medical simulator

Ok.

Girls are indeed attracting creatures.

This time, the number of places in the hospital was released, and it really exploded a lot of people, each of them was calculating their own methods and advantages.

Naturally, including myself.

Zhou Cheng glanced sideways at Du Yanjun and said, "Have you ever seen this girl? Don't you have any ideas?"

Du Yanjun sighed with emotion, and jokingly said: "If I had Zhou Chengge's good looks like you, I might still want to give it a try. But I don't. And I don't have money or time. I have to face the challenge of graduation." There are a lot of things."

Du Yanjun shook his head himself: "If I were a girl, I wouldn't find a boyfriend like me."

……

The two chatted for a while, and the dishes came out one after another. The two young men hadn't eaten since they had breakfast at seven o'clock in the morning, so it was important to eat quickly.

After dinner, Zhou Chengcai and Du Yanjun went back separately. Because Du Yanjun was a graduate student with little subsidy, he lived in a cheap dormitory, while Zhou Cheng rented a small single room by himself.

After returning to the dormitory, Zhou Cheng did not immediately start the last opportunity to simulate the dungeon left today, but first sorted out the current situation.

The hospital did not say how many places will be available in the second orthopedic ward.

But as it stands now.

Min Chaoshuo and Du Yanjun are graduate students of the ward director Yan Haihan and Cai Dongfan respectively, taking advantage of the advantage and convenience that their teacher is the chief physician of the department.

This point is very important. Everyone likes to be cronyistic. They hope that the people they serve are people they are very familiar with. The apprentices who are brought out by hand are the best, because they are familiar and there is no psychological pressure.

Relatively speaking, Min Chaoshuo has a greater advantage than Du Yanjun. After all, Yan Hanhan is the director of the ward, and Cai Dongfan is not.

In addition to the two of them, Lin Lin and Du Ruiqi, two academic graduate students who were incorporated into regular training, should not be underestimated.They originally published sci when they graduated, and now Lin Lin is going to publish another sci, and he also uses the sci article as an exchange for his own practice opportunities.

Articles and scientific research are now an area that the Eighth Hospital attaches great importance to.

The No. [-] Hospital of Shashi is located in the Star District, and it is already a third-class general hospital. There is no way to improve the level of the hospital. If you want to improve the overall strength of your hospital at this time, you can only increase its popularity in the industry.That is to rely on academic research to increase the soft and hard strength of one's own department.

Without innovation, if you just simply learn, you will always catch up with others. Therefore, in general, the hospital now attaches great importance to scientific research and clinical talents. Idle people come to enhance the soft power of their own hospitals.

Moreover, the temptation of the article to superior doctors is quite great.Especially Director Hu in the department is quite obsessed with this.

Without him, the three chief physicians in the department, Cai Dongfan and Yan Haihan are all postgraduate tutors, but he is not.

What is lacking is that there is no subject, and without a subject, there is no way to lead a graduate student, and the prerequisite for applying for a subject is to show that you have the ability and strength in scientific research. Sci articles become a very important resume.

Therefore, in the process of Lin Lin and Du Ruiqi's competition, there is a certain possibility that Director Hu will give them a helping hand.In order to look forward to their reciprocation after they stay in the hospital.

Let's talk about social planning and training personnel.

Xu Yanlin from Yan Haihan, Guo Lei from Director Hu's group, and Zhang Zhengquan from his own group.

Zhou Cheng didn't know how Guo Lei was doing and what he was doing.

But Xu Yanlin's family background is good, he often asks his superiors to eat and drink, and he has an uncle who is the deputy director of the hospital, which has a huge advantage in social relations.

Zhang Zhengquan is already planning to take a shortcut.

Thinking of this, Zhou Cheng frowned slightly. Compared with these people, what is his biggest advantage?

If I want to compete with them, I must often sort out this advantage and comparison, as well as my own advantages, and then do it with a goal.This is the more important part, otherwise, if you mess around in the clinic for a while, you must not be whimsical.

What are your advantages?Perhaps only the clinical ability is stronger than them, which is what Zhou Cheng himself is confident of.

