"Professor Wang, it's still very early stage. I mainly do the construction of the basic skill skeleton ......," Fang Xian said cautiously and helplessly.

This is to optimize the allocation of resources by lowering the standard when the resources are relatively insufficient.

If every hospital had a Professor Xu Fengnian, then the current research would be meaningless, but the problem is no. Not only did Chen Jiwu not, but even a doctor like Fang Xian, except for level 5 skills, could not guarantee 100%.

"Lowering the standard of care to deal with patients? Medical ethics over there. Wang Huan subconsciously considered a more cautious direction.

But soon, Wang Huan reacted: "But your current basic level 5 skills are enough, even if the standard is lowered to a certain extent in the process of operation, and in case of unexpected situations, you can get to the bottom at any time." ”

"I really envy people like you who have level 5 Ruyi skills."

"Ruyi, ......" Wang Huan sighed, as if expressing a kind of regret and regret.

The reason why the hospital attaches great importance to the number of level 5 skills is not only that it sounds awesome, but also that it can cover any related diseases at a critical time.

It's not just that it can be easily taught, in fact, the biggest role of level 5 skills is to teach in a wide range of natures, lower the operating standards, and always walk under the standard of exploration and attempt.

The treatment procedures and treatment processes of the disease are re-examined and 'downgraded'.

Strive to be able to explore a set, even if there is no level 5 basic skills, or even level 4 skills, the team can take down such a dangerous and difficult to treat disease, and promote it to other regions and regions.

In this way, we can make the best use of the existing medical resources more scientifically.

It's a desperate move.

But it is also a phased process.

If everyone in China is like a dragon, then there will be no such concept as the first rich leading the latter to become rich.

It's like destruction and damage, there are problems in every place, but because of the size of the place, the degree of development of the city, the order of magnitude is different.

You can't just ignore it because of the difference of orders of magnitude, for example, in a county town, there is only one case a day, or only one case occurs in two or three days.

Some patients who may die on the way to the operation ignore it, turn a blind eye, and use their lives to be poor and come from limited geographical conditions to frame this framework, and it is unlucky to encounter it.

We have to find a way to solve and deal with it, even if this method is not the best in the country, but as long as it can be implemented locally, it can solve the problem, and it will not lead to death or even disability.

Such progress is great progress.

When Fang Xian heard Wang Huan say this, he said: "Professor Wang, the scope of this topic is relatively wide and large, and there will definitely be Professor Wang and other professors in the operating room of the trauma center to help in the future." ”

"Professor Xu also asked me to give full play to the strengths of our students, and I hope to invite some people to help. I am soft-spoken, and I will need your help, Professor Wang, when the time comes. ”

"And you're my aunt, you're going to help me, aren't you?"

Fang Xian knew that Wang Huan had level 5 skills, not for nothing, but Wang Huan's level 5 skills were quite limited, and he was relatively old when he reached this step.

Therefore, she has no chance to compete for the leader of the discipline.

And Fang Xian also knew that the reason why Professor Wang Huan had only come to this point at an advanced age was related to her son Xiao Qian Fang Qi'an.

I heard my father say that Professor Wang Huan had an embolism when he gave birth to a small amount of money.

Luckily, the embolization did not occur within the skull, in the heart, or elsewhere.

Unfortunately, it happened in the right upper limb, which made Professor Wang Huan's right hand less mobile, so it took her ten years to regain her function......

Now, as he grows older, it is naturally impossible for Professor Wang to reach such a peak again, and even now he rarely even assumes the professorship of chief surgeon, but turns to the diagnosis related to major surgery.

Basically, most of the patients in the operating room of the trauma center, Professor Wang Huan will personally go through them. However, if there are too many patients at one time, then Professor Wang Huan has no choice but to let someone else replace him......

"You've learned to be sweet."

"It's not so easy to develop a disease, or even create a new discipline and subspecialty. Half a year to a year is extreme, even three or five years. ”

"In addition to the treatment field, the development of diseases such as damage and injury also requires multiple steps such as on-site treatment, transport and rescue, on-site diagnosis, and comprehensive treatment of emergency surgery."

