top student at medical school

Chapter 171 The Psychological Trauma of Summoning a "Student" (Please Subscribe)

Xue Tao immediately arranged for Wang Zhongxing and Mao Mao to revise the medical orders.

However, just as Xue Tao was about to say a few more words to Fang Ziye, Shen Tao spoke up first: "Director Xue, Director Wu, could we borrow your deputy senior office? I need to chat with Xiao Fang for a bit?"

It seemed like they were asking Xue Tao and Wu Guonan, but actually they were asking for Xue Tao's opinion, since the key to the current deputy senior official's office was with Xue Tao.

Upon hearing this, Xue Tao quickly took the key out of his pocket and handed it, along with the keychain, to Shen Tao: "Teacher Shen, I think I should leave you a key."

"This will make your work more convenient."

When Shen Tao first arrived, Director Zhang Mingcan suggested giving him the benefits of an associate professor's office, but Shen Tao, being new to the job, did not accept.

Shen Tao thought about it seriously for a moment and then said, "Actually, I always feel a little shameless, after all, I've never been qualified to enter the deputy senior's office."

That basically means they agreed.

Wu Guonan replied, "Professor Shen is joking. The associate professors at the People's Hospital and our hospital are not comparable. Their baselines are not at the same level."

Shen Tao then took Fang Ziye away first.

Upon arriving at the deputy senior's office, Shen Tao sniffed the lingering smell of cigarette smoke, then quickly pulled one out of the pack, lit it, and watched as the sensible Fang Ziye went to open the window. He then explained softly, "Xiao Fang, haven't you dealt with things like redeeming prizes based on medical prescriptions before?"

"Some things are better left unsaid; just turn a blind eye."

The so-called "reward" refers to the small bonus that the pharmaceutical sales representative will give after prescribing intravenous or oral medications, even if they are essential. It's not much each month, but for resident physicians, several hundred yuan is a pretty good income.

Intravenous medications are more common than oral medications.

Whether you redeem this reward for essential medication or not, it will not affect the patient's expenses.

After Fang Ziye reviewed his suggestions and Xue Tao and the others revised the medical advice, he received a total of 41 knowledge points.

Fang Ziye knew that his suggestion was correct in terms of treatment. He hadn't yet considered the other aspect of the problem.

However, doing things that affect other people's income is like cutting off their source of wealth.

Seeing that Fang Ziye was just thinking about getting a paper cup to fill himself with water, Shen Tao wiped his bald spot and, as a senior apprentice, analyzed, "Of course, the reason Xue Tao agreed so readily is because the benefits you bring to the group will far outweigh the harm caused by your suggestion."

"You may not be officially employed yet, so you don't understand the coefficient ratio in the performance distribution between the department and the clinical group."

"Let me put it this way: the cost of the surgical procedure is allocated within the group according to the performance coefficient, and it does not exceed the scope of other groups. However, the overall performance of the department is allocated by the entire department, including the combined coefficients of doctors and nurses."

"Current national policies encourage more and more precise operations and a reduction in the proportion of medication use."

Fang Ziye approached Shen Tao, put down his water glass, and sat down calmly in front of Shen Tao, smiling as he said, "Thank you for your guidance, Teacher Shen. I will keep your words in mind."

Only a teacher or someone you don't have a good relationship with would give such detailed guidance.

Shen Tao didn't tell himself what he should or shouldn't do, but instead gave himself a method to weigh the pros and cons, allowing him to act freely.

Fang Ziye immediately set a bottom line for himself: his intervention in medical orders was limited to his own group. The groups of Director Zhang Mingcan and Director Hongdu outside his own group were not places where he, as a junior resident, could overstep his bounds.

"Since you're new here, the fact that you listened to me first without arguing or explaining shows that the rules Yuan Weihong set for you are quite good."

"Tell me your opinion on this hospital, and your reasons for agreeing to become Director Hongdu's assistant chief resident?" From their interactions, Shen Tao did not find that Fang Ziye was a pure tech geek who was completely clueless about interpersonal relationships.

