In the following days, Zhou Can followed Director Xue and Deputy Director Lu to operate in the Department of Cardiothoracic Surgery almost every day, and there were very few opportunities to get started. Some high-risk practices are not allowed to be touched at all.

Compared with other departments, the chief physician of the Department of Cardiothoracic Surgery is the most cautious group of surgeons that Zhou Can has ever contacted.

Director Hu Kan would occasionally take him for surgery.

Take him two or three times a week.

followed these chief physicians to do surgery, and basically got work such as hook pulling, skin sewing, and cavity closing.

It's as if it's back to being an intern.

Zhou Can was not in a hurry, but carefully observed the steps and skills of each operation, and learned various valuable experiences in dealing with crises.

After the operation, he will make a summary of the operation, and ask Director Xue or Deputy Director Lu for advice in time if he doesn't understand.

Although he has not been able to get the opportunity to practice difficult surgeries these days, his cognition and understanding of various diseases in cardiothoracic surgery, as well as various surgical plans and steps, have made great progress.

This is an accumulation and a precipitation.

Perhaps influenced by the 'steady' style of cardiothoracic surgeons, Zhou Can felt that when he did surgery, he seemed to have a trace of 'stability'.

This morning, he was doing rounds in the ward when he received a call from the hospital's personnel department, saying that he had already applied for the practical skills examination for medical practitioners. It was on the 14th of this month.

There is less than half a month to go.

Those 'aunts' in the personnel department can really afford to look down on him.

For such an important exam, it would be better to give a month or two notice in advance!

Fortunately, Zhou Can's surgical skills are not lower than the third level, as long as he is not extremely unlucky, he is confident that he will pass the test.

After Director Xue learned that he was about to take the practical skills exam for licensed physicians, the eldest sister of the team leader who was beautiful and kind, gave him some special care.

It focuses on helping him improve the diagnosis of cardiopulmonary auscultation, imaging X-ray, CT, ultrasound and other examinations, electrocardiogram diagnosis and so on.

She told Zhou Can that in the practical skills test for licensed physicians, the content of mind accounts for the majority.

In addition to cardiopulmonary auscultation and imaging diagnosis, there are also medical history collection and case analysis. As for the basic operations of medical ethics, physical examination, and surgery, for Zhou Can, it is completely a point giveaway.

Every day, some key patients encountered in the ward rounds need to undergo physical examination, which also accumulates rich experience in physical examination for Zhou Can.

Surgical basics, not to mention.

It is estimated that he can beat the candidates in the entire examination area.

He may not be able to compare with him after more than ten years of medical treatment.

Zhou Can found that the training department arranged for him by the hospital was really just right.

Just after more than a month of cardiothoracic surgery training, I began to take the medical certification examination.

The content of the practical skills test is also very important for the mind.

If you want to say that you didn't calculate the date, you won't believe it.

The 14th was coming soon.

Zhou Can has been with the help of Director Xue for more than ten days, and has targeted and strengthened his practical skills in cardiopulmonary auscultation, imaging diagnosis, and electrocardiogram diagnosis.

At this moment, when he went to refer to it, he seemed very calm.

If you have the goods in your stomach and the ability in your hands, you can cope with any kind of exam questions, so you naturally don't panic.

……

When the practical skills test for licensed physicians was over, Zhou Can walked out of the examination room with a confident smile on his face.

The practical exam is divided into multi-station exams.

The first test station is about clinical thinking skills.

It mainly includes cardiopulmonary auscultation, imaging diagnosis, electrocardiogram diagnosis, medical ethics, medical history collection, case analysis, etc. Sure enough, it's similar to what Director Xue said.

Zhou Can did intensive learning and exercise in this area before the reference, plus he had a good foundation, and he easily passed the first leg of the exam.

The content of the second test station is a physical examination, which is a very simple course test item, and it is also easy to pass.

The test content at the last station is basic operations.

This is Zhou Can's strong point, the operation is as fierce as a tiger, fast and good, and he almost didn't surprise the examiner's jaw at that time.

Perhaps they couldn't believe that the young man who had just taken the medical certificate exam had such a powerful level of surgical operation.

If any examiner's jaw is really shocked, Zhou Can can also take the orthopedic technique with Lu Yi and directly help him reset the technique.

After the exam, he returned to the Department of Cardiothoracic Surgery of Tuya Hospital, and his colleagues asked him how he did in the exam.

Zhou Can smiled and said, "It's okay."

With Director Xue's key training, coupled with Zhou Can's strength, if he hadn't passed the test, it would be really unreasonable.

Two weeks later, the results came in.

