top student at medical school

Chapter 94: I passed the exam! (Second update, please subscribe)

Cao Ziqing, who was called, looked rather mature. Although her face was clean and free of acne, it showed signs of age.

Slightly nervous, he walked through the crowd and stepped forward, saying, "Teacher, my name is Cao Ziqing. I was a master's student in sports medicine before, and I plan to apply for the same major this time."

"Old Zhu, these are your sports medicine candidates. Take them to room 804 for the assessment!"

"Fang Ziye, you'll go with Cao Ziqing and Professor Zhu Kewei to help out in room 804," Qi Wenshan said, making no attempt to avoid suspicion.

Although Professor Qi Wenshan is not tall, even a little shorter than Cao Ziqing, his aura became increasingly impressive as the assessment progressed. He exuded both elegance and a commanding presence, which explains why he, despite his short stature, could become a leading figure among so many senior professors. He must have something special.

In fact, Qi Wenshan didn't avoid any appearance of impropriety at all, because Fang Ziye's assessment was conducted in full view of everyone. He was originally a master's student of this college, and after passing the professional operation plan, he did not occupy a regular quota.

In such a situation, he switched roles to become a staff member, and no one dared to complain.

Like I said before, if you can do it, then you do it; if you can't, then shut up. If it doesn't affect your normal performance evaluation, then don't say anything more.

Fang Ziye obediently followed.

After getting to know Professor Li Guohua of trauma surgery and Professor Wen Dongfang of hand surgery, Fang Ziye had a general impression of the older generation of people.

I know that the senior professors who are still shining in the training room are all retired from their respective subspecialties and only practice outpatient clinics. They are the pillars of the entire orthopedics department.

Of course, the names of people of their generation are very characteristic of that era.

For example, while the names of Professor Han Shan and Professor Zhu Kewei in sports medicine are quite conventional, the names of Professor Qi Wenshan and Professor Dong Wensheng in joint surgery sound very similar.

Professors Wen Dongfang and Zhu Weiguo, both specializing in hand surgery, were absolute iconic names in the 1960s and 70s.

The names of Professor Li Guohua and Professor Xiong Zhizhang from the Department of Trauma Surgery are rather conventional...

Professor Zhu Kewei, with a strikingly bald head, so bald that no one could match him, asked as he walked, "Student Cao, are you not nervous? The reason we are assessing you separately is to thoroughly understand your true level."

"I hope we can give you more opportunities. To be honest, our hospital is very generous to people. This time, we have prepared nine old guys, for a total of only twenty-three people. We plan to spend a day slowly assessing them."

"As long as your abilities are good enough, taking the tests a few more times is no problem. As long as the difference isn't too outrageous, you don't need to worry about not having enough time." Zhu Kewei, who was close to the monk and had a bald head, was kind and gentle, and his words were very comforting to hear.

The hospital highly values ​​highly qualified operational personnel, and therefore places special emphasis on the operational specialization program within the doctoral application and assessment system.

Naturally, the Onion Research Program is given even more importance. It offers more opportunities than the special program. As long as you have enough background knowledge and are good enough, you won't have to worry about not having a place to study.

"Thank you, Professor Zhu. I will do my best." Cao Ziqing was still very nervous.

Professor Zhu Kewei did indeed say he would give more opportunities, but opportunities are not a guarantee of success. If you don't have the ability, you might not be able to seize even ten opportunities.

Cao Ziqing felt a little scared and thought it was going to be very difficult.

As they continued walking, Zhu Kewei gave Fang Ziye a document and asked him to explain in detail the emphasis that sports medicine specialties place on basic operational skills.

The types of procedures that sports medicine focuses on cover, but are not entirely the same as, those in trauma surgery.

Incision and suturing are equally important, but debridement and hemostasis are not as demanding in the early stages. Instead, higher requirements are required in puncture and arthroscopic simulation techniques.

For example, in the puncture procedure, the standard for puncture in the training room of Zhongnan Hospital is that you can puncture five points that you have memorized through tofu, and hit the bullseye four-fifths of the time.

The thickness of the tofu is not reduced.

Of course, the requirements for puncture in the early stages of sports medicine training are not that high. It is only to meet the requirements for breaking through the barrier that you must reach four-fifths of the way through a six-centimeter-thick piece of tofu.

This not only tests memory and the ability to control angles, but also requires a high degree of precision.

In sports medicine procedures, creating an arthroscopic access is of paramount importance.

The arthroscopic simulation technique involves using a screen that simulates an arthroscopic view through a box without X-ray vision, and then using forceps similar to arthroscopic instruments to pick up soybeans from the bottom of the box and put them into a container.

For a typical number of beans, about fifteen would be placed in the container. If all the beans could be collected within thirty attempts, the operation would be considered successful, which already provides a very high margin of error.

This procedure simulates arthroscopic exploration and removal of loose bodies from the joint, which is a fundamental skill.

After all, the beans in the box are scattered, and you have to figure out how to adjust the field of view of the arthroscopy yourself. The box has many control holes, and you need to adjust the access of the observation lens and the operation lens yourself. This requires you to have a certain understanding of the spatial structure and then complete your own design.

