Xue Tao immediately arranged for Wang Zhongxing and Mao Mao to revise the doctor's order.

However, when Xue Tao wanted to say a few more words to Fang Ziye, Shen Tao said first: "Director Xue, Director Wu, can you borrow your deputy high office?" How many words can I talk to Xiaofang? ”

It seems to be asking Xue Tao and Wu Guonan, but in fact, it is asking Xue Tao's opinion, and the key to the current deputy high office is here in Xue Tao.

When Xue Tao heard this, he quickly took out the key from his trouser pocket, and handed it to Shen Tao with the keychain: "Teacher Shen, I think it's better to put a key for you." ”

"It's easy for you to work."

When Shen Tao first came, Director Zhang Mingcan suggested that Shen Tao be given the treatment of the deputy high office, but Shen Tao had just arrived at that time and did not accept it.

Shen Tao thought about it seriously and said, "Actually, I always feel a little shameless, after all, I am not qualified to enter the deputy high office." ”

Actually, I agreed.

Wu Guonan said: "Teacher Shen said that it was funny, the deputy high school of the People's Hospital and the deputy high school of our hospital are still difficult to equal. The baselines are not at the same level. ”

Shen Tao then took Fang Ziye away first.

After arriving at the deputy high office, Shen Tao smelled the smell of smoke that had not yet had time to be clean, so he took it out of the cigarette case at once, lit one, and watched the sensible Fang Ziye push open the window, and explained in a soft voice: "Xiao Fang, haven't you been in contact with the doctor's order to redeem the prize before?" ”

"There are some things, don't be too blunt, just turn a blind eye."

The so-called redemption of rewards means that after prescribing intravenous drugs or oral drugs, even if they are necessary, the pharmacokinesis will give a little bit of redemption rewards, which will not be much every month, but this is a very good income for residents, a few hundred dollars.

Intravenous drugs are more likely to be used than oral medications.

And this reward for the necessary medication, whether it is redeemed or not, does not affect the patient's cost.

Fang Ziye looked at his suggestion, and after Xue Tao and the others revised the doctor's order, they got as many as 41 points of knowledge.

Fang Ziye knew that his advice was right in terms of treatment. There is another level of question, which has not been considered for the time being.

However, doing things that affect other people's income is like cutting off people's financial resources.

Seeing that Fang Ziye was just thinking about continuing to take the paper cup to fetch water for himself, Shen Tao first wiped his Mediterranean Sea, and analyzed as a senior uncle: "Of course, the reason why Xue Tao agreed with all his mouths is because the benefits you have brought to the group at present will far exceed the damage caused by this suggestion just now." ”

"Maybe you haven't officially joined the company, so you don't understand the coefficient ratio in the performance distribution between the department and the clinical group."

"Let's just say that the cost of surgical operation is distributed within the group according to the performance coefficient, not beyond the other groups, but the total performance in the department is the large distribution of the comprehensive coefficient of the whole department, including doctors and nurses."

"The current state and policies are all to encourage more operations, fine operations and reduce the drug ratio."

Fang Ziye approached Shen Tao, put down the water glass, sat down in front of Shen Tao calmly, and said with a smile: "Thank you Teacher Shen for your advice, I will keep your words in my heart." ”

If you are not a teacher or have a bad relationship, you will not give such detailed guidance.

Shen Tao didn't tell himself what to do and what not to do, but gave himself a way to weigh the pros and cons and let himself play freely.

Fang Ziye naturally immediately framed a bottom line for himself, that is, the intervention in the doctor's order can only be limited to this group, and the director Zhang Mingcan's group and the director Hongdu group outside the group are not the places where he can always cross the line when he is hospitalized.

"When you first arrive, you can be obedient first, without refutating and explaining first, it seems that the rules that Yuan Weihong has set up for you are quite good."

"Tell me what you think of this hospital, and the reason why you promised Director Hongdu to become the general resident attendant?" From the contact, Shen Tao did not find that Fang Ziye was a pure technical nerd, and he didn't know anything about human affairs.