Therefore, communicating with such a person is very comfortable and doesn't require too much effort; Fang Ziye must have his own way of weighing things.

Fang Ziye straightened his hands and explained, "Professor Shen, as you know, whether it's the Provincial People's Hospital or Zhongnan Hospital, our contact with clinical operations at this stage is limited to suturing and skin incision, and then to the practice room."

"Therefore, most employees of our hospital work as assistants in their first year after joining the hospital, and then they start working as chief residents from the second year onwards."

"Naturally, from this perspective, the opportunity for me to gain experience in a grassroots hospital like Enshi Central Hospital is invaluable."

Upon hearing this, Shen Tao immediately understood what Fang Ziye was implying. As Fang Ziye spoke, he took a deep breath, then touched his forehead and exhaled smoke: "It seems your potential index has exceeded the baseline, so Professor Deng Yong plans to let you graduate early and start working ahead of schedule."

"Teacher Shen, I don't understand this. What do these baseline and potential index mean?" Fang Ziye asked, his face showing confusion, as he always asked questions when he didn't understand.

Before it's been explained, you'll definitely feel confused. But once you understand it, it really shows just how amazing you are at your age.

"In terms of research potential, if you can produce more than fifty units of work per year, you're really awesome. You can usually jump a level and get better treatment ahead of time."

"Fifty tasks a year, that's a huge amount of work."

"If you can produce 75 papers a year, that kind of efficiency is basically a treasure in every research group, right? If you can work on it for two or three years, you can even produce high-scoring papers with an impact factor of over 20. Which lab and supervisor wouldn't love that?"

"Of course, I've heard there are even more amazing people who can produce a workload in one or two days, or even three or four days. We haven't seen such a genius in the medical field yet. Maybe in other fields, like the student Cao in the news, their talent is truly top-tier..."

"Let's not go into that in too much detail, let's get back to the clinical aspects."

"Actually, clinical skills are not as easy to evaluate as scientific research. After all, scientific research has publications as a third objective indicator and clinical workload as a benchmark. But what about clinical skills and talent?"

"In our Hubei province circle, or rather, in the more mainstream circles in China, we've compiled the growth curves of a few top experts as a baseline."

"For example, Academician Wu of the Department of Hepatobiliary Surgery, his talent is definitely top-notch. From the starting point to the highest point of contemporary medicine, it only took him ten years at most."

"If we divide the process of creating something from nothing into a thousand or ten thousand scales, then the achievements needed in a year would be a thousand and a hundred scales respectively."

"So how do we define this degree? Other surgical specialties have their own methods of definition."

"In our orthopedics department, the division of this degree is generally based on the benchmark of a skill progressing from zero to being able to go out and perform teaching surgeries, which is considered as 5 degrees out of 100, and 50 degrees out of 1000."

"How many years do you need to reach a level three or four surgery? Divide 5 by the number of years to get your potential index. Basically, you can reach around 2, which is a baseline. Then there are 3, 4, 5, 10... 100, and so on. There are different baselines for each."

"Does it sound a bit awkward?" Shen Tao asked, noticing Fang Ziye's increasingly confused expression.

Fang Ziye nodded.

This "degree" is obviously hard to pronounce.

"Let me give you a more intuitive example. Your teacher's potential index is about 10. This guy, in the shortest time, only took half a year to hone a skill to the level we often call 'mastering the art,' which means he can go out and perform demonstration surgeries."

"Then the most outstanding young person in our trauma surgery team should be a Mr. Long, who is under Professor Duan at Tongji Hospital. His potential index is around 15. He can probably learn to perform a surgery in three or four months."

"Professor Liu Huanglong of Peking Union Medical College Hospital has a potential index of 40. When Professor Wu calculated his potential index, its peak was probably 60. A potential index of 60 is basically considered top-tier in the world. Currently, most of the top experts can only hover around this level."

"Learn one surgery a month, and you have to be proficient at it..." Shen Tao thought it sounded like science fiction.