This is completely different from trauma surgery, which has high requirements for debridement and hemostasis.

After Fang Ziye finished speaking, Zhu Kewei touched his bald head and asked with a smile, "The practice mode and materials for puncture and arthroscopic simulation operations in sports medicine are basically the same in every teaching hospital, right?"

"Don't give me some kind of equipment I've never heard of before."

Cao Ziqing dared not be presumptuous at this moment. He was joking. If necessary, what if this Professor Zhu actually called his colleagues at the hospital to confirm whether he was lying? That would be ridiculous.

Following this, after Cao Ziqing became familiar with the relevant standards, the operational assessment began.

First of all, Cao Ziqing didn't ask for any changes to the materials used in the exercises; he was still using tofu. It's likely that the practice materials in the training rooms at Cao Ziqing's university are also tofu.

At this moment, Fang Ziye's mentality was a little 'distorted', very similar to the feeling of watching others take the driving test after passing the test. It can be summed up in two words: he loves to watch.

Moreover, having just finished the exam, I am very familiar with all the procedures and requirements, and I can even recite the assessment standards from memory, so I enjoy watching.

Fang Ziye stood to the side, watching Professor Zhu Kewei score Cao Ziqing on the rating scale, while also inwardly evaluating Cao Ziqing's performance.

Fang Ziye's current suturing skill is at level 4 proficiency, which is one level higher than Cao Ziqing's. Therefore, it can be seen that if Cao Ziqing could control the force a little less, the suturing effect might be even better. He could not only sew up the surface of tofu, but also be almost as good as suturing aspic.

Judging from Cao Ziqing's current skill level, Fang Ziye knew that he was skilled in suturing, and that suturing the surface of tofu would not be difficult for him.

This Cao Ziqing, who dared to barge into the training room so directly, must be quite capable.

After glancing at Cao Ziqing's actions, Fang Ziye then glanced sideways at the contents of Professor Zhu Kewei's detailed evaluation form, and his lips twitched slightly.

Professor Zhu Kewei is truly ruthless and strict.

Even when sewing and knotting, Cao Ziqing pressed the knot twice, which resulted in a deduction of points. How can anyone live like this?
I wonder if these professors gave me any leeway during the assessment and deducted fewer points.

But it's probably going to be difficult; the first person to participate in the assessment will be the strictest.

As time passed, about ten minutes later, Cao Ziqing's skill level was still a bit unstable. While sewing, she accidentally pried open a small piece of the tofu.

Cao Ziqing panicked and pretended that Professor Zhu hadn't seen it. He pressed the tofu back down and continued sewing.

"Ahem, umm." But Professor Zhu Kewei, though nearly seventy years old, was still quite sharp.

Cao Ziqing immediately stopped what he was doing and gently tapped his left hand with the needle holder.

After a moment of slight annoyance, he turned to look at Fang Ziye, nodding with a smile. His meaning was clear: he wanted Fang Ziye to replace the tofu and cut it a couple more times so he could have another chance to work. Fang Ziye didn't actually need Cao Ziqing's instructions; there was no mockery on his face. At this moment, Cao Ziqing's skill level was slightly higher than Xiong Jinhuan's and Li Yuanpei's, so how could he be considered to be mocking him?
After carefully removing the tofu with gloves, Fang Ziye placed it on another workbench. This was to be kept as evidence, so that if Cao Ziqing failed the subsequent operational assessment, there would be a reason for the failure.

Fang Ziye placed another piece of tofu behind the worktable and made two cuts with a knife, the sharp knife slicing the tofu as smoothly as if it were cut by a machine: "You can slow down a bit, keep going."

Fang Ziye added a comment, unsure if he was breaking the rules, but it didn't matter. He was just encouraging the other person to slow down and not rush.

Zhu Kewei didn't even look at Fang Ziye. Instead, he filled in Cao Ziqing's basic information again, then changed to a new rating scale and wrote a 2 on the blank rating scale.
Upon hearing Fang Ziye's words, Cao Ziqing looked at him with a wry smile.

You don't know until you try it, and once you start, it's a complete disaster. Before, when I watched Fang Ziye's suturing technique, there were no fancy techniques or fancy needle holders. It was just standard.

It doesn't seem too difficult, but when you actually try it yourself, you realize that these assessments are just as difficult as the ones in the training room at your hospital.

Cao Ziqing didn't delay too much, but this time, she slowed down again. Perhaps it was because she had warmed up before, or perhaps it was because she was more cautious after failing once before. Therefore, this time, the suture was done with a total of seventeen stitches in double rows.

Cao Ziqing's work was decent. Although there were two stitches that tore the surface of the tofu and created cutting marks, it was not a big deal. As long as it didn't involve directly lifting a block of tofu, it wasn't a veto.

Finally, Cao Ziqing passed the suturing operation assessment with a score of 68, a relatively risky score.

Next came the assessment of the incision technique.

Cao Ziqing first asked if the character "Zi" could be carved.

Upon hearing this, Professor Zhu rolled his eyes and asked, "Are you sure?"