But it is obviously unscientific to only have strength but no chance to show it, just waiting for the passive opportunity to come.

But in order to strive for opportunities to perform, I lack a lot of things.There is no mentor to tell the truth, and there is no article in exchange, so why should Cai Dongfan give himself a chance to operate?

Speaking of which, if he were Cai Dongfan, he wouldn't want to tell someone he didn't know very well, and take the risk of possible medical disputes.

This is reality.

Although Du Yanjun said that Zhou Cheng would have a chance to perform on stage next time, Zhou Cheng naturally couldn't just wait.

But within the stipulated range, Zhou Cheng is now a mature resident doctor. He has had a junior professional title for more than a year, and is about to go in the direction of the second year.Under such conditions, the operations that Zhou Cheng can perform independently and without reporting to his superiors are Class I operations.

For example, plaster external fixation, suture removal, suture and simple debridement and suture.

Debridement and suture patients belong to the trauma type, which can be divided into simple and complex. As long as there are such patients, if you encounter them on duty, you must report to Luo Yun, because some complicated debridements may be accompanied by blood vessels and nerves. And tendon injury, the corresponding operation should be classified as type III surgery.

Class III surgery, even if it is performed by Luo Yun, it is a bit reluctant. Strictly speaking, he is a leapfrog operation, let alone Zhou Cheng.

Moreover, now that Zhou Cheng has simulated the skill level to perfection on the first copy, if he continues to simulate, although there may be a breakthrough, the timeline will be very long, and the significance is not very great.

Zhou Cheng thought to himself that the proficiency of open reduction and internal fixation of fractures (perfect) has already exceeded the ceiling of corresponding surgical operations in the Eighth Hospital, so it is impossible for Zhou Cheng and others to have a higher ceiling. too much meaning.

Continue to simulate in this copy, and get other skills, which will be downgraded.The adapted copy must therefore be turned on.

To open a new simulation copy, you must have a thank you value. The fastest source of thank you value is to let the patient know that you let him avoid or alleviate the pain, that is, you face the patient yourself.

Since I got the simulator, I have to make good use of it. Of course, I don't just wait blindly.

It needs to be planned more systematically.

Then, it seems that what I can do is to downgrade the surgery and operation.

After figuring this out, Zhou Chengcheng started a new round of simulation.

Simulate with purpose.

……

[Please confirm the initial skills and materials to carry. 】

[Fracture Open Reduction and Internal Fixation (Perfect)] Zhou Cheng only needs to have this skill, because it contains many things in itself.

Chapter 19 Perfect Level Above!

[You have a perfect level of open reduction and internal fixation for fractures, but you don't have many opportunities for surgical operations. 】

【So you decided to lower the classification of operations, and started to study fracture manual reduction and plaster external fixation.You start to read all kinds of literature, but you find that you are not simply satisfied with Chinese literature. 】

[You go to see sci, and you find that your English level is slightly lacking, so you start to focus on English learning. 】

[Your superior tried to let you go for a surgery, and your performance was so impressive that even your superior doctor couldn't understand it, so he attached great importance to you and decided to give you more Opportunity to operate. 】

[But you refused, you know what your purpose is. 】

I rely on.

This simulator can also follow your own general thinking, which is not bad!

[One month later, you studied English hard and persisted in reading literature every day, and finally you can read professional English literature proficiently, so you began to read and accumulate crazily to understand the corresponding knowledge of the world's cutting-edge fracture manipulation. 】

[After half a year, because you rejected your superior doctor's suggestion, you did not get the chance to stay in the hospital, but you did not return to the town hospital, but decided to go to Shenzhen City in the south, relying on your own strength, in the Worked in a private hospital with very good treatment for five years. 】

[Five years later, you have accumulated a certain amount of capital, and finally, under the confusion of everyone, you chose to resign.After you sent a large sum of pension funds to your parents, you started to travel and study, visiting domestic famous experts in traditional Chinese medicine and trauma surgery. 】