Zhou Can was changing the dressing of a patient who had just undergone surgery in the ward, and the personnel department called him.

"Doctor Zhou, congratulations, you have passed the Practical Skills Exam for Licensed Physicians! Please prepare for the comprehensive medical qualification examination, the first test will be about a month and a half later, and it will look like on the 20th. The exam will last for two days, so please arrange your handover in advance. ”

Zhou Can took the first place in the Tuya Guipei application exam, and the hospital promised to help him get the certificate.

Now that it counts, Zhou Can doesn't need to worry about applying for the exam at all.

Arrange it for him directly.

Some people say that the medical comprehensive examination is difficult, and some people say that it is easy.

Zhou Can's theoretical knowledge is well known by himself, and at most it is at the upper middle level.

At this time, he is afraid that he will have to put aside the matter of medical practice and make up for the basic knowledge.

Whether he can get a doctor's qualification certificate is too important to him.

There are many regular trainees who are forced to change careers because they can't pass the medical certificate or physician qualification certificate.

He didn't want to have a smooth sail and suddenly a Waterloo.

In any case, he was very happy that he had passed the Practical Skills Exam.

It can also be regarded as a good explanation of four years of university study, one year of internship, and one year of regular training. Now it's time for the comprehensive medical qualification exam.

When he finished changing the patient's medicine and returned to the office, his excitement and joy calmed down a little.

"Doctor Zhou, seeing that you are smiling so happily, have you passed the practical exam for licensed physicians?"

Director Xue asked him with a smile.

"You are really like a god, to borrow your kind words, just now the personnel department called and told me that it has been passed. I was able to pass the exam so smoothly thanks to your help. ”

Zhou Can is really very grateful to her.

"I didn't contribute much, but I had the strength myself. But the next medical exam, it's hellish difficulty, you have to be mentally prepared. There are two exams, both of which are particularly difficult. From now, there will be about four months. Usually looking at your questions and your thinking when analyzing the condition, IMHO, your basic knowledge of medicine should be a shortcoming of yours. ”

Director Xue's expression became much more serious.

Don't look at her usual conversation and amiability, but she is very smart and knows everything.

It's just not spoken.

"Those who know me, Director Xue too! You can be rated as a senior professional title at such a young age, and the theory and academia must be first-class, please help me. ”

Zhou Can also hit the snake with the stick and hugged her thighs tightly.

With her help, the chances of passing the comprehensive medical exam are much greater.

More than four months, not even half a year, if you want to make up for the basic knowledge of medicine, you have to find the right direction.

If he just reads books and brushes questions without rules, it is enough for him to drown in the sea of books and suffocate in the sea of questions.

What's more, from now on, it will only be fifty days before the first test of the medical comprehensive.

It's been less than two months.

Zhou Can wants to say that he is not in a hurry, that is fake.

"The examination questions of the medical comprehensive not only have a wide range of knowledge, but also need to flexibly apply the theoretical knowledge mastered. I found that what you lack is knowledge, and there is nothing wrong with using it flexibly. Your brain is very active and your learning ability is also very strong, why haven't you kept up with the basic knowledge of medicine? ”

Director Xue was puzzled by this.

She has already started to hold some teaching positions and already has rich teaching experience.

It is also more accurate to look at the students.

Which student's talent is good, which student is good at what, and what achievements can be achieved through hard work, she has a more accurate prediction in her heart.

"Alas, don't mention it. Young and stubborn, arrogant, at that time, I felt that the rote way to memorize a lot of boring medical basic knowledge was very low-level. Then, in my senior year, others succeeded in the graduate school entrance examination one by one, but I failed the graduate school entrance examination. Fortunately, I occupied the position of a student of Tuya Medical College, and I was lucky, and I successfully got the opportunity to intern at Tuya General Hospital. ”

Zhou Can talked about his experience, full of sadness.

"After being beaten up by the society, I got rid of seven social youth problems that I was not angry and eight were not convinced. I began to practice the basic medical skills of surgery hard, and worked hard to learn various practical skills, plus I have always liked to read various cases and medical records, and I like reasoning and syndrome differentiation, so I have some foundation in this regard. Finally, the internship ended and successfully passed the training exam. Then step by step, I was fortunate to meet you. ”

"You are my nobleman, if you don't help me, I'm afraid I will only be beaten by society for the second time again, fail the medical comprehensive exam, and then change careers ......"

Zhou Can has been miserable for so long, in order to arouse Director Xueyan's sympathy.

Get her help and take the medical comprehensive examination first.

"Hehe~!"

