Chapter 8, The Benefits of Qualifications

Are you sure you possess the skills: Open reduction and intramedullary nailing for fracture (Proficient), Open reduction and internal fixation with plate and screws for simple fractures (Beginner). Shall we start the simulation

Qualifications can elevate the ceiling of achievements

You may choose to retain the following item

At the end of the simulation two sessions ago, Zhou Cheng was able to achieve a proficiency level classified as mastery in the internal fixation surgery using plates and screws for fracture reduction. With this as a foundation, it is possible that in the next simulation, he could further advance towards perfection

Continue

Simulation ended

All options for the adventure have disappeared

In the same year, you continued to embark on the study of new fields, including tendon and nerve transfer surgery

Overall Rating: Excellent

The enhancement of this qualification is equivalent to consuming two simulation opportunities to obtain it, and it is uncertain whether it is truly worthwhile

The previous two failures were guaranteed profits without losses

Your surgical skills have left even your superior physicians greatly impressed. Thus, you have begun to undertake the study of complex fracture open reduction and internal fixation with plates and screws.

After careful consideration, Zhou Cheng chose the open reduction and internal fixation surgery for his fracture (perfect)

After six months, you and your supervising physician have made certain achievements in the field of simple pelvic fractures. Moreover, your learning progress has been faster than that of your supervising physician

You collaborated with the senior physician in performing an open reduction and internal fixation of a fracture using plates and screws, and you demonstrated exceptional performance, earning the admiration of your senior physician, who felt that he had made the right choice in selecting you

Skill: Tendon and Nerve Transfer Surgery (Proficient). (Instance restriction, skill proficiency during the simulation process is reduced to the skilled level)

Your supervising physician has realized that the platform at this hospital is constraining you, and has therefore decided to send you for further training

However, it would be wonderful if other skills could also be directly selected as perfect

Skill: Tendon, nerve, and vascular anastomosis (Perfect). (Instance restriction, skill proficiency is reduced to mastery level during the simulation process)

Choose one out of three

Because you are diligent enough, your improvement is commendable

Zhou Cheng is once again filled with anticipation, as this time his qualifications have been enhanced. What kind of different changes will emerge?

If statistics are equivalent, then one simulation opportunity equals a fortuitous encounter

In this light, the qualification improvement gained from two simulation opportunities is undoubtedly worthwhile

Five years later, the level of trauma surgery at your hospital has reached the first-class standard of Shashi, comparable to that of some large tertiary hospitals. Moreover, due to your diligence and eagerness to learn, your surgical skills are sufficiently high, and your experience is not lacking.

After the simulation ended, Zhou Cheng suddenly found himself in a bit of a dilemma

You have naturally obtained the opportunity for a faculty appointment

Zhou Cheng has confirmed his skills

Moreover, it seems that because this simulated copy is solely related to fractures, any skill levels that are not associated with fractures will be downgraded

Dull-witted, yet cultivable, is still somewhat better than before

It is stable

After five minutes, the cooling time of the simulator has finally elapsed

The perfect-level open reduction and internal fixation surgery for fractures is simply incomparable to the previously skilled level; it seems that the skills at the skilled level are merely child's play

At the age of eighty-eight, you passed away peacefully without illness

However, with the simulator in place, Zhou Cheng has ample opportunities for trial and error

Three months later, upon your return from further studies, you did not ingratitude by accepting the olive branches offered by other hospitals, but chose to continue working at your original institution

However, Zhou Cheng himself cannot be certain whether this is the case, but there is no other option available.

Soon, your six-month training period will come to an end, but your supervising physician holds you in high regard and has decided to recommend you for further training at the Ninth Hospital in the magical city. You are very pleased, and your original unit has agreed to your request for an extended leave to continue your training.

Just

You possess a solid foundation in anatomical knowledge and trauma fracture theory, and you were quickly recognized and appreciated by your supervising physician for your distinct capabilities

Acquire Fusion Skill: Open Reduction and Internal Fixation of Fractures (Perfect) (Including Limb Fractures and Pelvic Fractures, No Restrictions on Internal Fixation): The skill can be analyzed, and it will not disappear after analysis. Do you wish to analyze it?

After the enhancement of qualifications, the skills have surprisingly reached perfection

Half a month earlier than last time

The copy is specialized in honing skills related to fractures, which is quite understandable

Your supervising physician has begun to research pelvic fractures with you. Although you have limited understanding of this topic, your supervising physician has not expressed any disdain towards you and has provided you with considerable encouragement

Furthermore, the simulator has issued a prompt:

At the age of forty, you successfully obtained a doctor's degree while in service, and in the same year, you were awarded the title of professor, becoming a specialized graduate advisor

At the age of sixty-five, you retired as usual, accepted a reappointment, and still did not confine yourself to a specific field, but instead engaged in in-depth and systematic study of tendon and nerve transfer techniques

In half a month, you will have the opportunity to be the primary surgeon for your first simple fracture.

You have arrived at the Orthopedic Department of Shashi Xiangda Second Hospital for further studies. Upon entering the department, although the professors there consider your qualifications to be average, they still see potential for development.

Please confirm the initial skills and materials carried.

I really want all three of these skills, but I have to choose one out of three, which is quite difficult to decide

Certainly, the simulation attempts that have already been consumed cannot be repeated, and the gains and losses cannot be recalculated

Soon, the skills were retained, and at the same time, Zhou Cheng's mind was filled with a great deal of information

Of course, this perfect skill can certainly analyze a considerable amount of information

Integration Skill: Open Reduction and Internal Fixation of Fractures (Perfect) (Including fractures of the limbs and pelvis, with no restrictions on internal fixation)

Absolutely no wrong choice, the previous qualifications, the ceiling that can be reached from the proficient level is mastery

This is the gap

At the age of fifty-five, your techniques in replantation of severed fingers and limbs led the industry in Hunan Province, and you were successfully recommended as the deputy leader of the Trauma Discipline Group and the Hand and Microsurgery Group of the Orthopedic Branch of the Hunan Provincial Medical Association

You have treated many patients with fractures and have been very cautious in preserving your strength, knowing that the opportunity to perform surgery requires the right timing

Well, this time it is a natural progression, but it is not yet success

Confirmed

Second simulation opportunity + adventure = enhancement of basic qualifications

At the age of forty-five, you successfully became a doctoral supervisor, and your first batch of graduate students went to work at your former institution. Moreover, the rising stars at your original unit have already become capable of handling tasks independently, allowing you to finally focus on the research of replanting severed fingers and limbs.

Six months later, you once again gained the favor of the professor from the Ninth Hospital in the Magic City, who believed that you should not be limited to the level of trauma care in the country, and thus recommended you to pursue further studies in the United States for three months

You successfully completed the first complex fracture surgery in a remarkable manner, to the extent that even your supervising physician was impressed and felt inferior, greatly admiring your surgical skills

Shonan University has extended an olive branch to you, hoping that you can take a position in the Department of Trauma Surgery at the Third Affiliated Hospital of Shonan University. You have negotiated with your original unit and reached an agreement, and you have been approved for multiple practice locations while also training backup talent for your original unit

Your wife and children, along with your students, held a rather grand memorial service for you. Even your unit's leaders and many people from your industry came to pay their respects, considering your passing a significant loss to the field.