top student at medical school

Chapter 462 Temporary Assignment at the Youth Scientific Research Forum (Please Subscribe)

Tuesday, July 31st.

In the trauma surgeon's office, Liu Huanglong sat in the director's seat, holding the report on the number of surgeries performed this month. He flipped through the report while waiting for the on-call doctors to finish their shift handover.

Head nurse Liu Suning sat down next to Liu Huanglong with a thoughtful expression, looking quite unwell.

After the on-duty doctor finished handing over the shift, Liu Suning spoke: "Tomorrow is August 1st, a new month. I'll briefly report on the content of last week's hospital weekly meeting related to our nursing department."

"At the end of this month, there will be some changes in the nursing staff of our trauma surgery department. Please make sure that all nurses at the senior level and above can properly hand over their duties."

"Starting next month, Head Nurse Cao Fang from the Joint Surgery Department will come to our Trauma Surgery Department to take over as Head Nurse. Head Nurse Cao Fang is an outstanding head nurse who has won the title of Excellent Head Nurse multiple times in our hospital's head nurse evaluations..."

Liu Suning sounded a little regretful.

Even a dog could see that the trauma surgery department was about to take off, but due to Liu Huanglong's forceful intervention, she was directly transferred to another location by the nursing department.

Head Nurse Cao Fang may very well use her position in trauma surgery as a stepping stone to eventually assume a powerful role in the nursing department.

For a month, Director Liu Huanglong remained unmoved by either soft or hard tactics, maintaining a firm stance.

Liu Suning did a good job, and Liu Huanglong praised her, but it was impossible for her to stay on. There was no room for negotiation on this matter, not even with the nursing department's pleas.

After the nursing department and the medical affairs department communicated for a period of time, the president's office finally intervened directly...

"The Medical Affairs Department and the Nursing Department highly praised the work quality of our Orthopedics and Trauma Surgery Department. This month, our department achieved the highest rate of positive feedback in the entire hospital."

"A 100% satisfaction rate with medical quality, a 30% positive hospitalization experience... Regarding this, the hospital hopes that our department can fully consider the difficulties faced by patients and their families..."

After rambling on and on, Liu Suning gradually came to the end of his speech.

Then, Liu Huanglong continued Liu Suning's words in Mandarin:
"We are very grateful for the close cooperation between our nursing department and our medical staff in July, which resulted in the highest patient satisfaction rate in the entire hospital."

"Ranked first with an exceptionally high rate of 100% quality medical care."

"The hospital leaders fully affirmed the quality of our work and proposed to temporarily increase the performance bonus of all medical staff in the department by 0.1. This is the result of our joint efforts."

At this point, Liu Huanglong led the applause.

In hospitals, performance-based pay is distributed multiple times. After the hospital collects all fees, the finance department allocates funds to the specialties, which are then redistributed by the department heads and head nurses according to different performance coefficients.

If everyone's performance score increases by 0.1, the hospital will allocate more funds to the specialty department for performance bonuses, with each person receiving at least 1000+ more.

Even the smallest amount of money related to bonuses makes people happy.

After everyone finished applauding, Liu Huanglong said, "There is a competition in the hospital, which is the number of banners displayed between departments. It is stipulated that each banner will directly increase the individual's performance bonus by 200."

"But we only received three banners in July. It's not that our department couldn't receive them; it's because we clearly informed the patients in advance not to send banners."

"Don't think that receiving a lot of banners is the only way to affirm the quality of our work."

"Making banners also costs money, but everyone's money is hard-earned. We hope that patients and their families can spend their money wisely and not create a trend of sending banners."

At this point, Liu Huanglong put down the documents in his hand, looked up and said, "However, our department received the most pen and flower gifts in July."

"I took a look, and everyone in our department has a full set of pens on their chest. And there are still some left..."

Everyone laughed upon hearing this, and glanced at the corner of the doctor's office, where a pen holder still held at least several hundred ballpoint pens.

