"Thank you, Director Jin, for your trust and recognition." After listening to what Jin Zhaohua said, Fang Xian felt that it was about the same, so he nodded.

"The specific contract and treatment, you will go to the personnel department to sign the contract at that time, and someone will definitely discuss with you in detail at that time."

"We are both professionals and doctors, so let's talk about work planning." Jin Chaohua saw that Fang Xian did not open his mouth, and he also breathed a sigh of relief.

After all, Fang Xian's current ability, if he really wanted to go to Kyoto and the Demon Capital or Guangdong Province, the hospital would really not be able to give him the same treatment as there in parallel.

The financial subsidies in different provinces are completely different, and even more than a drop in the balance.

If Fang Xian is on par with money, then Jin Chaohua will not be able to force him to stay. People go to higher places, and water flows to lower places.

Speaking of this, Fang Xian said: "Director Jin, regarding the matter of work planning, my personal idea is to try to lean in the clinical direction, temporarily do a good job in my own specialty, and then consider scientific research and teaching." ”

Fang Xian, who has stepped on the pit and improved his horizons, once again realized the lack of his ability. I thought that I was a big deal, and I could standardize the treatment of diseases such as damage and injury, and even developed a 'youth version' treatment process, which could also bring out the basic skills of the specialty.

But as he was doing, Fang Xian found that although these things he had engaged in were very useful, they reduced the mortality rate of the disease of destruction and injury, and made the treatment of damage more standardized for more people, and allowed a few people to die, which was very meaningful.

But for people to survive better, it seems a little bells and whistles.

Fundamentally, I have only raised the lower limit, and the promotion of the upper limit has not been very useful.

At the end of the day, it's still the temporary limitation of one's own abilities.

In order to further push the upper limit of the treatment of diseases such as destruction and injury, the most basic thing required is that the skills of the three specialties of gastrointestinal surgery, urology, and replantation surgery have reached a high depth, and only then can we dare to talk about the problem of residual bowel and urine function.

Specialized basic skills, such as debridement, suture, incision, and reconstruction, are useful for the treatment of damaged injuries, and even after treatment, they can make the treatment of less skilled doctors still look aesthetically pleasing.

The retention of functionality is not large.

It can be viewed from a distance and can not be blasphemed, it belongs to the road that is a little forky, useful, but not very useful.

If you can't let the patient survive better, all the beauty is useless.

If you are a very mature urology and gastrointestinal surgeon, you can restore or rebuild the patient's bowel and bowel function, even if it is stitched like a piece of, which looks disgusting.

It also makes the patient feel like a kind of salvation.

Function!

Far greater than what it looks beautiful and ugly.

This is the consistent principle of all patients, and it is the most basic cognition, on top of the function, to pursue beauty and ugliness, which is the patient's requirement for treatment.

Of course, Fang Xian can't be so awesome, it's not that Fang Xian doesn't work hard enough and his ability is too inferior, but that the timing is not enough.

As far as Fang Xian's current ability is concerned, there is no way to continue to evolve the specialty skills of the disease of destruction and injury on the panel, speaking of which, in fact, the raw materials are not enough, and his understanding of the two specialties of gastrointestinal surgery and urology is not deep enough.

Otherwise, on the panel, such a skill should have been automatically organized and systematized, and he can add points, but this is not the case......

The problem of passively suspending this issue of raising the upper limit of treatment is still a problem of insufficient capacity.

Of course, destruction was the disease that Fang Xian had been most exposed to, and he would definitely not give up, but would still move towards it and continue to move forward.

It can only be said that there are too many directions and stages of the development and treatment of a disease, and no one can reach the sky in one step.

Jin Zhaohua nodded: "That's natural, you are so good at basic skills now, you don't let you save your life in the clinic, and send you to simply engage in teaching and scientific research, that is to be punished." ”

"Basic skills, although the degree of professionalism is not enough, but the most basic things, in saving lives, are particularly useful, which has been proven by countless predecessors, as well as current professors."

"In today's emergency department, the mortality rate is already very low, precisely because of the emphasis on basic skills. However, ensuring the lower mortality rate is only the first step in the promotion of medical technology, and how to consider the increase in the upper limit of treatment is an eternal topic. ”

"It needs to be pushed slowly, step by step."

"So that more patients, when unfortunately suffering from diseases, can get better and better services and proper treatment."

"That's a bit of a stretch."

"Xiao Fang, you still have a certain obsession with destroying this disease, right?"

Jin Zhaohua asked.

Fang Xian nodded, and did not hide it: "Professor Jin, the first disease I have been exposed to in depth is damage, although it is a little more difficult, but I can't give up easily." ”

"There are many clinical diseases and many patients, but I hope to use this new disease as a foothold for me to learn specialist skills and develop in this direction."

Jin Zhaohua nodded: "That's nature." There is no distinction between high and low patients, and the same is true for specialties, and there is no so-called chain of contempt. Every patient, when they come to the hospital, they are not feeling well, they are facing pain. ”

"No pain, no disease, who will come to the hospital?"

