medical simulator
Page 411
"Hey, Mao Mao. Come here." Just as Mao Yuxuan was about to enter the department, Cao Lin arrived at the corridor at some point, beckoned to him, and told him to go in the direction of the walking stairs.
After Cao Lin shouted, he walked into the corridor from the door.
Mao Yuxuan was stunned, and then followed. When he got to the stairwell, he found a lot of cigarette butts, and Cao Lin still smelled of smoke: "Brother Cao, when did you start smoking?"
Cao Lin spat. People who just smoked would feel uncomfortable in their mouth and throat.
Especially after staying up late, this feeling is the most 'stimulating'.
"Just yesterday, I wasn't in a good mood." Cao Lin pulled his hair on the sideburns, feeling very unhappy.
Seeing Cao Lin's desperate expression, Mao Yuxuan asked, "What's going on? Do you need help?"
Although he and Cao Lin used to be in a competitive relationship, Mao Yuxuan still showed a little respect for this big cousin because Cao Lin sacrificed his cousin.
"I heard that maybe starting from our general hospitalization this year, we will have to compare all the total hospitalizations in the Department of Orthopedics together, instead of comparing each department individually with the department's as before. Only five places can be allocated each year. always hospitalized."
"But it's not limited to one for each department." Cao Lin looked skeptical about his life, because Cao Lin was actually a general inpatient for a year before Mao Yuxuan.
Mao Yuxuan went from an academic master's degree to an academic doctoral degree, and then he trained for a year before he was admitted to the general hospital.
Cao Lin has a professional master's degree to a professional doctor's degree. At the master's degree stage, he has already completed the standardized training of residents. He has just graduated and became the chief resident of trauma surgery.
Up to now, it has been engaged in for a year, and the general hospitalization failed last year.
Before, according to the practice in the department, every year the next one, the previous one.Or just to wait for time, after five years, the general hospitalization will be dropped automatically. In the third year, if the general hospitalization is not dropped, it will not affect the promotion of the intermediate professional title.
Then continue to serve as the chief inpatient with an intermediate title, and kill the young chief in five years.
Basically, most people take off the hat of total hospitalization in the second or third year.
However, if the comparison is not based on the total hospitalization of trauma surgery and trauma surgery in the future, then the final result is really not certain.
For example, in sports medicine, there is Han Xiaoming, Ding Dian, orthopedics department, bone and joint surgery...
Mao Yuxuan asked: "Then you have asked, is it more professional or purely academic? Or, which one is more important?"
In the past, how to get total hospitalization, professional and academic accounted for half.Compared with the sub-professional, it can be seen at a glance.
But if it is a comparison between different sub-specialties, then, whose major is better, how should this be judged?Could it be that they can only compete in academics? If they compete purely in academics, compared with those in the orthopedic oncology department, their own trauma surgery is inherently at a certain disadvantage.
Cao Lin said: "I heard that the clinical proportion will be even larger, and the future trend will be that the clinical proportion will be larger."
"However, the clinical ability of the competition is not limited to basic skills. Every sub-specialty must have contact with each other, and our trauma surgery department also has bone tumor removal and joint surgery rotations."
"The total residency in sports medicine, which also comes to our trauma surgery rotation, is starting to roll up."
Cao Lin felt a bit pained.
In the past, under normal circumstances, people from each major served as chief inpatients in each sub-specialty, and then they were dismissed, but if it is necessary to rotate like this now?The final variable is even greater.
In the same way, it also requires more talent.People with poor talent can only spend time.
Five years, total hospitalization, which may kill people.
Mao Yuxuan said: "I don't think it's that simple. I think the hospital may learn from the strict selection method. Get people in first, and then keep projects."
"It's like Han Xiaoming's. It must be more competitive. It is said that it is a competition of comprehensive ability, but in fact it is more than academics."
In the past, this was the routine, and there are even many hospitals where a doctor can stay in the hospital, but the only way to get the establishment is to get the general fund within five years. If you get it, stay, if you can’t get it, it will be automatically granted after five years. leave.
