This is a temporary examination room converted from the school's 10,000-person conference room.

Tuya Medical College is actually a provincial-level medical unit integrating medical education and medical education. It consists of two parts: Tuya Hospital and Tuya Medical University.

What's even more interesting is that the hospital is connected to the campus.

For example, this conference room with 10,000 people is often used by the hospital to hold staff meetings.

At this moment, it was dark and pressing, and it was full of interns from our hospital and medical staff from all walks of life.

Tuya recruits regular trainees, as long as they have a bachelor's degree or above, and they are under the age of 35.

Including nursing, general practice, medical technology three aspects of trainees.

The duration of the training is 36 months.

The medical technology here does not refer to surgical skills, but to the laboratory department, radiology department, B-ultrasound room, electrocardiogram room, electroencephalogram room, gastrointestinal endoscopy room, these examination departments.

Why is Tuya's quota for trainees very good?

Because as long as you have completed 36 months of regular training here and can meet the standards at the end of the exam, you can obtain the regular training certificate of Tuya Hospital.

This is a very valuable document.

Even if you fail to obtain the qualification to stay in the hospital after the training, you will return to the original hospital, or go to a municipal or county-level hospital, which is very popular.

The attending and resident doctors of the second-class, third-class, and third-class hospitals in some counties and prefecture-level cities often regard Tuya training as a kind of advanced training.

The examination room was very quiet, and all the candidates were silently answering the questions.

The recruitment is divided into three parts: written examination, interview and physical examination.

It's just a written test.

More than half of the more than 7,000 candidates will be eliminated in the written test.

Among the candidates, there are interns in their twenties and social medical personnel in their thirties.

Of course, there are no such people as graduate doctors.

In terms of academic qualifications, Zhou Can's undergraduate degree is inconspicuous.

It's better than medical skills, hehe, I'm afraid it's enough to crush the heroes.

"Please pause for a moment, I have an important thing to announce."

Deputy Section Chief Hu held the microphone in his hand and shouted loudly.

The candidates looked up at her standing on the stage, as well as Zhou Can next to her.

Some of Zhou Can's classmates or colleagues have already recognized him.

"Brother Can, what's going on?"

Several roommates were worried about him.

The class leader Yang Chan silently prayed, "The children of rich families are unreliable, but don't make any trouble and discredit your alma mater." ”

Her impression of Zhou Can has never been very good.

"Let me introduce to you first, the boy standing next to me is named Zhou Can, and he is also a candidate. When he rushed to the examination room in the morning, he met a patient with angina pectoris due to chest tightness. After a brief inquiry, when he diagnosed that the patient was likely to have acute coronary heart disease, and there was no family member with him."

Deputy Section Chief Hu's voice echoed throughout the large conference room.

She was full of emotion.

Dr. Zhou was faced with two choices. Either leave the patient alone and immediately rush to the examination room to take the regular training exam. Either send the patient to the emergency department, save the patient's life, and then be late for the exam. Even if he leaves the patient alone, he doesn't have to bear any responsibility. However, if you are late for the exam, according to the regulations, you will directly lose the qualification for the exam. ”

Everyone fell into a short period of thought.

In their shoes, what will they choose? If you ask yourself, I'm afraid that the vast majority of people will put their own interests first.

In particular, this kind of major interest choice that has a bearing on the future and destiny.

Very few people can be selfless.

On the contrary, selfishness is human nature.

"But you know what? Dr. Zhou Can would rather lose his qualification for the examination and resolutely chose to send the patient to the emergency department. In the end, because of his professional introduction, the doctor on duty diagnosed the cause in time and won valuable time for rescuing the patient. ”

The candidates were deeply moved and full of admiration for Zhou Can.

A gentleman carries things with virtue.

Those who are virtuous are more likely to be respected from the heart.

"Zhou Can is just an ordinary intern at our Tuya Hospital, but he uses his actions to interpret what is called great love and what is called medical ethics first. When I learned about his heroic deeds just now, I was very shocked. After consulting with the hospital leadership, it was agreed that this behavior should be highly commended. I announce that all penalties for Zhou Can being late for the exam will be waived, and that he will be given a full score for medical ethics. ”

As soon as the words fell, the audience burst into thunderous applause.

The full score of medical ethics is definitely the highest honor given by Tuya Hospital since its recruitment.

It will become a monument in Zhou Can's career.

A smile appeared on his face like never before.

"Thank you to the hospital leaders for their praise and affirmation of me, I am not a hero, just the most ordinary medical worker. It is the duty of a doctor to save lives and help the wounded. Thank you. ”

Zhou Can's words to save lives and help the wounded, the duty of a doctor, touched every candidate present.

