top student at medical school

Chapter 93 Leading by Example Brings Greater Pressure (First Update, Please Subscribe)
As Professor Qi gave instructions, Fang Ziye walked to the corresponding operating table and asked the other professors to put on the corresponding practice materials, giving Fang Ziye time to put on gloves and check the operating equipment.

While saying, "The training room and practice materials in our hospital may be slightly different from those in other hospitals. The professional plan standard for the trauma surgery subspecialty is that suturing should be able to suture tofu well, and incision should be able to cut tofu into an octahedral pyramid shape with clear tiers."

"The debridement technique requires the ability to carve three-dimensional simplified Chinese characters on tofu, while the hemostasis technique requires the rapid and precise capture of the bleeding point in the blood vessel, repeating the process forty times at a single point within twenty seconds. The standard hemostasis technique has a completion rate of more than thirty-six times."

"The requirements for completion are..." Professor Qi repeated it to Fang Ziye, then said, "Don't worry, it's okay if you don't remember clearly. We can explain it many times until you understand the assessment criteria."

"Of course, if you fail any part of the assessment, all your scores will be invalidated. You will need to come back again for any future operational assessments."

These things were naturally not meant for Fang Ziye. Fang Ziye already knew these standards by heart and had long since met them. Now, Fang Ziye knew the exit standards for his doctoral studies by heart.

I just can't do it.

Then, the order of assessment arranged for Fang Ziye was: incision, debridement, hemostasis, and suturing.

Similarly, the senior Wen Zhonghua had already started catching mice and had completed the anesthesia procedure in advance, exposing the tail artery in its entirety and placing it on the operating table, waiting for Fang Ziye to come over.

Fang Ziye's current level in debridement and hemostasis is only 3. As for proficiency, to be on the safe side, Fang Ziye increased the proficiency of each by 3 levels (30/500) to ensure that nothing goes wrong.

Fang Ziye has focused all his knowledge on these two operational skills.

A proficiency level of 100 corresponds to the next material to be processed. Currently, it's only at the tofu level, but Fang Ziye has already been practicing it many times in the training room.

"Two attempts, complete one. Fang Ziye, you may begin." Professor Qi instructed after seeing that all the senior professors had already taken out a thick stack of scoring sheets.

First, there's the incision procedure!
Fang Ziye was least worried about the cutting technique, and he didn't even think about high-end operations like cutting pork belly. He just took the tofu block and started carving it.

Fang Ziye was in no hurry, seeking only stability. He steadily started from the top and made several cuts downwards, until a shape close to a regular octahedron emerged, and the tip of the pyramid was extremely fine.

A perfect octahedron cannot be made on a rectangular block of tofu unless it is machine-engraved.

The manual operation requires not only assessing the extent and distance of the resection, but also controlling the force and angle of the cut. This is extremely demanding, but even the near-octahedral shape made many people present turn pale.

This skill alone is not something an ordinary person can accomplish.

If you don't have the skill, it's extremely difficult to even shape a rectangular block of tofu into the sharp shape of an octagonal pyramid.

But that's what incision surgery is all about.

After Fang Ziye finished his work, he let out a soft sigh of relief.

If your skills haven't faltered, it proves you're capable, so there's no need to be too nervous.

Then comes the carving of the steps, which involves using two cuts, one horizontal and one vertical, to carve along the eight faces of the smooth octahedron and create the steps.

This step is extremely crucial; if the depth or force of the cut is not controlled properly, the entire process will collapse.

Fang Ziye was just thinking of doing it on a whim; even if he didn't succeed, he would still have another chance.

After carefully carving and cutting for about ten minutes, Fang Ziye finally managed to create the octahedral pyramid shape of the cutting technique.

It's very standard, and because of the improved progress of the level 3 incision, it's even smoother than the previous flat surface.

After Fang Ziye finished his procedure, Professor Qi nodded slightly.

As if to indicate that Fang Ziye had reached the standard in terms of incision technique, he then looked at the other senior professors.

Almost everyone gave Fang Ziye a score of over 90, which is much higher than the standard of only 60.

At that moment, someone raised their hand: "Teacher, in our teaching hospital, the material we use for practicing incisions isn't tofu. Can we choose a more familiar material for practice?"

"For example, the material we use for practice in our hospital is pork belly. The requirement is to be able to cut each layer of the pork belly completely and flawlessly, and the remaining deviation between the fat and lean meat must not exceed 0.5mm."

"Okay!" Professor Qi nodded.

"Our Zhongnan Hospital would never deliberately make things difficult for you students with the materials we provide. I forgot to mention that, and I apologize for that."

"Generally speaking, our practice room is equipped with the commonly used practice materials found in domestic practice rooms. However, our hospital's platform is not as good as that of top universities, so sometimes we try to save money wherever possible."

"Furthermore, we have a complete list of the training room exit standards for all universities in China. We professors are very familiar with them, and your senior classmates have also participated," Professor Qi said.

The man breathed a sigh of relief upon hearing this.

But Professor Qi immediately said, "However, the standard you mentioned is a bit dishonest. If I remember correctly, some universities, such as West China Hospital, require that the incision technique be able to cut and separate the pork belly while also thinning it out once."

