Chapter 26: Stand firm (please collect, please read)

"Dr. Fang's basic skills are indeed good." Following Director Long Quan's words, Qin Chaowen, another veteran attending in the department, also added.

"Qin Chaowen, do you think it's just good?" Faced with Qin Chaowen's following, Long Quan asked back.

This sentence made Qin Chaowen's pupils shrink sharply.

Fang Yun was confused and quickly helped deal with the matter of stepping down.

Level 3 suturing and incision, and level 1 internal fixation device removal, are they really just average?
The operation on this unit was not big, so after Fang Yun completed the operation, he asked the circulating nurse and anesthesiologist to send the patient directly back to the ward. Luo Su was in charge of the bed, so he also gave the postoperative medical orders. Come and drive.

Fang Yun got an operation for nothing.

Then the second operation was an open reduction of fracture with plate and screw internal fixation. Fang Yun had no chance to perform. After all, the attending doctors Qin Chaowen and Luo Su were old employees in the department.

However, Fang Yun was not in a hurry. The internal fixation surgery just now involved operations such as incision, suturing, debridement, internal fixation device operation experience, and internal fixation device removal. Each one has improved, so it is very good.

However, when Director Long Quan led the attending doctors Qin Chaowen and Luo Su to start the next operation, and asked the attending doctor Qin Chaowen to perform another skin incision, Fang Yun suddenly understood what Director Long Quan said before, but it was true. ,What exactly does that mean.

Good guy.

Dr. Qin Chaowen's basic incision skills are only level 2...

"Huh? What's going on?" Fang Yun felt moved when he saw this.

Looking more closely, the speed at which Qin Chaowen's surgical approach was exposed was indeed a bit slow.It's a bit like working slowly and carefully, and every step is done in an orderly manner.

Do not seek speed in surgery. Pursuing speed at the expense of quality is the number one taboo, except when it comes to saving lives, when you must race against time.

However, if the speed can be accelerated while ensuring quality, it will also reduce the amount of intraoperative bleeding and reduce the chance of shock.

The quality of level 3 incision is essentially the same as level 2. The anatomy of each layer of tissue is known and the gaps are identified.

but?

Level 3 incision will be faster than level 2 incision, more stable, precise, and clean.

In other words, in the grading and assessment process of the Xiangzhou Medical Association, the level 3 required by the Xiangzhou Medical Association is not the conventional strength standard for doctors in county hospitals.

It’s because you want to move up that there are such high requirements and standards for you, otherwise?

It's just a fake dragon, but it's going to ascend to heaven, so why don't you leave it to me?

Level 3 incisions are not available to everyone in the county hospital. It is just that the old attending doctors here are quite good and have enough specialized skills, so their overall score can be set here.

But I want to go out, but my skills are not very good, so I will be sent to the town hospital to hang around?
This discovery made Fang Yun slightly shocked and inexplicable.

In this case, with these five level 5 skills on my body, in fact, I am not directly ranked at the bottom in this county hospital. And this time, I have four people to conduct the follow-up assessment.

Maybe the main thing to look at is the overall growth within three months, not just your initial ability.

Otherwise, the old chief under Director Peng's team will definitely be able to beat everyone in terms of the breadth of his skill pool.

If that's just a comparison of progress, then how can others compare with themselves?

After three months, even if I lie still, I can gain 4 level 3 skills in vain. In addition, if there are operations that can increase experience points, it is not a problem to increase my strength to 5 level 3 skills.

Will there be 10 level 3 skills by then?
Alas, I am also over 30 years old, so going to the Prefecture People's Hospital was a step too short.

After the age of 30, the scoring standards are different again.

Time soon came to afternoon.The second operation, which is when all operations in the group are coming to an end.

Fang Yun discovered this again when he looked at the stitches between Qin Chaowen and Luo Su.

Level 3 suturing is not the last thing, and not everyone has it.

Qin Chaowen's suturing technique is better than Luo Su's attending physician, which is level 3, but Luo Su's suturing technique is not as detailed as Qin Chaowen's in terms of clarifying the layers.

While watching the two people suturing, Long Quan said: "Director Peng and I plan to perform intramedullary nail internal fixation of fractures routinely in the department, so in the future, some simple open reduction, plate and screw internal fixation of fractures will be done. It’s up to you.”

"I hope you can practice again after you go back."

"Especially the manual reduction of fractures, a basic orthopedic operation, is very important in the treatment of fractures."

"Xiao Fang, if you want to get started with fracture surgery, you still need to develop into a specialist."

"The trauma surgery department of our County People's Hospital does not perform general surgery operations." Long Quan reminded him.

It is probably because of seeing Fang Yun's skill pool and the operation of general surgery that he managed to reach this point.

Fang Yun nodded quickly: "Okay, Director Long."

Now that the specialty is trauma surgery, some of the previous general surgery procedures will naturally not be emphasized. Where can I go to the orthopedics department to find appendicitis and cholecystitis surgeries?

It is still necessary to develop the specialty and perfect all the techniques of the specialty.Only then can we better serve patients.

Specialty treatment, the specialties in county hospitals are divided in relatively detail.

Upon hearing this, Luo Su asked: "Director Long, do we still do arthroscopy in our department?"

"Didn't Director Chen buy a set before when he was here?"

Fang Yun moved when he heard this——

"It must be done, but the operation of arthroscopy is quite troublesome. Director Peng and I need to think about it carefully. There are more and more diseases related to sports medicine."

"Luo Su, are you willing to become a doctor specializing in sports medicine? If you are willing, I will leave this related disease to you?" Long Quan said jokingly.

Luo Su shook his head like a rattle in an instant: "Director Long, it's too difficult to start from scratch. Even if I go out to study, I may only get started in a year and a half."

"It's better to leave such an important responsibility to others. Didn't Tian Zujian, Director Peng's side, want to learn to perform arthroscopic surgery?"

Longquan didn't embarrass Luo Su.

……

When Fang Yun heard this, his eyes suddenly lit up and his eyes flashed rapidly.

As Long Quan said, sports medicine is a subspecialty under orthopedics. Currently, Longxian People's Hospital has not developed it. It is a blank. And currently, except for Director Chen Shengwu, it seems that it is difficult for others to even operate it.

What if you are yourself?
Most of the surgeries related to arthroscopy are level [-] and level [-] operations.

No, I am an attending myself. I have been an attending for two years now, so I can barely be considered a senior attending.

This can be done.

With this in mind, Fang Yun silently moved the bone defect transplantation technique to the on-hook slot, and then moved his arthroscopic instrument operation experience to the on-hook slot in the skill pool.

(End of this chapter)

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