"Teacher Shen, then it's your turn." After listening, Fang Ziye pondered for about three or four seconds before making a gossipy remark.

Upon hearing this, Shen Tao's face twitched slightly, and he stuck his cigarette butt into the ashtray: "Do you always kill conversations like this? The point we're making is you."

“But I haven’t yet, Teacher Shen,” Fang Ziye said, blushing.

"No, you do."

"Although Level 3 and Level 4 skills are the mainstream of clinical operations, it is well known that the most basic skills are the most difficult to improve. For example, Yuan Weihong said about your suturing technique."

"When calculating the potential index, this skill can be multiplied by two. Let me think about it."

"Divide five by three years and then multiply by two, and your current basic potential index is at least 3.33!"

"As your basic skills improve, you'll be able to learn specialized skills much faster later on." "Anyone with a basic potential index exceeding 1 is practically a monster!" Shen Tao looked at Fang Ziye with an unequivocal expression, offering a word of encouragement.

Fang Ziye was actually deeply shocked as Shen Tao spoke.

According to Shen Tao, if the so-called "entering the hall and entering the room" means level 4, then that is 560 points of proficiency.

I achieved a proficiency level of 560 in just one month through hands-on learning.

Is the world insane, or am I, Fang Ziye, insane?
Although the difference between genius and ordinary person is only in the name, is the gap between geniuses many times greater than the gap between ordinary people and geniuses?

Before Fang Ziye, he had worked himself to the bone for two years, spending almost all his time in the training room and writing articles, and only managed to reach a level of around 2 (15/50). In other words, after two years, he had only managed to gain a little over 30 points of proficiency...

Calculate it this way.

Fang Ziye wanted to smash his head against a wall and die.

Of course, Fang Ziye also knew that even he was definitely not among the least talented people in surgery.

"Teacher Shen, when learning surgical procedures, is it relatively easier as you progress?" Fang Ziye figured out this principle through Shen Tao's coded language.

"Of course! If you have a solid foundation, it will be easier and easier to learn specialized skills as you go along."

"Many procedures in the specialist department are derived from or variations of the basic skills learned in the training room. For example, debridement is also used in level three and four surgeries, but the techniques and understanding of debridement are different for different types of debridement, such as muscle debridement, necrotic tissue debridement, infected tissue debridement, and putrefied tissue debridement."

"Ultimately, if you think about it carefully, all clinical procedures are just variations of basic surgical skills, nothing more."

"Okay, that's all for now. Let's go eat first."

"I heard you're planning to participate in this year's youth skills competition. I have high hopes for you."

“There’s no practice room here, so I can’t help you much. But in clinical practice, during surgery, I’ll try to explain as much as possible to you, as long as you don’t find me annoying.” Shen Tao stopped touching his receding hairline and started touching his chin.

"Uncle-Master, you must be joking. I was just afraid you wouldn't tell me, that you think I'm slow-witted," Fang Ziye quickly said with a smile.

In his mind, he was calculating that even if Shen Tao and his mentor Yuan Weihong were at the same level of clinical operation talent, Shen Tao's current potential index was still around ten, which meant that in half a year, he might be able to learn to achieve a proficiency of 500+!

Shen Tao is 34 years old now. It has been at least ten years since he started accumulating clinical experience during his master's studies. One thousand a year, ten years is ten thousand.

Okay, Fang Ziye finally has a general idea of ​​what level the most senior attending physicians with qualifications like Yuan Weihong and Shen Tao are at.

It should be at least 5-10 level 4 skills.

Let's recalculate Professor Liu Huanglong's skill pool—

Bottomless.

"You can go out first. I'll light another one and think about some more things." Shen Tao waved for Fang Ziye to leave.

Fang Ziye nodded and left, continuing to calculate Luo Tingzhu's potential in his mind.

From the time Luo Tingzhu started practicing clinically, she mostly focused on basic skills. However, Luo Tingzhu could guarantee that she could improve a skill to level 3 in about a month.

