Chapter 2 Add points to become stronger (ask for collection, ask for recommendation votes)
Fang Xian's mind was flooded with a lot of information at once, and it seemed that his hands had become a lot more dexterous.
After the restructuring of the Medical Association, the physician level and skill level were divided, and the different levels of basic medical skills and the corresponding levels of specialty skills were classified in detail.
For example, the definition of proficiency in incision levels 1 and 2 is:
[Incision Level 1: Please follow the laser marking, make an arc incision with a length of 10 cm and an incision depth of 0.5 cm! 】
[Requirements: The knife cannot be repeated, the incut can not appear folded, the incision side movement cannot deviate from the laser reticle by 3mm, and the incision depth cannot exceed 1cm. The operation time shall not exceed 20 seconds. 】
[Incision Level 2: Please follow the laser marking, make an arc incision with a length of 10 cm, and cut the deep subcutaneous fascia!] 】
[Requirements: The incision cannot be repeated, the incision can not appear a broken line, the incision side movement cannot deviate from the laser reticle by 0.5mm, and the incision depth cannot be no more than 0.5mm away from the subcutaneous fascia.] The incision length error shall not exceed 0.2cm, and the operation time shall not exceed 5s. 】
The first level of incision only has an approximate operation control of the incision length and incision depth, while the second level of incision is more strict in the general operation control, not only with specific requirements for depth, but also with the shape of the incision must be arc.
Such a regulation allows you to have an objective standard for the level of incision, which is clear at a glance, and it is powerful.
Strength is the best, and you can see the excellence!
Fang Xian's eyes moved slightly, when comparing such strict requirements with his own operating ability, Fang Xian felt that he should be able to reach such a level!
So, your current skills already have 3 level 2 skills?
Incision, suture, x-ray reading.
Fang Xian carefully corresponded one by one, and found that it seemed to be really the case.
Incision, suture, debridement, and X-ray reading are the basic skills of trauma surgery, and they are also the threshold for entry.
After Fang Xian responded like this, his thoughts began to float-
If he remembers correctly, in their class, among the 3 graduate students and 5 residents in trauma surgery, one of them has the skill progress of the graduate student, and there are no 3 level 2 skills.
After all, according to the description of the medical association, whether it is basic medical skills or basic skills of specialists, to be upgraded from level 1 to level 2, people with average qualifications need to consume three to four months, those with dull qualifications may need five to six months, and those with slightly better qualifications also need one or two months.
Fang Xian spent most of his time improving the basic theories of trauma surgery and orthopedics.
In order to enter the threshold of trauma surgery, it is the top priority to be able to afford the task of the tube bed, so the basic theory of orthopedics and the basic theory of trauma surgery must be solid, otherwise the chief resident will often invite you to drink tea and talk.
If you can't let the total hospitalization rest assured that you are in charge of the bed, writing medical records, talking, prescribing medical orders, removing stitches and changing dressings, etc., how can you improve other skills?
In order to do these basic tasks well, the requirements at the Shonan University Hospital are that you must have a solid theory, be able to answer the regular questions asked by patients and their families, and not be ambiguous, and have regular hospitalizations and master's degree review.
If you find that you are talking to patients and family members with similar 'treatments', and you don't know how to prevaricate with such words, then don't worry about the bed!
Medicine is not child's play, and every step requires extreme care......
Therefore, Fang Xian actually spent nine months to improve 3 level 2 skills, but the other graduate student was upgraded by 5, but the basic theory is not counted as a requirement for surgical operations.
Soon, Fang Xian gathered his thoughts back.
"Don't think about it so much, whether you can become a master's student is another matter, first find out the details of this skill point, strive for more skill points, and improve yourself, which is the key point!"
Fang Xian once again focused his attention on the details of the acquisition of skill points!
"You prevented the patient from causing an infection by advocating for the antibiotics in the doctor's order, and caused 1 damage to an open fracture, gaining skill point 1!"
"By advocating for the oral drug Maizhiling in the doctor's order, you avoided the patient's postoperative edema, accelerated the patient's recovery time, avoided the production of venous thrombosis, caused 0.5 points of damage to the pelvic fracture, and gained 0.5...... skill points"
"You are asserting the ...... in the doctor's order"
Fang Xian is only in charge of three beds, so the detailed regulations are quite limited!
Fang Xian once again extracted the key words, advocating medical advice, that is to say, in these medical orders, the corresponding understanding that is beneficial to the patient's condition and recovery, and if he takes the initiative to prescribe it, he can obtain skill points.
This is due to my previous basic theory of orthopedics and basic theory of trauma surgery!
If you calculate it this way, if you can be an assistant or even become a master knife, then you will definitely get more skill points!!
In this case, then your own calculation is correct, let's go and get the permission to follow the surgery first!
4 level 2 skills, and he is currently only short of a debridement technique.
……
Fang Xian, although he used to be a graduate student in the Affiliated Hospital of Shonan University, but now he is just an ordinary resident doctor, and he has not even obtained the assistant authority in the department, so when he is on duty, he will naturally not let him deal with patients.
What we do is to admit the patient to the empty bed, then open a routine admission doctor's order, build a medical record template, notify the bed-keeper of the bed to take over the patient, and take care of the patient's emergencies in time when on duty, and report to the general hospital for processing.
Proper tool man.
But it's also idle!
Following!
After the morning shift, ward rounds, medical orders, medical records writing and other things are completed, resident doctors like Fang Xian and Li Qiu, who are not on duty, can leave the ward.
They do not have the qualifications to enter the operating room to become assistants, and if they need to practice the basic skills corresponding to trauma surgery, there is a skills training room for them to practice, and they do not even have the basic access qualifications, so they are not worthy of appearing in the operating room at all.
This is not for general residents, but for all residents.
Because even Wang Bo, a first-year professional graduate student, is currently in the same state as Fang Xian, the only difference may be that Fang Xian is not urged by a senior physician, and Wang Bo's mentor PUA him every day, so that he can reach the qualification to enter the operating room as soon as possible!
There is no shortage of people in the operating room.
In Fang Xian's year, there are eight people in the master's degree plus ordinary residential training, the same is true for the second year of the master's degree, seven in the third year of the master's degree, and twenty-one people from the first to the fourth year of the doctorate. In addition, the attending officers, associate professors, and professors, even if they are divided into three groups, can crowd the operating room!
Fang Xian then went straight to the skill training room of the Science and Education Building after completing the corresponding chores.
Then use your access card to go to an orthopedic-related idle skills room!
I can't wait to confirm my current skill level, whether it has reached the level of level 2 as stated on the panel.