Therefore, when communicating with such a person, it will be very comfortable, don't bother too much, Fang Ziye must also have his own trade-off method.

Fang Ziye straightened his hands and explained: "Teacher Shen, you also know that whether it is the Provincial People's Medical Department or Zhongnan Hospital, our contact with clinical operations at this stage is limited to suturing and cutting skin, and then there is the practice room. ”

"Therefore, in general, the staff of our hospital will follow the staff in the first year after joining the hospital, and then from the second year onwards, they will take up the position of general inpatient officer."

"Naturally, it is rare for me to have the opportunity to come to a grassroots hospital like En'en Central Hospital to experience."

As soon as Shen Tao heard this, he knew what Fang Ziye was hinting at, and took a deep breath as Fang Ziye spoke, then touched his forehead while spitting out fog: "It seems that your potential index has broken through the baseline, so Professor Deng Yong plans to let you graduate early and join the company early." ”

"Teacher Shen, I don't know about this, what does this baseline and potential index mean?" Fang Ziye relied on the principle of asking if he didn't understand, and his puzzled face flashed.

"Before I said it, I must have felt that it was in the clouds, but in fact, after it was transparent, it corresponded to how good you are at your age."

"In terms of the potential index of scientific research, it is probably that if the amount of work you can produce in a year can be greater than fifty, then you are old, and you can generally jump a class in advance to give you treatment."

"Fifty hours of work a year, that's a big article of more than ten points."

"If you can have 75 workloads a year, this kind of efficiency is basically the treasure of the treasure in each research group, right, hold it for two or three years, and even produce more than 20 high-scoring articles, which laboratory and mentor don't love it."

"Of course, I heard that there are even more awesome, you can produce a workload in one or two days, three or four days, such a madness, at present, we have never appeared in the medical field, maybe in other fields, such as Cao in the news, that talent really belongs to the top level......

"Let's not go into this in particular detail, let's go back to the clinic."

"In fact, the level of clinical ability is really not as good as scientific research. After all, in scientific research, there are articles as the third objective indicator, and there is the workload in the clinic as the evaluation capacity. What about clinical competence and talent? ”

"In our circle in Hubei Province, it is not right, it should be said that in the more mainstream circles in China, the growth curve of several super bulls is counted as a baseline."

"For example, Academician Wu of Hepatobiliary Surgery, his talent must be the top, from the starting point to the highest point of contemporary medicine, it took him ten years."

"If we divide from scratch into a thousand, or 10,000 scales, then the achievements that need to be achieved in a year are 1,000 and 100 degrees respectively."

"So how do you divide this degree? Other surgeries have other surgical divisions. ”

"In our orthopedic department, the division of this degree is generally based on a skill from scratch to being able to go out for teaching surgery, as 5 degrees out of 100. 1000 degrees in 50. ”

"How many years do you use, you can reach the 5 degrees of a tertiary or fourth-level surgery, divide 5 by the year, that is, your potential index, basically can reach about 2, even if it is a baseline, and then it is 3 and a baseline 4, 5, 10... 100 and so on, each with a different baseline. ”

"Doesn't that sound a bit awkward?" Shen Tao looked at Fang Ziye's increasingly confused expression, and asked.

Fang Ziye nodded.

What is this, of course, it is difficult to speak.

"Then take a more intuitive example, your teacher's potential index is about 10, this livestock, at the shortest is only half a year, you can practice a skill to the level we often call entering the room, that is, you can go out to do teaching surgery."

"Then the best figure of our young generation in trauma surgery should belong to the one surnamed Long under Professor Duan of Tongji Hospital, and his potential index is about 15. Maybe in three or four months, you can learn how to perform a surgery. ”

"The potential index of Professor Liu Huanglong of Union Medical College Hospital is 40.The potential index calculated by Wu Lao at the beginning should be at the peak of 60, 60 at this point, which is basically the top in the world, and most of the current super bulls can only hover at this point."

"Learn one operation a month, and the proficiency has to be in ......" Shen Tao sounded quite sci-fi.

