Chapter 2: Strengthening through Enhancement

By advocating for the combination of antibiotics in the medical advice, you have prevented the patient from developing an infection, resulting in a minor injury of 1 point to the open fracture, and you have gained 1 skill point

Medicine is not a trivial matter; every step requires extra caution

For example, the definition of operational proficiency for Level 1 and Level 2 surgical procedures is

To enter the threshold of trauma surgery, it is of utmost importance to first be capable of handling the responsibilities of managing patients. Therefore, a solid foundation in both orthopedic theory and the fundamentals of trauma surgery is essential; otherwise, the chief resident will frequently invite you for a discussion over tea

If you cannot ensure that the attending physician is at ease with managing the ward, writing medical records, conducting conversations, issuing medical orders, and performing procedures such as suture removal and dressing changes, how can you improve other skills?

Soon, Fang Xian gathered her thoughts back together

Fang Xian has devoted most of his time to enhancing the foundational theories of trauma surgery and orthopedics

Level 1 of the incision procedure involves only a general control of the incision length and depth, while Level 2 of the incision procedure entails a more stringent control within the general guidelines, requiring not only specific depth requirements but also that the shape of the incision be curved

After all, according to the description of the medical association, whether it is basic medical skills or specialized foundational skills, to advance from Level 1 to Level 2, an individual of average qualifications generally requires three to four months, while those with less aptitude may need five to six months, and those with slightly better qualifications will still require one to two months

If he remembers correctly, among the 3 graduate students and 5 residents in this cohort of trauma surgery, one of the graduate students has not yet reached 3 level 2 skills

The next day

Fang Xian, after completing the corresponding chores, went directly to the skills training room in the Science and Education Building

As the correspondence concluded, my thoughts began to drift

Surgical incision, suturing, and X-ray interpretation

You advocate for the medical advice in ... ...

Fang Xian carefully matched each item and found that it indeed seemed to be the case

Incision, suturing, debridement, and X-ray interpretation are fundamental skills in trauma surgery and serve as the threshold for entry. If one cannot perform these tasks, it is difficult to make further progress in the field of trauma surgery

If you find that your conversation with patients and their families is somewhat dismissive, and you are using similar phrases to evade the issue, then you should not concern yourself with the bed!

Requirements: No repeated incisions, the incision must not exhibit any zigzag patterns, and the lateral displacement of the incision from the laser reference line must not exceed 0.5 mm. The depth of the incision must not exceed 0.5 mm from the subcutaneous fascia. The error in incision length must not exceed 0.2 cm, and the duration of the operation must not exceed 5 seconds

The operating room is not lacking in personnel

A reliable tool person

Fang Xian is only responsible for three beds, so the detailed regulations are quite limited

After completing tasks such as morning rounds, ward checks, issuing medical orders, and writing medical records, resident physicians like Fang Xian and Li Qiu, who are not on duty, are allowed to leave the ward

Do not think too much for now; whether or not one can become a master's student is another matter. First, focus on the details of acquiring this skill point, strive to gain more skill points, and improving oneself is the key point

This is attributed to one's prior foundational theories in orthopedics and trauma surgery

The tasks performed include admitting patients to available beds, issuing routine admission orders, creating medical record templates, notifying the attending physician responsible for the bed to take over the patient, promptly monitoring any emergencies involving patients during duty hours, and reporting to the chief resident for further handling

Fang Xian's gaze shifted slightly as he compared such strict requirements with his own operational capabilities. Fang Xian felt that he should be able to reach such a level of proficiency and mastery.

Fang Xian, although he was once a competitor among the graduate students at Xiangnan University Affiliated Hospital, is now merely an ordinary resident physician undergoing standardized training. Moreover, he has not even obtained the assistant privileges within his department, so naturally, he is not allowed to handle patients during his shifts

Eager to verify my current skill level, I wonder if it truly aligns with what is stated on the panel, indicating that I have reached level 2.

In that case, the calculations made by oneself are correct; first, obtain the permission to perform the surgery on the platform!

Strength is paramount, excellence is evident!

In this cohort of Fang Xian, there are eight individuals pursuing a master's degree along with general residency training, and the same number in the second year of the master's program. The third year of the master's program has seven students, while the total number of doctoral students from the first to the fourth year amounts to twenty-one. Furthermore, when including attending physicians, associate professors, and professors, even if divided into three groups, the operating room would be overcrowded

Fang Xian once again focused his attention on the details of skill point acquisition

Fang Xian once again extracted the keywords, advocating for medical advice. This means that within these medical recommendations, the corresponding understanding that is beneficial for the patient's recovery can be actively proposed by oneself, thereby earning skill points

So, does it mean that I currently have 3 level 2 skills?

To request the book: Cuts must not be repeated, the cut edge must not exhibit any zigzag lines, the lateral deviation of the cut must not exceed 3mm from the laser reference line, and the cutting depth must not exceed 1cm. The operation duration must not exceed 20 seconds

This is not directed at ordinary resident physicians, but is applied equally to all.

After the reform of the medical association, a classification of physician levels and skill levels was established, along with a detailed categorization of the different levels of basic medical skills and the corresponding levels of specialized skills.

Incision Procedure Level 2: Please follow the laser marking and make an incision of ten centimeters in length with a curved cut, penetrating to the depth of the subcutaneous fascia

But this is also quite leisurely

A wealth of information suddenly flooded into Fang Xian's mind, and it seemed as though his hands had become considerably more dexterous.

If that is the case, if one can serve as an assistant or even become the lead surgeon, then one will certainly gain more skill points

4 level 2 skills, currently I am only lacking one debridement procedure

They do not have the qualifications to enter the operating room as assistants. If they need to practice the necessary foundational skills for trauma surgery, there are specialized skill training rooms available for them. However, those who do not even meet the basic admission qualifications are entirely unfit to appear in the operating room

Incision Level 1: Please make an incision along the laser-marked line, with a length of 10 centimeters and a curved incision as illustrated in the diagram, with a depth of 0.5 centimeters

To accomplish these fundamental tasks, the requirements at Xiangnan University Affiliated Hospital are that your theoretical knowledge must be solid, and you should be able to answer common questions posed by patients and their families without ambiguity. Regular evaluations will be conducted by the attending physicians and master's degree seniors.

Therefore, Fang Xian actually spent nine months improving three Level 2 skills, while another graduate student improved five skills, although the basic theory is not considered a requirement for surgical operations.

... ...

Such regulations provide an objective standard for your surgical skills, making it clear and evident; excellence is simply excellence

Then, using one's own access card, arrived at an orthopedic-related idle skills room

Because even Wang Bo, a first-year graduate student in a specialized program, is currently in the same situation as Fang Xian. The only possible difference is that Fang Xian is not being urged by a superior physician, while Wang Bo's mentor is constantly PUAing him, pushing him to qualify for entering the operating room as soon as possible

By advocating for the oral medication Maiziling in the medical advice, you have prevented the patient from developing postoperative edema, accelerated the patient's recovery time, and avoided the occurrence of venous thrombosis, resulting in a 0.5 point injury due to pelvic fracture, earning 0.5 skill points