德国才是真正现代医学的发源地，特别是德国的骨科，那可以说是全球排名第一，真正的学科天花板。德国为什么能在医疗方面取得如此大的成就？一个首要的原因：德国绝大多数医生对这份职业有一种真正的职业的成就感和职业幸福感。病人和整个社会都非常尊重医生。其二：现在德国的任何一个医生是绝对没有任何的回扣的。如果你在这份医生工作当中，你做任何事情都想去收受企业的回扣的话，这份工作你绝对不可能做好。这份工作变成了商业行为，而不是社会行为。当医生把诊疗这么严谨的工作变成了一个商业行为的话，那你治病救人的驱动力都是为了钱，你就不可能为这份工作做到真正的公平公正和公开。其三：中国绝大多数医生从来没有付费的习惯。2026年国际膝关节外科学会首次在中国开设了一个非常非常好的一个线上线下课程，这是一个非常系统化的课程，德国四位著名膝关节外科专家把膝关节外科和运动医学做了九大模块深入细致的学习课程。这个课程4月1号上线的时候，德国医院就马上有300多位医生买了这个课程，中国医生只有极少数人买了课，这就是中德两国医生对于知识付费的一个认知的巨大区别。中国医生到德国读博士绝大多数人也只想靠套磁这种方式免费取得。百分百套磁的医生到了德国至少五六年才能毕业，有的医生七年都毕不了业，有的医生到了德国连注册都没法完成。大多数医生掉到更深的坑里。德国有名的医生沒有任何一个人可以让你免费去读他们的博士。大部分套磁去学习的医生是百分百学不到任何的知识的。他们就是去德国干活和打杂的角色。如若不信你可以用漫长的青春去试错。所以我跟很多院长和人事科的主任都说，你要了解他们在德国究竟学到了什么真正的本事？而不是用一个博士文凭来骗取医生的这份职位。只有真正学到知识回国后才能更好地为中国三甲医院服务。其四，中国各大学会的主席大多是快退休或者已经退休的专家来做这个职位，德国的学会的主席都是在职的专家来做这个主席。中德两国学会的主席真正为学会做的事是完全不一样的。国内学会的主席长期以来被企业和同行捧着，他们高高在上，他们目中无人，每次学会开年会的时候，会议就是个菜市场，他们也并没有真正的为这个学会的未来发展去思考、去服务、去贡献。德国学会的主席，他们大多是很谦虚的，他们是很认真、很专注地为这个学会的发展去贡献的，所以这个学会就会越来越好，未来优秀的医生就会越来越多，因为只有学会真正起到作用和担当。这个学科才能真正发展和壮大。

Germany is the true birthplace of modern medicine, especially in the field of orthopedics, which can be regarded as the world’s leading specialty and the real pinnacle of the specialty. Why has Germany been able to achieve such remarkable success in healthcare? First of all, the vast majority of German doctors have a genuine sense of professional achievement and happiness in their careers. Doctors are highly respected by both patients and society as a whole. Secondly, doctors in Germany absolutely do not receive kickbacks. If a doctor constantly thinks about accepting kickbacks or commissions from companies while practicing medicine, it is impossible for them to truly do this job well. Healthcare then becomes a commercial activity rather than a social responsibility. Once such a rigorous profession is turned into a business driven by profit, the motivation for treating and saving patients becomes money, making it impossible to maintain true fairness, justice, and transparency in medical practice. Thirdly, the vast majority of Chinese doctors have never developed the habit of paying for knowledge and professional education. In 2026, International Knee Academy(IKA) launched, for the first time in China, an outstanding hybrid online-and-offline training program. It was a highly systematic course in which four renowned German knee surgery experts provided in-depth teaching across nine focused modules covering knee surgery and sports medicine. When the course officially went online on April 1st, more than 300 doctors in Germany purchased it almost immediately, while only a very small number of Chinese doctors enrolled. This reflects a huge difference between Chinese and German doctors in their understanding and acceptance of paying for professional knowledge. Most Chinese doctors who pursue a PhD in Germany also hope to obtain the opportunity for free through “Taoci”-- establishing informal academic connections with professors by cold emailing them. Doctors who rely entirely on this approach often need at least five or six years to graduate in Germany; some cannot even finish within seven years, and some are unable to complete the registration process at all. Many eventually fall into even deeper traps. None of the truly well-known German professors will allow someone to pursue a PhD under them completely free of charge. Most doctors who go to Germany through such informal arrangements ultimately fail to learn any substantial knowledge or skills. In many cases, they are basically there in Germany just to do routine work and handle miscellaneous tasks. If you do not believe this, you may spend years of your youth testing it yourself. That is why I often tell many hospital presidents and HR directors: what truly matters is understanding what real skills and expertise these people actually learned in Germany, rather than allowing them to use a PhD diploma alone to secure a position in the hospital. Only by genuinely acquiring knowledge and capabilities abroad can they better serve China’s Class III Grade A hospitals after returning home. Fourthly, in China, the presidents of many academic societies are senior experts who are close to retirement or have already retired, whereas in Germany, the presidents of academic societies are usually active, practicing specialists. The roles they play and the contributions they make to their societies are fundamentally different. For a long time, many presidents of domestic academic societies have been excessively praised and elevated by companies and peers alike. They place themselves above others and often appear detached from ordinary members. During annual conferences, the meetings can resemble marketplaces rather than serious academic gatherings, and many of these leaders do not genuinely think about, serve, or contribute to the long-term development of the society. In contrast, presidents of German academic societies are generally humble. They devote themselves seriously and wholeheartedly to the development of their societies. As a result, these societies continue to improve, and more outstanding doctors emerge in the future. Only when an academic society truly fulfills its responsibilities and functions effectively can the specialty itself genuinely develop and grow stronger.