Chapter 4, The Colleagues in the Department

After all, another academic master's graduate from the department, who came here for training, had the requirement of publishing a paper in SCI for his master's degree, if it were only a matter of clinical skills being equivalent to his.

3. Closed reduction and internal/external fixation with Kirschner wires for simple fractures (standard)

2. Fracture Reduction Technique (Beginner)

Then Zhou Cheng decided not to wait for the next simulation, as sleep was more important; after all, life is precious.

The Orthopedics Department of the Eighth Hospital operates on a 24-hour duty system. Today, Zhou Cheng did not discharge any patients, and since Du Yanjun is on duty today, he will need to schedule surgeries again tomorrow

At seven o'clock in the morning, the dreaded alarm clock rang.

It is truly not worth the contention

The standardized treatment method for current fracture patients is intramedullary nailing, as it involves a smaller incision, results in relatively less trauma, and provides secure and stable fixation

Since everyone is working hard, one should also take the time to study diligently

Ultimately, Zhou Cheng decided to select the best option

After graduation, the integration of the four certificates can be achieved, which appears to be wonderful

There are a total of three groups in the department, all led by chief physicians

In the second year, your diligent efforts have earned you the opportunity to handle complex fractures under the guidance of a senior physician, yet you still have not grasped it.

Copy Cooldown: Cooldown Time: 30 minutes

Such a strong start can be played into this situation by oneself

Chief Physician Cai Dongfan only occasionally conducts ward rounds and performs complex surgeries on surgical days

Other skills are essentially encompassed within these two major skills, and are merely details to be handled, thus there is no need to select them again

Please wait a moment

By the way, Yan Jun, it seems that you are on duty today, right? Could you please check the postoperative blood test results for my patient this afternoon?

In any case, Zhou Cheng has nothing much to do

Memory: Experience in the Diagnosis and Treatment of Fractures (Ordinary and Unremarkable)

After casually playing with my phone and watching a live stream for a while, at 00:05:30, Zhou Cheng precisely managed the cooldown time of the simulation instance and began a new round of simulation

1. Surgical Anatomy Experience of Long Bone Surgery in the Limbs (General)

Good morning, Zhou Cheng. Du Yanjun greeted Zhou Cheng because of a group.

Take another look at the cooling time for the next simulation, which is only five minutes

You are beginning to degenerate into a mere bed management machine

You have also stepped away from your duty career, but you suddenly feel that life is meaningless, exhausted, and lacking motivation for learning, with no sense of professional achievement

Skill: Open reduction and internal fixation with intramedullary nail for fracture (Proficient)

The analytical skills can be used as the initial skills for the next simulation

The head of the group where Zhou Cheng is located is Chief Physician Cai Dongfan, and there is also an attending physician under Cai Dongfan named Luo Yun. Generally, Luo Yun manages the daily minor affairs, and he also performs some simple surgeries.

However, when Zhou Cheng arrived, he found that quite a number of people were already present in the doctor's office

However, after thorough analysis, it was decided to choose the skill of open reduction and internal fixation with intramedullary nail for fracture (proficient)

However, currently only Du Yanjun has arrived at the doctor's office, while Zhang Zhengquan is still missing

Zhou adults have become numb

Alas, life

In addition to the supervising physician, Zhou Cheng's group also has two resident trainees who are the same as Zhou Cheng

Skill: Open reduction and internal fixation with plate and screws for fractures (Proficient)

Zhou Chengdao: "I have eaten, thank you."

Du Yanjun, Zhang Zhengquan

In the future, there will certainly be many areas where we will need Zhou Cheng's assistance

Each person is responsible for four beds

Moreover, if he wants to secure that spot for staying in the hospital, Du Yanjun intends to write an article not for CSCD, but for SCI

Zhou Cheng feels a bit exhausted

However, Zhou Cheng arrived a year earlier than Du Yanjun, so he addressed Du Yanjun in a slightly more diminutive manner: "You arrived early as well, Yanjun"

"Sure, no problem." Du Yanjun smiled; he often did such things.

Arrive at the department punctually at 7:25

1. Open Reduction and Internal Fixation with Plate and Screws for Simple Fractures (Beginner)

Brush teeth and wash up, buy breakfast

During the surgical procedure, you felt that your ability to cope with complex fractures was still inadequate

Du Yanjun holds a master's degree and is still working so hard, possibly because he has set his sights on that reserved position in the hospital

Not only does he need to complete the graduation examination for the residency training program, but he is also busy with his graduate studies. He is now in the second year of his master's program and is about to start his thesis proposal. In addition to the thesis proposal, he also needs to write a CSCD article to meet the requirements for graduation from the master's program

"A patient was discharged yesterday, so I came early to see if there are any new admissions," said Du Yanjun

4. Suturing of skin and subcutaneous tissue (general)

Zhou Cheng greatly dislikes Zhou Shen, as he disturbs his sweet dreams every morning

Zhou Cheng has commenced a new round of simulation

Then I asked: "Brother Zhou Cheng, have you had breakfast? I am preparing some noodles, would you like to join?"

Successful analysis of open reduction and internal fixation with plate and screws for simple fractures (beginner)

At the age of 40, your peers have already become associate chief physicians or associate professors, while you remain merely a senior attending physician, having become their subordinate physician

He has to go to work at the hospital tomorrow morning

... ...

Therefore, Zhou Cheng plans not to come to the department in the afternoon and will stay at home to read for a while

They are all resident doctors in training who need to manage the wards just like him

What skills should be included for simulation this time

I have gained a considerable amount of new knowledge

It is essentially the gold standard for fracture treatment

Du Yanjun was thinking about ... ...

2. Removal of Internal Fixation Device after Fracture (Routine)

Zhou Cheng felt that it was quite scientific after watching. Every surgery, regardless of its complexity, actually encompasses a vast amount of knowledge and expertise from the surgeon. If one can only perform fracture reduction and internal fixation with plates and screws but cannot even manage a simple suture, that would be quite unrealistic

In the year you turned fifty, you became the most senior attending physician in your department. Through extensive surgical practice, you mastered the techniques of open reduction and internal fixation with plates and screws for fractures, as well as closed reduction and intramedullary nailing for fractures. However, your peers had long since looked down upon performing simple fracture surgeries

This

After all, the hospital did not specify that it must select from the graduating cohort of residents.

At seventy years old, you passed away in a state of melancholy

Your progress in learning the surgery for complex fractures remains slow, you have lost the appreciation of your supervising physician, and you have still not obtained the qualification to stay in the hospital

Analyze the following skills

He is a master's degree student and has entered the standardized training program

It is indeed quite competitive

Despite your persistent ambition, you dedicated yourself to learning and observed numerous surgeries. Finally, at the age of 32, you mastered the technique of open reduction and internal fixation for complex fractures (beginner level)

Simulation ended

You have become a labor dispatch personnel and continue to work at the unit

Is it true that apart from being a bit handsome, I have no talent for being a doctor

Zhou Cheng is one year senior to Du Yanjun, who is currently in his second year of residency training as a graduate student. Du Yanjun is also a student of Chief Physician Cai Dongfan.

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Only in this way does he have hope