"Only when you get to the operating table is it within the scope of surgical emergency rescue......" Professor Wang Huan said to him.

"It takes a moment of calmness......"

Fang Xian raised his head and looked at Wang Huan, his expression seemed to say, Professor Wang thinks I am a person who can't calm down?

But Professor Wang Huan also found that his wording was wrong.

For others, what is needed is to calm down, and for Fang Xian, what is needed is for Fang Xian to have a little more restlessness and sense of life ritual that belongs to young doctors.

Fang Xian's life now is not only for girls to avoid, but even parents who like to see their motivated sons-in-law feel terrified.

"But it doesn't have much to do with you."

"Keep doing it, Professor Xu, as one of the leaders of the discipline of trauma surgery, many things on his body are treasures for you, and they are worth digging into."

"You are just broadening and building this disease now, Professor Xu Fengnian of the year, but building from scratch, this is a process from scratch, if you can learn this process, then your clinical research ability can be greatly improved."

"Of course, there are some teachers in our hospital who can teach you these things, but because you have grown up so fast, we haven't had time to prepare for this." Wang Huan told Fang Xian so.

It is estimated that it is also a reminder of leisure, don't eat inside and out, your own platform is also quite good, and the resources that can be provided to you are beyond your imagination.

Fang Xian knew that Wang Huan was connotating the conversation he had with Professor Xu Fengnian before, and he said that he could go to West China Hospital.

But isn't that what he said, who asked Professor Wang to cut his study time?

"Professor Wang, I know this, and I can now understand more and more the difficulties of Professor Zhou and Professor Yang in building a trauma center from scratch, as well as the value of the development of the medical association from scratch."

"Professor Xu is a very good person and a very principled person. He didn't instill in me these concepts that I was going to West China Hospital. ”

"Moreover, Professor Xu Fengnian has gone through the topic this time before, so now, the skeleton of the process is mainly prepared by Professor Xu Fengnian, but the large skeleton of skill preparation is mainly operated and responsible for by me."

"We have submitted the process application of the project to the Medical Ethics Association of our hospital, and made a commitment and guarantee that in any case, we will give priority to treatment and saving lives, and research is secondary, and we will never study for the sake of research."

"So, not only do we record the success stories, but we also record all the failures, for example, what kind of structure is not able to solve the problem with what kind of skills and team preparation."

"To develop a sub-standard, in addition to finding the adaptation point, we must also find the taboo point. Cut the cost of trial and error in advance. Following Professor Xu Fengnian for more than half a month, Fang Xian has become much more mature, and his horizons have broadened.

Being a doctor and saving people is not just about skills.

Medicine, as a discipline, is not only the process of its inheritance and development.

Some things that look tall can actually come to you when you walk slowly.

And this is not rewarded by anyone, but also by one's own strength and ability.

Yes, the development of high-standard and low-standard treatment processes for damage damage can generally only be done by level 5 skill holders.

Because according to Professor Xu Fengnian, if a skill reaches the perfect definition of level 6, then the owner of his skill, the minimum of his operation, will be level 4 skills, no matter how trial and error, unless it is deliberately fooling around, otherwise, the standard of operation cannot be lowered too low.

In fact, level 4 skills are not easy to achieve for young doctors or chief physicians in some county-level hospitals and prefecture-level city hospitals, and require a certain amount of talent and time accumulation.

And, there is a very real problem now.

Even the residents of large tertiary hospitals like Fang Xian and Li Qiu will not go to county hospitals and prefecture-level city hospitals after graduation, they would rather go to private hospitals in Modu, Kyoto or major provincial capitals, and they will not be willing to take the initiative to go to county hospitals!

People go to high places, and water flows to low places, this is a reality.

The people who go to the county hospital are basically some undergraduates who are not very good, or regular trainees in prefecture-level city hospitals, etc......