Engraving is part of the assessment for debridement techniques. Although it is related to incision techniques, it does not actually belong to the same category.

Is Cao Ziqing joking? Just how skilled is he at debridement?
Do you think that just because the character 子 has fewer strokes, you should choose the character 子?

Although Fang Ziye chose the character "博", the character "博" is actually a combination of horizontal, vertical and dot strokes, without the horizontal hook stroke of the character "子". Therefore, it is easier to operate than the character "子"!

Doesn't this immediately expose his level of understanding?

“I want to give it a try.” Cao Ziqing nodded. He probably had no choice but to switch to debridement techniques, knowing that his incision skills were not up to par.

But his suggestion was truly...

In sports medicine, the requirements for debridement are not particularly high.

No one stopped him, and Fang Ziye couldn't possibly offer any further advice.

Fang Ziye had always known that his classmates Xiong Jinhuan and Li Yuanpei were definitely not bad, just not particularly outstanding. It was not something anyone could do to reach the level of a master's student after completing their studies.

……

It's nice to look at, and it's also nice to see.

After Cao Ziqing failed his third attempt at debridement, Zhu Kewei called a halt: "Alright, let's end the assessment here. Do you want to continue with the incision technique assessment?"

"If you're not going to do it, then focus on preparing for the interview and the second interview."

Cao Ziqing looked nervous, not wanting to let such a great opportunity slip by so easily. He almost pleaded, "Teacher, may I try the arthroscopic procedure? Teacher, I..."

Zhu Kewei stood up abruptly, his bald head revealing a sharp look in his eyes: "You want to pass the professional assessment simply by performing arthroscopic procedures? Do you even know what the standards are?"

"I'm asking you, are you capable of performing arthroscopic exploration and debridement of the shoulder with exceptional skill?"

"If it doesn't work out, let's not waste our time. I'm very busy. If possible, I can give you a chance, but don't take any chances."

"Honesty is a very valuable quality."

Upon hearing this, Cao Ziqing's expression gradually froze.

Then he lowered his slightly proud and unyielding head, admitting defeat and handing over the scalpel.

Cao Ziqing's failure was not unexpected. Fang Ziye took Cao Ziqing and his relevant review materials back to the training room of the 803 Joint Surgery Department and handed the materials to Professor Qi Wenshan.

Qi Wenshan carefully read through all the materials, then put them away with a clip and encouraged them, "Don't be discouraged. So far, only one person has passed the professional specialization program. Cao Ziqing, you are still very good and have passed the test of suturing."

"You still have a chance. Focus on the interview and the follow-up assessment later. Don't let it affect your mood."

Cao Ziqing nodded slightly and bowed gently: "Thank you, teacher. Can I leave now to prepare for the interview?"

"Go ahead. Ziye, see him off and show Cao Ziqing the way, so he won't get lost," Qi Wenshan said politely.

Although Cao Ziqing did not pass the special program assessment, it does not mean that Cao Ziqing has no chance.

Fang Ziye nodded in agreement, and then politely went with Cao Ziqing back to the demonstration room where the orthopedic ward was located.

On the way, Cao Ziqing turned to him and asked, "Brother, did I make the wrong choice? Shouldn't I have switched to debridement halfway through?"

Fang Ziye nodded: "You chose the wrong character. For the simplified Chinese character carving of Qingchuang Technique, the more horizontal and vertical strokes a character has, the easier it is to carve. Most people usually choose to carve the character '田' or '回'."

"Although the character '子' has few strokes, it requires a very high level of debridement skills. It is a debridement technique that our instructors in the training room will perform after the doctoral stage. It is even more difficult than the debridement of crushed muscle in clinical practice."

"In our trauma surgery, if you can carve some difficult lettering, such as a smooth '人' character, then the score for such operational proficiency is very high."

Fang Ziye offered an explanation.

Fang Ziye didn't know the models of other teaching hospitals, but he knew that at Zhongnan Hospital, the debridement technique progressed from carving simplified Chinese characters to a more advanced stage of shaping and debridement, like crushing pork, before moving on to the more complex font carving.

"I."

"Sigh!" Cao Ziqing sighed.

"But I find it extremely difficult to cut the tofu into an octahedron using cutting techniques, let alone carve steps. I simply can't do it." Cao Ziqing sighed and took two steps ahead, somewhat disappointed.

"Brother, no need to see me off any further. I can find the demonstration room now. Thank you, brother. If we have the chance to meet again in the future, we can get together sometime." Cao Ziqing was still very polite.

Fang Ziye didn't dwell on it. After watching Cao Ziqing enter the orthopedic building, he returned to the practice room to meet with Professor Zhu Kewei, the next candidate to participate in the professional specialization program for the 'operational assessment'.

This candidate, although he failed miserably in the first step of suturing, his current practical skills are similar to Xiong Jinhuan's, but he is still a long way from suturing tofu.

But a mistake is a mistake, and it's impossible to fix it no matter how many times you try.

Although Fang Ziye had watched several relatively low-quality suturing procedures, he still enjoyed watching them, as if he had a strange quirk about it, though he didn't express it outwardly.

(End of this chapter)