"Teacher Shen, that's you." After listening to this, Fang Ziye muttered for about three to four seconds, and gossiped.

When Shen Tao heard this, his face twitched slightly, and he poked the cigarette butt into the ashtray: "Do you usually like to talk to death like this?" The point we're talking about is you. ”

"But I haven't yet, Mr. Shen." Fang Ziye said with a blushing face.

"No, you have."

"Although Level 3 and Level 4 skills are the mainstream of clinical operations, as we all know, the most basic skills are the most difficult to improve. For example, Yuan Weihong said that your sutures. ”

"When calculating the potential index, this operation skill can be multiplied twice on the original basis, I think about it."

"Divide five by three years and multiply by two, and your current base potential index is at least 3.33!"

"And as your basic ability is improved more and more, the speed will be faster when you learn to carry out specialized operations in the future."

"The basic potential index can generally exceed 1, and they are all perverts!" Shen Tao looked at Fang Ziye undeniably, and said a word of encouragement.

When Fang Ziye was talking to Shen Tao, his heart was actually very shocked.

According to Shen Tao, the so-called entry into the hall is level 4, which is 560 points of proficiency.

A month just through the operation of learning, to get a 560 proficiency.

Is this the world crazy or is our business crazy?

Genius and ordinary people, although it is only the difference between the name, but the gap between geniuses and geniuses is countless times greater than the gap between ordinary people and geniuses?

Before Fang Ziye, two years of exhaustion and exhaustion, basically all the time rushed to the practice room and writing articles, that is, the level of about 15/50 at level 2, which is equivalent to two years, and a total of more than 30 points of proficiency were made......

That's it.

Fang Ziye wanted to die headlong.

Of course, Fang Ziye also knew that even if he was himself, he was definitely not the most talented group of people in surgery.

"Teacher Shen, when learning surgical operations, the more you learn the back, the easier it is?" Fang Ziye figured out this truth through Shen Tao's code words.

"That's for sure, the foundation in front of you has been laid, and when you carry out specialized operations, it must be easier and easier to learn."

"Many operations in the specialty are derivatives or variants of the basic skills in the practice room. For example, debridement, in tertiary and quaternary surgery, there are also different techniques and understandings of debridement, such as muscle debridement, necrotic tissue debridement, infected tissue, and corrupted tissue. ”

"In the final analysis, if you think about it carefully, all clinical operations are a change in basic surgical skills, nothing more."

"Okay, that's it, I'll go to dinner later."

"I heard that you are still interested in participating in this year's Youth Skills Competition, and I am very optimistic about you."

"There is no practice room here, so I can't help you much, but clinically, during the operation, I will try to tell you as much as possible, as long as you don't annoy me." Shen Tao didn't touch his Mediterranean Sea at this time, but changed his chin.

"Uncle Shi, you're joking. I'm afraid that if you refuse to say it, you will dislike my qualifications for being dull. Fang Ziye hurriedly smiled and said.

In my heart, I calculated, even according to the clinical operation talent level of Shen Tao and his master Yuan Weihong, Shen Tao's current potential index is still about ten, that is, in half a year, he may be able to learn 500+ proficiency!

Shen Tao is now 34 years old, and at least ten years have passed since he began to calculate the accumulation of clinical operations as a master's student, a thousand a year, and ten years is ten thousand.

Well, Fang Ziye is finally able to roughly know what kind of level the most senior attending physicians with qualifications like Yuan Weihong and Shen Tao are.

At least 5-10 level 4 skills look like.

So, let's calculate the skill pool of Professor Liu Huanglong again-

Bottomless.

"You go out first, I'll order another one, and think about some more things." Shen Tao waved his hand and asked Fang Ziye to leave first.

Fang Ziye nodded and went out, and continued to calculate Luo Tingzhu's potential in his heart.

Luo Tingzhu's words, from the beginning of her contact with the clinic, in most cases, she is in contact with basic skills, but Luo Tingzhu can guarantee that in about a month, she will raise an operation to the level of level 3.

