Gou in the operating room to add some upgrades

Chapter 8: So ambitious and route selection! (Please bookmark and recommend votes)
In the rental room.

The Affiliated Hospital of Shonan University does not provide dormitories for general residents, but professional postgraduates have their own dormitories.

The main reason is that there are too many undergraduates, masters, and doctoral students in the hospital. If it is to be provided for residential training, more numbers are needed.

But fortunately, the monthly subsidy for ordinary social resident training hospitals is 4000, while professional postgraduate students are only [-]. In this way, even if the rent of about [-] is removed, in fact, ordinary social The monthly disposable money for live training is slightly higher.

However, not having a certificate is another disadvantage of social residential training.

Relatively fair treatment is the greatest benefit that medical associations can obtain for medical students.

Fang Xian rented a two-bedroom, one-living room in an old run-down community by himself. The rent was rather expensive, [-] a month.

Fang Xian sat on the old-fashioned broken leather sofa with the cooked noodles, and then focused his eyes on the transparent panel that others could not see.

"The current skill points remaining are 26."

Fang Xian put down his chopsticks and pondered patiently——

After summarizing these days, we can probably draw such a pattern.

If you discover a diagnosis that others have not discovered, even if you are in a sub-healthy state, you can get a lot of skill points through doctor's advice, persuasion, etc.!

The contribution of diagnosis is still greater than that of treatment to a certain extent.

And if you just serve as a tool, prescribing medical orders based on the opinions of superior doctors, etc., then the gain in skill points will be quite limited!
Perhaps this damage value is calculated based on the proportion of one's contribution in the diagnosis and treatment of a disease.

However, there is an exception to this, that is, after completing the suturing of the surgical incision, you can obtain a large amount of skill points.

Fang Xian guessed that this had something to do with the nature of the surgical incision.

Because it is necessary to open the mouth for surgery, this is something that the superior doctors and patients know, and it is unavoidable.Therefore, at this stage, the contribution of suturing lies in who performs the operation, not who makes the diagnosis, which is a well-known public diagnosis.

Public diagnosis is a word coined by Fang Xian himself, mainly for the convenience of summary. It can also be said to be a non-professional diagnosis.

In the Affiliated Hospital of Shonan University, if you want to diagnose a patient's disease alone, in addition to the attending physician going to the outpatient clinic, only the chief resident physician is left to go to the emergency department, but this is too far from Fang Xian's current position.

If you want to be the chief resident in a hospital, you must be a doctor in this hospital. If you are a doctor in this hospital, the most basic requirement is to pass the first-level doctor certification before the age of 30.

In the past five years, the trauma surgery department has only hired three new people.

At present, Xue Li is the attending physician of Professor Lin's group, Wang Chuntao, the current general resident of trauma surgery, and Liang Yichao, the attending physician of another group.

At Xiangnan University, there are at least three to four Ph.D. graduates in trauma surgery every year. In five years, there will be twenty. Among them, Liang Yichao is a Ph.D. graduate from Fuda Huashan Hospital.

This is equivalent to twenty PhD seniors who graduated from this college, and only two remain in this college.

Climbing the ladder to heaven is no joke.

Putting aside this point, there are very few opportunities to prove that you want to treat patients alone in the hospital. It is impossible for ordinary residents to have more opportunities to practice. Even if you are a general resident, it can only be considered by at least a doctor. question.

Then, the only way to increase the proportion of damage caused by the disease is to go to the clinic to find new diagnoses that other senior doctors or colleagues have not discovered, or to select more targeted operations with public diagnoses. Come and do it.

Like sewing or something like that!

……

Half an hour later, Fang Xian sat limply on the sofa, his face full of confusion.

"I'm also very cheap, why do I have to go to see the request for climbing the ladder?" Fang Xian first dimmed his phone, then turned it on again, and crawled to read it again. It was reproduced by the Hunan Medical Association. An article of the nature of the Chinese Medical Association.

Some of the main points are-

"The process of formulating the physician grade system: in order to standardize the management of physician grade and medical services and avoid the objective restrictions of overstepping surgeries, low-energy and high-level professional titles, and high-energy and low-level professional titles. 20 years ago, the Chinese Medical Association and the Health Committee jointly organized a global Top specialists and scholars have developed new disease classifications, operation classifications and skill levels."