"But there is a rather realistic and objective problem in front of you, because of the sinking of medical resources and the continuous implementation of treatment methods, have you found it?"

"In our hospital, you basically can't see some simple diseases, so it is difficult to get access to simple procedures in this area."

"It's like appendicitis, we should have been in the hospital for 40 years, and we haven't done such a simple operation."

"For example, simple fracture incision reduction and internal fixation, our orthopedic department has not seen it for a decade or two, basically such patients, whether they are in the outpatient clinic or the emergency department, they will be sent to the nearest hospital by chance, and they will not be admitted."

"Therefore, in the past ten years, in fact, many young doctors in our hospital have lacked the second and third types of diseases, the second and third types of operation skills, and clinical practice opportunities classified by the current medical association."

"You'll definitely find this in the operating room of the trauma center."

"Those who enter the operating room of the trauma center are all fatal diseases, not to mention the main treatment, the associate professor is extremely difficult to deal with, and he does not dare to ensure the quality of the operation, so he must be a professor-level chief surgeon to control the overall situation."

"In our orthopedic department, the reason why we will strictly divide the authority of the assistant and the chief surgeon is that there are not enough opportunities, and the types of diseases we receive on a daily basis are quite complex.

Based on this, Professor Zhou put forward the concept of translational displacement, that is, I hope that some doctors in our hospital can go to the subordinate units to learn these basic disease treatment methods. It is also a kind of support for prefecture-level city hospitals. ”

"For example, the trauma center, in our Hunan Province, in addition to Shashi, there are also places like Changshi Trauma Center and Hengshi Trauma Center, which are actually subordinate referral institutions in cooperation with the trauma center of our hospital."

"It is convenient for young doctors in our hospital to learn some relatively simple disease treatment norms in the past."

"For example, spleen rupture, liver rupture, such as our orthopedic common, small-scale damage and other relatively simple emergency surgeries."

When Jin Zhaohua spoke, Fang Xian sniffed.

"Professor Jin, these emergency departments are not simple cases, are they?"

These emergency departments are really linked to mortality, can they be called simple?

Jin Zhaohua said: "At least it is relatively simple, and naturally there are specialties as well, as far as our joint surgery is concerned, simple osteotomy and joint preservation technology, single joint protection technology, simple joint replacement surgery, etc., are difficult to see in our hospital now." ”

"If it's just simple arthritis, it's the same wherever joint replacement is done, and the joint surgery currently carried out in our hospital is mainly complex joint replacement, joint replacement with large defect reconstruction, etc., and so on......

"So, what I mean is that if you want to come into contact with these relatively simple diseases, you still have to go to these subordinate units to work first, so that you can improve the corresponding basic skills and skills."

"If you rush to the difficult diseases all of a sudden, you may be able to quickly learn the treatment methods and standards of common diseases in our hospital, but for the extended treatment of these diseases, there will be limitations on the development of new diseases and adaptability."

"I said that, Xiao Fang, can you understand?"

Fang Xian nodded: "I understand, Professor Jin." ”

"The more basic it is, the stronger the plasticity, and the stronger the ability to adapt, on the contrary, the real specialist technology, or even the new surgery, the breakthrough surgery, is too targeted."

"It is highly targeted, which is extremely meaningful for the upper limit of treatment, but for personal development, for new diseases or the ability to adapt to complex and unfamiliar diseases, it will become unadaptable."

"Thousands of tall buildings rise from the ground."

"If you just want to be a doctor who can repetitively and mechanically perform existing and mature procedures and treat diseases, then it is enough to stay in one place, keep learning, and keep doing a disease. However, if you want to improve your resilience and explore new treatment models. ”

"The lack or lack of basic capabilities will be a huge shortcoming......"

Jin Zhaohua was very satisfied with Fang Xian's comprehension ability, and of course he also knew that Fang Xian's basic skills were now at a very high level, and he believed that Fang Xian would now be able to understand why all medical students should pay attention to the basics.

"Yes, it is no exaggeration to say that in the early stage of the profession of doctors, the foundation determines our lower limit. But in the later stages, the foundation determines our ceiling. ”

"If you look forward for decades, look back for ten years, or look at the present, this law will not change."

"Of course, let me say something in advance, no matter where you go, you are still a doctor in our hospital, our employees, salaries, bonuses, etc., we will not lose a penny of your ......" Jin Chaohua gave Fang Xian a reminder.

……

Fang had a day of free time and did not enter the operating room to obtain skill points.

However, the time of this day has allowed Fang Xian to gain a lot of things.

Among them, the most simple point is that I got a lot of small money.

The Affiliated Hospital of Shonan University did not disappoint Fang Xian, and the reward for talent introduction and personal ability was as high as 70w! As well as the annual salary and incentive money that can be obtained in the future, Fang Xian is very satisfied with the current treatment.

Fang Xian's current annual salary is also 45 W, although it is before tax.

