More importance should be attached to what is actually needed for healthcare in this country

4月6日萨尔茨堡大学附属医院大骨科主任，2025奥地利外科学会主席Freude教授今早从慕尼黑飞抵上海。清晨下雨，我与可欣6:00在浦东机场接到教授。上午我与可欣陪教授去了豫园，两小时用英文讲解了这个30亩的1557年建立的古代园林，晚上去了1875年创办的上海老饭店吃了本帮菜。教授餐叙时告诉我们新冠疫情全球去世了600万人，可是每年全球因为创伤就会有4000万人去世。所以发展创伤中心对一个城市的龙头三甲医院至关重要，创伤外科绝对是与骨科并驾齐驱的一类学科。但是当今中国所有医院却把创伤外科定义为二类学科，这绝对是非常错误的分科体系。过去上百年在德国每50公里就会有一个创伤急救中心，所以可以给创伤病人提供快速救助，如果当地无法快速解决，就会由直升机转运到国家级创伤中心进行快速转运治疗。德国的大骨科学会称为德国骨科和创伤外科学会。中国的大骨科学会称为中华医学会骨科分会。简称COA。创伤外科只是COA的一个分会。这么多年，COA的主席们应该把学科建设和人才培养放在学会的首位。为我们国家的医疗事业多做实事。而不是整天高高在上，不可一世的样子。

On April 6th, the Head of the Department of Orthopedics and Traumatology, Salzburg University Hospital of the Paracelsus Medical University (PMU), the President of the Austrian Society for Surgery in 2025, Prof. Freude landed in Shanghai from Munich. It was a rainy early morning, and I together with Véronique picked up Prof. Freude at the Shanghai Pudong International Airport. In the morning, we showed Prof. Freude around the Yu Garden in Shanghai. We walked around this tranquil and delicate Classical Chinese gardens, which was founded in 1557 with an area of 30 acres with English introduction of the garden provided to the professor. For dinner, we enjoyed Shanghai cuisine at the Shanghai Classical Hotel founded in 1875. During dinner, Prof. Freude told us that 6 million people died from COVID-19 globally in the last few years. More strikingly, 40 million people die from trauma injuries or related cases annually around the world. Therefore, it is vital to develop trauma centers in the leading Grade Three Class A hospitals. Trauma Surgery should earn attention as a first-level specialty, as much as Orthopedics does. However, at present, all the hospitals in China list Trauma Surgery as a sub-specialty, which is an absolutely wrong classification. Over the past decades, in Germany, on average there is a trauma center every 50 kilometers, enabling the healthcare system to provide prompt aid for trauma patients. If the trauma injuries are beyond the capacity of the local facilities, the patient will be transferred rapidly by helicopter to the national trauma center for treatment. In Germany, Orthopedics and Trauma Surgery go into one association named German Society for Orthopaedics and Trauma (DGOU), while in China it is called the Chinese Orthopaedic Association, COA for short. And Trauma Surgery is a mere branch of COA. For so many years, presidents of COA should have prioritized specialty development and talent cultivation, So that it could make practical contributions to China’s healthcare system, rather than act so condescending and detached.