I, Aki Tomoya, will not be a simp.

But sometimes, the thought that he might meet in the same department someday makes him feel helpless.

It is said that enemies are especially hostile when they meet, but they are not enemies, but they just can't stand each other, which makes them feel annoyed.

"Say less, you suffered quite a bit in the internal medicine department last month."

At this time, Aki Tomoya had already started packing his things, including patients' medical records, examination reports, medical images, and all sorts of other things. The ward rounds were filled with these, all carried by the interns or clinical trainees.

But things will be better in a few years. Everything will be digitized then, and a few tablets will be enough.

This is not an important matter, but the head professor's rounds are a very important matter.

Just follow quietly behind, and quickly hand over whatever the person in front needs. That's all you need to do. The rest is to talk less and observe more.

Last month, when he was still in the internal medicine department, Takagi didn't receive any punishment for muttering a few words during rounds, but he was later given a good talking-to.

Of course, the lessons his seniors taught him weren't just because he whispered behind their backs during rounds, but that was the thing that caused him the most suffering.

"cut."

Chapter 408 The Professor's Morning Rounds

Takagi suffered a lot in the internal medicine department.

After joining the gastroenterology surgery department, he learned a lot and kept his thoughts to himself, or he would complain to them in private.

"Oh no, it's almost time for our rounds! Let's hurry!"

Aki Tomoya glanced at the time and quickly reminded them.

Almost all the other doctors in the department had left, and I didn't even remind them.

No matter how much Takagi complains now, she has to rush to wait for the professor to arrive and start making rounds.

At Aki Tomoya's reminder, everyone dared not delay, quickly packed their things, and hurriedly left the department, arriving at the back of the line that had already gathered in front of the elevator.

Ding--

One minute before the rounds were to begin, the elevator arrived, and the head professor stepped out with one of his associate professors.

"Good morning."

The professor calmly offered a greeting, which was met with a uniform response.

"Good morning!"

After exchanging greetings, the director of the medical department came out and said respectfully, "Professor Sasaki of the Department of Gastroenterology is beginning his morning rounds. Please take care of me!"

"Please advise!"

Following the lead surgeon's gesture, everyone bowed to the chief professor.

When the head professor began his rounds, each ward had already been notified, and the patients were all waiting for the professor's rounds.

"Please give me more advice."

Led by the chief professor, the entire gastroenterology surgery department began its rounds.

The long procession marched down the corridor, with clear distinctions in rank, one layer at a time. At the very front was the head professor, flanked by associate professors from the department, then lecturers, and finally ordinary staff members surrounded by the head of the surgical department.

At the end of the line, Aki Tomoya and three other interns followed behind the medical trainees, carrying all the necessary items for their morning rounds, just like them.

Following behind the group, walking down the hospital corridor, I couldn't see what the professor at the front looked like at all.

……

"You have to climb the stairs to get to the department first thing in the morning, and then wait for the professor to come like an idiot, pfft..."

The morning rounds have ended, and it's time for lunch break.

In a corner of the cafeteria, Takagi tapped his chopsticks, still talking about the morning's inspection tour, which resembled a prince's procession.

Every time the professor makes rounds, they have to prepare first, then come out of the department, climb the stairs to the corresponding floor before the professor's elevator arrives, and then stand still, waiting for the professor to arrive.

"I thought you were used to it."

Aki Tomoya said noncommittally.

Last month, when I was in the internal medicine department, I also experienced the scene of professors making rounds.

Just like before, they followed at the rear of the procession, like the personal guards of a king.

"My dad must be even more powerful in the hospital than this, right?" Takagi thought for a moment, resting his chin on his hand. "Now, let's begin Dr. Takagi's general rounds!"

He even started mimicking the doctor's tone of voice in the morning, and then began to fantasize about what it would be like for his father to make rounds in their own hospital.

This morning's rounds were just a professor's rounds; how could they compare to the dean's rounds? If the dean were to make rounds, I wonder how grand the procession would be.

Upon hearing this, Majima couldn't help but laugh and said, "Then my father must be no match for your father."

His father was also a chief professor at the Affiliated Hospital of Medical University in the north of the city. If he wanted to fantasize, he could imagine how his father made his rounds.

This includes Suzuya, who was walking over with a tray of food.

