Chapter 39: The Free Man
"Brother Xian, your suture technique has really reached level 4? Did you go to the medical association for certification? When he went upstairs again, Zou Junzi was obviously a lot more enthusiastic and took the initiative to ask.
"I haven't been certified yet, and the exam fee for the Level 4 skills assessment is too high, and a letter of recommendation is required. Troublesome. ”
"It's good to have a number in your mind."
"After all, level 3 or above skills are enough clinically, and you don't have to be particularly obsessed with whether your skill level information is really level 4." Fang Xian said.
The level certification of the medical association is actually a kind of façade. The façade is for outsiders to see, so that they can understand you. Make a first impression.
In the operating room of the trauma center, the superiors grab a lot of them, and others can catch them at first glance at what level you are.
When you enter the operating room, no one will ask you about your skill level and the level of medical association certification.
When the time comes, you can save time by accumulating enough skills to make an appointment together.
Young people's time should be spent more on learning and struggling, rather than useless running and wandering, unless it is a particularly necessary process.
"Then your basic theory of surgery has also reached level 3? Not certified either? Zou Junzi asked again.
What is Fang Xian? On the second day after entering the trauma center, I crossed groups, how much preparation did I make before I went to the trauma center?
Fang Xian nodded again, these things don't have to be hidden, over time, everyone will know. The level generally can't deceive people, especially doctors, if the level is not good, there will always be cases that you can't handle, and you will be beaten back to the original shape!
Zou Junzi was silent for a while before he said, "Then I have to continue to work hard." Otherwise, I'll be the only one left in the suture group. ”
When Fang Xian heard Zou Junzi say this, he was even more sure that Zou Junzi's talent was not low, he was about to have level 4 skills at such a young age, he was only a junior at his age, and there were only one or two level 1 skills!
Fang Xian asked again: "Zou Junzi, is it possible to continue to wait for the suture group even if you reach the cross-group opportunity in advance." ”
"Yes! The rules are like this, half a year for the suture group, one and a half years for the incision group, and two years for the debridement group. ”
"The time is fixed, and the content of the training is not necessarily fixed."
Very good!
As long as the time is fixed and the content is not fixed, then no matter what the situation, as long as you can meet the standards and do not violate the principles, others cannot kick you out, and you have a chance!
In this way, Fang Xian thought that he could safely and boldly increase the incision technique to level 4.
Oh, there's still 3 skill points missing, so I'll bother for now.
I'll be happy to see you later.
How strong the level 4 skills are, Fang Xian has seen it, and other teachers have also seen it!
Level 4 skills can be counted as fortunes, which is not cheating.
"Brother Xian, there is a teacher calling, I'll go as a laborer first! You can rest for a while and come back. Zou Junzi's heart was squid-shaped at the moment, and at the same time, it was fried by Fang Xian's pot.
Lift the mask up, put your big ears on your head, and set off.
Fang Xian was in no hurry to get into work, he had to take the time to plan well.
At present, the medical society has twelve regulations on basic medical skills.
Incision, suture, debridement, puncture, hemostasis, knotting.
These six skills are the foundation of all surgical skills.
In addition, there are five types of X-ray reading, CT reading, MRI reading, electrocardiogram reading, and medical examination, which are the basis for diagnosis.
The cardiopulmonary resuscitation skills listed separately are dedicated to emergency rescue cardiac arrest patients, and there is no need to pay special attention to them for the time being.
The highest level 2 is a skill that all medical students must learn before entering the clinic, so don't worry about it for the time being!
It is further divided into the theoretical basis of internal and external gynecology, pediatric psychiatry, skin and other major disciplines, and then subdivided into the basic theories of respiratory medicine, cardiology, orthopedic surgery and other specialties of internal and surgical medicine.
Diagnosis is the foundation, and surgical operation is the change and embodiment of treatment.
On top of the basic skills, there are specialist skills.
But obviously, Fang Xian knew that basic skills were the king of the royal road!
When the suture technique is improved, even the upstream skill with the suture technique will be improved, so the other skills will be the same.
Since you are in the operating room, let's do the operation of treatment first.
Incision, suturing, debridement, puncture, hemostasis, knotting.
