Chapter 8: Aspiring for Greatness and Route Selection

The medical association does not impose age requirements when it comes to physician level certification; however, there are age requirements when applying for positions. Essentially, if you do not achieve Level 1 physician status before the age of 30, you will be excluded from top-tier teaching hospitals and will have to consider positions in municipal hospitals, county hospitals, or township health centers

After establishing the levels of physician skills, the Medical Association and the Health Committee conducted multiple statistical analyses of physicians at various levels across the country regarding their corresponding skill levels. Following extensive discussions and analyses by a team of experts, physicians nationwide were classified into six levels

Age restriction: None

Suturing technique level 2, equivalent to a skilled level of suturing, can complete ten simple and straightforward sutures, as well as interrupted mattress vertical sutures, within five minutes. In addition to achieving a smooth skin surface without any depressions or elevations, it is also necessary to clarify the sense of layering. The depth of suturing must not penetrate deeper than 0.6 cm beneath the skin and must not be shallower than 0.5 cm above the skin surface. Proficient in suturing the subcutaneous layer, fat layer, and muscle layer, with clear differentiation of layers.

However, the lack of certification is a disadvantage of social residency training.

However, this also requires you to meet certain conditions, as the control over the authority of the chief surgeon at Xiangnan University Affiliated Hospital is very strict

For example, suturing and the like

The number of undergraduate and master's degree students, as well as doctoral degree students in hospitals, is excessively high. If we are to provide for residency training, even more individuals will be required.

The damage value may be calculated based on one's contribution to the diagnosis and treatment of a particular disease and the proportion of contributions in the literature.

I am also quite cheap, why must I go and look at the requirements for climbing the heavenly ladder? Fang Xian first dimmed the phone screen, then lit it up again, crawling to read it once more. Inside was a discussion article reprinted by the Hunan Provincial Medical Association from the Chinese Medical Association.

... ...

"Perhaps it is better not to think about trivial matters for now. Instead, take some time to consider how to effectively conduct public diagnostic operations and refine some diagnoses that others may have overlooked in clinical practice." Fang Xian instantly lost a bit of his confidence.

In the past five years, only three new personnel have been hired in the field of trauma surgery

After finishing reading, all I want to say is MMP

The assessment criteria for a Level 1 trauma surgeon, excluding theoretical points, also require twelve Level 3 skills

This is equivalent to the fact that out of the twenty graduates with a doctor's degree from this institution, only two remain here.

Such qualifications are extremely close to the limit of the skill enhancement speed in China over the past twenty years, which is four months

Basic skills requirements for specialized fields: debridement, vascular exploration, and nerve exploration must reach Level 3

... ...

Currently, there are 26 skill points remaining

Suturing technique level 3, equivalent to specialization level, specialization level suturing technique, with no specific time limit or requirements for suturing methods. The practitioner must carefully clarify and suture the various layers of subcutaneous tissue to achieve this, with no need to suture the outer skin. The skin can be pulled together to facilitate the healing of the wound for the patient.

Fortunately, in ordinary social residency training hospitals, the monthly subsidy is 4,000, while professional master's degree students only receive 1,800. Calculating this, even after deducting around 1,500 for rent, the disposable income for ordinary social residency training is actually slightly higher.

There is absolutely no hope

Fang Xian sat on the old, worn-out leather sofa with the cooked noodles in hand, then focused his gaze on the transparent panel that others could not see

Physician grading system, process of formulation: To standardize the management of physician levels and medical services, and to avoid the objective limitations of performing surgeries beyond one's level, as well as the discrepancies of high titles with low capabilities and low titles with high capabilities. Twenty years ago, the Chinese Medical Association, in collaboration with the Health and Wellness Committee, organized top specialist scholars from around the world to establish new classifications for diseases, procedures, and skill levels.

Relative fairness in treatment is the greatest benefit that the medical association can secure for medical students

After summarizing over the past few days, a certain pattern can be discerned

Of course, there is another opportunity, which is outpatient surgery

Therefore, the only way left to enhance one's understanding of the impact of diseases is to engage in clinical practice, exploring new diagnoses that other senior physicians or colleagues may have overlooked, or to selectively undertake more operations that involve common diagnoses.

