Gou in the operating room to add some upgrades

Chapter 11: Thinking carefully is the best way to draw a picture (please collect and read)

"How did you find out?" Xue Li was sitting in the deputy high office, crossed his legs, and asked Fang Xian who was standing opposite.

After the early shift on Monday, because it was not the day of surgery for this group, and after learning that the newly hospitalized 15-bed hospital needed to be treated for corresponding diseases in the Department of Gastroenterology, Xue Li, the chief physician in the department, specially called Fang Xian into the office, with rather strange eyes. subtle.

Xue Li is of medium build and tall, and looks about the same size as Fang Xian, but Xue Li's eyes are shaped like triangles, and there is always an inexplicable sense of oppression when looking at people.

Although Fang Xian had contact with Xue Li before, it was not too deep.

There are not many resident doctors in the group, and Xue Li has seen too many resident doctors, and Fang Xian has nothing special, so naturally he has no deep acquaintance.

"Brother Li. Maybe it's because my stomach hasn't been feeling well lately, so I paid more attention to similar things."

"Although the patient's fecal occult blood test was positive only transiently, it was the stress of trauma and surgery, but this patient has obvious indications for surgery, and he must undergo surgery. If there is a digestive tract disease under stress, it may be worse than the above The symptoms were more severe this time."

"In addition, the cost of checking HP (Helicobacter pylori) is not particularly expensive. If the patient really needs it, it can be checked before surgery, so I included it in the admission laboratory test." Fang Xian's skin is uneven. Bai, it's just because he has been in the skill training room for a long time.

Xue Li relaxed his expression slightly, and his triangular eyes flattened into ovals: "Don't be nervous, Xiao Fang, you can enter our hospital as a regular trainee, and Wang Chuntao can rest assured that you can manage the bed, which proves that your basic skills are solid, and you can Rest assured to give you the corresponding doctor's instructions before and after the operation, which is a kind of trust in you."

"I'm not asking why you found out, but how you found out, and you will answer the reason of how to find out."

"You have to answer according to the following reasons. First, you are careful, second, you spend more time, and third, your basic theory will be more solid than others. You have to understand the key points of the problem, and we are not talking about responsibility. "Xue Li's eyes softened as much as possible, and his tone became calmer.

Fang Xianwen felt a little relieved, and replied: "Brother Li, I did spend a little more time thinking about these things. Of course, I have corresponding symptoms, so I spent a lot of time thinking."

Xue Li nodded and put Erlang's legs down: "Sit, sit first."

"That's right, don't be afraid!"

"Haven't you discovered that the reason why the hospital and the medical association set up quite high thresholds and standards for you is to make you more confident?"

"Ask yourself, if you are asked to cut the skin and sew it up now, are you afraid that you will not be able to do it well?"

“The medical industry is quite special and requires a lot of experience rather than a little bit of correspondence.”

"Is that right, am I right? You know how to sew, not just sew." Xue Li gave Fang Xian some advice.

"Yes, Brother Li." Fang Xian nodded in agreement.

If he could only suture, then he would not be able to discover the sub-health of the first 15 beds in the process of managing the beds, nor would he be able to discover the biggest risk of the patient under Li Qiu's care and persuade him to avoid it.

Ordinary people can only explain that there is danger, but it is difficult to explain why, and directly pierce his inner defense. This is the knowledge system and understanding brought to Fang Xian by the basic theory.

The entry threshold for being an assistant stipulated by the Trauma Surgery Department is certainly promoted by the seniors, but more importantly, it is necessary for a doctor who is new to the operating room like Fang Xian to be able to gain confidence as soon as he enters, so as not to be madly criticized and sprayed, and then hurt. Self-confidence.

When Xue Li said this, he didn't go on: "Don't worry, as a doctor, you must not be anxious, and you must not be proud."

"Surgery is not like internal medicine. The training of surgery will always be more than that of non-surgical departments. You need a specific treatment process, unlike internal medicine, where you use medicine and use whatever machine you use. .”

"Surgical treatment is an operational and continuous process. So don't be in a hurry, not only for you, but also for me. This is the responsibility to the patient."

……

When Fang Xian came out of the office, he probably understood why Xue Li was looking for him. It meant that the opportunities in the group were limited. No matter whether it was Professor Lin or Professor Song, he couldn’t just see one of them. But be comprehensive.

When everyone is able to do something, opportunities can only be given relatively fairly. It is not a preference, but a rotation.

You did all the operations alone, while others just stared at you, and vice versa.

Resident trainees have only five chances to be on stage every month, graduate students have ten times, and doctoral students can have twenty times a month, and the number of surgeries per week is limited.

