top student at medical school

Chapter 359 The Best Era Created by Fang Ziye!
Yuan Weihong didn't know if there was a second person like him in the entire Zhongnan Hospital.

“I wasn’t talking about you!” Deng Yong explained.

"It's alright, Teacher Deng, you can say whatever you want," Yuan Weihong said with a smile.

"Keep it up, Weihong. If you don't work harder and improve, the younger generation will catch up with you one after another. You need to have a sense of urgency to learn," Deng Yong said, turning around to encourage Yuan Weihong.

Yuan Weihong had a great attitude and cheerfully said, "Teacher Deng, is it useful to keep going?"

Deng Yong turned his head and looked at Yuan Weihong, who was all smiles, as if a spring breeze was blowing on his face, and immediately fell silent.

The gap between geniuses is often more disheartening than the gap between an ordinary person and a genius...

February 4, noon.

In the general inpatient office, Fang Ziye downloaded the relevant regulations of Zhongnan Hospital regarding surgical classification and the granting of surgical authority, and read them carefully.

Li Yuanpei walked in from outside the chief resident's office with a grin. Holding a bottle of Luckin Coffee in both hands, he handed one to Fang Ziye and said, "Brother Ye, are you researching surgical authorization?"

Professor Deng Yong's decision to routinely grant Fang Ziye surgical authority was no secret within the group.

Deng Yong could handle this matter himself; he didn't need to ask Han Yuanxiao, the administrative director, for help. Although Deng Yong was no longer in an administrative role in orthopedics, he still held the position of director of the surgical teaching and research department.

“Yes, let me take a look. Yuanpei, you look much more robust than before. Now that’s a more balanced physique.” Fang Ziye took the coffee, looked him up and down, and said with a smile.

Two years ago, Li Yuanpei was tall and thin with dark skin, but now he has gained some weight and his skin tone is better than before.

He must have seen a dermatologist about the pits on his face, which makes him look more handsome and rugged.

"If Xiaolan from our department hadn't gotten married by now, you would definitely be able to catch up with her."

Li Yuanpei had matured a lot since then, and sighed softly: "What kind of girl would always wait for someone who isn't even on her radar?"

"No man would pay any attention to an insignificant flower. After all, the forest is vast and boundless."

At the same time, Li Yuanpei looked at his classmate Fang Ziye, his eyes filled with melancholy and complexity. Fang Ziye's current level of excellence far surpassed his own.

The current Li Yuanpei is no longer qualified to casually chat with Fang Ziye, nor is he capable of falling for several girls within a month. Of course, the current Li Yuanpei is no longer so shallow.

"Yuanpei, are you trying to be a philosopher? Make yourself at home. It's a bit messy inside! Don't laugh at me." Fang Ziye made room for Li Yuanpei.

Fang Ziye's current decision is to take turns mentoring one of the three: Xiong Jinhuan, Li Yuanpei, and his direct junior brother Jie Han.

Fang Ziye wasn't generous enough to expect all his junior colleagues in the department to receive equal treatment, nor would he have the time to be picky about who to choose.

Even the timeframes were divided: Xiong Jinhuan in the first ten days, Jie Han in the middle ten days, and Li Yuanpei in the last ten days.

It is Fang Ziye's personal choice to decide who to mentor and who not to mentor, as Fang Ziye has no absolute obligation to mentor anyone.

Today is Li Yuanpei's first day with Fang Ziye in April.

“What are you laughing at? This office is the dream city we’ve all been waiting for. You might look down on it, Ye-ge, but many of us dream of sleeping in here,” Li Yuanpei confided.

He may also want to stay at Zhongnan Hospital, but at present, Li Yuanpei's qualifications are limited, and it is still unknown whether he can meet the standards for staying at the hospital.

“Brother Ye, Master has been quite good to you. He prepared an exceptional authorization for you to perform Level 3 surgery well in advance. When I came here, I also looked into it. At our hospital, the regular authorization for attending physicians is only Level 2 surgery,” Li Yuanpei said.

The surgical levels, categories, and catalogs in top teaching hospitals will refer to the surgical grading standards issued by the state, but not absolutely. Because the average level of each hospital is different, the levels set may vary.

Zhongnan Hospital has issued a document that classifies surgeries into four levels based on their risk and difficulty:
Level 1 surgery refers to surgery with low risk, simple procedure, and low technical difficulty.

Level 2 surgery refers to surgery that carries a certain risk, is of moderate complexity, and has a certain level of technical difficulty.

Level 3 surgery refers to surgery that is high-risk, complex, and difficult.

Level IV surgery refers to surgeries that are high-risk, complex, and difficult.

According to hospital regulations, resident physicians and those with professional technical titles of rank or above, who pass the review (assessment) by the department's technical review (assessment) team, are authorized to independently perform Level 1 surgeries in their respective professional fields.

Currently, Fang Ziye is only authorized to perform Level 1 surgeries independently. He can gradually begin performing Level 2 surgeries under the guidance of senior physicians. "Yuanpei, even getting the standard authorization to perform Level 3 surgeries is stressful!" Fang Ziye said.

