In a rental house.

Shonan University Hospital does not provide dormitories for general residents, but specialized master's students have their own dormitories.

The main reason is that there are too many undergraduates, masters, and doctoral students in the hospital, and if you want to provide them for residential training, you need more of them.

But fortunately, the monthly subsidy given in ordinary social residential training hospitals is 4,000, while the professional master's degree students are only 1,080, so even if the rent of about 1,000 is removed, in fact, the disposable money of ordinary social residential training is slightly higher every month.

However, there is no certificate, and it is a disadvantage of social residential training.

Relative fairness is the greatest benefit that medical associations can achieve for medical students.

Fang Xian rented a two-bedroom apartment in an old dilapidated community by himself, and the rent was expensive, 1,81 months.

Fang Xian sat on the old-fashioned broken leather sofa with the boiled noodles, and then his eyes focused on the transparent panel that others couldn't see.

"There are 26 skill points remaining."

Fang Xian put down his chopsticks and pondered patiently-

After summarizing these days, we can probably come up with such a pattern.

If you find a diagnosis that others have not discovered, even if it is a sub-health state, you can get a lot of skill points through doctor's advice, persuasion, etc.!

The contribution of diagnosis is also greater than that of treatment.

And if you just use it as a tool person, prescribing medical orders according to the opinions of senior doctors, etc., then the gain of skill points is quite limited!

It is possible that this injury value is calculated according to the proportion of one's contribution in the diagnosis and treatment of a disease.

However, there is one exception to this, and that is that after the surgical incision is sutured, you can get a lot of skill points.

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

Because if you want to have surgery, you have to open your mouth, which is something that senior doctors and patients know and cannot be avoided. Therefore, at this stage, the contribution of sutures lies in who performs it, not who diagnoses it, which is a well-known public diagnosis.

Public diagnosis is a word coined by Fang Xian himself, mainly for the convenience of summarization, and it can also be said to become a non-professional dependent diagnosis.

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

In order to serve as a general resident in a hospital, the prerequisite must be a physician of this hospital, and if you are a physician of this hospital, the most basic requirement is to pass the level of 1st class physician certification before the age of 30.

In the last five years, only three new people have been hired in trauma surgery.

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

At Shonan University, there are at least three to four doctors who graduate from trauma surgery every year, and in five years, there are twenty, among which Liang Yichao is a doctor who graduated from Huashan Hospital of Fuda University.

This is equivalent to 20 doctoral brothers who graduated from this college, and only two stayed in this college.

Climbing the ladder is not a joke.

Let's not talk about this point aside, there are very few opportunities to prove that you want to take patients alone in the hospital, and ordinary residents cannot have more opportunities to practice, even if they are hospitalized, it is at least a problem that only doctors can consider.

Then, the only way to increase the proportion of injury to the disease is to go to the clinic to touch the new diagnosis that other senior physicians or colleagues have not found, or to pick and choose more operations with public diagnoses to do.

For example, stitching or something!

……

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

"I'm also cheap, why do I have to go to see the request to climb the ladder?" Fang Xian dimmed the mobile phone first, then lit it again, and read it again with a crawl, which was an explanatory article of the Huaguo Medical Association reprinted by the Hunan Provincial Medical Association.

Some of the key points are-

"The physician hierarchy system, the process when formulating: in order to standardize the management of physician grades and medical services, and avoid the objective restrictions of skipping surgery, low ability and high professional titles, and high ability and low professional titles. Twenty years ago, the Chinese Medical Association, together with the Health Committee, organized the world's top specialist scholars to formulate new disease classifications, operational classifications and skill levels. ”

"At present, there are six types of diseases, corresponding to six levels of operation, and each operation skill has also been divided into six levels."

"For example, suture level 1, which is equivalent to entry-level suture, can complete simple interrupted sutures and intermittent mattress vertical valgus sutures of surgical incisions or trauma to achieve a flat skin surface, and the suture duration is no more than two minutes per suture."

"Suture level 2, which is equivalent to a proficient level suture, can complete ten simple sutures and intermittent mattress vertical valgus sutures within five minutes, in addition to achieving a flat skin surface without unevenness, it is also necessary to clarify the sense of hierarchy, and the suture depth can not be 0.6cm deep under the skin, not shallower than 0.5cm on the skin surface. Skillfully suture the subcutaneous layer, fat layer and muscle layer, with clear layers. ”

"Suture level 3, which is equivalent to the level of specialization, the level of specialization suture, no special time limit and suture method requirements, the surgeon needs to carefully clarify the subcutaneous layers of tissue and suture to achieve, no need to suture the outer skin, through the zipper skin, so that the patient's wound healing ......"

"After formulating the level of physician skills, the medical association and the health committee once again counted the corresponding skill levels of physicians at all levels in the country for many times, and once again discussed and analyzed by the expert group for many times, and divided the doctors of the country into six levels ......"

"The first-level specialist doctors certified by the medical association are resident doctors, and after statistical and comprehensive analysis of the top residents in the country, the assessment standards for first-level doctors are set."

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

"Basic skills assessment requirements: incision, suture, hemostasis, puncture, specialist reading, and specialist anatomy all need to reach level 3."

"Specialist basic skills requirements: debridement, vascular exploration, and nerve exploration have reached level 3."

"Level 2 operation skills requirements for trauma surgery: vasotomy, vascular suture, nerve suture, fracture manual closure reduction, joint dislocation manual reduction, arthrotomy, open fracture open reduction external fixation stent external fixation...... (Any 3 of them can pass the certification if they reach level 2)"

"Age Restriction: None."

……

After reading it, Fang Xian just wanted to say one thing about MMP!

There is no age requirement for the medical association to enter the doctor's level certification, but when you apply for the job, basically if you can't reach the level 1 physician before the age of 30, you will have no chance with the top teaching hospitals, go to prefecture-level city hospitals, county hospitals or township health centers.

The assessment standard for Level 1 physicians in trauma surgery is not a theoretical test point, and twelve Level 3 skills are required.

Take his classmate Long Yanzhuo as an example, he has reached a level 3 skill in less than 1 year, which is still relatively good, right? But in the sixth and twelfth years, at this rate, there were only seven or eight level 3 skills.

There is no hope at all!

Unless you can reach level 3 in half a year.

And such qualifications are extremely close to the limit of Huaguo's skill improvement speed in the past 20 years, four months.

Since graduating from the bachelor's degree at the age of 23, the minimum age for the current Huaguo Level 1 physician certification is 27 years old!

"Let's stop thinking about fart eating for now, think about how we can engage in public diagnosis operations, and grind more diagnoses that others don't notice in clinical practice." Fang Xian instantly lost his self-confidence.

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

If you get the right to be the head surgeon of the Department of Trauma Surgery at the Affiliated Hospital of Shonan University, we will arrange one or two relatively small outpatient surgeries for you every month.

But this also requires you to meet certain conditions, and the Affiliated Hospital of Shonan University has very strict control over the authority of the main surgeon!

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