"I really didn't see that Dr. Zhou, a super genius on the same level as Du Leng, still has such a poor side! However, after listening to the growth process of your genius doctor, whether it is for the benefit of the hospital, or in order not to let a genius die, I have decided to help you. ”

Director Xue was amused by him.

Good student, what teacher doesn't like it?

Zhou Can is extremely good in all aspects, but only the basic knowledge of medicine has become a short board because of his youth and ignorance.

She happens to have the ability to help Zhou Can, so she naturally wants to help.

"So, you agreed?" Zhou Can was overjoyed. "Thank you! Thank you! ”

"Wait for me in the office. After understanding your basic situation, I will formulate a specific study plan for you. But there is a word in advance, even if I help you pass the medical comprehensive exam this time, and you successfully get the double certificate, it does not mean that your shortcomings are really made up. Learning is a long-term accumulation process. My personal advice to you is to live and learn until you are old. ”

"In the future, if you encounter a case that you don't understand, or a history of disease, you must check more information and pay attention to the accumulation over time."

She said to Zhou Can with a straight face.

"Understood!"

When Zhou Can was in the fourth month of his internship, he began to study in this way.

When encountering cases and pathological mechanisms that he does not understand, he will check the information in time or consult the senior doctor.

After one year and nine months of hard work, his basic medical knowledge has actually improved greatly compared to his senior year.

This can be seen from his regular training application exam a year ago.

He didn't score badly on the theory test at the time.

Of course, there are reasons for the strong ability of pathological diagnosis and the accumulation of rich cases and cases, but the basic knowledge has made up for it.

After talking to Director Xue, Zhou Can honestly wrote the case, issued a doctor's order, and checked the information.

If nothing else, at least he is more motivated to study than before.

At about two o'clock in the afternoon, Director Le called Zhou Can.

"Doctor Zhou, if you're okay now, come to Operating Room 1 immediately. Director Hu will have a thymoma resection right away. This surgery is extremely difficult, and you can learn a lot of experience and knowledge about the surgery. ”

"Okay, I'll come right over!"

After Zhou Can hung up the phone, he explained to the senior doctor, Dr. Long, and hurried to the No. 1 operating room.

The human interaction is amazing.

He and Director Le were originally eight poles that couldn't reach each other.

Because of that time, the patient who was cured of the torn pectoral muscle surgery was kindly reminded Director Le that the patient who had heart bypass surgery might have taken painkillers with anticoagulant effect within a week.

Because of these two things, Director Le's good impression of him has increased greatly.

Then slowly get acquainted.

Director Le's cultivation of him has never stopped.

Of course, there are two reasons why Zhou Can can be a man and has outstanding potential.

At least those are not the two reasons why the two of them have gone from strangers to familiar.

There is a fate to meet thousands of miles away, but there is no chance to not know each other on the other side.

Sometimes that's really the case.

Zhou Can rushed to the No. 1 operating room, and the operation had not yet begun.

The patient was already lying on the operating table, and the anesthesiologist was the zombie-faced doctor again.

At this moment, Director Le and Director Hu have not yet arrived.

"Dr. Xu, it's you who are in charge of anesthesia again! Is there anything I can do? ”

Zhou Can has dealt with this anesthesiologist many times.

Every time this person performs anesthesia surgery, it is a fourth-level major operation.

And by feeling, his level is still above that of the official doctor.

In addition to being cold-faced, he doesn't like to talk, his personality is a little weird, and his skills are really good.

"Endotracheal intubation! Get on a ventilator. ”

He really cherishes words like gold, and his tone is cold.

Zhou Can has long been used to it, his hands and feet are nimble, and he helps with professional movements.

It didn't take long for all the instruments to be plugged in.

In order to avoid pain for patients, urinary catheterization is generally chosen to be performed after successful general anesthesia.

"The dosage of this anesthetic must be paid attention to, not too fast. In case it is given quickly, it is difficult to rescue in case of danger. After administration, you need to carefully monitor the patient's various reactions. Complexion, breathing, blood pressure, heart rate, and brain waves are all things to focus on. ”

It is extremely rare that Dr. Yu actually instructed Zhou Can on some anesthesia skills and points for the first time.

And as soon as he opened his mouth, it was all dry goods.

[Congratulations on successfully obtaining anesthesia and performing anesthesia on the patient.] The current experience value is 1/10 of level 1, and the intern fails the level. 】

Zhou Can never expected that there would be such a big windfall.

The medical skills given by the system, he naturally accepted it.

The anesthesia obtained at this moment is completely different from the previous local anesthetic given to the patient.

This is the real art of anesthesia.

Much more advanced.

(End of chapter)