The so-called "pen flower" is a pen holder used to arrange ballpoint pens into a flower shape, usually containing a dozen or twenty pens of varying sizes.

I don't know which patient's family member got the guide online, and after the on-duty doctor warmly accepted it and thanked them, they couldn't stop using it.

I heard that in July, the number of orders for one online store increased by dozens because of the department.

Family members and friends who came to visit the patient also brought gifts, almost filling up the office desks.

"Pen is a very practical item, and it's also one of the most consumable items in our department. Although it's not expensive, we still try our best to curb this trend."

"Otherwise, we could all work part-time wholesaling pens and reselling them after get off work."

Liu Huanglong's jokes are very down-to-earth.

Actually, I don't have to worry about having too many pens; I can always use them all. But if I keep sending them out like this, they'll definitely take up more space, which isn't good, so the attending physician has to press them down.

"Next, we'll get some good data that we can be happy about behind closed doors."

"Yan Zhiming, please lock the door to the doctor's office. Director Yuan, I apologize for taking up ten minutes of your team's surgery time today. I'm going to report on our department's total surgical volume for July..."

"Throughout July, our department performed a total of 57 surgeries."

"Although this number of surgeries is far less than the 94 performed in June, it is important to note that of these 57 surgeries, 14 were for destructive injuries, 32 were for functional reconstruction, and only the remaining 11 were for fracture-related surgeries."

"To put it bluntly, fracture surgery can be done anywhere, but limb-sparing surgery and functional reconstruction for devastating injuries are currently the only specialties of our department."

"There are only a handful of people in the whole country who can perform this kind of surgery. That is to say, at least 46 people, thanks to the concerted efforts of everyone in our department, went from being unable to move to being able to get out of bed and walk on their own, which is incredible."

"Next are some detailed data, among which the improvement in joint mobility and muscle strength are the most significant achievements of our department..."

"Yes, that's our achievement," Liu Huanglong said arrogantly.

Liu Suning, standing beside him, became increasingly like an ostrich under the arrogance of these words.

The better her performance in trauma surgery, the more likely it will be a source of lasting pain for her. And what she initially sought was something as intangible as personal favors.

"That's all for now. All of you brothers and sisters worked hard in July. Let's give ourselves a round of applause, and then we're done handing over the shift..."

Thunderous applause and beaming smiles filled the air.

The sense of accomplishment from doing something that no one else can do anywhere else comes from top to bottom.

Even the attending physicians felt more confident when communicating with patients.

Whether or not to have surgery is entirely up to you; you can refuse surgery, but I'm sorry, I can't offer you any other alternative to our department at the moment.

Of course, you can also go to other places for hospitalization and recuperation.

The right to informed consent is equivalent to the right to informed refusal.

……

After handing over their shifts, Fang Ziye and Yuan Weihong didn't dare to waste a single minute. After quickly completing their ward rounds, they immediately went down to the operating room to begin surgery.

Although it was said to be an operating room procedure, Fang Ziye didn't actually go on the operating table.

Today's functional reconstruction technique involves a relatively simple scope, and under his guidance, his master Yuan Weihong has already reached the basic threshold of functional reconstruction technique.

With the help of Lan Tianluo and Wu Xuanqi, who have excellent basic skills, Fang Ziye now only needs to provide key technical guidance.

It was only during these recent collaborations that Fang Ziye learned that Wu Xuanqi's expertise in nerve suturing, vascular suturing, and other techniques was comparable to that of a professional hand surgeon, yet he was a doctor with formal training in trauma surgery.

Nie Mingxian also came down to watch the excitement.

He pointed to Wu Xuanqi on the stage and whispered, "Ziye, I've told you before, Wu Xuanqi, that scoundrel, is very talented. His expertise in orthopedics is no less than my expertise in vascular surgery."

"His basic skills are good enough, so his learning curve is comparable to that of Teacher Yuan."

