Chapter 41
"Brother Xian, has your suturing skill really reached level 4? Have you gone to the medical association for certification?" When they went upstairs again, Zou Junzi was obviously very enthusiastic and asked proactively.
"I haven't gone to the certification yet. The examination fee for the level 4 skill assessment is too high, and a recommendation letter is required. Trouble."
"It's good to have an idea in your heart."
"After all, skills above level 3 are enough for clinical use. You don't have to be particularly obsessed with whether your skill level information is really level 4." Fang Xian said.
The level certification of the medical association is actually a kind of facade.The facade is for outsiders to see, to let them know you.Have a first impression.
In the operating room of the trauma center, the superiors grab a lot of you, and others can tell what level you are at the first glance.
When you enter the operating room, no one will specifically ask you about your skill level and medical association certification level, so you just have to know what you are doing.
When the time comes, it will also save time to save enough skills to make an appointment for the test together.
Young people should spend more of their time studying and struggling, rather than running around and wandering around in vain, unless it is a particularly necessary process.
"Then your basic theory of surgery has reached level 3? And you haven't been certified yet?" Zou Junzi asked again.
Fang Xian, what is this?On the second day after entering the trauma center, I crossed the group. How much preparation did I make before I went to the trauma center?
Fang Xian nodded again. There is no need to hide these things. Over time, everyone will know.Skills generally cannot deceive people, especially doctors. If your skills are not good enough, there will always be cases where you are beyond your capabilities and will knock you back to your original shape!
Zou Junzi was silent for a while and then said, "Then I have to keep working hard. Otherwise, I will be the only one left in the suture team again."
Fang Xian heard what Zou Junzi said, and he was even more sure that Zou Junzi's talent was not low. He was about to have level 4 skills at such a young age. At his age, he was only a junior, and only had one or two level 1 skills!
Fang Xian then asked again: "Junzi Zou, can you still wait for the stitching group even if you reach the opportunity to cross the group in advance?"
"That's right! The rules are like this, the suture group is half a year, the incision group is one and a half years, and the debridement group is two years."
"The time is fixed, but the content of the training is not necessarily fixed."
very good!
As long as the time is fixed and the content is not fixed, then no matter what the circumstances, as long as you can meet the standards and do not violate the principles, others cannot kick you out, and you have a chance!
In this way, Fang Xian thought that he could safely and boldly increase the incision to level 4.
Oh, there are still 3 skill points missing, so excuse me for now.
I will come to you later.
Fang Xian has seen how strong level 4 skills are, and other teachers have seen them too!
Level 4 skills can be used to calculate fortunes. This is not a lie.
"Brother Xian, the teacher called me, I'm going to work as a laborer first! You can rest for a while and then come back." At this moment, Zou Junzi's heart was sliced into a squid shape, and at the same time, he was fried by Fang Xian's pot.
Lift the mask up, put it on the big ears and set off.
Fang Xian, on the other hand, went into work without any particular hurry. He had to take time to plan carefully.
At present, there are twelve regulations on the basic medical skills of the Medical Association.
Incision, suturing, debridement, puncture, hemostasis, knotting.
These six skills are the foundation of all surgical skills.
There are five other techniques: X-ray reading, CT reading, MRI reading, ECG reading, and medical specialist examination, which are the basis of diagnosis.
The cardiopulmonary resuscitation skills listed separately are only for emergency rescue of cardiac arrest patients, so there is no need to worry about them.
The highest level 2 is a skill that all medical students must learn before entering the clinic, so don't worry about it for now!
It is further subdivided into the theoretical basis of major subjects such as internal medicine, internal medicine, women and children, mental skin, etc., and then subdivided into the basic theories of respiratory medicine, cardiology, orthopedic surgery and other specialties of internal medicine and surgery.
Diagnosis is the foundation, and surgical operation is the change and embodiment of treatment.
On top of the basic skills, there are specialized skills.
But it's obvious that Fang Xian knows that basic skills are the king of kings!
After the stitching skill is improved, even the upstream skills of the stitching skill will be improved, and so are other skills.
Now that you are in the operating room, let's do the treatment first.
Cutting, suturing, debridement, puncture, hemostasis, knotting.
The suture has reached level 4, so put it aside for now.
