Chapter 5, Newcomers in the Operating Room

There are two medical associations in Shashi, namely the Shashi Medical Association and the Hunan Provincial Medical Association

After all, surgery is not a trivial matter

Moreover, in the crowd, Fang Xian also saw the sixth-year brothers from other subspecialties of orthopedics queuing, and they happened to be standing just two places ahead of him, having arrived only a short while before him

Fang Xian, after hearing the good news, quickly opened the document and began to read it...

The Shashi Medical Association is a municipal-level medical association responsible for the assessment of the qualifications and corresponding skills of Level 2 (attending) physicians and below within the Shashi area. In contrast, the Hunan Provincial Medical Association is responsible for the assessment of qualifications and corresponding skills for Level 3 (associate chief) physicians and above across the entire province.

... ...

"What a load of nonsense! Kneeling to the old folks is more like it. No more words, saying too much only brings tears." Longyan Zhuo's expression turned into a bitter smile, silence speaking louder than words, while deep furrows appeared on his forehead.

What is your own level? When practicing in the skills training room, where do you stand on average? Feedback can be provided to you long ago, and an additional assessment from the medical association is only to ensure that you can still perform at a stable level when facing stressful situations

The certification for a Level 1 physician is a challenging threshold to cross, especially to pass the assessment before the age of 30

Fang Xian turned to look at Li Qiu, and Zheng nodded seriously. His tone was calm: "Yes, it has passed"

The next day, Fang Xian continued to report to the attending physician, conduct rounds, issue medical orders, and write medical records on https://m.hetushu.com.com

Long Yan Zhuo is an undergraduate classmate of Fang Xian, both of whom are from Hengnan University. Among the thirty-two individuals who entered the Orthopedic Department of Xiangnan University Affiliated Hospital this year, only three are from Hengnan University, while the majority are undergraduate students from Xiangnan University.

A Level 2 physician is not equivalent to Level 2 skills, nor is it merely a Level 2 specialty foundational skill. It requires genuine specialized skills, such as arthroscopic examination techniques, rather than just basic specialty knowledge. Skills such as experience in arthroscopic operation or experience in operating arthroscopic instruments are foundational skills.

Even in the realm of martial arts, there are rumors that achieving the average level of a Level 1 physician certified by the medical association before the age of 30 is akin to ascending a heavenly ladder, which is the reference standard for staying at the Xiangnan University Affiliated Hospital

"After all, health is the most important thing, Xian Ge, just look at yours." Longyan Zhuo directly picked up the receipt for the medical skill level certificate issued by the Shashi Medical Association that Fang Xian was holding, without any hesitation.

With the requirement of a Level 2 physician as the lead surgeon, it remains uncertain how much longer Longyan Zhuo will have to endure

"What are you still looking for in a girlfriend? Does a girlfriend have a skill training room?" Li Qiu's eyes widened, and his tone was resolute

The trauma surgery department is equipped with two dedicated operating rooms, allowing two teams from the same subspecialty to perform surgeries simultaneously. In total, the orthopedic department comprises five subspecialties and ten operating rooms, showcasing the extensive scale of the operating facilities at Xiangnan University Orthopedics.

"Before reaching the level of a Level 2 physician, wanting to perform surgery is purely wishful thinking. One can only linger in the operating room." Longyan Zhuo said as he covered his forehead.

Not to mention that there are only a few, like Fang Xian, who come solely for the purpose of skill level assessment and certification; even those who come for physician level assessment and certification are only a few hundred.

Unlike the higher surgical levels associated with sports medicine, the relevant surgical procedures in trauma surgery start at a comparatively lower level, with more fundamental first-level and second-level operations, thus the threshold for the lead surgeon is significantly lower

Only Li Qiu is slowly dragging the chair to move it next to Fang Xian.

The surgical schedule for the department is as follows: Professor Guo's group on Mondays, Wednesdays, and Fridays; Professor Song's group on Tuesdays and Thursdays; and Professor Lin's group on Tuesdays, Thursdays, and Fridays

"Not bad at all," Longyan Zhuo said with a smile after finishing.

However, it was evident that after the shift change, when a group of superiors headed towards the operating room, the attending physician in the team specifically instructed Fang Xian: "Xiao Fang, after you finish your tasks here, make sure to leave the operating room early."

"Wow, you have already passed the Level 3 specialized basic skills? Aren't you about to perform surgery soon?" Fang Xian asked, slightly taken aback after reviewing Longyan Zhuo's skills receipt.

