top student at medical school

Chapter 89 Opening the Back Door (Please Subscribe)

After returning to his rented room, Fang Ziye first took a comfortable shower, then poured a glass of water and placed it on the right side of his desk. Feeling that the placement was not good and that it might be knocked over, he simply sandwiched the glass between two books.

After turning on the desk light, I slowly flipped through the notes in my notebook—

Undevelopable pathways —

"1. Reading literature related to the new discovery yielded very limited knowledge; the reason for this is speculated to be that it was not driven by myself."

"2. Observe other experimental groups or studies in which you did not participate in cell experiments; reason speculation: if you did not participate, it may not involve promoting the development of the discipline."

"3. Therapeutic procedures on animals; reason speculation: the panel currently only targets the benefits of medical activities related to the treatment and diagnosis of human diseases, and does not involve the animal level."

"4. Writing and revising articles under someone else's name; the reason is speculated to be that they were not personally handled, so they did not contribute much to the development of the discipline."

After reading it, Fang Ziye carefully wrote down the fifth undevelopable path after skipping a line.

5. Perform self-treatment on your own wound. (To be verified)

Fang Ziye added this point mainly because after returning home the day before yesterday, he scraped himself somewhere, only breaking the skin. Fang Ziye disinfected it with povidone-iodine and covered it with a band-aid, but did not gain any knowledge points.

Pain is nothing to worry about. Basically, apart from sons of wealthy families, almost every boy has some small scars and bumps on his hands and feet from childhood to adulthood, and quite a few even have scars on their faces.

Fang Ziye paid attention to it not because he was injured, but to develop a new source of knowledge and to take notes, since a bad pen can't beat a good memory.

After flipping through three more pages of the notebook, Fang Ziye arrived at the path of knowledge points that could be developed.

After the five treasure troves of outpatient clinics, operating rooms, laboratories, practice rooms, and emergency rooms, a cautious addition was made—

The benefits of manual reduction techniques for joint dislocation reduction are somewhat unusual compared to other methods, the reasons for which are currently unknown.

Indeed.

Fang Ziye had performed clinical procedures before, just not as many as manual reduction. However, even after completing the suturing of a clinical wound, there were other minor procedures, including the removal of internal fixation devices, which involved incision, removal of the internal fixation device, and suturing.

Moreover, it was only in the case of removing an intramedullary nail, a relatively difficult procedure, that five points of knowledge were obtained. Yet, a joint dislocation, which is considered less difficult than removing an internal fixation device in modern medicine, yielded so many points of knowledge.

On average, each patient has five to ten points, which is a very noteworthy point. After drawing a five-pointed star as a key marker, Fang Ziye began processing WeChat messages.

The first thing to do was to ask my teacher about the situation: "Master, what did Professor Du say? Did Professor Du and the college agree to my application for early defense?"

Many teaching hospitals, including Zhongnan Hospital, generally have a concentrated and fixed time for thesis defenses in orthopedics.

For example, third-year master's students like Fang Ziye should have their dissertation defenses scheduled together with third-year doctoral students like Sun Shaoqing, so that it would be easier to make unified arrangements.

At the same time, multiple defense committee members can be formed to complete the defense of multiple graduate students at one time, which can also save time for superiors.

For each defense, the college will definitely send someone to host the defense, and at least an associate professor and a professor will accompany the candidate throughout the process.

However, Sun Shaoqing was in a hurry to find a job, so he applied to Professor Deng Yong for an early defense opportunity. Professor Deng Yong had just formed a doctoral dissertation defense committee and found a chairperson and members for the defense.

Adding a master's thesis defense committee member like Fang Ziye, who is qualified to serve on the doctoral dissertation defense committee, would certainly be feasible.

Professor Deng Yong certainly has no objection; the main issue is whether Professor Du Xinzhan is willing to allow Fang Ziye to make such a small exception, and the college has no problem with that either.

Every clinical college is eager for its students to graduate as soon as possible, so they can find employment or pursue further studies and increase the employment rate.

Employment rate is the most fundamental and essential indicator for evaluating a teaching hospital or college.

However, Professor Du Xinzhan was the head of the Department of Orthopedics and a professor of joint surgery. Fang Ziye had no mentor-student relationship with him, nor were they colleagues. Apart from knowing that Fang Ziye was a master's student in trauma surgery and had a mediocre talent, Du Xinzhan knew nothing else about him.

It was naturally impossible for Fang Ziye to talk to Du Xinzhan; instead, it was Yuan Weihong who made the application to Professor Du Xinzhan.

Yuan Weihong quickly replied: "What else can Professor Du say? Professor Li Guohua has already made follow-up arrangements for you, so what else can Professor Du say?"

"However, your thesis will need to be sent for blind review, which takes time and depends on luck. If you're lucky, the blind review will pass and be signed off, and then you can defend your thesis."

"If the blind review fails, let's just wash up and go to sleep. Let's not think about it anymore."

“It’s already the end of November, and your senior brother Sun Shaoqing’s defense date has been set for January 20th. That’s already been pushed back by 30 days, giving you plenty of time.”

"Remember to thank Sun Shaoqing and apologize to him privately," Yuan Weihong advised Fang Ziye, offering detailed guidance.