And it is also a multi-operation improvement at the same time, that is to say, she can increase her proficiency by 30-50 points in about a month, and the proficiency in the basic skill stage can be improved, and finally when it corresponds to the specialist skill, it can also be doubled.

That is, the level of proficiency of 60-100 points, so that she can learn a level 4 professional operation skills in about five months, and such a potential index is also about 10, which is equivalent to her own teacher.

What about yourself?

If the second rises.

Compensation, stinky shameless.

Fang Ziye's thoughts had only just been transformed, so he didn't think about it anymore.

I just think that what Uncle Shen Tao told him is simply top-notch and useful.

In this way, Fang Ziye can control his ascension speed very clearly, which is unexpected by others, but in the understanding of the world, he asks who dares to hit him?

Don't ask, it's your too good to ask.

But if one day, if you suddenly increase a skill from level 4 or even level 5, it is difficult for ordinary people to understand, and even the improvement speed of the top genius is incomprehensible.

If one person doesn't understand, it's his dish, and if everyone doesn't understand, you must have a demon.

bingo！

Fang Ziye felt that he had solved the biggest barrier, a lightning rod, steadily inserted into the ground, no matter how he pretended to be forced, as long as he did not exceed this bottom line and reached the level of terror, then the sky was high and the sea was wide, and Fang Ziye was allowed to swim by himself.

After going out, Fang Ziye was naturally called by Xue Tao and Wu Guonan to chat, and asked if Fang Ziye had encountered difficult patients when he was on duty today.

……

After dinner, Fang Ziye still decided to say goodbye to Wu Guonan and others, politely declined the suggestion to go to KTV to sing together, and went to the skills training room where Huang Kai was said by Guo Yunlei.

Seeing Fang Ziye's arrival, Kai Ye was both excited and a little nervous.

In the skills training room, there are already twelve or thirteen people who have started to practice.

The old directors of Zhang Mingcan's group are Guang Shiqing, Zhang Jinchuan, Cao Zhen, Li Ruokai and Mao Mao. Others

Because Zhong Xue and others are already old, they don't have the face to participate in the competition again.

Huang Kai didn't disturb others, but took the initiative to come to the skill training room, and smiled thickly: "Dr. Fang, you are really here, I am honestly afraid." ”

Huang Kai's muscles bulged, but they were a little twisted.

"Master Kai, thank you for giving me such an opportunity, I think it's all people from this hospital." Fang Ziye knew that Huang Kai could take the initiative to call himself, which was kind.

"Hey, it doesn't matter if this hospital is not this hospital, Dr. Fang, if you want to come to this hospital, my place is yours. It's just that I've participated in a few competitions, so Director Zhang Mingcan entrusted me to take some students. ”

"Dr. Fang, why don't you practice first, and I'll see how far your basic skills have been?" Huang Kai pointed to the skills training room, his nervousness had eased, obviously it was not the first time he had been a teacher.

Fang Ziye nodded first.

Huang Kai also gave Fang Ziye some materials for practice.

In fact, it is a common tofu, which is used as a material for incision, debridement, suturing, and hemostasis.

However, the tricks that can be played with these materials, Fang Ziye has basically played and cleared the customs.

Moreover, Huang Kai's so-called teaching exercises are actually simply appropriating the basic materials of the practice room in Zhongnan Hospital.

However, Fang Ziye has not been in the practice room for a long time, so he is familiar with the corresponding technique exercises, which can be regarded as a foundation for Huang Kai here in advance.

Huang Kai saw that Fang Ziye had cleared all the practice materials for tofu, and his heart was tense at that time.

His mouth began to open wide, and his heart panicked—

What the hell is this?

Manual reduction and suture debridement are also done so well?

Isn't it, this Fang Ziye will not have a deep attainment in the field of basic skills, right?

Therefore, Huang Kai suspiciously dedicated the materials he usually used to practice hand suturing one by one, and he couldn't hide his secrets anymore, otherwise, his unilateral invitation might become a joke......

(End of chapter)