That evening, which was Thursday night, Fang Xian and Tu Shu received a call from the head of the trauma surgery department, Wang Chuntao. After offering some encouragement, he informed Fang Xian that he would start working in the operating room with the team the following day, and he sent Fang Xian a document outlining the basic rules of the operating room.

The certification assessment for Level 1 physicians across all disciplines and specialties requires 12 Level 3 skills as the necessary certification criteria. These include basic medical skills, foundational theories of the specialty, foundational theories of the subspecialty, and basic operations of the subspecialty. Only upon achieving Level 3 in all these areas will there be an opportunity.

Everyone has their own difficulties and bitterness, and no one is as glamorous as they appear on the surface. Therefore, Fang Xian and Long Yan Zhuo shifted the conversation to other topics, such as the upcoming graduate skills competition in Hunan Province, and the graduate skills competition in Central China, both of which are events that feel very distant yet are filled with aspiration for them

Nonsense, the lowest level of surgery in our department is still a level 3 surgery, what use is there for basic specialized skills?

Aren't you going to see your girlfriend?" Fang Xian turned his head in astonishment

The person named Longyan Zhuo turned around upon hearing the words and, after seeing Fang Xian standing at the back of the line, stepped out from the crowd to stand behind Fang Xian: "Xian Ge. It's been a long time since I last saw you, are you doing well?"

Fang Xian, carrying a backpack and holding a folder, a signature pen, and an ID card, arrived at the medical department, only to find a long queue at the hospital's 'Inpatient Physician Information Registration' window

Where is not good?

The receipt from the Medical Association serves as evidence of a higher level than the materials certified by the Medical Affairs Department. Therefore, the receipt information returned by the Shashi Medical Association will be systematically registered by the Medical Affairs Department into the personal information records of all employed physicians and non-employed students at this hospital.

This is only Level 1, do you require a Level 2 physician

Upon hearing this, the other members of the group cast a glance at Fang Xian, but then returned to their respective tasks without further ado

However, the functions and tasks of the two are different

Lowering the voice, ask: "Has yesterday already passed?"

On May 17, when Fang Xian made an appointment to attend the Shashi Medical Association for the certification of basic medical skills and specialized basic skills, the entire process was uneventful and did not cause any disturbances

Then, the Medical Affairs Office will compile the information daily and send the basic information of different trainees to the teaching secretary group. This facilitates each specialty's teaching secretary to review the overall performance of the hospital's residency training and master's degree students, assessing whether they have made progress. Those who have shown improvement will also be considered a merit for the department

He Longyan Zhuo currently only has 1 level 3 skill, which is still far from sufficient

"Today you are the newcomer in our group, Professor Lin would like to get to know you specifically." With this, Xue Li, the physician from our department, made the introduction and walked out of the doctor's office.

After taking the subway and transferring to Line 1, Fang and * Tu * Shu Xian headed straight to the medical office of Xiangnan University Affiliated Hospital

However, the difference is that Fang Xian is merely an ordinary resident training, while Longyan Zhuoyi has entered as a specialized master's student in sports medicine, under the guidance of Professor Zhu Yunlong, the director of sports medicine

There are many tertiary hospitals in Shashi, and even more hospitals overall, with each hospital offering a specialty of ten to twenty types.

As fellow students of Hengda, Fang Xian, Long Yan Zhuo from Sports Medicine, and another resident trainee in Orthopedic Surgery share a rather close relationship

After a full two minutes, Li Qiu finally said: "Xian Ge, the shift change for tomorrow is off. You can go about your own business."

Fang Xian was taken aback upon hearing "Level 2 Physician," which refers to the physician's rank: "Your department is the aristocracy of orthopedics! The threshold is too high, I cannot afford to provoke it!"

The academic qualifications are much more rigorous than a doctor's degree, and such high standards result in a significant level of difficulty at each stage of the physician's qualification assessment

It's nothing serious, just that my eating habits are a bit irregular, but fortunately, I haven't been affected!" Fang Xian replied jokingly.

Li Qiu became nervous at that moment, turned his head to look around, and discovered that in Professor Lin's group, he was the only one who had not yet qualified to enter the operating room as an assistant, instantly causing his expression to change dramatically

Therefore, when Fang Xian obtained the long-awaited Level 2 certification in the three fundamental skills of trauma surgery, he had no opportunity to share his joy with anyone, but he was still quite happy himself

"Yanzhuo." Recognizing the visitor, Fang Xian greeted him.