Speaking of which, Yuan Weihong thought his student was quite audacious, daring to directly make demands of Professor Li Guohua. The key point is that he wasn't rejected. Li Guohua actually arranged for Fang Ziye to spend some time working at a prefecture-level city hospital.

The old professors have already shown them respect and found such a good opportunity for Fang Ziye. How could Professor Du Xinzhan and Professor Deng Yong possibly interfere and hinder Fang Ziye's future?
However, this means that time will be even tighter.

"Yes, Master, I have already spoken to Senior Brother Sun. He said that his preparations for the defense were a bit rushed, so being able to postpone it for a month is a good thing."

"Although that's just a polite way of putting it, at least Senior Brother Sun Shaoqing shouldn't be angry. Because around December 24th, Senior Brother Sun Shaoqing plans to go to the Sixth People's Hospital of Shanghai to take on a training assessment. He also needs to make some preparations," Fang Ziye replied meticulously.

As graduation approaches, although my doctoral studies have been finalized, another trip to a prefecture-level city hospital will take me there, so I really need to squeeze in some time.

The experience of working in a prefecture-level city hospital is naturally valuable. It counts as grassroots work experience, which will bring many benefits to Fang Ziye's future promotion and career prospects.

"Whether it's a good thing or a bad thing, agreeing to postpone it for you is a favor, and not agreeing is your right."

"Then, I've already made some revisions to Jie Han's application for a school-level research project. After he finishes it, I'll hand it over to you so you can revise it again."

“This kind of proposal cannot be sent to anyone else; only the three of us can work around revising it,” Yuan Weihong instructed Fang Ziye, as if afraid that Fang Ziye would sell out the small research group.

Although Yuan Weihong now knows that Fang Ziye is ambitious and doesn't want to use the money to feed outsiders, he still remains cautious.

"Master, what about the project proposal? I've made a simple outline."

“With this preliminary research in place, all that should be needed is to add some cited references and background information,” Fang Ziye asked again.

General projects, also known as general projects, cover a wider range of projects and are a major part of the National Natural Science Foundation of China (NSFC) research project series. They support scientific and technical personnel engaged in basic research to independently select topics within the scope of NSFC funding.

General projects are the most basic category of projects funded by the National Natural Science Foundation of China (NSFC), accounting for about 60% of the total funding. They are a crucial area for research and are fiercely contested by all universities and research institutions every year.

"The general project is the National Natural Science Foundation of China. This requires a lot of careful and meticulous work. The more prepared we are, the greater our chances of winning the bid. I will also spend a lot of time on this."

"You did a good job with the preliminary research, which saved me a lot of trouble. Otherwise, I would have been running to the lab starting in December."

"And then there's this: during your master's studies, don't be burdened with papers. Even if the experimental results you're doing now are already written down, don't rush to submit or publish them."

"Studies on HK2 and giant cell tumor of bone, as well as the interaction between these two substances and metformin, should ideally be combined into a single manuscript. In this way, it is possible to expect an article in the Q1 or even Q1 quartile."

"If you can get published early in your doctoral studies, then you can have hope for graduating early. Otherwise, I'm a little worried that you won't have enough experience to stay in the hospital if you want to apply for a doctoral degree."

“The project that Jie Han applied for can only get a maximum of 15,000 yuan, but every little bit helps. You should let Jie Han handle this project himself. From the time he gets the project funding to the time it is disbursed, it should take more than half a year. By then, Jie Han will also need to spend some time in the lab.”

“He’s in a better position than you right now, with a senior student to rely on, so I can rest assured that he can enter the lab ahead of time.” “Also, you need to put a little effort into the clinical procedures. Don’t blame your teacher for putting too much pressure on you. Your current ability to develop a subspecialty in hand surgery is better than ours in trauma surgery.”

"To be honest, even though we discussed letting you stay, I feel a little guilty." Although Yuan Weihong replied in writing, every word seemed to come directly from his mouth.

Fang Ziye was pleased to hear this and replied in a relaxed manner: "Master, I think there shouldn't be any major problems with the professional operation. There are still about 40 or 50 pounds of flesh left. As for the incision technique, that should be about right."

After spending 500 points on suturing skills in one go, almost to the point of pinning Associate Professor Xie Jinyuan to the ground, Fang Ziye is now quite cautious.

He stopped adding points at 50-point intervals and instead increased the number of points to incision surgery by 5 points every day without fail. Once he reached the breakthrough standard for the first training room in trauma surgery, Fang Ziye planned to stop.

Let's not do anything outrageous again.

For now, it's enough; the number of knowledge points is far from sufficient compared to the number of surgical procedures.

If Fang Ziye still had 500 knowledge points, he could now operate a specialized skill.

Techniques for splicing bone defects, osteoplasty, and bone flap design.

In the field of trauma surgery, these procedures actually involve a certain degree of leapfrogging. The best progression is open reduction and internal fixation of fractures, as well as tendon and nerve suturing.

However, there is no need for that at Zhongnan Hospital for the time being.

Even if you're a god-level surgeon, what good is surgery on a non-fractured bone? Zhongnan Hospital hasn't performed simple fracture surgeries for a long time.

