The most basic knowledge is often the most stable knowledge.

It's like a chef cooking, Sichuan, Cantonese, Shandong。。。。。。 There are many patterns and colors, but no matter which cuisine or genre you are a chef, you must always use the most basic seasonings such as oil, salt, sauce and vinegar.

This can be verified in many courses. This is especially true of basic subjects such as mathematics and physics, and what medical students need to learn in modern times has not changed much in terms of content except that it is much broader than that of 80 years later.

Of course, the same is true for certain courses in medicine.

For example, dissection, such as embryos, and parasites, although decades later, due to the progress of technology and in-depth research, many mechanisms that have not yet been clarified have been discovered, and many erroneous theories have been corrected, but at least 80% of the knowledge points are still correct. These subjects are the ones that Tian Lu spends the least time in reality, as long as he learns the systematic knowledge, and then finds out the difference between reality and the future.

But there are also some disciplines, such as pharmacology, toxicology, etc., that have changed dramatically after eighty years. In the past 80 years, there have been too many new drugs and synthetic toxins, and the current drugs have continued to be used in 80 years, so to speak, these disciplines are almost unrecognizable compared to reality.

However, such a huge change does not mean that Tian Lu will spend more time, in fact, when the future drugs have not yet appeared, Tian Lu only needs to do a good job in pharmacology or toxicology in reality, and he doesn't even need to pay attention to the latest research progress in this area, but just learn the knowledge of textbooks.

The disciplines that have taken the most time are those that have made a lot of breakthroughs in the future, but they can't completely leave behind the achievements of the past.

It's like neuropathology.

This course, in fact, has been learned in the basic medical course completed in the fourth year, and compared with reality, it is much more profound and huge, but for the purpose of study, it seems that reading this book is completely unnecessary.

But, just as he had to think before refuting the Indian rule, he had to figure out the difference between reality and systematic knowledge, and prevent himself from saying something different from what he is doing in his day-to-day work. After all, without future knowledge that has been systematically researched and experimentally verified, what comes out of the mouth of a medical intern like Tian Lu is not even speculation, it can only be a joke.

Although the development of pathology is not as great as the progress of clinical technology, there has been a lot of progress and some previous conclusions have been overturned. In particular, many common diseases, such as epilepsy, Alzheimer's disease (Alzheimer's disease), etc., can be fully described in the future, and the pathogenesis and pathological manifestations of their pathogenesis can be fully described.

For these courses, what Tian Lu needs to do is to collect the latest research progress in the world as much as possible, and then corroborate it with the knowledge of the system, and mark the different places in the system course. And this kind of work seems simple, but in fact it is more cumbersome, an hour of time, Tian Lu only read twenty or thirty pages, compared with the usual efficiency of the input function, it is really unbearable.

At more than seven o'clock, Lei Kang came up and asked him to go down for dinner, a simple take-out pizza and vegetable salad, after eating, Lei Kang greeted him and went out in style, and Tian Lu returned to the house, and after a short rest, he lay on the bed and entered the system.

Seeing the long list of icons in the clinical medicine gate, Tian Lu couldn't help frowning and sighed softly.

It has been more than a year since he entered the clinical course, but in the fifth year, due to the emphasis on internship, whether at home or abroad, it takes a lot of time and energy during the day, and the procedures for going abroad are extremely cumbersome, so Tian Lu's learning progress in the system is relatively slow.

There are two main reasons for this:

On the one hand, the amount of information is simply too large. In the future, clinical practice will be more detailed than the current sub-specialties, with at least more than 100 specialties, and the content of each specialty is huge, and it will take a lot of time just to read it once.

On the other hand, the connection between professions and professions is much closer than it is now. Although the medicine of the future will be subdivided into many specialties, it will place more emphasis on the holistic nature of human beings themselves. This point seems to be similar to that of Chinese medicine

These concepts are more consistent, and after encountering a disease, it cannot be simply confined to one specialty, because the disease of one organ will affect another organ, and the development of a disease may affect multiple departments

Command......

Many connections that have not been clarified or discovered in modern times have been slowly discovered in the future under more advanced technological means and larger research. In this case, when it comes to a disease, or a symptom, the amount of consideration that needs to be taken into account is actually greatly increased.

In fact, for the clinical course to contain so much content and such a wide range, Tian Lu originally had doubts in his mind. Modern medicine is becoming more and more detailed, and although you have to learn a lot of content in college, you really want to advance

After entering the clinic, it is generally enough to be proficient in the specialty. It's like Lei Kang didn't care about it after he was invited to do neurosurgery and failed to translate, the difference between different specialties is still very big, a person's energy

It is limited and it is impossible to take into account such a subject.

However, in the course of studying clinical medicine, Tian Lu gradually understood the reason why the future medical training system made such a provision.

With the help of a physician support system, it is definitely not impossible to master all the required courses, even if there is a lot of content. In fact, the content in clinical medicine is just like that of modern medical students in college

The clinical courses are mostly specific knowledge points. For example, internal medicine is a systematic and specific elaboration of various diseases, from etiology to pathogenesis, from pathological anatomy and pathophysiology to staging and classification, and from clinical

When it comes to prevention and control measures, although these specific knowledge points are far more systematic and numerous than modern ones, most of them need to be memorized, and there are few incomprehensible contents.

And that's where the biggest advantage of the system comes in!

This is illustrated by the fact that prospective medical students can complete two sub-systems in just four years. What's more, in the clinical medicine course stage, the strength of the system simulation once again made Tian Lu dumbfounded.

