I have to answer this question almost a hundred times a year. With the meticulous division of hospitals, more and more patients start to be confused, not knowing which department to register to see their disease, and the worst thing is that different departments and different doctors have different views, some let medication, some let stenting, some let surgery, if I were a patient, I would be dizzy. This is mainly in neurology and neurosurgery, in fact, the division of neurosurgery and neurology is a traditional division of disciplines, each country is different, for example, China, neurology is responsible for diseases that are not open, such as inflammation, degenerative diseases, cerebrovascular disease, etc., and neurology is responsible for open diseases, such as tumors, trauma, etc., and with the development of medicine, the division of pure disciplines is sometimes a constraint For example, a few decades ago, epilepsy, cerebrovascular stenosis is to take drugs, there is no other way, then also neurology treatment, but these decades, surgery or interventional approach to better treatment of many diseases, also expanded the scope of surgery, so surgery also began to treat these diseases. The most typical is Japan, which is the best country in the world in treating cerebrovascular diseases, and the life expectancy has increased significantly, and one important reason is that the government has guided neurosurgery to take the leading position in cerebrovascular diseases, so that more patients are prevented from developing the disease. In the case of ischemic cerebrovascular disease, there are neurology, neurosurgery, vascular surgery, cardiology, cardiac surgery, intervention and so on all doing it, each place is different, which has caused hostility between disciplines and led to conflicts between hospital departments, and more importantly, the interests of patients are damaged. To use an analogy, a patient with severe carotid stenosis comes to the hospital, and if this doctor is a neurologist who does not know how to intervene and operate, he will advise the patient to take medication, which may delay the disease; but if a relatively light patient comes to the hospital and is seen by a surgeon or interventionalist, he may advise the patient to undergo unnecessary surgery or interventional treatment. In short, many doctors always treat patients according to what they know and reject other views, especially in a small number of older doctors are most obvious, I am not saying how irresponsible these doctors are, because most doctors are still serious about seeing patients, but they are seeing patients by experience, so the oldest doctors believe in their own experience, but in China, some primary hospital doctors may not be exposed to new for a longer time However, in China, some primary care doctors may not be exposed to new knowledge for a long time, and it is not possible to fully learn from the experience of others. Jiao Liqun, Department of Neurosurgery, Xuanwu Hospital, Capital Medical University This issue is now the most hotly debated in our industry, our advocacy has always been to abandon the barriers of disciplines, the patient’s condition as the first, comprehensive consideration of appropriate methods, but after all, each discipline, each hospital, each department, each doctor have their own views and interests, it is difficult to achieve a completely objective approach to this issue, so, for so many years, we have been doing mainly two kinds of treatment. One is to lobby government agencies, especially the Ministry of Health, to put forward specific training and access mechanisms for technology and disciplines, a great country for more than 60 years, there is no certification mechanism for doctors in various disciplines nationwide, which cannot be said to be a serious lack of management, which cannot be accomplished for any doctor in China, but can only rely on the administrative power of the government. With these training and access mechanisms, we will be able to regulate the behavior of physicians and eliminate the abuse of technology or excessive medical treatment; the second is to strengthen the academic training of doctors, every year there are many academic conferences across the country, which will be like brainwashing to strengthen the doctors with many international advanced treatment concepts, but this is a long way to go, it is impossible to change the inherent concepts of doctors through a few years of education, but the good thing is that most of the young doctors now have better quality and learning attitude. The good thing is that most of the young doctors nowadays have better quality and learning attitude, which is the hope for the future of Chinese medical career. As a doctor, I am lucky to have caught up with the era of innovation in treatment philosophy, on the one hand, I can use my own power to treat more patients, on the other hand, I can make some contributions to the education of doctors, but it is unrealistic to make a good medical system model for everyone just by our generation. Even in Europe and the United States, where the medical system is more perfect, there are many fatal drawbacks. Therefore, what we can do is to start from ourselves, to take every step solidly, to complain less and to do more, and as long as it is beneficial to the cause and to the patients, I think the government and medical institutions at all levels will work towards a better direction.