Chapter 11 Careful Pondering is Painting Cake (Seeking Collection, Seeking Reading)
"How did you find out?" Xue Li sat in the office of Deputy Gao, crossed his legs, and asked Fang Xian, who was standing opposite.
After Monday's morning shift, because it was not the day of the group's operation, after learning that the newly hospitalized 15 beds needed to be treated with corresponding diseases in the gastroenterology department, Xue Li, the attending officer in the department, deliberately called Fang Xian into the office, and his eyes were quite delicate.
Xue Li is of medium stature and tall height, looking about the same size as Fang Xian, but Xue Li's eyes are shaped like triangles, and there is always an inexplicable sense of oppression when looking at people.
Although Fang Xian had had contact with Xue Li before, it was not too deep.
There are not a lot of resident trainees in the group, and Xue Li has seen too many resident doctors, and Fang Xian has nothing to offer, so naturally he has no deep friendships.
"Brother Li. Maybe I've been sick to my stomach lately, so I've been paying more attention to things like that. ”
"Although the patient only had a transient positive fecal occult blood test, which was a stress of trauma and surgery, this patient had obvious indications for surgery and would definitely have to undergo surgery, and if there was a digestive tract disease under stress, the symptoms might be more severe than the last time."
"In addition, the cost of HP (Helicobacter pylori) is not particularly expensive, and if the patient really needs it, it can be checked before surgery, so I included it in the admission laboratory examination." Fang Xian's skin was pale, just because he had been hiding from the sun in the skill training room for a long time.
Xue Li relaxed his expression slightly, and his triangular eyes were flat into an ellipse: "Don't be nervous, Xiaofang, you can enter our hospital as a regular training, Wang Chuntao can rest assured that you can manage the bed, which proves that your basic skills are solid, and you can rest assured that you can give you the corresponding medical instructions before and after surgery, which is a kind of trust in you." ”
"I'm not asking why you found out, but how you found out, and you can go back to the reason why you found out."
"You have to reply for a few reasons, one is that you are careful, the second is that you spend more time, and the third is that your basic theory will be more solid than others. You have to understand the point of the problem, and we are not talking about responsibility. Xue Li's eyes softened as much as possible, and his tone became calmer.
Fang Xian's heart was slightly relieved when he heard this, and he replied: "Brother Li, I did spend a little more time pondering these things, of course I have corresponding symptoms, so I have put more thought into it. ”
Xue Li nodded and put Erlang's leg down: "Sit, sit first." ”
"That's right, don't be afraid!"
"Haven't you noticed that the reason why there is a medical association in the hospital that sets quite high standards and standards for you is to make you more confident?"
"You ask yourself, let you cut the skin and stitch it now, will you be afraid that you won't be able to do it well?"
"The medical industry is special, and it must be accumulated and developed, rather than corresponding."
"yes, I'm not wrong, am I? You will stitch not just stitch. Xue Li gave Fang Xian a little bit of advice.
"Yes, Brother Li." Fang Xian nodded in agreement.
If he could only suture, then he would not be able to discover the sub-health of the first 15 beds in the process of managing the bed, nor would he find the biggest risk of the patient in Li Qiu's management and persuade him to avoid it.
Ordinary people can only explain that there is danger, but it is difficult to explain why, and directly pierce the defense in his heart, this is the knowledge system and understanding that the basic theory brings to Fang Xian.
Although the entry threshold for assistants stipulated by trauma surgery is promoted by seniors, it is more important to let doctors like Fang Xian, who are new to the operating room, be able to be confident as soon as they enter, so as not to be wildly criticized and sprayed, and then damage their self-confidence.
When Xue Li said this, he didn't go on: "Don't worry, when you are a doctor, you must not be anxious, and you must not be proud." ”
"Surgery is not better than internal medicine, and the training link of surgery will always be more than that of non-surgical departments, that is, you need a specific treatment process, unlike internal medicine, where medicine is used and what machinery is used."
"Surgical treatment is an operable and continuous process. So you can't be in a hurry, not only you can't be in a hurry, but also I can't be in a hurry, that's what we are responsible for the patient. ”
……
Fang Xian walked out of the office, probably understanding the reason why Xue Li was looking for him, which means that the opportunities in the group are limited, whether it is Professor Lin or Professor Song, they can't just see one of them, but they must be comprehensive.
When everyone can do things, opportunities can only be given relatively fairly, not biased, but need to be rotated.
You have done all the operations alone, and others have stared at each other, and vice versa.