For example, diagnostics is a textbook that is written in plain language, and although it is not difficult to understand, it can only be understood by imagination. The simulation implementation function of the system makes this diagnostic knowledge simple and straightforward

Looked up. For example, those common symptoms, typical or atypical, can be seen in a person, such as those physical examination methods, a simulated doctor will perform standardized procedures on a simulated patient, and then

For example, for those experimental diagnoses, the system simulates the whole process of the experiment one by one for Tianlu to watch repeatedly.

Otherwise, it's just a profession, and I'm afraid it will take a lifetime of people's energy.

Moreover, in Tian Lu's view, clinical practice is the continuation and concretization of basic medical knowledge. Those who have learned the basic knowledge, such as biology, biochemistry, etc., as well as basic medical courses, such as anatomy, physiology, pathology and patients, have actually laid a solid foundation for clinical courses, and it can be said that all clinical courses are based on the application of basic medicine.

It's like washing a car, the most troublesome way is to fill a bucket of water, grab a towel, and scrub it little by little. And the simpler thing is to go to the car wash on the side of the road and let the workers spray it with a water gun, and the speed should be as fast as possible

Many. And the faster one, of course, is to go to the car wash with complete sets of equipment, the old car goes in, and the new car comes out, which is more efficient. But no matter which method you use, there's all you need to do to make your car look new and glowing

The purpose is the same, it's just to get rid of the dirt on the body.

The course of medical fundamentals is to tell you what a car should look like, what it looks like when it is dirty, and why it is dirty。。。。。。 The clinical medicine course is to tell you what these dirty things are, how to get rid of them, and which method is the fastest and the least damage to the body。。。。。。

Of course, there is a gap between practical application and theoretical knowledge, and even future medical students will have to undergo four years of clinical practice after completing all the theoretical knowledge in the first eight years! Moreover, there is still a difference between knowledge after 80 years and now. The basic content of pathological patients is fine, and most of them remain the same, but the treatment has changed dramatically.

It's the same to wipe the car, and now it's still water, but eighty years ago, it's taking a flashlight to shine on the car, and after a flash of light, the whole car is like new。。。。。。

In this regard, Tian Lu has always believed that he took his internship seriously and came to Los Angeles to make the right decision.

In this point, when he was doing an internship in the First Affiliated Hospital of the school, Tian Lu deeply realized that the actual clinical work and the knowledge in the books are often different, and many things, such as communication with patients and emergency handling, can never be learned in the classroom.

After arriving in Los Angeles, Tian Lu found that the clinical work here is also very different from that in China.

This difference is all-encompassing.

In terms of the training of medical students, there are completely different aspects of the medical system, medical philosophy, and medical environment. Of course, only in terms of hardware conditions, it is far inferior in China, especially in basic research, the gap is still relatively large.

The more I saw and understood, the more Tian Lu made up his mind.

There are two most important points for future plans, one is to be able to find the right hospital for residency training. Although the residents in the United States have to work a lot harder, the hospital has advanced equipment and superiority

The hardware conditions still made his eyes hot. The second is to complete the courses of the two sub-systems of medical foundation and medical experiment as soon as possible. Only after completing two courses will he be able to utilize clinical diagnostic and operational support systems for a doctor

These two systems are the essence of the whole system!

Tian Lu roughly estimated, because of the apprenticeship, it is estimated that the systematic learning will not make much progress before graduation, and at most it will only be half completed. However, in the second half of the year, in addition to the application for residency positions

Outside of the trial, there is basically nothing to do. Therefore, until he goes to the hospital for residency training next year, he will have at least six or seven months to concentrate on systematic learning!

Leave everything behind and go all out to learn!

In that case, he will be able to complete a large part of his learning progress, and by the time he enters the residency stage, he will be able to complete at least most of it.

Tian Lu also wondered if he could wait until he had completed all the theoretical courses before applying for a residency position, after all, he was only twenty-three years old, which was too young for most residents. but

It was after careful consideration that he gave up on this plan. Although the training of residents is hard, in terms of the amount of knowledge Tian Lu has now, many places for theoretical learning can also be lazy, and it is not completely out of time

No matter how bad it is, a year or two is enough!

As soon as I thought of completing the study of the basic medical support system and the medical experiment support system, I could open the clinical diagnosis support system and the clinical operation support system.

"At the beginning of April, it was almost time to go to the gods. ”

Tian Lu felt that the time was indeed ripe to leave general surgery. This time, he applied for a five-month internship, the first month was an outpatient program, the next two months were general surgery, and the last two months, Tian Lu planned to leave it to the neurosurgery department.

In the internship in China, Tian Lu came out without waiting for the surgical part, so this internship was mainly focused on this. Of course, he understands the truth that more is better than fine, general surgery is the foundation of surgery, and it is inevitable to go, and neurosurgery, as the pearl of surgery, is also the department that Tian Lu is most interested in, so it will naturally take a certain amount of time.

Because he is a trainee, Tian Lu usually can't do it himself, but can only watch from the sidelines. And the system's input function is not only to be able to enter words, but also to enter everything that the eyes can see, hear, or should be what Tian Lu can "feel"! Therefore, two months is enough for him to practice all the basic operations of general surgery.

"So, in that case, let's use the time before going through the neurosurgery and microsurgery stuff first. After pondering for a while, Tian Lu finally made up his mind, and then his mind moved, and he pointed to the huge icon of neurosurgery。。。。。。

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This chapter is boring.,It's dispensable.,But now that the code is out.,I'm reluctant to delete it.,Hehe.,Just get to know it.。 And a lot of things are my own understanding, professionals don't care.

Finally, I would like to ask, is there any great god who recommended this book?

I was shocked when I just landed and took a look! The collection actually rose by more than 100 overnight, which made me feel a little incredible.