Incision and debridement are the primary contents for improvement in the second echelon.There is no need to worry about hemostasis. Simple hemostasis is symptomatic treatment and finding the bleeding point.
Exquisite hemostasis is not something that I can use at the moment.
Useless = less skill points, low return on investment, pass.
Piercing and knotting.
Puncture is relatively easy to understand for Fang Xian, but Fang Xian has not yet fully understood why the Medical Association listed this knotting technique separately.
Isn't it just tying a knot? Ordinary people can learn it in a morning. It's just a matter of speed.
Maybe this is a foundation for high-end skills.
Improve debridement first, then improve incision, then puncture, hemostasis and then knot.
Fang Xian has already listed the improvement routes and priorities one by one.
Because debridement is actually the most basic and extensive skill of all therapeutic surgical operations.
90.00% of all surgical operations can be classified as debridement——
If you can get rid of foreign bodies and necrotic tissue first, it will directly increase the proportion of your damage in the operation, and it will become your source of skill points!
Fang Xian has already looked down on ten percent and single-digit damage ratios...
Can't be too floating, can't be too floating!
Work!
Fang Xian was lewd for a while, and hurried back to the right track.
"There are 4 operating rooms, and Fang Xian from the suturing team received it!" Since there are currently two people in the suturing team, Fang Xian must declare his identity first, lest the other party think that the wrong person has entered the room and call Professor Wang over.
……
At this moment, after Zou Junzi quickly entered the operating room, he seemed quite depressed.
Opposite him, two superiors were complaining: "This doesn't look like a level 4 suture skill? I knew I would sew it."
"There are currently two students in the suture group, and the other Xiao Fang is at level 4 of suture skills, and Xiao Zou is a little bit behind. They are also quite satisfactory, not too far from the level of level 4." Another slightly older person encouraged .
Zou Junzi remained silent and only acted as a pure tool.
Suddenly I really miss the days when I was the only one in the suturing team. At that time, there was no comparison, no introversion, and everyone would praise me for my good sutures.
Now that Fang Xian broke in suddenly, suddenly he became a short man, Zou Junzi was a little bit unaccustomed to it, as if he had returned to the rookie when he first entered the trauma center, only had level 2 suture skills, and was disgusted by all kinds of people ...
On the other side, after seeing Fang Xian go in, the superiors were very happy.
"Xiao Fang, you're here just in time! We can just take a rest." As soon as Fang Xian entered, he saw two superiors who were trying to fish, shaking their butts from side to side, and their eyes were full of relaxation, and the word "lazy" was written vividly. .
It's as if you can't do anything without wanting to do it.
No wonder Junzi Zou said that he was here to save him. It was indeed a bit tiring to meet such a group of superiors.
Of course, Fang Xian knew very well that the more relaxed the other party was at this time, the more confident the other party was in his surgical skills.
After a quick glance, Fang Xian discovered that this was a patient with a ruptured abdominal aortic aneurysm. This is a disease that can kill a person within a few minutes. Now an old guy and a young man are there, who knows who they are. Where did this old bitch come from?
The technique of pressing the bottom of the box is so sophisticated that it seems numb!
Fang Xian was doing the full-thickness suture of the abdomen in a serious manner.
Suturing has a prerequisite skill called basic anatomy, and Fang Xian is naturally relatively proficient in it. In this way, he can learn a more thorough subject by spending time, and Fang Xian will never go idle here.
"Xiao Fang's suturing technique is the most solid and simple suturing, which pays attention to one-to-one correspondence. This is most suitable for abdominal wall suturing."
"The suturing of the abdomen is about clear layers, and there is no need for other fancy things. I personally think." A professor commented and said to the young man next to him.
The young doctor asked: "Professor Hu, for abdominal suturing, combined suturing is the best, right?"
"My personal understanding is that other people may have different ideas, and if it is in other areas, it may be better to choose other suture concepts. Rather than suturing the scalp, what if one needle penetrates the bottom?" said Professor Hu. The person spoke very calmly!
The young man is thoughtful.
Fang Xian couldn't help but lift up his forehead lines to look at him, and then quickly started to sew them up.
When the suturing was almost completed, Professor Na Hu also complained: "If every surgical procedure can be sutured by the Taiwanese, then we can be much more relaxed..."
