From Guangzhou to Heidelberg(5)

6月2日10:00，仁医医疗三人团队拜访了海德堡大学附属医院神经外科，与科室主任Krieg教授及其团队进行了深入交流。此次交流由副主任Suchorska教授具体对接。合作会谈结束后，神经外科团队特别安排了Dr. Nohman带我们实地参观了科室的门诊、病区、重症监护病房和手术室。这份安排让我们深感重视，也非常感激他们的周到接待。Dr. Nohman向我们介绍，海德堡大学附属医院神经外科是德国排名前列的神经外科中心之一，在国际上也享有盛誉。早在上世纪90年代，该科室便成为全球第二个引入术中MRI系统的神经外科中心，仅次于波士顿，并在2000年代初期引进了术中CT，技术更新始终走在前列。目前科室设有三个病区，每个病区配备约20至25张床位，共有4间专用手术室，每年完成约4000台神经外科手术，其中包括约2000台脊柱手术、500台胶质瘤手术和500台颅底肿瘤手术。此外，科室还配有一个神经外科专属的重症监护病房，共11张床位。不同于多数医院将重症监护室交由麻醉科统一管理的做法，海德堡大学附属医院神经外科的ICU完全由神经外科自主负责，由经验丰富的主治医生团队直接管理，保障重症患者的连续性和专业性照护。参观中让我们印象深刻的还有两个岗位设置：一是医生助理，这一岗位不属于医生或护士，但能够完成抽血、换药、引流等基础临床操作，有效减轻医生工作负担；另一个是患者管理专员，主要负责门诊结束后的住院、手术安排等沟通协调工作，将原本由年轻医生承担的流程性事务专职化。这种设置在提高医疗效率的同时，也优化了医患沟通方式，使年轻医生能更专注于临床技能训练。此次交流令我们收获颇丰。Krieg教授团队对中德医学合作展现出专业而开放的姿态，而在门诊、病区、重症监护病房及手术室的实地参访，更让我们直观感受到这家德国神经外科顶尖中心在组织架构、专业分工及临床流程管理上的高度成熟与精细。他们在临床诊疗的持续探索和引领，以及在人员配置上对效率与质量的双重考量，均体现出一种“以病人为中心”的现代医院理念。这些经验与理念为我们带来了许多启发。

On June 2nd at 10:00 AM, the team of three from Gloryren visited the Department of Neurosurgery at Heidelberg University Hospital and had an in-depth discussion with the team of Prof. Krieg. The visit was coordinated and organized by Dr. Suchorska, the Deputy Director. Following the meeting, Dr. Nohman provided a guided tour of the outpatient clinic, wards, intensive care unit and the operating room of the department. This thoughtful arrangement underscored the significance they placed on our visit, and we were deeply grateful for their thorough hospitality. Dr. Nohman introduced us to the Department of Neurosurgery at Heidelberg University Hospital, which is one of top three neurosurgery centers in Germany and is internationally renowned. As early as the 1990s, this department became the second neurosurgical center in the world to introduce the intraoperative MRI system, after Boston. In the early 2000s, they introduced intraoperative CT, continuing to lead in technological advancements. The department currently operates three wards, each with approximately 20 to 25 beds. It is equipped with four exclusive operating rooms. The department performs about 4,000 neurosurgical surgeries annually, including around 2,000 spinal surgeries, 500 glioma resections, and 500 skull base tumor surgeries. Furthermore, the department boasts a specialized neurosurgical ICU with 11 beds. Unlike many institutions, where the ICU is typically managed by the anesthesiology department, the neurosurgical ICU here is managed entirely by the Department of Neurosurgery. It is overseen directly by an experienced and specialized team of consultants, ensuring continuous and specialized care for patients. During the visit, two staffing roles left a strong impression on us. The first was the role of physician assistant, a position separate from both doctors and nurses. The physician assistant are trained to perform basic clinical tasks, such as drawing blood, dressing wounds, and managing drainage, effectively reducing the workload of residents. The second role was the patient management coordinator, primarily responsible for coordinating inpatient admissions, surgery arrangements, and other tasks after outpatient consultations. This position enables a centralized and more efficient handling of routine processes and communication with patients. This setup not only improves efficiency but also optimizes doctor-patient communication, enabling residents to focus more on clinical skill development. This exchange was highly fruitful for us. Prof. Krieg’s team demonstrated a professional and open attitude towards Sino-German collaboration. Our on-site visit to the outpatient clinic, wards, intensive care unit and the operating room provided us with a comprehensive and firsthand understanding of the department’s high level of sophistication in organizational structure, professional task division, and clinical process management. Their continuous pursuit of clinical excellence, along with their meticulous approach to staffing and quality control, exemplifies a “patient-centered” philosophy of modern healthcare. These experiences and philosophies have provided us with valuable insights.