Yes, curing diseases and saving talents is the original intention of every medical practitioner, and it is their pursuit.

For them, it's more like a baptism of the soul.

The mind becomes pure and sublimated.

The audience once again erupted in thunderous applause, which lasted for a long time.

"Zhou Can, sit in your seat and go to the exam. Allows you to submit your papers late. ”

Deputy Section Chief Hu said to him with a smile.

"Thank you!"

Zhou Can only felt that his feet seemed to be stepping on a thousand feet of light, and life could be so exciting.

A good man has a safe life, and the world has not failed him after all.

His seat was in the back.

When she passed by the squad leader Yang Chan, she smiled brightly and gave Zhou Can a thumbs up.

Zhou Can smiled and nodded in response.

Follow the number, find your seat and sit down, with the hospital's tablet on the table.

Directly enter the candidate's name and ID number, select the department to apply for, and you can answer the question.

In a top provincial tertiary hospital like Tuya, the requirements for recruiting trainees are very high. Trainees in the clinical medical department are required to take the general theory test.

In other words, the test questions that appear are not only surgical questions, but also internal medicine, pediatrics, obstetrics and gynecology, ophthalmology, and so on.

Theory has always been Zhou Can's forte.

When answering the questions, I saw that he was flying with his fingers, and he quickly answered a series of difficult medical questions.

……

Although Zhou Can's answering speed was faster than that of most candidates, he still entered too late after all, and before he finished answering the exam paper, the loudspeaker had already announced that it was time to submit the paper.

Candidates submitted their answers one after another.

Zhou Can received special care and could submit the papers in a delayed manner. He continued to concentrate on answering the questions.

Not long after the candidates handed in their papers, Deputy Section Chief Hu took the microphone and began to announce the results.

"Thank you very much for your active participation, and now the exam results are out. You can check your results, and you can stay for the interview session if you have a grade A or above. Candidates with grades below A are sorry to inform you that they have been eliminated. You can leave the venue in an orderly manner, and continue to work hard when you go back, and you are welcome to continue to participate in Tuya's regular training recruitment next year. ”

Now it's all computer grading and counting scores.

The efficiency is amazing.

From the time the candidates hand in the papers to the results come out, it is only a few minutes.

One by one, the eliminated candidates hung their heads and got up to leave.

Ten minutes later, there were originally nearly 7,000 candidates, but now there are only about 3,000 left.

Almost 60% of the time has been eliminated.

This is only the first level, and the next interview session is the hardest.

"Now I invite our panel of judges to enter."

As soon as Deputy Section Chief Hu's words fell, a number of doctors and nurses entered the examination room one after another.

A total of three groups of judges came in.

Then there are workers who carry various props needed for interviews.

"Candidates for the training of medical and technical departments, please sit here."

This department is mainly used to perform various examinations and pathological tests on patients.

Most of the instruments brought in by the workers are for the use of candidates in the medical technology department.

There are quite a lot of candidates who apply for the medical technology department, and the number is at least about 800.

All they have to do in the interview is to read B-ultrasound, CT, X-ray, and so on. Then the operation of the Doppler ultrasound machine is completed, and a clear video is taken on the spot.

Of course, the part of the film is randomly designated by the examiner.

"Nursing candidates come to the front."

Most of the female candidates flocked to it, and among them, the girls who were not super good-looking. Tuya Hospital recruits a large number of nurses every year. Nursing is basically a profession that eats the rice of youth.

Many nurses are older and either return to their families or change careers to other jobs, such as health managers.

Only a handful of lucky people are promoted to head nurses, or take a back seat to some of the more light jobs.

For example, work such as giving medical orders, playing microcomputers, taking medicines, managing the warehouse, and sorting out information.

In general, being a nurse is a job that eats the rice of youth.

Turnover is frequent.

Basically, all hospitals are more or less the same, and nurses are often recruited.

About 700 candidates applied for the regular trainees of the nursing department.

It's not all girls, but boys.

However, the number of boys is very scarce.

The remaining more than 1,500 candidates applied for the general department training.

It can also be seen from here that the profession of doctor is the most popular. Because with the continuous growth and improvement of medical skills, the older the doctor, the higher the income and status.

Doctors are a growing profession with a bright future.

The competition for general education is the most intense, far surpassing the two subjects of nursing and medical technology.

More than 1,500 candidates are ready to fight.

"Good morning, candidates, let's start the first part of the interview, pathological diagnosis. I play the role of the patient, giving a series of symptoms, and you can prescribe a test plan through the tablet. Remember, you should not prescribe an inspection plan indiscriminately, and you will be deducted points for more inspections and fewer inspections. ”

The hearts of all the candidates tightened.