(End of this chapter)
"Brother Xian, has your suturing skill really reached level 4? Have you gone to the medical association for certification?" When they went upstairs again, Zou Junzi was obviously very enthusiastic and asked proactively.
"I haven't gone to the certification yet. The examination fee for the level 4 skill assessment is too high, and a recommendation letter is required. Trouble."
"It's good to have an idea in your heart."
"After all, skills above level 3 are enough for clinical use. You don't have to be particularly obsessed with whether your skill level information is really level 4." Fang Xian said.
The level certification of the medical association is actually a kind of facade.The facade is for outsiders to see, to let them know you.Have a first impression.
In the operating room of the trauma center, the superiors grab a lot of you, and others can tell what level you are at the first glance.
When you enter the operating room, no one will specifically ask you about your skill level and medical association certification level, so you just have to know what you are doing.
When the time comes, it will also save time to save enough skills to make an appointment for the test together.
Young people should spend more of their time studying and struggling, rather than running around and wandering around in vain, unless it is a particularly necessary process.
"Then your basic theory of surgery has reached level 3? And you haven't been certified yet?" Zou Junzi asked again.
Fang Xian, what is this?On the second day after entering the trauma center, I crossed the group. How much preparation did I make before I went to the trauma center?
Fang Xian nodded again. There is no need to hide these things. Over time, everyone will know.Skills generally cannot deceive people, especially doctors. If your skills are not good enough, there will always be cases where you are beyond your capabilities and will knock you back to your original shape!
Zou Junzi was silent for a while and then said, "Then I have to keep working hard. Otherwise, I will be the only one left in the suture team again."
Fang Xian heard what Zou Junzi said, and he was even more sure that Zou Junzi's talent was not low. He was about to have level 4 skills at such a young age. At his age, he was only a junior, and only had one or two level 1 skills!
Fang Xian then asked again: "Junzi Zou, can you still wait for the stitching group even if you reach the opportunity to cross the group in advance?"
"That's right! The rules are like this, the suture group is half a year, the incision group is one and a half years, and the debridement group is two years."
"The time is fixed, but the content of the training is not necessarily fixed."
very good!
As long as the time is fixed and the content is not fixed, then no matter what the circumstances, as long as you can meet the standards and do not violate the principles, others cannot kick you out, and you have a chance!
In this way, Fang Xian thought that he could safely and boldly increase the incision to level 4.
Oh, there are still 3 skill points missing, so excuse me for now.
I will come to you later.
Fang Xian has seen how strong level 4 skills are, and other teachers have seen them too!
Level 4 skills can be used to calculate fortunes. This is not a lie.
"Brother Xian, the teacher called me, I'm going to work as a laborer first! You can rest for a while and then come back." At this moment, Zou Junzi's heart was sliced into a squid shape, and at the same time, he was fried by Fang Xian's pot.
Lift the mask up, put it on the big ears and set off.
Fang Xian, on the other hand, went into work without any particular hurry. He had to take time to plan carefully.
At present, there are twelve regulations on the basic medical skills of the Medical Association.
Incision, suturing, debridement, puncture, hemostasis, knotting.
These six skills are the foundation of all surgical skills.
There are five other techniques: X-ray reading, CT reading, MRI reading, ECG reading, and medical specialist examination, which are the basis of diagnosis.
The cardiopulmonary resuscitation skills listed separately are only for emergency rescue of cardiac arrest patients, so there is no need to worry about them.
The highest level 2 is a skill that all medical students must learn before entering the clinic, so don't worry about it for now!
It is further subdivided into the theoretical basis of major subjects such as internal medicine, internal medicine, women and children, mental skin, etc., and then subdivided into the basic theories of respiratory medicine, cardiology, orthopedic surgery and other specialties of internal medicine and surgery.
Diagnosis is the foundation, and surgical operation is the change and embodiment of treatment.
On top of the basic skills, there are specialized skills.
But it's obvious that Fang Xian knows that basic skills are the king of kings!
After the stitching skill is improved, even the upstream skills of the stitching skill will be improved, and so are other skills.
Now that you are in the operating room, let's do the treatment first.
Cutting, suturing, debridement, puncture, hemostasis, knotting.
The suture has reached level 4, so put it aside for now.