"The people in charge of the assessment will probably not be teachers from our hospital. Under such circumstances, it won't be easy to get them to sign the surgical authorization approval form!"

Applying for surgical authorization requires following a procedure. Moreover, the procedure at Zhongnan Hospital is much stricter and more formal than that at Enshi Central Hospital, where Fang Ziye previously worked.

The hospital will grant physicians corresponding surgical qualification levels based on their professional titles and technical abilities, and establish a three-tier, five-level approval process: "department - medical management department - authorized management committee".

The initial review at the department level is relatively straightforward, as it mainly involves the department's internal assessment of the physician's surgical competence, primarily conducted by the deputy director in charge of medical affairs and the department director.

The qualification review by medical management departments (including hospital directors) is not difficult. They only refer to the physician's medical ethics and conduct to a certain extent, and conduct the review in combination with the medical quality and medical safety data of the applicant's previous diagnosis and treatment work. It has nothing to do with technology.

The most difficult step is to pass the final qualification review by the authorized management committee.

The authorization management committee conducts a final review of qualifications, taking into account the development status of each specialty in the hospital and the hospital's future development strategy, and selects the best candidates for admission and authorization.

Li Yuanpei nodded: "Of course it's not easy. Qin Geluo has been an attending physician for several years now, but he still only has the right to independently perform routine level two surgeries. If he wants to learn to perform level three surgeries, he has to be personally guided by his teacher because Professor Xie has left."

"Brother Ye, this is an exceptional authorization!"

Those with a professional technical title of attending physician or above, who have obtained Level 1 surgical qualification and have passed the review (assessment) of the department's technical review (assessment) team, can independently perform Level 2 surgeries in their professional field.

Those with a professional title of associate chief physician or above, who have obtained a level-two surgical qualification and have passed the review of the hospital's medical authorization management committee, can independently perform level-three surgeries in their professional field.

Performing surgery outside of one's designated level is illegal except in emergency situations!

Based on this principle, the hospital's authorization management committee is extremely cautious in approving surgeons' applications for surgical authorization. It is not simply a matter of strong recommendations from people in the department that will lead to approval.

In most cases, in order to maintain stability, hospitals will restrict surgical authority and level correspondence to the greatest extent possible.

Of course, nothing is absolute, and it's not impossible to request surgical authorization through exceptional means.

Li Yuanpei opened the relevant clauses, read them carefully, and said: "The hospital has a clear regulation that allows for exceptional applications. Physicians who have the ability to carry out a certain new technology (project) or are the only ones with the ability to carry out a certain technology (project) due to the needs of medical technology, specialty or hospital development can apply for a higher level of surgical qualification through exceptional means."

"For this type of surgery, the surgeon can provide relevant surgical documentation. After being recommended by the department head and approved by the hospital's authorization management committee, the administrator can manually change the surgeon's surgical qualification level in the authorization platform and mark the authorization type as 'department authorization,' thus delegating responsibility."

"The second type of applicant for exceptional treatment is a surgeon with outstanding skills. In addition to obtaining the above-mentioned authorization and review, they must be recommended by the professional committee of a provincial or higher-level medical association. They may apply for a surgical qualification two levels higher than the previous level."

After reading it, Li Yuanpei looked up at the sky and said, "Sometimes, rules that are too rigid are difficult to deal with."

Fang Ziye said, "Being too rigid in the rules is actually a form of protection for both us and the patients. If exceptions become too common, then patients who come to the hospital for treatment may encounter many unforeseen circumstances."

"If you want to escape your constraints, you have to come up with something real."

Li Yuanpei smiled upon hearing this and put his phone away: "For example, Brother Ye, do you want to develop a special type of disease like catastrophic injury in the department?"

"The real thing they brought out is a bit too powerful, isn't it?"

Upon hearing this, Fang Ziye glanced at the office and saw that it was just Li Yuanpei and himself. He spat lightly and cursed, "Brother, do you think I can finish such a big meal by myself?"

"To put it bluntly, Yuanpei, if you manage to take even a small piece of food home from this banquet, we can be brothers for life. Why are you picking on me and being sarcastic?"

Upon hearing this, Li Yuanpei immediately put down his coffee, stood up, and with a grin, said earnestly, "Brother Ye~~~, it's a misunderstanding~~~~, it's all a misunderstanding~~~~~"

While speaking, she massaged Fang Ziye's shoulders and neck.

"The brothers aren't stupid; they know exactly what the teacher meant when he said the current situation is good."

"Where is this yin and yang?"

"Do you really think I wouldn't see that this great situation we have now was secured for us by you, Brother Ye? If Senior Brother Gu Yi, Senior Brother Sun Shaoqing, and even Senior Brother Lin Xuanlei from the previous year had been able to encounter such a good era, wouldn't they have been able to stay in the hospital?"

Li Yuanpei paused slightly as he said this: "It's been almost a year since Senior Brother Sun left, and I miss him a little."

Hearing Li Yuanpei suddenly become sentimental, Fang Ziye turned his head slightly to look at Li Yuanpei and murmured, "Yes, it's been almost a year since Senior Brother Sun graduated. I remember we enrolled together, he was a doctoral student and we were master's students. The three of us even had a small get-together..."

(End of this chapter)