At the Xiangnan University Affiliated Hospital, in order to independently diagnose patients' illnesses through www.hetushucom.com, apart from the attending physician seeing patients in the outpatient department, only the chief resident is available to handle emergencies. However, this is too far from Fang Xian's current location

Obtain the primary surgical privileges at the Trauma Surgery Department of Xiangnan University Affiliated Hospital, and you will be scheduled for one to two relatively minor outpatient surgeries each month for practice

At Xiangnan University, at least three to four doctors with a doctor's degree in trauma surgery graduate each year. Over five years, that amounts to twenty. Among them, Liang Yichao is a graduate with a doctor's degree from Fuda Huashan Hospital

Trauma Surgery Level 1 Physician Certification Assessment Requirements: Medical Routine Theory Level 3, Orthopedic Routine Theory Level 3, Trauma Surgery Medical Routine Theory Level 3 ... ... (Non-Skill Assessment Requirements)

Basic skill assessment requirements: incision, suturing, hemostasis, puncture, specialized film reading, and specialized anatomy must all reach level 3

Fang Xian continued to read and sleep, awaiting the arrival of the weekend

Climbing the heavenly ladder is no joke

Suturing Level 1 is equivalent to a beginner level suturing technique, capable of performing simple interrupted sutures or interrupted mattress vertical sutures for surgical incisions or wounds, achieving a smooth skin surface, with each suturing session not exceeding two minutes.

Some of the key points are as follows

To serve as the chief resident in the hospital, one must first be a physician of the hospital. The most basic requirement for being a physician of the hospital is to pass the Level 1 medical and librarian certification before the age of 30

Currently, the attending physician of Professor Lin's team, Xue Li, the current chief resident of trauma surgery, Wang Chuntao, and another attending physician from a different team, Liang Yichao

Due to the need for surgery, an incision must be made, which is a matter known to both the supervising physician and the patient, and it is unavoidable. Therefore, at this stage, the contribution of suturing lies in who performs the operation, rather than who makes the diagnosis; this falls under a well-known public diagnosis.

Certified Level 1 Specialist Physicians, who are resident physicians, have established the assessment criteria for Level 1 Physicians based on statistical and comprehensive analysis of the top resident physicians nationwide

Shonan University Hospital does not provide dormitories for ordinary residents, but professional master's degree students have their own exclusive dormitories

Half an hour later, Fang Xian slumped onto the sofa, his face filled with a look of entanglement

In the rental property

Currently, there are six categories of diseases, corresponding to six levels of operations. Each type of operational skill has also been classified into six levels.

If one discovers a diagnosis that others have not identified, even if it pertains to a suboptimal health condition, one can gain a significant amount of skill points through medical advice and persuasion

Public diagnosis is a term created by Fang Xian himself, primarily for the convenience of summarization, and it can also be referred to as non-professional reliance on diagnosis

Since graduating with a bachelor's degree at the age of twenty-three, the minimum age for certification as a Level 1 physician in China is currently twenty-seven years old

Fang Xian set down the chopsticks and pondered patiently

Take my classmate Long Yanzhuo as an example; within less than 1 year, he achieved 1 level 3 skill, which is quite commendable, isn't it? However, at this rate, by the sixth and twelfth years, he would only have around seven or eight level 3 skills at most.

This point will not be discussed for now, as the opportunity to prove oneself capable of seeing patients independently in a hospital is quite rare. Ordinary resident physicians also have limited chances for multiple practice opportunities, and even for those who are following as chief residents, it is a matter that can only be considered at least with a doctor's degree.

However, if one merely acts as a tool, following the directives of the supervising physician to issue medical orders and so forth, then the acquisition of skills will be quite limited

The contribution of diagnosis still accounts for a greater proportion than that of treatment to a certain extent

Unless you can elevate a skill to level 3 within six months

Fang Xian speculates that this is related to the essence of the surgical incision

However, there is one exception: after completing the suturing of the surgical incision, a substantial amount of skill points can be obtained

Requirements for Level 2 Surgical Skills in Trauma Surgery: Vascular incision, vascular suturing, nerve suturing, manual closed reduction of fractures, manual reduction of joint dislocations, arthrotomy, open reduction and external fixation of open fractures ... (Any 3 skills achieving Level 2 are sufficient for certification)

Fang Xian rented a two-bedroom apartment in an old and dilapidated community by himself, with a relatively high rent of 1,800 per month