"Teacher Yuan Weihong has reached a certain level, so he doesn't have enough time to practice. He's no longer at his prime learning age, so his progress seems slower than Lan Tianluo's."

Fang Ziye was well aware that his master's basic skills had improved significantly.

都已经到了4级3000/5000左右，甚至有一部分，到了4级的4000/5000。

After all, he had won the top prize in the Young Physicians Competition two years earlier.

Yuan Weihong now has to lead a team, see patients in the clinic, and has a family and children, so he certainly can't focus on the operation practice as much as Lan Tianluo and others.

"Actually, I really want Brother Qi to join the group, but I know that's wishful thinking." Fang Ziye discovered that he had also developed a kind of illness.

They see outstanding talent and want to put them into the team.

However, Wu Xuanqi is completely different from Nie Mingxian. Wu Xuanqi has always been by Duan Hong's side, and no matter how charming Fang Ziye is, he cannot sway him.

Just as Wu Xuanqi couldn't budge Fang Ziye.

However, Wu Xuanqi will definitely be a great master of technology promotion in the future. After he brings the technology to Tongji University, Fang Ziye will also be able to obtain a huge amount of knowledge points.

"You really dare to dream." Nie Mingxian rolled his eyes, his eye twitching slightly.

“Wu Xuanqi has told me this many times. He even wants to use any means necessary to poach you and Yuan Weihong to Tongji University.”

"Haha, it's just wishful thinking." Fang Ziye chuckled softly.

Just as he was laughing, Fang Ziye suddenly stood up and coughed loudly.

Upon hearing Fang Ziye's cough, the people on the operating table immediately understood and stopped what they were doing.

The group had already privately agreed that if Fang Ziye felt that the content being handled by others was too outrageous in his view, he would cough loudly and then take over.

"I'm going on stage now, Brother Xian, you can continue resting." Fang Ziye knew it was time for him to go on stage, otherwise Yuan Weihong and the others would cause trouble.

It's not that their operating technique is wrong, but rather that their operating technique is not yet suitable for the patient on the operating table.

Whether one can do it or not, whether one is proficient or not, are two different categories.

The surgery was paused, and Fang Ziye moved toward the operating table like a master of control. His mentor, Yuan Weihong, very voluntarily gave up his position as the lead surgeon and took the third assistant position, without taking away Wu Xuanqi and Lan Tianluo's first and second assistant positions.

Yan Zhiming, the third assistant, stood pitifully in the corner, his eyes filled with resentment.

“Master, for this kind of local stiffness caused by simple anterior tibial nerve injury, we don’t need to open and loosen it posteriorly, because the range of motion of the posterior tibial muscles is smooth and does not need to be corrected.”

"In fact, all we need to do is loosen the restrictions in front of us."

"This elderly woman's stiffness isn't limited to her entire ankle joint. If we open it up to the back, it would actually increase the burden of her rehabilitation..."

The surgical release should not be as extensive as possible, but rather as appropriate as possible.

Yuan Weihong asked, "What about that patient with the anterior tibial nerve injury from last time? How come they've all been opened up and released?"

The same symptoms and the same diagnosis may require different surgical approaches.

“Due to her different family background, this elderly woman received many years of very formal rehabilitation training and massage techniques before the surgery, which preserved most of the mobility of the posterior tibial muscles.”

"It's just that the muscles on the back of the foot are adhered, making it impossible to move."

"This old woman's mobility issues are actually limited to wearing socks; her walking and other basic functions are not affected at all..." Fang Ziye replied.

"How do you know she received a proper massage?" Yuan Weihong continued to ask, as if his student were an unfathomable master.

Fang Ziye wanted to say, "Master, if I quit being a doctor and started a foot massage business, I would definitely be the most successful technician."

Of course, it's impossible to say something like that.

Fang Ziye then delivered a very formal and detailed lesson.

“Master, the document I sent you before, I think it was in case number forty-nine or forty-seven, mentioned it,” Fang Ziye said.

Yuan Weihong immediately shut up.

