients will not die if they take risks, so there are so many illegal institutions. At present, many schoolmates ask me questions about medical beauty after consulting the postgraduate entrance examination. If I study medical beauty for three years with a master's degree, I can only bah, and I am not a qualified dermatologist at all.

Therefore, dermatologists have a variety of living conditions because of their different career directions.

The Institute of Dermatology of China Academy of Medical Sciences is a national team, and basically all dermatologists in the top three hospitals have more or less connections. Take the national team as an example and discuss it in several categories:

(1) Dermatology ward: Work is similar to internal medicine, with less emergency, less serious illness, less rescue, less visits, more chronic diseases and more old patients. So overall, the work intensity is lower than that of internal medicine. I was impressed to see my sister in the dermatology ward next door sticking a mask on the duty room and stepped into the dermatology department.

(2) Dermatology clinic: There are many people and heavy workload. However, patients are generally mild, the treatment is simpler than internal medicine, and the requirements for experience and speed are higher. According to the master tutor, "if you can't see the disease in half a minute, don't look at it, go and check it."

(3) Dermatology: The main job is to obtain materials and skin grafting, with more scheduled operations and less emergency operations. It's much simpler than usual.