It is so cruel.
This is the cruel introversion method of many medical schools, and the newly promoted employees belong to the kind of objects that are squeezed to the extreme.
When Cao Lin heard this, he immediately shook his head and said, "It's not just that, I've asked, the hospital will really pay more attention to clinical and academics in the future, if it only focuses on academics, Han Xiaoming should be hospitalized this year."
"It hasn't been released yet, because the center of gravity is changing in the hospital. But we must also pay attention, the proportion of academics is still not light."
"During the general hospitalization, there are very few people who can get the subject, but there are many who publish articles."
"Moreover, I think that in recent years, the number of new employees in our hospital has exceeded the standard a little bit. I think the arrangement in the department may be to divide another department."
"Now that the general inpatients are being rotated around in this way, it is to prepare for the opening of new departments."
Mao Yuxuan pursed his lips and said, "At any time, as long as people are recruited out of the ordinary, it is to prepare for the opening of new departments or campuses, but these have nothing to do with us."
"It's just that, in this competition of clinical ability, it would be unfair if every sub-specialty's ability was tested. If I got the skill test for trauma surgery, Han Xiaoming and the others also got our department. "
"Is that better than trying a fart?"
Mao Yuxuan is very confident. If Han Xiaoming comes to play trauma, he can hang the other party and fight. Of course, it is impossible for Mao Yuxuan and Han Xiaoming to make a mirror together.
Big man, if you want to play, you can play with the lancet, who will make weird things like mirrors.
Cao Lin shook his head: "No, that's not the case. Han Xiaoming is a sports medicine major. If his ability in trauma surgery is not much worse than yours, a fool can see that you are not as good as him."
"Everyone can see things on the bright side. Naturally, there won't be such a big loophole for us to take advantage of. Oh, let's do it well. I feel that I can't understand the current situation more and more..."
"Then what did Professor Yu say?" Mao Yuxuan asked the department's superiors again.
And this superior was not his teacher, Professor Xue Xiude, but the administrative director of trauma surgery, Professor Yu Qiuhua.Yu Qiuhua is also Cao Lin's master's and doctoral supervisor.
"It's not my teacher, nor our trauma surgery department, who control this matter. It must be the chief director and Mr. Zeng."
"Professor Yu's opinion on this matter is useless, and he will definitely carry it out."
"I'm just reminding you, I hope we don't accidentally hurt you, and we still have to pay attention. Otherwise, it will be very tiring to carry on the general hospital for four or five years." down.
Mao Yuxuan nodded and said, "Thank you, Brother Cao."
"Small meaning, oh, let's go, let's prepare for the shift. I came to several emergency departments yesterday, and I originally planned to use that technique to reset, but now it seems that I'd better not use it rashly."
"Otherwise, if Zhou Cheng can't leave, then I'll be GG. I really envy you, you can be in Zhou Cheng's class." Cao Lin suddenly said sourly.
Mao Yuxuan also figured out how to respond to Cao Lin's words: "I heard from my teacher that I always wanted Zhou Cheng to come to Professor Yu's place, but Professor Yu refused."
"Professor Yu is the administrative director of the ward. Of course, Mr. Zeng can't say much, so he can only bully my teacher."
This is called advancing with retreat, leaving Cao Lin speechless.
Cao Lin had known about this for a long time, but before that, he didn't know that Zhou Cheng would bring him better benefits.
If the current situation changes, more skills are ability, and if you have a skill, it will be easier to stand out.Or, just like Han Xiaoming, if he is always hospitalized, he will take home the face, which is also delicious and will increase his competitiveness.
It's just that whether it's the youth fund or the surface fund that everyone is fighting for, it's not so easy to get it.
……
Soon it was time for rounds.
Because of Cao Lin's notification, Mao Yuxuan was not stupid, so during the rounds, he naturally took over the work that should have belonged to Zhou Cheng.