At this moment, Lan Tianluo and Nie Mingxian's eyes were filled with jealousy.

Liu Huanglong recommended that Fang Ziye slightly modify his teaching method, which involves providing specialized instruction based on each individual's characteristics.

Clearly, Lan Tianluo was categorized into the second batch, and Fang Ziye shifted the focus of the first batch of teaching plans to his master, Yuan Weihong.

Nie Mingxian, sitting in the audience, and Lan Tianluo, standing on the stage, were among the first to hear the news. They were among the group that was temporarily abandoned. How could they not be jealous?
However, they dared not speak out against their envy.

Wu Xuan asked curiously, "Ziye, do you still have a secret that you're not passing on?"

"No, Brother Qi, the content is the same, only the form of expression is different," Fang Ziye quickly explained, but his hands didn't stop moving.

……

Around 4 p.m., the second surgery came to an end.

The team reduced the average time of the two functional reconstruction surgeries to about four hours, and that was without Fang Ziye having to spend long periods of time on the operating table. Such progress is quite remarkable.

At 4:05 PM, Fang Ziye glanced at the operating room's timer panel, then looked at his master and explained, "Master, I need to go to the research department later. The teachers there have contacted me many times, asking me to take on a part-time role as a lecturer for the hospital's youth research forum."

"And some of my colleagues in the hospital also invited me, so I didn't know how to refuse."

Yuan Weihong smiled and said, "Go ahead! We can handle the rest."

Yuan Weihong had long known that what Fang Ziye could accomplish was something he himself could not.

To participate as a lecturer in the Youth Scientific Research Forum, one needs to have published at least several high-impact articles.

Yuan Weihong is now past his prime.

Although Fang Ziye's JAMA article has not yet been officially published in the journal, the news of its acceptance has already spread within the institute.

There aren't many teams at Han City University that can publish articles of this caliber in journals. Fang Ziye has published one, and with his previous experience, it's impossible for him not to stand out among the young physicians.

Moreover, Fang Ziye is now directly responsible to 'Dean Wang'. With such a person endorsing him, others will naturally be happy to lend you a hand and give you some impressive titles.

After Fang Ziye left, Yuan Weihong realized that the only people who looked at him with the same envy and jealousy were himself and Dr. Yan Zhiming.

Surprisingly, the other people in the operating room did not show much change in their eyes or expressions.

This slightly broke Yuan Weihong's guard.

It seems that Wu Xuanqi, Nie Mingxian, and even my own "too similar" student are all people who don't take this level seriously.

Of course, Yuan Weihong quickly composed himself.

No matter how great the lecturers at the Youth Scientific Research Forum are, can they be as great as my "Outstanding Young Scientist" award?
Well, thinking about it this way, Yuan Weihong felt a little better, although he also knew that his achievement was closely related to his students.

But who can blame me for being lucky enough to meet these students?

When Fang Ziye arrived at the research department, he found two other people, a man and a woman, in the director's office.

They were a few years older than me, but only in their early thirties.

"Hello, Mr. Fang. This is Liang Quyuan from the Intensive Care Unit." The boy had bronze skin and dark circles under his eyes.

The Department of Critical Care Medicine at Zhongnan Hospital is among the top tier in the country, and was among the first batch of national key specialties. It has very strong capabilities and is certainly well-suited for scientific research.

"Hello, Brother Liang, my name is Fang Ziye, I'm in orthopedic trauma surgery." Fang Ziye extended his hand to shake hands with him, then tilted his head and asked, "What's your name, ma'am?"

The girl opposite me had fair skin and a slender figure, but she was a bit short, less than 1.6 meters tall. She looked small and thin, with a small face, and wore glasses, which made her look even smaller.

"Xie Xiao, Sister Xiao, a top expert in rheumatology and immunology, I don't know if you've heard of her." Liang Quyuan took the initiative to introduce her.