Moreover, multiple operations are improved simultaneously, which means that she can increase her proficiency by 30-50 points in about a month. The proficiency improvement in the basic skill stage can be doubled when it is applied to the professional skills.

That is, a proficiency level of 60-100 points. In this way, she can learn a level 4 professional operation skill in about five months. Her potential index is also around 10, which is comparable to her teacher's.

Then what about myself?
If it upgrades instantly.

Pay up, you shameless bastard.

Fang Ziye had barely processed this thought when he stopped thinking about it.

I just felt that what my Uncle Shen Tao told him was incredibly useful.

In this way, Fang Ziye can clearly control his own rate of improvement. It is beyond the expectations of others, but within the reasonable understanding of the world. So who would dare to hit him?

Don't ask, the answer is you're just too bad.

However, if one day you suddenly level up a skill from zero to level 4 or even 5, it would be difficult for ordinary people to understand, and even the fastest geniuses would find it hard to comprehend.

If one person doesn't understand, it's because they're incompetent; if everyone doesn't understand, then you must have something fishy going on.

Bingo!

Fang Ziye felt that he had already overcome the biggest barrier, a lightning rod, firmly planted in the ground. No matter how much he tried to show off, as long as he didn't cross this line and reach a terrifying level, then the sky's the limit, and Fang Ziye could swim freely as he pleased.

After leaving the house, Fang Ziye was naturally called away by Xue Tao and Wu Guonan for a chat. They asked him if he had encountered any difficult patients during his shift that day.

……

After dinner, Fang Ziye decided to say goodbye to Wu Guonan and the others, declined their suggestion to go to a karaoke bar, and went to the skills training room where Huang Kai was, as Guo Yunlei had mentioned.

Upon seeing Fang Ziye's arrival, Master Kai was both excited and a little nervous.

In the skills training room, there were already twelve or thirteen people practicing.

Zhang Mingcan's group included the former head of the team, Guang Shenqing, Zhang Jinchuan, Cao Zhen, Li Ruokai, and Mao Mao. Others...
Because Zhong Xuegao and others were too old to participate in the competition anymore.

Huang Kai did not disturb anyone, but instead came to the outside of the skills training room on his own initiative, and smiled broadly: "Dr. Fang, you really came. I am truly honored."

Huang Kai's strong muscles bulged, but he looked somewhat awkward.

"Brother Kai, thank you for giving me this opportunity. I see that everyone inside is from our institute." Fang Ziye knew that Huang Kai's initiative in calling him was out of kindness.

"Hey, never mind whether it's our department or not. Dr. Fang, if you want to come to our department, my position is yours. It's just that I've participated in a few competitions, so Director Zhang Mingcan asked me to mentor some students."

"Dr. Fang, why don't you practice first? Let me see how far your basic skills have come." Huang Kai pointed into the skills training room, his tension had eased, and it was clear that this wasn't his first time acting as a teacher.

Fang Ziye nodded first.

Huang Kai then gave Fang Ziye some practice materials.

It's actually just common tofu, used as a material for cutting, cleaning, suturing, and stopping bleeding.

However, Fang Ziye has basically mastered all the possible ways to use these materials.

Moreover, Huang Kai's so-called teaching exercises were simply basic materials from the practice room at Zhongnan Hospital.

However, since he was already there, and Fang Ziye hadn't been to the training room in a long time, he familiarized himself with the corresponding techniques and practiced them, which could be considered as laying a foundation for his future training with Huang Kai.

When Huang Kai saw that Fang Ziye had completed all the practice materials for tofu, his heart tightened.

Her lips began to open wide, and a sense of panic began to rise within her—

What the hell is this?

Manual reduction, suturing, and debridement were all performed just as well?

No way, could Fang Ziye have a deep understanding of basic skills?
Therefore, Huang Kai, with some skepticism, also handed over all the materials he usually used for practicing suturing. He couldn't keep anything to himself anymore; otherwise, his one-sided invitation might become a joke...

(End of this chapter)