The stitching has reached level 4, so put it aside.
Incision and debridement are the first to be promoted in the second echelon. Hemostasis does not have to be taken into account, simple hemostasis is symptomatic treatment and the search for bleeding spots.
Subtle hemostasis is not something you can use at the moment.
Useless = less skill points, the return on investment ratio is too low, pass away.
Piercing and knotting.
Piercing Fang Xian is still relatively easy to understand, but why this knotting technique will be listed separately by the Medical Association, so far, Fang Xian has not had a deep understanding.
Isn't it just a knot, ordinary people can learn it in one morning, it's nothing more than a difference between fast and slow.
Maybe it's a kind of foundation for high-end skills.
Debridement is performed first, then incision, then puncture, hemostasis and knotting.
The routes and priorities for promotion have been listed one by one.
Because debridement is actually the most basic and extensive skill of all therapeutic surgical procedures.
Ninety-five percent of surgical procedures can be classified as debridement –
Removing foreign bodies and necrotic tissues, if you can get it through first, it will directly increase the proportion of your damage in surgery, and it will become a major source of your skill points!
With a damage ratio of ten percent and a single hundredth, Fang Xian was already a little disdainful......
Can't be too floating, can't be too floating!
Work!
Fang was idle for a while, and hurried back to the right path.
"There are 4 operating rooms, and the suture team has received it!" Since there are currently two people in the suture group, Fang Xian must first declare his identity, lest the other party think that the wrong person has entered again and call Professor Wang over.
……
At this moment, after Zou Junzi quickly entered the operating room, he looked quite depressed.
Across from him, two superiors were complaining: "This doesn't look like a level 4 suture level, huh?" I already knew I had sewn it. ”
"There are currently two students in the suture group, and the other Xiao Fang is level 4 of suture, and Xiao Zou is a little bit behind. It's also decent, not too far from the level 4 level. Another, slightly older person encouraged.
Zou Junzi was silent, just a pure tool man.
Suddenly, I miss the days when I was the only one in the suture group, when there was no comparison, no involution, and everyone would praise themselves for their good stitching.
Now that Fang Xian suddenly broke in, and suddenly became short, Zou Junzi was a little unaccustomed, as if he had returned to the rookie when he first entered the trauma center, with only level 2 sutures, and was disliked by all kinds......
On the other side, after seeing Fang Xian enter, the superiors were very happy.
"Xiao Fang, you came just in time! We can just take a break. As soon as Fang Xian entered, he saw two superiors who were fishing, shaking their butts from side to side, their eyes full of ease, and they wrote the word lazy to the fullest.
It's like you don't want to do things if you can't do them.
No wonder Zou Junzi said that he was here to save him, and he was indeed a little tired when he met such a group of superiors.
Of course, Fang Xian knew very well that the more relaxed the other party was at this time, the more confident the other party was in his surgical level.
After a quick glance, Fang Xian found that this was a patient with a ruptured abdominal aortic aneurysm, which is a disease that can kill people in a few minutes, and now an old guy and a young man are there with a light breeze, and the ghost knows where they came from.
The technique of pressing the bottom of the box is so sophisticated that it is numb!
Fang Xian was doing the full-thickness sutures of the abdomen seriously.
Suture has a pre-skill called basic anatomy, and Fang Xian is naturally more proficient, so that he can learn the subject more thoroughly by spending time, and he will never be idle here in Fang Xian.
"Xiaofang's suture is the most solid simple suture, paying attention to one-to-one correspondence, which is the most suitable for abdominal wall suturing."
"The suture of the abdomen is about being layered, and there is no need for other bells and whistles. Personally, I think. A professor commented and said to the young man next to him.
The young physician asked, "Professor Hu, the suture of the abdomen is the best for the suture, right?" ”
"My personal understanding is that other people may have different ideas, and if it is in other areas, then it may be better to choose other suture concepts, than with scalp sutures, what about a needle penetrating the bottom?" The person named Professor Hu spoke very calmly!
The young man was thoughtful.
Fang Xian couldn't help but raise his forehead lines to look at him, and then quickly began to stitch up.
Almost after the stitching, Professor Hu also complained: "If every surgical party can be sutured with the table, then we can be much easier......