Xie Xiao smiled slightly and extended her right hand, saying, "Hello, Mr. Fang. My name is Xie Xiao, and I am currently an attending physician in the Department of Rheumatology and Immunology."

Fang Ziye knew her well; she was Luo Tingzhu's idol and someone she wanted to surpass. Several years ago, she published in the journal JAMA and received the hospital's top-tier talent recruitment funding.

He's already a master's supervisor and has directly secured a National Natural Science Foundation of China grant. He's definitely a top-tier research talent in the hospital.

"Hello, Sister Xiao. This is Fang Ziye. I look forward to your guidance in the future," Fang Ziye said hurriedly.

"Mr. Fang, your guidance is too modest. You're so busy, it's really hard to get an appointment with you. I was only able to contact you through Director Xiao." Liang Quyuan politely offered a generous compliment.

Fang Ziye understood what the other party meant: "Brother Liang, it's mainly because I'm not very experienced and my research is too profound. I don't dare to be presumptuous and avoid talking big from a position of limited knowledge."

These people had a much deeper accumulation of scientific research experience than he had in the past. He had caught up with them now, but when it came to giving guidance, Fang Ziye was afraid that he wouldn't be able to offer any meaningful advice.

Moreover, many things in this world are fair; you can only do what you are capable of.

If you don't have the necessary experience to become a teacher, people will talk behind your back and criticize you relentlessly.

Of course, if you publish a lot in Nature and other journals, even if you're wrong, people will still wonder if you're right or if they've misunderstood you.

After all, journals like Nature have no shortage of high-quality articles. They pick the best from the best. If you want to stand out among all the research teams in the world, it's nonsense to say you don't have the ability.

"Scientific research is inherently a matter of right and wrong, and there's no such thing as being wrong. It's mainly about communication and methodology. It's also good for mutual learning."

"We're all feeling our way across the river, and we've heard a lot about you, Mr. Fang, so we sincerely hope you can join us. We hope to have more discussions and exchanges in the future, and who knows, we might even spark some interesting ideas?"

"Moreover, the surgical team has long hoped that a surgical professor would come and share how to balance scientific research and clinical practice..." Liang Quyuan was very talkative.

Xie Xiao is a girl who tends to be quiet.

After chatting for a while, Director Xiao rushed back from outside the office: "I went to a meeting at headquarters this afternoon. I'm sorry to have kept you all waiting."

"This must be Dr. Fang Ziye, the head of our general surgery department, right? He is indeed exceptionally talented and handsome..." Director Xiao Kaifa said politely.

In fact, Fang Ziye and Xiao Kaifa had met before.

Fang Ziye didn't bother to complain in his heart; sometimes, a few polite words were necessary.

Afterwards, Xiao Kaifa and others discussed with Fang Ziye the obligations and rights of lecturers at the scientific research forum.

My duty is to occasionally give lectures to master's students, physicians, and especially newly promoted physicians within the hospital.

The benefit is that in the future, when Fang Ziye and others go through many procedures in the research department, they can have the green light all the way, and even if they just make a call, the research department can help solve the problem.

The purpose of the research department is to support more researchers in developing the institute's research capabilities.

If young researchers like Fang Ziye don't pay attention to this point, who will?

Naturally, when research funding is allocated within the hospital, Fang Ziye and others will receive slightly more money.

It has its pros and cons!

At this point, it seemed that Fang Ziye could no longer refuse.

The hospital is taking you seriously, so it wouldn't be right for you not to contribute. Besides, it's just a matter of giving a lecture, which only requires you to set aside a certain amount of time.

After that, Fang Ziye was brought into the lecturer team. There were only a dozen or so people in the team, but the rest of the members were all senior members.

Currently, there are only five active lecturers. Fang Ziye greeted them one by one, and after a symbolic welcome in the group chat, the matter was settled without any contract or other binding obligations.

However, when Fang Ziye was pulled into another research forum for young physicians, the lively atmosphere in the group made him feel the "street spirit" of surgery.

(End of this chapter)