They all have objects that can be associated with them.

Meanwhile, Aki Tomoya seemed lost in thought.

In a university hospital, a department head making rounds is merely a primary display of his status and power.

In a department, the head professor wields absolute power.

The entire department is structured with the head professor at its core.

Speaking of this, we have to mention the medical bureau system. Each department has a corresponding medical bureau, or in other words, the people in the department are the people in the corresponding medical bureau.

From the moment a medical student becomes a visiting physician, once they choose a department, they will join the corresponding medical institution.

Among them, the head professor wields both financial power and control over human rights.

A medical bureau is equivalent to a department, but it is also different from a department.

It is an organizational structure centered around the professor, i.e. the department head, who coordinates the work and personnel of physicians within the department.

The departments of university-affiliated hospitals are composed of chief professors as the core.

A unique private institution in the Japanese medical community.

Although the staff at the University Hospital of Japan are all civil servants, the existence of the medical bureau system means that all personnel in the department, including associate professors, lecturers, and teaching assistants, are hired by the head professor.

In university hospitals, there is generally no dismissal, only resignation.

If one does not resign, then it is a personnel transfer, which is commonly referred to as being sent to the frontier.

This brings us back to the existence of related hospitals.

Clinical departments in hospitals at all levels have an interdependent relationship with corresponding departments in university-affiliated hospitals; this is what is commonly referred to as affiliated hospitals.

For example, the Department of Gastroenterology at the University of Tokyo Hospital, where Aki Tomoya and his colleagues are currently located, has thirteen affiliated hospitals in Tokyo alone, and ten affiliated hospitals outside of Tokyo.

The heads of the departments in the affiliated hospitals, who are the chief professors there, were sent by Professor Sasaki from here, and then the connections went down layer by layer, forming a network of relationships.

It can be said that the medical bureau is actually where professors decide most of the personnel arrangements for affiliated hospitals.

In other words, if you make the head or professor unhappy at the University of Tokyo Affiliated Hospital, and you have no connections, because you're a civil servant, even if it's difficult to fire you, they'll just transfer you out of the hospital and let you go cool off somewhere else.

Similarly, above the director and professor, the ministers, vice deans, and deans have even greater power.

Meanwhile, within a university hospital, even though they are collectively known as the Tokyo University faction, there is an undercurrent of power struggles, with different factions existing, including within the same department. After all, Professor Sasaki has prepared two associate professors.

Then, within the university's medical school, there are also people who can influence the affiliated hospitals, such as Professor Yano, whom Aki Tomoya knows.

Let's take a professor as an example. He has a lot of power. The affiliated hospital of the University of Tokyo is the center, so if a professor is a professor here, he can extend his influence to all the affiliated hospitals in his department.

"If you stay in the university hospital and don't aim to become a professor, then you're sick."

Aki Tomoya took a bite of tempura, pondering to himself.

Those who choose to stay in the university hospital have this idea to some extent.

Among his contemporaries, Suzuya was the least secretive.

Working as a civil servant in a university hospital, instead of aspiring to become a professor, are you only thinking about making money as a doctor?

If it's about making money, private hospitals make even more money, and they're happy to offer high salaries to poach talent.

Chapter 409 How can a sparrow know the ambition of a swan?

The poaching by private hospitals and the rise of medical corporations have given many talented people who are not recognized in university hospitals and cannot get promoted by accumulating seniority a new option.

In addition, the decline of medical institutions in recent years has gradually revealed the waning authority of university hospitals, leading many excellent doctors to be attracted by high salaries to go abroad or join private hospitals.

University hospitals are no longer competing with national or private university hospitals behind closed doors; they also have to contend with the medical corporations that these hospitals represent.

However, the advantages of university hospitals still exist, with most of the talent still in the hands of medical universities, and the allure of the "white tower" remains for most people.

The hospital's system ensures that a department's performance reflects the professor's ability, giving the professor absolute power within the department, including control over finances and connections.

There are always a significant number of VIP patients choosing university hospitals.

Having a university hospital that cultivates talent and is backed by the medical school of a medical university gives them an advantage in talent reserves.

However, it is uncertain how long this advantage will last, especially after the emergence of medical conglomerates, which represent medical corporations, and the annual talent loss rate of university hospitals is increasing year by year.