The road to the rise of great doctors

Chapter 64: Competition between Medical Skills
The venue of the "Kyoto Minimally Invasive Endoscopic Training Class" was larger than Liu Dong imagined. After entering, he found that the number of participants was less than expected. Liu Dong understood that this was a small but precise training class that could ensure that every participant the quality of training.

Each training device is also equipped with a screen recording function, which can be used by teachers to review or comment. Liu Dong found his position by comparing the number list on the side.

After the official start, the organizer first gave the opening speech and the overall schedule.

Then, the appearance of training teachers was introduced. There were two locals in Kyoto and one assistant; there were two from other places.Except for the chairman, the others are all well-known young and middle-aged experts in the industry.

"This conference, with the purpose of 'transmitting technology and creating standards', provides standardized laparoscopy training courses for the young generation of domestic doctors, and provides a very good platform for mutual learning and discussion."

The first part is theoretical teaching. After the teaching, there will be a small test. On the one hand, it is to test the cognitive level of theoretical knowledge. On the other hand, it is also a small feedback to see what needs to be improved.

Professor Qiu talked about "Clinical Application of Laparoscopy in Urology Surgery", Professor Zhang talked about "Surgery and Anatomy of Laparoscopy in Urology Surgery", and Li Jing talked about "Key Points of Laparoscopic Prostate Cancer Surgery".
Liu Dong looked at several test questions in the in-class test and found that they were all relatively basic questions. Even if the teacher did not mention them, they were ones he had seen in surgery.He thinks he can get full marks.

The second part is a basic skills competition, including basic laparoscopic operations such as pinching beans, cutting circular paper, suturing and tying knots. Two people share a training equipment, and each person has half an hour of training time.Follow the demonstrated standard operations and train separately.

"Little brother, you are operating too slowly." The person in the same group as Liu Dong is a senior resident doctor named Guo. He has an ordinary appearance. His eyebrows are thick but not messy. But the most eye-catching thing about him is that his eyebrows have begun to become sparse and sparse. For hair that develops toward the "Mediterranean" shape, the hairline also moves upward, and "the face gradually encroaches on the territory of the hair."

When he watched Liu Dong operate, he wished he could take it away and train himself.It can be seen that the training opportunities he usually gets are really very limited!
Liu Dong smiled slightly and said, "Thank you for the suggestion. I don't have many operations, so seeing this standard operation method is quite inspiring. I'll figure it out and practice it myself first."

As a novice, Liu Dong carefully thought about the standard operation techniques and how to be more consistent with anatomy and the law of force. He was constantly adjusting during practice.Although it is slow, in the end the practice is very standard.

When waiting for Dr. Guo to start practicing, it was true that the speed was much faster than when Liu Dong first started. However, there were many unnecessary small movements during the operation, and these small movements, in Liu Dong's view, would affect the overall speed. Impact, and when operating within a narrow range of the human body, the field of vision may be lost, or damage may be caused to areas that do not require surgery.For example, when picking beans, only one operating instrument is always moving, and the other one is left there, but it takes up one hand.When cutting circular paper, do not follow the marked lines exactly, either on the inside or outside.When suturing and knotting, the length of the thread was not trimmed, which resulted in the pulling time being too long. Sometimes the needle left the surgical field, and the next operation had to follow the thread to find the needle.
"Look, this is how it should be done. The training video is just a basic movement, and it may not be practical in actual application. It's your luck that you met me." Dr. Guo said to Liu Dong while operating.

Although a little confused, I don't understand why this person is so confident.However, Liu Dong still watched Dr. Guo's operation seriously. Although he felt that there were big problems with Dr. Guo's operation methods, the methods he explored from practice sometimes had merits.

Of course, opportunity favors those who are prepared.Just like in many industries, it is the founder who invents a technology, but it is not necessarily the founder who ultimately promotes it, but the person who innovates based on the founder's work.For example, someone writes a song, sings it, and releases it.But there was no fire.Later, another person bought the copyright, made a little adjustment or no adjustment at all, and sang it as a cover, and then it came alive and became a hit. People can hear it in the streets and alleys, and some of it even became popular overseas.
After practice, the official game begins.

Divide into 2 teams and have the teacher's assistant record the scores.The person from the organizer uniformly calls out the time to start, and then starts the corresponding program on the device.These programs can calculate the number of beans clamped into a designated box based on weight, evaluate whether they are cut into circles according to the dotted lines marked by the simulator, and evaluate the quality of stitching and the number of knots.After starting, since there are enough equipments, the game can be easily completed by dividing into two batches.

With a command, start in the order of clamping beans, cutting round paper, sewing and knotting, and then calculate the usage time of each item.

The person who was in the same group as Liu Dong performed well during the official competition.

But after Liu Dong started to operate, he saw that Liu Dong had sharp eyes and steady hands, and his operation was very efficient. He didn't waste a single movement. The shortest time was spent on the part of picking beans.

The step of cutting round paper is the second one.The first is an attending physician who has participated in training in other similar projects.

There is a chance of failure in suturing and tying knots on the simulator.So, some people spend a lot of time without finishing.As for Liu Dong, according to the key points of the operation shown in the standard operation video, basically one injection is one injection, and there is no need to insert the needle multiple times; the knotting also looks unpleasant, but after the unnecessary movements are reduced, the overall The speed is much faster.In the end, sewing and knotting also won the first place.

The scores are updated in real time, so everyone has seen this score. Combining the scores in the first two parts, Liu Dong is temporarily ranked first.

The third part is practical operation.There is an animal kidney and use the simulator to perform partial nephrectomy operation.

This part, on the surface, is more beneficial for people who are already clinically involved in more surgeries.However, the actual situation is not like this.Because, those who come here are at most the "pre-order operation steps" or look at the key operation steps a few times.Basically, all the contestants have not actually performed this operation.

So, do people who have seen it have an advantage?
not really.What some people see is what others have put in a lot of effort to do.This is not the best model.

Work in pairs, one holds the mirror and the other operates.Then alternate.Therefore, the score is divided into two parts, the assistant's auxiliary awareness and the surgeon's operating skills.

(End of this chapter)