Incision and debridement are the primary contents for improvement in the second echelon.There is no need to worry about hemostasis. Simple hemostasis is symptomatic treatment and finding the bleeding point.
Exquisite hemostasis is not something that I can use at the moment.
Useless = less skill points, low return on investment, pass.
Piercing and knotting.
Puncture is relatively easy to understand for Fang Xian, but Fang Xian has not yet fully understood why the Medical Association listed this knotting technique separately.
Isn't it just tying a knot? Ordinary people can learn it in a morning. It's just a matter of speed.
Maybe this is a foundation for high-end skills.
Improve debridement first, then improve incision, then puncture, hemostasis and then knot.
Fang Xian has already listed the improvement routes and priorities one by one.
Because debridement is actually the most basic and extensive skill of all therapeutic surgical operations.
90.00% of all surgical operations can be classified as debridement——
If you can get rid of foreign bodies and necrotic tissue first, it will directly increase the proportion of your damage in the operation, and it will become your source of skill points!
Fang Xian has already looked down on ten percent and single-digit damage ratios...
Can't be too floating, can't be too floating!
Work!
Fang Xian was lewd for a while, and hurried back to the right track.
"There are 4 operating rooms, and Fang Xian from the suturing team received it!" Since there are currently two people in the suturing team, Fang Xian must declare his identity first, lest the other party think that the wrong person has entered the room and call Professor Wang over.
……
At this moment, after Zou Junzi quickly entered the operating room, he seemed quite depressed.
Opposite him, two superiors were complaining: "This doesn't look like a level 4 suture skill? I knew I would sew it."
"There are currently two students in the suture group, and the other Xiao Fang is at level 4 of suture skills, and Xiao Zou is a little bit behind. They are also quite satisfactory, not too far from the level of level 4." Another slightly older person encouraged .
Zou Junzi remained silent and only acted as a pure tool.
Suddenly I really miss the days when I was the only one in the suturing team. At that time, there was no comparison, no introversion, and everyone would praise me for my good sutures.
Now that Fang Xian broke in suddenly, suddenly he became a short man, Zou Junzi was a little bit unaccustomed to it, as if he had returned to the rookie when he first entered the trauma center, only had level 2 suture skills, and was disgusted by all kinds of people ...
On the other side, after seeing Fang Xian go in, the superiors were very happy.
"Xiao Fang, you're here just in time! We can just take a rest." As soon as Fang Xian entered, he saw two superiors who were trying to fish, shaking their butts from side to side, and their eyes were full of relaxation, and the word "lazy" was written vividly. .
It's as if you can't do anything without wanting to do it.
No wonder Junzi Zou said that he was here to save him. It was indeed a bit tiring to meet such a group of superiors.
Of course, Fang Xian knew very well that the more relaxed the other party was at this time, the more confident the other party was in his surgical skills.
After a quick glance, Fang Xian discovered that this was a patient with a ruptured abdominal aortic aneurysm. This is a disease that can kill a person within a few minutes. Now an old guy and a young man are there, who knows who they are. Where did this old bitch come from?
The technique of pressing the bottom of the box is so sophisticated that it seems numb!
Fang Xian was doing the full-thickness suture of the abdomen in a serious manner.
Suturing has a prerequisite skill called basic anatomy, and Fang Xian is naturally relatively proficient in it. In this way, he can learn a more thorough subject by spending time, and Fang Xian will never go idle here.
"Xiao Fang's suturing technique is the most solid and simple suturing, which pays attention to one-to-one correspondence. This is most suitable for abdominal wall suturing."
"The suturing of the abdomen is about clear layers, and there is no need for other fancy things. I personally think." A professor commented and said to the young man next to him.
The young doctor asked: "Professor Hu, for abdominal suturing, combined suturing is the best, right?"
"My personal understanding is that other people may have different ideas, and if it is in other areas, it may be better to choose other suture concepts. Rather than suturing the scalp, what if one needle penetrates the bottom?" said Professor Hu. The person spoke very calmly!
The young man is thoughtful.
Fang Xian couldn't help but lift up his forehead lines to look at him, and then quickly started to sew them up.
When the suturing was almost completed, Professor Na Hu also complained: "If every surgical procedure can be sutured by the Taiwanese, then we can be much more relaxed..."
(End of this chapter)
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