However, at the age of twenty-six now, Fang Xian has such a high annual salary, but in Shashi, Fang Xian is at least one percent or even one thousandth, or it is not an exaggeration to be bold.

However, what money brings is actually the least valuable.

Correspondingly, after entering the Affiliated Hospital of Shonan University, the implementation of the spouse work in charge of the unit, the enrollment arrangement of the children and the corresponding improvement of social status cannot be ignored.

Although the money has not yet arrived, the doctor's badge of this hospital has already reached Fang Xian's pocket.

The bank card has already been handed over.

It is only a matter of time before the account arrives, and Fang Xian is not short of this money urgently.

Naturally, what Fang Xian has not avoided is that he was pulled into the large group of new doctors, and in the large group, there are many colleagues who joined the same year.

Naturally, what Fang Xian did not avoid was that he, a single dog, had been arranged as the object of the object to be arranged.

After Fang Xian came out of Jin Chaohua, in the process of the personnel department working overtime to sign a contract for Fang Xian, Fang Xian was asked by at least six people about his personal information and contact information in the past, and they all said that they wanted to find a better spouse candidate for Fang Xian.

When the time comes, I must find a suitable girl for Fang Xian.

Actually, Fang Xian can also understand this.

Men, start a family.

After having a family, the heart will become less wild, and it will not move at will. If there was a local girl in Shashi who tied up Fang Xian, Fang Xian would basically not jump out again.

If he happens to be a member of this hospital, or if he is arranged to work in this hospital, and both husband and wife are present, he can still do bilateral ideological work......

In the rental room, Fang Xian drank water while tapping the table with his five fingers.

"The degree of authority and freedom that Professor Jin has given himself is already very high. Allow yourself to run back and forth between Shashi and Changshi. ”

"After returning to Shashi, before officially entering the specialist work, Fang Xian can enter the operating room of the trauma center at any time to study and train, and can also enter the operating room of the specialty to observe and learn."

Fang Xian thought so, and also felt that ability, especially uniqueness and irreplaceability, could add a lot of convenience to you.

After the ordinary people are hired, who is not trembling, and who is not PUA by the director?

Can you relax?

Today, in the process of Professor Jin getting along with him, he almost didn't treat Fang Xian as a junior doctor, and the authority he gave was enough.

Even, the most obvious point.

It was in the large group of new doctors that Fang Xian joined the group.

The staff of the personnel department and the medical department in the group have all added Fang Xian's friends.

After each announcement, he will chat privately: "Doctor Fang, you can ignore the announcements in the group." ”

"Doctor Fang, you don't have to come to tomorrow's meeting."

"Doctor Fang, our side has handled your multi-site practice, and the First People's Hospital of Changshi has chosen to accept ......."

These teachers value their own potential, not their actual abilities.

Of course, the ability to be realistic is not weak, and what other ordinary residents can do, they can also do, but they can do it themselves, and ordinary professors can't do it.

Of course, many surgeries that professors can do, Fang Xian just can't do it at present, not all the time. However, what Fang Xian is doing now may not be able to be done by more than 90% of the professors, nor can he do it.

Without four or five level 5 skills, who can develop a ruined youth version?

Fang Xian himself thinks that the meaning of the 'youth version' is not great, but in the medical community, the 'youth version' processing process is a kind of redemption, no matter what, the first thing that a disease has to pursue is to live, and then to live better.

The 'youth version' of the damage treatment process answers this question, so that more doctors have the ability to keep more patients alive, and this is its meaning.

It may not be absolutely perfect, but you can't deny its importance!

[Current Skill Points Remaining: 14124]

Sitting and lying down can earn 1,500 skill points every day, such a thing is simply wonderful!

During the National Day holiday, the harvest of eight consecutive days without rest is still huge.

Today's skill points have finally reached a point of relative freedom, and it's time to go to the specialty.

Not to mention the others, the basic skills of gastrointestinal surgery: intestinal segment resection, intestinal segment suture, peritoneal exploration, laparotomy, intestinal lesion biopsy, etc., must be touched and deepened first.

Then, nerve grafting and nerve suturing in neurosurgery should also be improved.

In hand surgery, specialized skills such as nerve transfer, nerve replantation, nerve reconstruction, and nerve branch transfer must also be improved.

Then, the bladder exploration, bladder reconstruction, bladder suture, bladder anatomical reconstruction, functional reconstruction, and other procedures in the urology department must also be proficient.

I may have the ability to answer the question of how patients with incontinence can keep these two functional deficiencies related to the basic personality after the injury.

Although the disease is new and cannot be completely defined, it is not completely impossible to understand and understand it in depth, and it is also possible to answer this question by interpreting some diseases of other specialties and corresponding procedures.

Fang Xian stopped knocking on the table, and first found the specialty theories of hand surgery downstream of orthopedics, gastrointestinal surgery downstream of general surgery, and urology, and began to add points to the dark blue.

(End of chapter)