"Brother Xian, is it convenient?" After Fang Xian walked out of the office, he met Fan Chengpeng.

Fan Chengpeng wears black-rimmed glasses and has slightly dry skin. He has two small and large moles under his right eye. The moles are not prominent. He is not as fat as Li Qiu, but he looks slightly fatter than Fang Xian.

Asking Fang Xian's tone was very polite.

"Brother Peng, tell me." Fang Xian thought Fan Chengpeng wanted him to help or change shifts.

"Professor Song asked me to ask you whether your basic theory of trauma surgery has reached level 3. If so, you can find a preparatory tutor during this year-end assessment." Fan Chengpeng said.

You are responsible for excellence, and the rest is handed over to the hospital.

No one is a fool. Fang Xian's skill is just that he will accidentally overflow in every little bit. As an associate professor, Song Yu and even Lin Jiemo can catch it in his eyes.

Fang Xian's eyes flickered when he heard this. Although he had thought so in his heart, he couldn't believe that he had become a fat man in such a short time.

Who wouldn't want to be a master's student?If he didn't want to, Fang Xian and Li Qiu would not stay as interns at the Affiliated Hospital of Shonan University at all, but would go to a lower-level hospital as a postgraduate student.

Just for this opportunity.

"Shouldn't it be enough?" Fang Xian asked tentatively.

Fan Pengcheng said: "It's almost the same. At present, Wang Bo is a relatively key influencing factor. Professor Guo will let him control and play, and try to let the brothers in our department have a few more reserve mentors."

"This must not be said..." Fan Pengcheng lowered his voice for the last sentence.

Fang Xian's whole body tensed up in an instant, and he was inexplicably moved and sour.

Professor Guo is the director of the Trauma Surgery Department, and he leads the entire Department of Trauma Surgery with Directors Song Qinghe and Lin Jiemo at the professor level.

Fang Xian didn't have much contact with the other two professors.

However, according to the regulations issued by the hospital's graduate department, although there is a competition system for student status between master's students and resident trainees, it will not be achieved overnight. When the overall strength is not far apart, resident doctors will have preliminary tutors who are ready to take over at any time. .

The preparatory tutor is also a mentor. After you find the preparatory tutor, if you become a master in the future, then he will be your tutor.

So, Professor Guo deliberately asked his students to lower their abilities and strengths, in order to make this year's resident trainees more preparatory tutors?

At that time, even if there is no relationship between master and apprentice, will they be able to take care of each other?

Is this the broad mind of a department director?
Of course this is illegal!

"Recently, I have been reading books since I didn't go to the skills training room, but this is a theory, and it has nothing to do with entering the operating room, so I didn't go to the medical association for certification." Fang Xian replied.

Fan Chengpeng nodded to express his understanding: "Not going for the certification does not mean that you will not be able to achieve it. If you have a bottom line in your heart, going to the Medical Association for the level certification is just going through the motions."

"Then I'll report it to Professor Song, but don't falsely report that you won't be able to pass the assessment. That will make the professors doubt your character, which is not good for you." Fan Chengpeng still explained a little more. .

Fang Xian nodded, then chased after him and asked, "Brother Peng, are you also hiding your strength? In fact, you are almost good enough to be the chief surgeon?"

Fang Xian would like to ask, is there a difference between graduate students and live-in companions like himself?

Wang Bo can deliberately lower his strength for his brothers, but he and others are still trying to pull Wang Bo from the position of master student. The height and thinking mode of these people are different.

Fan Chengpeng stood still when he heard the words, and then looked at Fang Xian with resentment on his face: "Brother Xian, haven't you carefully considered the requirements of the surgeon in trauma surgery?"

"Four operations! Plus the theory is six."

"There are twelve grade certifications for a first-level doctor. There are only fifteen if you add theory. You can calculate the percentage."

"This is a painted cake."

After Fang Xian heard this, he thought about it carefully and felt that this was really the case.

The requirement for the chief surgeon in trauma surgery is that the level of X-ray film reading, debridement, incision, and suture all reach level 3.

According to the calculation that seven academic years require twelve basic skills to climb the ladder, even the most powerful person will need two years of accumulation of four skills, which can only be achieved by the third year of a professional master's degree.

However, most of the postgraduate students in the Affiliated Hospital of Shonan University were unable to stay in the hospital in the end, failing to reach this baseline.

Fang Xianwen opened and closed his mouth a few times, and fell silent like Fan Chengpeng.

He didn't even meet the requirements to become an assistant before, so naturally he didn't think deeply about such things.

……

(End of this chapter)