"The requirement is that after each sheet is thinned, the difference in thickness between the two sides should not exceed two millimeters."

"Right? If I remember correctly?" Professor Qi looked at the speaker, as if to say, "You think you can play some kind of ghost story in front of me?"

The student nodded, realizing that these old professors were not easily fooled.

Upon hearing Professor Qi's words, many people's faces paled even more, and any lingering hope they had dared not resurface.

Just now, this student suddenly mentioned it, and they thought, "Hey, right, the standards for professors and practice rooms at Zhongnan Hospital are different. We can lower the standards for our hospital's practice rooms." But he didn't know that.

Looking back now, we realize that we were all too naive.

Immediately afterwards, Fang Ziye quickly and accurately completed the debridement and hemostasis procedures.

Using debridement techniques, Fang Ziye carved a relatively difficult character, "博".

This is a relatively complex font that Fang Ziye practiced for several days before preparing.

As soon as the lettering was finished being carved, the crowd instantly stirred.

He muttered, "Holy crap, can't we just do everything at this difficulty level? Are we crazy to choose such a high-difficulty operation at this time?"

Generally speaking, when performing debridement, it's best to choose a simpler approach. You've increased the difficulty so much, making it very difficult for us to proceed later.

"Silence, do not disturb the examinee's operation." Fang Ziye had now walked to the control panel for connecting the severed tail.

"Choosing which font, assessment mode, assessment difficulty, or assessment materials is the candidate's own freedom, and no one will interfere with your choices."

"Of course, we shouldn't choose fonts that have no technical content, like 'one character' or 'two characters'. We're all adults here, so don't treat others like fools."

"Fang Ziye, you can continue. You requested a tail artery reattachment suture. How do you want to reattach it, and what are your requirements?" Professor Qi asked Fang Ziye rather openly, letting him state his own request.

There's nothing we can do. At the master's level, who would set a difficulty level like suturing a severed tail artery?
"Professor Qi, I chose ten-segment sutures, which have a vascular patency rate of over 85%," Fang Ziye conservatively stated a figure.

"Okay!" Professor Qi waved his hand, agreeing as he spoke to the other students.

"If other candidates also want to complete such a difficult operation to demonstrate their abilities, they can also set their own standards. As long as it's not outrageous and doesn't treat us examiners like fools, we will agree."

"After all, considering the realities, the practice rooms at each university are different..." Professor Qi's voice was quite magnanimous.

This fully demonstrates the magnanimity and capacity of renowned universities.

Before Fang Ziye officially began, while someone was cutting Fang Ziye's coccyx, someone raised their hand and said, "Professor Qi, can we not aim for such a high level of difficulty?"

"This student has actually passed the assessment."

So far, many people have mixed feelings, but they are doing relatively well. At least one person in today's group has successfully made a good start.

They didn't blame Fang Ziye for 'cheating' because he was familiar with the materials.

What a joke! Clinical procedures are the most unforgivable. As long as you perform the procedure alone, no matter how you cheat, as long as you can complete the procedure, that's your skill.

Medical skills are all honed through countless hours of practice, and the patients you'll be treating in the future will be those you're already familiar with. Why would you prepare for unfamiliar diseases?
"We can't draw a final conclusion until we get to the last step." "Fang is still missing the practical assessment of suturing. If he can complete the tail reattachment and meet the standards he set for himself, then he will pass the suturing assessment."

"But if Fang fails the tail-sewing test, he will need to complete the tofu sewing test to finish his assessment," Professor Qi said.

Someone in the crowd whispered something.

"The success rate of vascular patency in tail reattachment is over 85%. Even senior PhD students or attending physicians wouldn't dare claim to have that level of skill. Are you trying to show off in front of us?" The voice was low, almost a mutter.

Professor Qi glanced at him in return: "Young man, I don't object to you hiding your abilities, nor do I object to the fact that our Zhongnan Hospital has lost a top talent because of this. We may even have lost a talent who could have become a Nobel Prize winner in the future."

"You think your strength is something you can fake? Huh?" Professor Qi didn't give you any face as a young person and questioned you on the spot.

Are you making a scene here?

Whether you like to hide your flaws or not, whether you like to pretend or not, then don't pretend. Just put your head in your crotch and let it hang there. See who can see what you look like.

No one dared to step forward and speak.

The others were also extremely nervous at this moment.

Although it was a great start, Fang Ziye's abilities were simply too strong.

To be honest, reconnecting severed arteries from rat tails is the most common practice material in all hand surgery, and the standards are almost uniform across the country. The only difference is the requirement for vascular patency.

In some places, it's 90%, in others it's over 95%, and in some extreme places it's over 99%. Only after that can you slowly learn and grow in the clinic for six months to a year before you can truly get the hang of it.

Is this something that can be faked?

Not!
Moreover, Fang Ziye is a master's graduate of Zhongnan Hospital, which is definitely one of the "aces" here, representing the ability and level of Wuhan University Affiliated Zhongnan Hospital to cultivate such high-quality talents.