Most of the doctors who go to prefecture-level city hospitals are master's students with limited talent or young doctors who want to lie flat and have no passion for struggle, so don't expect him to work hard and hard to improve his skills.

If you want them to stay in the prefecture-level city, whether others are willing to stay is another angle......

"Very good, it seems that you have indeed learned a lot from Professor Xu."

"But I have one more requirement for you, that is, to explain these words clearly to your Uncle Yun, otherwise, he will always ask me every time about your current situation." Wang Huan was quite pleased.

But he was also quite helpless.

From a teacher's point of view, Fang Xian's current development should be free and open-ended.

Even Fang Yun, even if Professor Fang is the third director of the Affiliated Hospital of Shonan University, he can't interfere too much with Fang Xian's current development direction and choice.

And so it is.

Fang Xian's talent and ability are here, his choice, even if you are Fang Yun, Fang Xian's uncle, or a well-known old professor, Fang Xian now has what he wants to do.

You'll have to give him a concession too!

You are excellent, and the rest will be left to the medical associations and hospitals.

This sentence is definitely not just talking!

When Fang Xianyan heard this, he said: "Professor Wang, I have told Uncle Yun about these actual situations, but it may be that he has a lot of trouble, so he keeps asking me." ”

"But I still think it's better to go to Changshi to study with my Uncle Yun."

"It will be more meaningful to stay in Shashi, continue to do a good job in the current encounter and are doing this topic, grasp the current learning opportunity first, and work hard to improve your ability."

"It's not just meaningful to me."

When Fang Xian said this, he smiled cautiously and shyly, and said very cautiously: "Maybe it can promote the progress of medicine to the front." ”

Fang Xian gestured to the size of a very small fingernail.

"It's okay, the living can't be suffocated."

"Everything is subject to change. At the First People's Hospital of Changshi, if you don't go, there will naturally be professors and people from the medical association who will arrange for others to go. ”

"However, perhaps, it is relatively more appropriate for you to go, and other people in the past are just a supplement and temporary replacement for the time being."

"The teacher will arrange for you to go like this, there must be a reason for him."

"When you have made some progress in this subject now, and you can continue to go down without you in a short period of time, you still have to go to Changshi."

"When the time comes, I will run back and forth between Changshi and Shashi."

"Excellent people can do a lot of things, relatively speaking, there is less and less time for freedom......" Wang Huan said this, which was meaningful, as if he had experienced it firsthand.

……

When he came out of Professor Wang Huan's office, Fang Xian looked at his skill panel list and felt extremely steady.

[Basic medical skills: incision level 5, suture level 5, debridement level 5, X-ray reading level 3, CT reading level 3, ECG reading level 3, cardiopulmonary resuscitation level 1. Medical Specialist Examination: Level 3. Paracentesis: Level 5. Knotting: Level 3. Level 5 of hemostasis. MRI grade 3. 】

Of the twelve basic medical skills, 5 are level 5, and the rest are level 3 except for cardiopulmonary resuscitation.

There was no particularly big improvement, but Fang Xian had a feeling of giving up on me. Because of the basic skills now, basically all the common diseases in surgery, Fang Xian can be sideways.

If you don't talk about the key role, but play a secondary key role, that's fine.

The plasticity of basic medical skills is so strong that Fang Xian has long experienced it.

And in the clinical process, there are too many witnesses.

[Basic Theory of Medicine: Conventional Theory of Medicine Level 3, Conventional Basic Theory of Surgery Level 3, Orthopedic Conventional Theory Level 3, Conventional Theory of Vascular Surgery Level 3, Routine Theory of Neurosurgery Level 3...... Joint Surgery, Bone Oncology, Hand Surgery, Trauma Surgery Conventional Theory Level 3 ......]

Because there are a little remaining skill points, Fang Xian uses every 500 points as a ladder, first points the theories related to the medical foundation, and after clicking on the more basic theories, and then when the skills are full to level 3, the skill points consumed are more and more saved.