Cao Lin, because Zhou Cheng's manipulative reduction and internal fixation may be beneficial to the general hospitalization earlier, he felt that it would be good for a follower to be behind Zhou Cheng's buttocks, so if he and Professor Yu Qiuhua finally found out that Zhou Cheng was in our group It is carried out.
For a new subject, I, Mao Yuxuan, and my teacher Xue Xiude will soon be the first batch of people to eat crabs.
When the time comes, will their intestines regret it?
This kind of thing, you can't gossip, Cao Lin is a cousin, yes, but this is not only a competition between the general inpatients, but also a competition for the next ward director, whether Professor Yu Qiuhua can be re-elected as a patient District director, it depends on whether Professor Xue Xiude and the other two professors are strong enough to pull him down.
This is something more realistic.
Once the minimally invasive surgery is successful, either Professor Xue Xiude will take someone out independently, or Xue Xiude will replace Yu Qiuhua.
At that time, minimally invasive surgery was bound to be a popular subspecialty and subject in the whole country and even the world, and many people would come to study it. Hospitals and schools would never let go of such an opportunity to promote themselves and improve their reputation.
It is upright and high-sounding, why refuse it?
Is it just pure competition for total hospitalization time?
Brother Cao, you are short-sighted, but I can't say.
Because I can't say it, I can only respect Teacher Zhou Cheng more.
"Master, this patient."
"Master, this patient." Mao Yuxuan reported to his teacher, Professor Xue Xiude very hard, hoping that he would not embarrass Zhou Cheng too much. It is good for Zhou Cheng to be a casual guest, so that he has more time to organize language and The teaching mode is very good.
Professor Xue Xiude, Gu Zhongliang, Shen De and others also saw through it but didn't say it through, and didn't ask Zhou Cheng what his opinion was.
Then after quickly checking the room, Xue Xiude and Associate Professor Gu Zhongliang did not leave the operating room in a hurry, but called Shen De's attending physician to the operating room first to prepare for the preoperative preparations.
Then, Zhou Chengcheng was invited into the director's office.
This is the first time Zhou Cheng has entered the director's office of the third ward.Zhou Cheng had only been in the director's office of the fourth ward before. At that time, it was still Professor Liu Yiping who let him in when he met him for the first time.
Zhou Cheng followed Gu Zhongliang, and when he entered the director's office, there was only Professor Xue Xiude in it.
After entering, Associate Professor Gu Zhongliang personally poured tea for Zhou Cheng with great respect and enthusiasm.
After Zhou Cheng knew Gu Zhongliang's intention, he was about to stand up. Professor Xue Xiude slightly suppressed Zhou Cheng's movement to get up, and said, "Xiao Zhou, don't be polite, and don't be so restrained, okay?"
"When you come to our place, no matter how long you stay, just treat this place as your home. Don't be polite."
This is the first time that Zhou Cheng has been treated so specially, and he couldn't sit still: "Professor Xue, is there anything special about you looking for me today?"
When something goes wrong, there must be a demon. Yesterday, when Zhou Cheng was treated specially by Xue Xiude and Mao Yuxuan, he couldn't sit still. Now that he was treated specially by Xue Xiude and Gu Zhongliang, he couldn't sit still anymore.
Xue Xiude thought to himself, what special event?
Yesterday, I asked my teacher who had a long history and basically had no relationship with me. You know, I was shocked at that time.
However, Xue Xiude naturally wouldn't talk so much with Zhou Cheng, he just said: "Hey, Xiao Zhou, I'm looking for you today, of course I want to discuss and plan your affairs carefully, I promised you yesterday, I will Let's get started."
"Look, the clinical topic we are going to do now is small incision open reduction and internal fixation. Then, at your age, you must have these few basic abilities if you want to be authorized for this new surgery."
"Conventional open reduction and internal fixation for long bone fractures, followed by joint replacement, joint debridement, arthroscopic joint debridement, and minimally invasive joint debridement. Conventional long bone intramedullary nail internal fixation."