No one expected that the first test question in the interview was a real diagnosis.

Those social candidates in their thirties are better, and many of them have been doctors in county-level and city-level hospitals for several years or even more than ten years, and have rich experience in clinical diagnosis.

For interns, it's a bit of a killer.

They still have very little experience in clinical diagnosis, let alone sit in a single consultation. On weekdays, it's more on paper.

Now that they are asked to diagnose in real person, they are naturally a little panicked.

"I suddenly felt chest pain, I couldn't breathe, and I felt very unwell, so I rushed to the hospital for emergency treatment. You are the doctor on duty, what tests will be done on me? Please make the checklist on the tablet in a first-served order. Note that if the order of the tests is reversed, the score will be halved. ”

There is a strict process for what tests to do after the doctor receives the patient.

The first must be a physical examination, such as palpation, inspection, etc.

The next inspection items are like peeling back the cocoon.

For example, after doing a blood routine, I feel that it is necessary to pull an electrocardiogram and then look at it, and when opening an examination application, it should be a blood routine first, and then an ECG.

After some careful consideration, the candidates issued applications for inspection.

"It's time."

The time given by the examiner is only about 10 minutes.

This undoubtedly increases the difficulty of the exam.

However, in the actual reception, when encountering emergency or critical patients, the response time left for doctors will be shorter.

"Now you can see the score and results of the inspection items."

At this time, Zhou Can finally completed the written test.

He submitted his answers.

The results are almost secondary.

A。

The score should be between 90 and 95.

If the score is 95 or above, the grade should be A+.

However, such a difficult test paper covers almost all internal medicine, surgery, obstetrics and gynecology, and pediatrics...... Content of all medical departments. He can get an A, which is already very good.

He also listened to some of the exam questions from the examiner just now.

Now that you have passed the written test, let's move on to the interview.

"The patient has chest pain and can't breathe?"

The first step is to check for heart disease. He quickly prescribed three tests: physical examination, blood routine, and electrocardiogram.

Submit.

"Congratulations, check that all the items are correct and get a perfect score."

Zhou Can smiled slightly.

The pathological diagnosis has finally been upgraded to the third level, which is already at the level of a resident doctor. If he can still make mistakes in prescribing an examination, then his tertiary pathological diagnosis must have been bought with money.

He quickly checks the results of each test.

On physical examination, heart rate 122 beats per minute and blood pressure 97/49mmHg.

In the range of 60-100 beats per minute in a normal person, the patient's heart rate is significantly too fast.

A normal person has a systolic blood pressure of 90-140 mmHg and a diastolic blood pressure of 60-90 mmHg. The patient's blood pressure was significantly low.

An adult male in his thirties, in the prime of life, had blood pressure so low that it could cause shock. In addition, if the blood pressure is too low, the organs of the whole body will not get enough blood oxygen, and the cell function and metabolism will be impaired.

Over time, the organs will be overwhelmed and shut down.

The patient died.

Next, look down on the results of the blood tests.

Wow, troponin is so high.

Significantly higher than normal.

Zhou Can couldn't help but think of a terrible disease, acute myocardial infarction. The Mr. Cui who saved him in the morning was quite similar to this disease.

Acute myocardial infarction is also a type of coronary heart disease.

If not treated in time, the mortality rate is extremely high and the prognosis is poor.

Based on the results of the first two examinations alone, it is difficult to determine. Next, look at the all-important ECG.

ECG may be evident with myocardial infarction-like changes.

The human heart, under normal circumstances, is capable of continuously discharging. An electrocardiogram (ECG) is a monitoring of its discharge, which is converted into ripples for doctors to use for diagnosis.

When a piece of heart muscle dies or is blocked by a blood vessel, causing the heart muscle to lose its vitality.

The peak ripples on the ECG will be noticeable.

Based on the electrocardiogram, the doctor can roughly determine which blood vessel is blocked.

"Damn, it's really an acute myocardial infarction."

Based on the results of the three examinations, Zhou Can preliminarily deduced that the patient was likely to have acute myocardial infarction.

It's just that he vaguely feels that something is wrong.

The words that Dr. Ho had spoken to him after his visit yesterday rang in his ears again.

"Medicine is a rigorous discipline and I don't jump to conclusions. The diagnosis must be based on the patient's medical history, condition, gender, and various examination data. ”

At this time, the examiner said expressionlessly, "I believe that after reading the diagnosis results, you have already made a judgment in your heart." Please fill in the diagnosis results. ”

Many candidates have begun to fill in the diagnosis results with confidence.

Zhou Can frowned, always feeling that something was wrong.

But I couldn't find a reason.