Professor Qi is right. Being bad is the original sin. If you can't stand it and think that Zhongnan Hospital is just putting on an act, then go wherever you want, even if you become a Nobel Prize winner in the future.

Right now, I don't want you, and I won't regret it.

At this moment, Fang Ziye completely disregarded everything else and began suturing meticulously, completing the suturing of the severed tail artery with a level 4 suturing skill. The difficulty was not too high, but the vascular patency rate was a bit high.

Moreover, this operation requires suturing ten consecutive segments of the severed tail artery, and the overall vascular patency rate must be higher than 85%, which is even more difficult.

Ten sections require forty stitches.

Fang Ziye dared not speed up his operation, so it took a full twenty minutes to complete the last knot.

Professor Li personally assisted Fang Ziye in cutting the threads.

With this, Fang Ziye's operation came to an end.

Immediately afterwards, Professor Li opened the clamps used to stop the bleeding in the blood vessels.

Previously, heparinized saline solution was continuously used for preventative anticoagulation, so the blood did not clot and the blood vessels remained patent.

After the blood perfusion, the blood flow monitoring device below flashed several times before displaying a green number.

89%!

While it wasn't 90%, even an 89% vascular patency rate still caused many onlookers to gasp in astonishment.

"This is really..." One person only managed to utter three words before daring not to discuss anything further.

For a master's degree holder, reaching the level of suturing tofu is quite difficult; only a select few can achieve this level. And many of these individuals are somewhat lacking in other procedures, such as incision. To reach a level encompassing all these areas requires exceptional clinical talent…

However, Fang Ziye could stand on several floors higher, as if strolling leisurely.

With this level of skill, they would be the backbone of hand surgery in a prefecture-level city hospital; don't look down on them.

Professor Qi observed it for a while and measured it again. This time, the vascular patency rate was slightly higher than before, reaching 90%.

"Congratulations, Fang! You have successfully passed the Advanced Technology Special Program in our college's doctoral entrance examination. As long as you can guarantee that you obtain your master's degree and diploma, you can directly wait for doctoral enrollment."

"What do you professors think?" Professor Qi asked.

"Anyone capable of performing caudal artery reattachment at this age absolutely meets our hospital's standards and requirements for high-precision and cutting-edge technology projects," Professor Li Guohua said bluntly.

Having made this determination, Fang Ziye breathed a long sigh of relief. Suddenly, the heavy responsibility of pursuing a doctorate was lifted. From that moment on, no one dared to say that their qualifications for doctoral studies were irregular. Even the other examiners dared not accuse the hospital of favoritism or that the professor had used connections.

If you can do it, then do it; if you can't, then shut up. This special program doesn't take up any general spots.

What's our relationship?

As soon as Fang Ziye finished his operation, a commotion immediately broke out in the crowd.

A young man who looked even more refined than Fang Ziye asked with a shifty gaze, "Professor, this student must have been very skilled before. Is he just here to go through the motions?"

"Yes, so, do you also need to go through this process?"

“We welcome all outstanding talents to go through the process, one by one. Even those who haven’t registered yet, as long as they have the willingness, we old guys are willing to work overtime.”

"Even if you miss the current doctoral application assessment period, we can still find a way to get you in. Why don't you try as the second one?" Professor Qi said noncommittally.

Although it seems that Fang Ziye's operation this time did not exceed the target, these people are all shrewd and not stupid. They know that the hospital made a deliberate arrangement.

However, Professor Qi still squeezed his voice, implying that...

Come and hit me!
Did someone hit me?

You're trying to hit me by repeating this action.

You're welcome to play.

The young man's face twitched a few times, but in the end, he couldn't muster any toughness.

Such special assessments should not be taken lightly. Anyone who takes them lightly, especially when provoked, will lose face.

Let's continue to remain silent.

After finishing the operation, Fang Ziye immediately switched roles and began helping to clean the workbench, wash the operating instruments, and prepare materials for the operations that the candidates might need to perform later.

This is not against the rules. Professor Qi has already made such a statement, which can be considered an arrogant statement. If you still say that Fang Ziye cheated, then you are just being stubborn. Moreover, similar special programs are available in most 985 universities.

In places where this is not the case, we should reflect on why our institutions do not have such opportunities and special programs.

After Fang Ziye finished tidying up, Professor Qi asked, "Is there anyone willing to come up and check if the materials Fang Ziye prepared are genuine?"

No one dared to reply. In fact, at this moment, after Fang Ziye openly shed his identity as a test taker and transformed into a staff member, they didn't even dare to cast an angry glance at him.

Just kidding, this is only Professor Qi directly confronting people. If anyone else tries to say something, Fang Ziye might, in his youthful arrogance, say something like, "What the hell are you doing? Come on then!"

That's so embarrassing.

We're all master's degree holders with some substance, so we should at least have some self-respect.

Professor Qi said, "If no one answers, I'll just call on someone randomly. I'll be random; I don't know any of you. Who gets second in line is just a matter of luck."

"Cao Ziqing, who is Cao Ziqing? You are the second person to be assessed. Please explain your subspecialty and the materials you are using..."

(End of this chapter)