top student at medical school

Chapter 46 Why Didn't You Praise Me Sooner? (Please add to your favorites and read on!)
On his way to the department, Fang Ziye had nothing better to do, so he checked his knowledge points and basic skills progress. He then cleared his knowledge points again and upgraded his CT scan reading skills from level 2 to level 3.

The main reason is that Fang Ziye currently has some knowledge points that are not very useful and there is no urgent need to use them. It would be better to focus on improving his diagnostic skills first.

The panel then became...

[Physician Level: Resident Physician]

【医学基础理论：外科学2级15/50、骨科学2级22/50、创伤外科2级35/50……】

【专科基础理论：创伤外科术后用药经验2级45/50、感染相关用药经验33/50、围手术期诊疗经验37/50……】

【医学基础操作技能：切开术3级2/500、缝合术3级2/500、清创术3级1/500、止血术3级0/500、X线阅片术3级1/500、CT阅片术3级0/500、穿刺术1级6/10、打结术2级4/50、医学基础查体2级4/50、外科常规器械操作经验2级4/50、医学常规检查阅读经验2级4/50】

That's about it for basic medical skills. Apart from puncture procedures and trauma surgery, which I rarely encounter, and joint surgery, sports medicine, and orthopedics, the rest are all fairly standard. Basically, most professional master's students can reach that level by their second year of graduate school.

Otherwise, they wouldn't be able to get to Zhongnan Hospital.

The following basic skills for associate degree students were a bit embarrassing to look at.

[Medical Specialty Skills: Level 1 Open Reduction and Internal Fixation for Simple Limb Fractures, Level 1 Manual Reduction, Level 1 Tendon Repair...]

There was simply no opportunity to perform such an operation. The higher-ups would never allow a master's graduate like Fang Ziye to perform such an operation. It's not like Zhongnan Hospital is short of staff. These things need to be practiced in the second training room. Only after practicing well can one obtain ordinary surgical privileges and then use them when entering the chief resident's office.

If you don't stay in the hospital, your superiors and the hospital will completely ignore you; you'll have to go to your workplace and learn on your own.

[Current knowledge points: 1.]

I'm strapped for cash.

I don't have enough knowledge points. If I could have 10,000 points, I could use them all properly.

Fang Ziye was having a wonderful dream.

……

Upon arriving at the department, his junior colleague Jie Han and resident physician Lan Tianluo, who had previously worked under him and was now managing his own beds, immediately gravitated towards him as if they had found their pillars of support.

Just like other master's students, they all gravitated towards their senior classmates.

"Senior Brother Fang, my suturing skills are amazing!" Jie Han immediately shared the good news with Fang Ziye.

He didn't finish speaking, but he still made a series of "dududu" sounds while waving his hands.

A week has passed since the last time, and he has finally been able to sew up the rubber skin. Now he can start poking at the orange peel.

This player has a fairly good skill level.

Jie Han isn't under any pressure right now. Just treating him to a meal can make him happy all day.

Fang Ziye pointed to his chest and gave a thumbs-up, believing that Jie Han already understood the meme that was very popular on WeChat.

"Bingo!" Jie Han swayed from side to side.

Regardless, he may not be able to compare with his senior, but Jie Han has already far surpassed his classmates in terms of publications. His improved skills have put him at the forefront of his cohort of master's students. Looking around, all he can say is...

Who else?
There are so many articles?

But it's definitely impossible for them to be that arrogant.

Lan Tianluo became slightly uneasy: "Senior Brother Fang, I'm just one step away from getting in.

Lan Tianlu calmed down, after all, those who could pursue postgraduate studies had worked just as hard as she had.

With the same amount of effort, those with better aptitude will make more progress. Isn't that normal?
He killed those who didn't work hard but had some talent.

Don't assume that just because you're an undergraduate from Seoul National University, you can easily become a resident physician at Zhongnan Hospital. If you don't work hard, who cares about you? Only if you work hard and have the qualifications will others pay attention. Ah, Seoul National University, a 985 university, wow, not bad, I'll take you in.

This is the reality of life; the great waves wash away the sand.