"There are currently six types of diseases, corresponding to six levels of operations. Each operation skill has also been divided into six levels."

"For example, suturing level 1 is equivalent to entry-level suturing. It can complete simple interrupted suturing of surgical incisions or wounds, and interrupted mattress vertical eversion suturing to achieve a smooth skin surface. The suturing time does not exceed 2 minutes per suturing."

"Level 2 suture, which is equivalent to proficient suture, can complete ten simple sutures and interrupted mattress-style vertical valgus sutures within 5 minutes. In addition to achieving a smooth skin surface without unevenness, it is also necessary to clarify the sense of hierarchy , the suture depth should not be 0.6cm deep under the skin, and should not be 0.5cm shallower than the skin surface. The subcutaneous layer, fat layer and muscle layer can be sutured skillfully, with distinct layers."

"Level 3 suturing is equivalent to the professional level. Specialized suturing does not require special time limits or suturing methods. The surgeon needs to carefully clarify each layer of subcutaneous tissue and suture it to achieve the desired result. There is no need to suture the outer skin. The skin can be zipped to make the patient wound healing……"

"After formulating the skill levels of doctors, the Medical Association and the Health Commission once again calculated the corresponding skill levels of doctors at all levels across the country, and after repeated discussions and analysis by the expert group, they divided the country's doctors into six levels... …”

"A first-level specialist certified by the Medical Association is a resident doctor. After statistical and comprehensive analysis of the top resident doctors in the country, the assessment standards for a first-level doctor are set."

"Trauma Surgery Level 1 Physician Certification Examination Requirements: Level 3 Medical Conventional Theory, Level 3 Orthopedic Conventional Theory, Level 3 Trauma Surgery Medical Conventional Theory... (Non-skill assessment requirements)"

"Basic skills assessment requirements: incision, suture, hemostasis, puncture, specialist film reading, and specialist anatomy must reach level 3."

"Basic skill requirements for specialists: debridement, vascular exploration, and nerve exploration must reach level 3."

"Level 3 operating skill requirements for trauma surgery: vasotomy, vascular suturing, nerve suturing, manual closed reduction of fractures, manual reduction of joint dislocations, arthrotomy, open reduction of open fractures, external fixation with external fixation braces …(Any [-] reaching Level [-] can pass the certification)”

"Age Restriction: None."

……

After Fang Xian finished reading, he just wanted to say MMP!

The Medical Association does not have age requirements when it comes to physician level certification, but it does when you apply for a job. Basically, if you cannot reach the first level physician before the age of 30, you will not be able to get into the top teaching hospitals. You will have to go to prefecture-level cities. , county hospital or township health center.

The assessment standards for level 1 trauma surgeons do not include theoretical test points, but require twelve level 3 skills.

Take my classmate Long Yanzhuo as an example. He has reached a level 1 skill in less than a year. Isn't that pretty good?But in the sixth school year and the No. 1 school year, according to this speed, only seven or eight level 3 skills topped the sky.

There is no hope at all!

Unless you can upgrade a skill to level 3 within half a year.

Such qualifications are extremely close to the limit of China's skill improvement rate in the past 20 years, which is four months.

Counting from the age of 23 when you graduate from a bachelor's degree, the current minimum age for first-level physician certification in China is 1!
"It's better not to think about farts, think about it carefully, how can we engage in public diagnosis operations, and practice some diagnoses that others have not noticed in the clinic." Fang Xian lost a little bit of confidence in an instant. Heart.

Of course, there is another opportunity, and that is outpatient surgery.

After obtaining the authorization of the chief surgeon of the Trauma Surgery Department of the Affiliated Hospital of Shonan University, I will arrange one or two relatively small outpatient surgeries for you to practice every month.

But this also requires you to meet certain conditions. The Affiliated Hospital of Shonan University controls the authority of the chief surgeon very strictly!

Fang Xian continued to read and sleep, waiting for the arrival of the weekend...

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(End of this chapter)