When it comes to complex fractures, bone grafting, bone defect repair, and bone flap design are inevitably involved.

Once these skills are mastered, the open reduction and internal fixation of fractures will naturally follow, and compared to that, they don't require much technical skill.

If open reduction and internal fixation of fractures is like junior high school physics, then the treatment techniques related to bone defects are at least as difficult as high school to second-year college physics. If you can understand this, you can do so even if you haven't studied junior high school physics.

You can still learn some basic content from junior high school physics through the textbooks that follow.

Upon hearing this, Yuan Weihong smiled knowingly and replied to the message, "I'll buy you 100 jin of pork tomorrow, will you give me a performance?"

At this point, it's purely a joke.

Fang Ziye picked up his phone and replied with an embarrassed voice message: "Master, you can't calculate it like that. If you can get the corresponding operating skills based on the weight consumed by practicing with pork, then it would be great if I applied to the hospital for special high-precision professional funding."

"If you get 100,000 or 200,000 yuan, you can go to the slaughterhouse and buy at least 10 or 20 pigs, right?"

"So I'm not invincible right now?"

"I don't care, I want to see the technology. I'll take responsibility for providing the pork. You need to resolve this as soon as possible. Whenever you can resolve it, I'll get the meat ready for you." Yuan Weihong resorted to shamelessness.

“Master, why don’t we go out for a treat? I’ll keep you updated on the progress.” Fang Ziye replied, then added, “Master, my junior brother has sent me his revised bid proposal.”

Fang Ziye had just put his phone down when, unexpectedly, Jie Han sent him another SCI paper manuscript, a NetMeta analysis.

Fang Ziye was speechless on the spot. He took a screenshot on his computer and sent it to his teacher, Yuan Weihong, to report Jie Han's contribution.

Yuan Weihong: "..."

“Abundant production!!!” Yuan Weihong replied with three words and four exclamation marks.

Fang Ziye didn't reply to Yuan Weihong anymore because he was too ashamed.

Compared to his junior, Jie Han, he only had a slight advantage in his major; otherwise, he was utterly outclassed.

Yes, even in terms of expertise, Fang Ziye has an advantage. By the time Jie Han was in this period, Fang Ziye already had two basic skills and had reached the second level of practice materials. Now, Jie Han has only just passed the suturing technique.

Therefore, even before the cheat was available, Fang Ziye might still have had a certain advantage.

Fang Ziye didn't bother reading the article; compared to Jie Han, he was just a junior.

However, Jie Han said, "Holy crap, senior brother, what the hell? Do you know who sent this to me?"

Jie Han's words momentarily confused Fang Ziye.

"Don't tell me it's Lan Tianluo?" Fang Ziye asked.

“It’s him, senior brother.” Jie Han sent the text and also sent a shocked emoji.

Net meta-analysis, also known as network meta-analysis, is generally used for all studies in an evidence body consisting of three or more interventions. It combines direct and indirect comparisons and performs a weighted aggregate analysis based on meta-analysis techniques.

Both being tool-based articles, when comparing workloads, if the workload of meta-analysis is a unit of 1, the workload of netmeta-analysis is estimated to be more than ten times that of meta-analysis.

"This Lantianluo?" Fang Ziye was slightly speechless.

Jie Han said, "Senior, Tianluo is definitely a god-level expert. He must have taught himself computer-related content. The web crawler he can make can directly collect papers related to keywords online, and there is also a data package that can directly crawl data from the papers."

"The grid evidence diagram and NMA (short for netmeta analysis) diagram inside look amazing. It would be more than enough to publish a paper with an impact factor of 5, 6, 7 or 8."

Fang Ziye asked, "So it can be produced in batches?"

"That's how it works in principle, but Tianluo is only good at drawing diagrams, not so good at analysis. His first draft of the article, well... let's not talk about it," Jie Han replied.

"However, it's relatively easy to revise, but it's not as high quality as the two articles you gave me before, senior brother."

"Oh, by the way, senior brother, do you know why your previous articles were always rejected?" Jie Han asked at the end.

Fang Ziye was naturally curious: "What do you mean?"

It's not very reliable to always take advantage of your junior brother.

"Senior, your background and discussion are fine, but the presentation of the results isn't very intuitive. Also, the discussion section doesn't have a particularly direct logical connection to the data in this paper."

“I found some literature, inserted ten sentences, and submitted it. Besides, you had already revised it before, so there was no need for revisions.” Jie Han’s reply was quite detailed.

Fang Ziye pondered for a moment and said, "I saw it too. Junior brother, your paper writing skills are really good."

This is something you can't envy. Even when it comes to writing research papers, those with good writing skills can submit their work to journals with higher impact factors.

As for the others, you can only watch.

"It's okay, just average."

"Tianluo said he had already applied for a professional master's degree and that he had contacted a teacher in the medical school. When the leader of the medical school heard about Tianluo's past achievements, he immediately started arguing with him."

"And they even won the argument. Tianluo's second major is enough for him to directly pursue a professional master's degree. They gave him a backdoor." Jie Han was incredibly shocked.

(End of this chapter)