For example, when you point to the basic theories of some subspecialties, the total skill points consumed are only more than 100 points, which can be regarded as the efficiency of improving after the skill points are relatively free, which is more free than when the efficiency of the previous skill points is very small.

Skill points are relatively free.

[Trauma Surgery, Hand Surgery Specialist Skills: Orthopedic Related Instrument Operation Experience: Level 3, Manual Reduction Level 3, Tendon Suture Level 3, Nerve Suture Level 3......]

[Current Skill Points Remaining: 183 Points]

In order to do the task, Fang Xian clicked on all the skills that he could point, so that he could better simulate the level of other ordinary doctors and make a matching response plan.

Moreover, because of some prototypes of the new project that he and Professor Xu Fengnian have done, they are currently in the operating room of the trauma center, and they have begun to embezzle and participate in other students, such as Zou Junzi and Zhou Xiyin.

Therefore, Fang Xian found a relatively novel way to obtain skill points.

And it was this way that made Fang Xian decisively refuse Uncle Yun's invitation, and even asked Professor Yang by phone when he would go to Changshi.

[By advocating the 'New Healing Mode of Destruction (Level 4 Skill + Level 3 Theoretical Model)', you will deal 11 points (2‰) of damage to the damage and gain 11 skill points. 】

[By advocating the 'New Healing Mode of Destruction (Level 4 Skill + Level 3 Theoretical Model)', you will deal 9 points (2‰) of damage to the damage and gain 9 skill points. 】

[By advocating the 'New Concept of Suturing', you can deal 0.5 damage (1‰) to tendon rupture and gain 0.5 skill points.] 】

【……】

The amount of skill points gained in a single time is not very large, but the frequency is relatively high. Because there are two people, Zhou Xiyin and Zou Junzi, who are taking turns to carry out tentative and effective operations.

This is worth studying carefully.

Moreover, Fang Xian was also particularly cautious to compare this new theoretical model with Li Qiu's new concept of 4-level suturing and the 4-level suture that Zhou Xiyin taught.

And then I found out.

Li Qiu's clinical injury, he will get about 1‰ of the damage produced during the operation.

However, Zhou Xiyin's level 4 skills did not let Fang Xian gain anything.

In this comparison, Fang Xian almost felt that he might have broadened the way to obtain new skill points.

R&D.

In other words, if the theory developed and pioneered by oneself is used by others in clinical practice, after it is beneficial to the patient, it will give you a small amount of damage and replace it with skill points.

This TM is very scientific!

Although front-line clinicians are the main task bearers of treating diseases and saving lives, in fact, in the process of curing all patients, the theories, concepts, experiences and lessons of the predecessors from generation to generation are playing a huge role, even a guiding role.

Most doctors are just repetitive workers of other people's medical concepts, theories, and skills, and senior operators!

Under such a mechanism, Mo said that Uncle Fang Yun invited him to the operating room of the trauma center in Changshi, but Fang Xianhui refused.

didn't study this matter clearly, even if Old Professor Zhou asked him to help now, Fang Xian would hesitate first and then politely refuse!

Don't talk to me about any reason!

Uncle Yun!

At the moment, nothing is more important to me than figuring out such 'cause and effect'.

Fang Xian's gaze was extremely determined, and he silently said to himself in his heart!

I am glad that I had a little kindness at the beginning, and I am also grateful to Li Qiu for his firm trust and brought such a suture concept into the clinical ......

Stories need foreshadowing, and research also needs objective facts to trigger. Maybe the author didn't do a good job of helping Zhou and Li in the early stage.

However, the story is a circle, and there will be no plot for no reason, if the protagonist does not experiment, does not compare through his own vision.

Then he may not know such a pattern until much later.

Any move in reality will affect the long term.

The perspective of this book will always focus on the main character, and it can also better allow the reader to explore and discover one by one with him. Otherwise, the author instills all the worldviews in an instant, and there will be no plot.

(End of chapter)