There are only five opportunities to go on stage a month, 10 for graduate students, and 20 for doctoral students a month, and the number of surgeries per week is limited.
"Brother Xian, is it convenient?" After Fang Xian walked out of the office, he met Fan Chengpeng.
Fan Chengpeng wears black-framed glasses, his skin is slightly dry, and there are two black moles under his right eye, the moles are not prominent, not as fat as Li Qiu, but the whole person looks slightly fatter than Fang Xian.
Q Fang Xian's tone was very polite.
"Brother Peng, you say." Fang Xian thought that Fan Chengpeng wanted him to help with things or change shifts.
"Professor Song, let me ask you if your basic theory of trauma surgery has reached level 3. If so, you can find a preparatory mentor during this year-end assessment. Fan Chengpeng said.
You are responsible for the excellence, and the hospital will take care of the rest.
No one is a fool, Fang Xian's level will unintentionally overflow between bits and pieces, and Song Yu, who is an associate professor, and even Lin Jiemo can capture it in his eyes.
Fang Xian's eyes flickered when he heard this, although he had thought so in his heart, he couldn't believe that he had become a little fat man in such a short time.
Who wouldn't want to be a master's student? If you don't want to, Fang Xian and Li Qiu will not stay as a resident at the Affiliated Hospital of Shonan University at all, but go to a lower hospital as a master's student.
It's for this opportunity.
"Shouldn't that be enough?" Fang Xian asked tentatively.
Fan Pengcheng said: "It's about the same, at present, Wang Bo is a key influencing factor, Professor Guo will let him control the play, and try to make the brothers in our department have a few more preparatory mentors." ”
"You must not say this......" Fan Pengcheng's last sentence lowered his voice.
Fang Xian's whole person tensed up instantly, and he was inexplicably a little moved and sour.
Professor Guo is the director of the Department of Trauma Surgery, and he leads the entire Department of Trauma Surgery with Song Qinghe and Lin Jiemo, both of whom are at the level of professors.
Fang Xian didn't have much contact with the other two professors.
However, according to the regulations issued by the Graduate Department of the hospital, although there is a competition system between master's students and resident trainees, it will not be achieved overnight.
A preparatory mentor is also a mentor, and after you find a preparatory mentor, if you become a master's degree in the future, then he will be your mentor.
Therefore, Professor Guo deliberately let his students lower their abilities and strength, just so that he could make this year's Zhupei more preparatory tutors?
At that time, even if there is no love between master and apprentice, can they take care of each other?
Is this the broad-mindedness of being the head of the department?
Of course, this is against the law!
"Recently, I haven't been to the skills training room to read books, but this is a theory, and it has nothing to do with entering the operating room, so I didn't go to the medical association for certification." Fang Xian replied.
Fan Chengpeng nodded in understanding: "If you don't go to certification, it doesn't mean that you won't be able to achieve it, if you have the bottom in your heart, going to the medical association for grade certification is going through the motions." ”
"Then I'll report it to Professor Song, but don't lie that you won't pass the assessment when the time comes. That will make the professors doubt your character, which is not good for you. Fan Chengpeng still explained more.
Fang Xian nodded, then chased after him and asked, "Brother Peng, are you also hiding your strength, in fact, you are almost enough to be the main knife?" ”
Fang Xian wanted to ask, is it that the pattern of graduate students and residents like himself is different.
Wang Bo was able to deliberately lower his strength for his brothers, but he and others were still trying to pull Wang Bo down from the position of master's student, and the height and thinking mode of these people were different.
Fan Chengpeng stood still when he heard this, and then looked at Fang Xian with a resentful face: "Brother Xian, haven't you carefully pondered the requirements of the chief surgeon of trauma surgery?" ”
"Four operations! Plus the theory is six. ”
"The level 1 physician certification is twelve. Plus the theory is only fifteen, you can calculate the percentage. ”
"It's a pie."
When Fang Xian heard this, he pondered it carefully, and it felt like this.
The chief surgeon of the Department of Trauma Surgery is required to reach the level of X-ray reading, debridement, incision, and suture at grade 3.
According to the calculation that it takes twelve basic skills to be able to climb the ladder in seven academic years, even the most awesome people need two years to accumulate four skills, that is, the third year of a professional master's degree.
However, most of the master's students in the Affiliated Hospital of Shonan University were unable to stay in the hospital and could not meet this benchmark.
Fang Xianyan's mouth instantly opened and closed a few times when he heard this, and he was as silent as Fan Chengpeng.
He hadn't even met the requirements to become an assistant before, so naturally he didn't think deeply about such a thing.
……