"There are so many things, you need to record at least a dozen sets of videos. Then send them to the professors of trauma surgery in Shanghai to observe, and then decide when to arrange for you to assess the authorization of surgery in person."
"right."
"Secondly, there is also the search for the source of the disease. You see, what kind of disease source you want to find, tell me the general requirements, and I will see if I can use my resources to help you search for it." Xue Xiude , asked with great concern.
Xue Xiude, the Shanghai No. [-] Hospital, a professor of trauma surgery, with a senior title, leads the team. He is also well-known in the trauma surgery department of Shanghai. His contacts and sources of disease are not limited to Shanghai. I used to go to the hospital where I consulted for surgery, some familiar colleagues, and doctors who came to him for further training.
They can all be his resources when he is looking for the source of the disease. Moreover, this kind of active search is extremely beneficial to the patient, to the party providing information on the source of the disease, and to Xue Xiude.
This is one of the energies a professor has, one of the abilities he should have.
After Xue Xiude found his teacher, he could at least be very clear that his teacher was helping him.
From Zhou Cheng's point of view, he is also perfecting Zhou Cheng.
Such a wrist, such an arrangement, Xue Xiude can only envy.Then, the benefit that my teacher gave me is an opportunity that even Liu Yiping and Zeng Lao's personal disciples have never enjoyed, nor can they enjoy.
After analyzing this, Xue Xiude's own vision has improved. He is not limited to being a self-employed person, but directly dragged Gu Zhongliang into the water.
I am lonely and cannot support a department. If I want to start a new department, there are only him and Mao Yuxuan. How can I set up a department?
While helping others, you are also helping yourself.
Zhou Cheng didn't know that Xue Xiude had so many things to think about, so he said, "Mr. Xue, you have already thought about it so thoroughly, so I don't dare to make any more demands."
"Mr. Xue, just watch the arrangement yourself, and I will listen to your arrangement."
Zhou Cheng doesn't pick and choose.
Xue Xiude also thinks that Zhou Cheng's response is quite normal, and the guest can do whatever he wants, no matter what, Zhou Cheng is still living here as a guest.Therefore, it was right that Zhou Cheng would let him arrange things casually, but this also confirmed Xue Xiude's other guess.
This person is probably a professional lunatic comparable to the academic lunatic in the Ninth Academy.
What is an academic lunatic? If you don't understand a subject, if you don't want to come out, you won't graduate.
Like Zhou Cheng, I am afraid that there is also the existence of that 'wonderful work'. Zhou Cheng's professional pool will be very deep.
Wonderful is not a derogatory term in the most distant era.
Xue Xiude had expected it long ago, so he was not too overbearing: "At that time, we will make a detailed division according to the specific situation."
"Xiao Zhou, there is one more thing that I have to trouble you with. Associate Professor Gu Zhongliang has always been with our team, so in the follow-up teaching process, we will not avoid it. You shouldn't mind this, right?"
When Xue Xiude said this, Gu Zhongliang also approached with a smile.
"Professor Xue, Xiao Zhou, drink tea. This tea is Professor Xue's treasure." Gu Zhongliang said kindly, and offered to serve tea to Zhou Cheng.
Zhou Cheng took the initiative to stand up, but asked Gu Zhongliang to bring tea to Xue Xiude, and he held it in front of him, feeling a little cold.
Then he said: "Mr. Xue, Mr. Gu, thank you, you are too polite. I am just a student, I have some courtesy, I really can't bear it."
"I also hope that the two teachers can understand and take care of you in the future."
Leaving aside the other things, Xue Xiude and Gu Zhongliang have been working in the trauma surgery department of the No. Take their strengths.
Now that Zhou Cheng wants to learn, he can only find the strengths of others so slowly, or accumulate gratitude points and open new dungeons.
It is undoubtedly a good thing that Xue Xiude and Gu Zhongliang can cooperate very well to help and make their project go more smoothly.But there is no need to be superior just because you brought Xue Xiude and Gu Zhongliang along.
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