medical simulator

Chapter 25 I Actually Walk Ahead of You Alone! (Seeking collection, asking for recommendation ticket, asking for follow-up reading)

Seeing the smile on Zhou Cheng's face, Luo Yun and Cai Dongfan's hearts moved inexplicably.

Then there was a strange emotion in my heart, a little sour and astringent.

The current National Health Commission's grading and classification of surgery is divided into one to four levels.

Level [-] surgery: Various surgeries with low technical difficulty, simple surgical procedure and low risk.

Junior resident physicians: Under the guidance of superior physicians, they can preside over first-level surgeries.

The classification of junior residents refers to those who have been working as residents for less than 3 years, or those who have obtained a master's degree and have worked as residents for less than 2 years.

In other words, people like Zhou Cheng and Du Yanjun, including academic graduate students such as Lin Lin, who have not been employed as resident physicians, are all within the scope of low-year resident physicians.

In principle, both Zhou Cheng and Du Yanjun can preside over and carry out first-level surgeries under the guidance of superior doctors.

However, all surgeries and operations require authorization.

If you are not authorized, you can only participate in the operation as an assistant and cannot preside over the operation. Otherwise, it is a violation of the rules and a leapfrog operation. If there is any problem, you need to bear the responsibility independently.Although the superior physician is also jointly and severally liable.

But the responsibilities he independently assumed were enough to ruin a doctor's life.

Authorization of routine surgery, first-level surgery: the approval of the attending physician or above and the department director or the deputy director of the department authorized by the department director.

Second-level surgery: Approved by the department director. When the approval of emergency second-line surgery is under the responsibility of the second-line physicians, the attending physician and second-line physicians should carefully examine the patient.

In other words, currently only Cai Dongfan can routinely approve and grant authorization for first-level surgeries, and even Luo Yun can only temporarily grant approval in case of emergency.

Now that he can get the authorization for this operation, Zhou Cheng can complete the first-level operation such as manipulative reduction and plaster external fixation of fractures with more peace of mind.

Zhou Cheng obtained the doctor qualification certificate last year. Because he had to be on duty alone, he registered and obtained the qualification certificate. The place of practice is Shashi No. [-] Hospital, and now he has been approved by the superior doctor for surgery. Even during the reset process, There was a little accident, which was also an error within the scope of medical treatment.

It does not belong to the category of leapfrog surgery.

Therefore, Zhou Cheng thanked Luo Yun and Cai Dongfan very happily: "Thank you Teacher Cai, thank you Teacher Luo."

It is impossible to obtain the authorization of first-level surgery from the chief physicians of other groups, and others don't bother to care about you. Zhou Cheng naturally wants to thank his superiors for their appreciation.

However, Zhou Cheng's thanks made Cai Dongfan feel a little more uneasy.

After all, logically speaking, the No. [-] Hospital in Shashi is a third-class first-class hospital, which is already the highest in terms of hospital level.Basically, the resident doctors in the hospital should start to let the lower-level doctors take on the duty after obtaining the doctor qualification certificate, and at the same time, give them a certain degree of decentralization.

For example, Cai Dongfan's own student, Du Yanjun, only passed the certificate examination this year, and only got the results. The certificate has not yet been obtained, and he has obtained the authorization for surgery.Zhou Cheng had obtained the certificate for more than eight months, and it took a full year to get it after passing the grades.

So much later than Du Yanjun.

Cai Dongfan dare not say that he has no selfishness at all, he is a qualified teacher for superiors.

Of course, while Cai Dongfan's heart was touched, he said: "It's nothing, this is what our superior doctors should do. Work hard, come on."

"Go and do your own work first. Our superior doctors must have noticed your performance."

Luo Yun immediately understood what Cai Dongfan meant. Probably, it was Zhou Cheng's happy expression just now that touched a string in Cai Dongfan's heart, making him quite guilty, so he wanted Zhou Cheng to disappear as soon as possible.

So Luo Yun immediately said: "Let's go out and fill out the form, and then I have to go to the medical department."

"Well, okay. Thank you, Teacher Cai." Zhou Cheng thanked Cai Dongfan again.

Leng is once again deeply stabbed a knife into Cai Dongfan's heart.

Seeing Cai Dongfan's mouth twitch slightly, Luo Yun quickly patted Zhou Cheng: "Be quick."

But I dare not say it.

Who said you need a knife to kill?

Inner anxiety and suffering, in fact, will make people more uncomfortable.

Speaking of which, Zhou Cheng called Cai Dongfan a teacher, but Cai Dongfan rarely regarded Zhou Cheng as his student, which was the source of his uneasiness.

He and Zhou Cheng left the director's office together, and walked to the doctor's lounge together. After pushing the door and closing it, Luo Yun saw that there was no one in the lounge, so he locked the door.

Zhou Cheng looked at Luo Yun and knew that Luo Yun must have something to say.

Luo Yun didn't hold back, and said directly: "Zhou Cheng, in fact, I told you to leave earlier just now because Director Cai felt a little uncomfortable."

"Well, it's because of you, not all because of you. But it's all in the past, and the past things can only be let them go."

"I'll just tell you straight up. Up to now, among the bed doctors, you are the fifth one who has obtained the first-level operation authorization."

"The first one is Pang Dingkun, then there are Du Yanjun and Min Chaoshuo, and Lin Lin and Du Ruiqi also got authorization for surgery from Director Hu. Next, it's you."

Speaking of this, Luo Yun sighed with emotion, looked tangled and said: "The reason why I told you so bluntly is that I hope you don't hold any grudges in your heart."

"After all, even Xu Yanlin hasn't been authorized for surgery yet."

Xu Yanlin, his uncle is in the Department of Hepatobiliary Surgery, he is the deputy director, and he is also a social trainer. Zhou Cheng was greatly surprised that he did not get authorization for surgery.

"Hasn't Yan Lin got the authorization yet? I thought he got it long ago." Zhou Cheng replied in great surprise.

Luo Yun said calmly: "What's so strange about this? Although his uncle is the deputy director of the Department of Hepatobiliary Surgery, medical treatment and clinical practice are not child's play. Even clinical operations are not repetitive and rescue. .”

"Under such circumstances, who would want to take responsibility for him? Director Yan is not his real uncle."

"The main thing is to be reliable and capable. In clinical practice, patients and family members will not give you any chance of trial and error."

"Of course, congratulations, you have been approved by Director Cai. In fact, you are already ahead of many people."

Zhou Cheng nodded and said, "Yes."

At the same time, I secretly said in my heart, not only did I walk ahead of many people, I actually walked ahead of most people in the department, okay?
Those who walk in the front are originally lonely.

As for holding grudges or something, if it was me in the past, I might still feel a little uncomfortable.

However, my own strength will not be reduced because I am not authorized to operate.

So, it doesn't matter.

It's just that it's quite a headache if I don't have the opportunity to display my strength, but now that I have the opportunity, I can display it, so what else can I say?

Isn't it good to walk safely within the rules?

"No, Mr. Luo, I'll fill out the form right away, and then please ask Director Cai to sign it." Zhou Cheng was still happy in his heart.

The authorization of the operation by the superior represents the recognition of you and the responsibility to be shared with you.

This is their scruples, Zhou Cheng can understand them very well, because Zhou Cheng has also stood at such a height in the simulated copy...

PS: Please collect, recommend, and follow up.

(End of this chapter)