"Where do you want to go? To the palm or the heart?" Fang Ziye is now the leader of this trio; he is the one who controls the speed and direction of the car.

This is what status in the martial arts world is all about.

"Anything is fine. For example, the throat or something." Lan Tianlu answered quickly and steadily, demonstrating solid basic skills.

Fang Ziye then stopped being greasy with the two men and began to check on their assigned patients and their work on writing medical records.

This was requested by the two of them. Otherwise, Fang Ziye would have been too lazy to take care of it. Whether the bed is properly managed, whether there will be any problems, whether Jin Hongzhou will directly confront the teacher or send it to the residency training office, what does it have to do with me, Fang Ziye?
I'm too lazy to review it for you guys.

Naturally, the junior brothers had this request and hoped that Fang Ziye could help them. Moreover, they were usually honest and had a good relationship with him. As the senior brother, Fang Ziye was willing to guide them.

After all, when Fang Ziye first arrived, he didn't have any direct senior classmates. He had to fawn over Professor Deng Yong's master's senior classmates. The hardships he endured were something that most people couldn't understand.

Whether it's residency training at Zhongnan Hospital or professional master's degree programs, the standard and requirement you're expected to meet from above is to write good medical records, manage your beds well, and master the basics.

As for how to achieve it, that's something you need to figure out; that's the most basic thing.

Whether you go for intensive training outside, are led by senior students, or are simply given the chance to experience the harsh treatment from the general ward, no one will bother to explain these most basic concepts to you.

"There are no major errors, but when writing medical records, it is forbidden to use vulgar language."

"What does 'front' mean? Does the hand have a front and back side? To be more academic, it's the dorsal and palmar sides. I'll look at other people's medical records later and learn some academic terminology."

"Let's standardize it."

"Follow this instruction and continue to observe!"

"You've already done it, so why continue monitoring? The template is for making it easier to write medical records, not for direct copying. Once you've done it, there's no need for further monitoring unless it was indicated earlier that further monitoring is required."

"Otherwise, why not make a slight correction, follow the instructions, and follow up on the test results?" Fang Ziye made a slight correction, as these were basic mistakes he had made when he first came to the clinic.

Although he wasn't criticized by the then-chief resident, now Dr. Li Nuo, he was still given a detailed explanation by his senior colleague.

……

Then, the shift handover and ward rounds began.

However, Professor Deng Yong, for some reason, remembered Fang Ziye today, so he asked Fang Ziye to give a full report on the cases of the patients under his supervision.

Deng Yong is the head of the clinic. When he asked Fang Ziye to give a report, Fang Ziye did so one by one. He started by reporting the patient's medical history, and then, through the preoperative examination, physical examination results, and detailed reading of X-ray and CT scans, he explained the diagnosis and its classification in detail.

Moreover, many details are clearly presented in the detailed instructions for watching the film.

Although this skill may not seem particularly advanced and is something that almost any attending physician can do, the significantly improved ability to interpret X-rays and CT scans is something that is evident to everyone.

Deng Yong, Xie Jinyuan, Yuan Weihong, Qin Geluo and other superiors, as well as Sun Shaoqing, Wang Yuanqi and Luo Tingzhu and other PhDs, all looked at them sideways, as if their eyes were telling a story.

"Therefore, after surgery, our medication regimen is still mainly focused on pain relief to facilitate patients' functional training, supplemented by anti-infection, anti-swelling, prophylactic anticoagulation, and restorative treatments."

"Currently, the patient's surgical wound is clean and dry, without redness, swelling, heat, or pain, and is healing well. The postoperative X-ray shows that the bone graft is in place and well fixed, and the patient's pain has been relieved..."

As Fang Ziye spoke, he removed the gauze from the patient's arm: "The patient is now able to get out of bed with crutches. The plantar flexion and dorsiflexion of the ankle joint are only about 10° different from the healthy side, so the prognosis is promising. The patient can be discharged at an elective date."

After Fang Ziye finished replying, he looked at Professor Deng Yong and glanced at Yuan Weihong out of the corner of his eye, as if to say, "Serves you right for not praising me sooner."

(End of this chapter)