[In the tenth year, you already have a good understanding of manual reduction, and you have a faint feeling that the current indications for fracture surgery are actually limited.So you start to study abroad and visit famous orthopedic hospitals. 】

[Your knowledge in manual reset has been appreciated and recognized by many masters.So you turn around in these places and start to practice and think about manual reduction of fractures. 】

【20 years later, you have entered middle-aged and old age. At this moment, you have married a wife and have children. You know that you should not wander around, and you have to explain to your parents.So you settled down and founded a small clinic, mainly treating bruises. 】

[Because you visited many famous experts during your study tour in China, so these professors helped you a lot when you opened the clinic.And some professors will bring their students to visit your small clinic to learn your fracture reduction techniques. 】

[Five years later, because of your superb fracture reduction techniques, you have won praise and reputation from many patients, so more and more people come to see you.But you still failed to systematically make extended indications for manipulative reduction. You tried several cases of manipulative manipulative reduction of fractures that were listed as surgical contraindications, but all ended in failure. 】

[Your reputation has become mixed, and the number of patients in the clinic has relatively decreased. 】

[20 years later, you will be very old.Although you are proficient in fracture manipulation, you still haven't made a theoretical breakthrough. 】

[When you were 70 years old, you were exhausted physically and mentally because of the overwork and study over the years, and you died all your life.But you left a good fortune to your wife and children. 】

[The simulation ends. 】

[Comprehensive rating: quite regrettable. 】

[You can choose to keep one of the following! 】

【Memory: Experience of manipulative fracture reduction at the age of 70. 】

【Memory: Cognition of manual reduction of fractures at the age of 70. 】

[Adventure: What you have seen and heard during your years of study tour. 】

After the simulation was over, Zhou Chengcheng felt a little bit pained. It was so difficult to choose these three options. Why do adults still have to do multiple-choice questions? They can’t choose all.

One is the experience of manipulative reset, which is the accumulation of quantity.

One is cognition, which is the accumulation of knowledge and academics.

The other is what I saw and heard during my study tour, which is considered a type of adventure.And the last adventure brought Zhou Cheng a lot of pitfalls.

Say nothing this time.

So Zhou Cheng chose Qiyu.

Perhaps, compared to the accumulation of the number of cases and the accumulation of knowledge and academics, the growth of knowledge will be more important.

After all, the accumulation and accumulation of quantity can be completed through time, but the growth of knowledge will have a considerable impact on a person's starting point.

Although the adventure is a one-off, being able to take the direction to an unknown place and go to an unknown direction is a breakthrough in itself.

The perfect level of skills is the ceiling and constraints of this industry. If you want to break through, you must not take the usual path.

……

After the simulation was over, Zhou Chengcheng looked a bit pained.Because there is nothing to do, it is only in the afternoon, and there is still a long time before the early morning.

What should I do?

Zhou Cheng chose to exercise, then found a nearby unit and got a fitness card.Leaving aside other things, the body is still more important, and it can pass the time, which is better than staying at home and watching live broadcasts...

Finally, after finally staying up until the early hours of the morning.

The cooldown of the simulated copy has been refreshed again.

Get started quickly.

This time, Zhou Cheng chose to bring perfect skills and adventures.

A new round of simulation begins.

Because this time it was still with a purpose, Zhou Cheng still refused the invitation of his superiors in the department to let him perform the surgery, and left Shashi No. [-] Hospital after the training was completed honestly.

[Because of your extensive knowledge, you finally chose to work in a small traditional Chinese medicine hospital for bruises. 】

[After entering the hospital, your perfect-level surgery and proficient-level manipulation reset ability were quickly appreciated and valued by the department.You were given a private house call. 】

【Two years later, you already had a good reputation in the local area, and you also applied to the local city for the subject application of fracture manipulation reduction.But you have insufficient qualifications and were rejected. 】

【20 years later, because of your perseverance in applying for a project, your application for a project was finally approved, so you once again started to focus on the research of manipulation reduction.Finally, when you were 49 years old, you broke the surgical contraindications for double fractures of the upper limb and radius, and formed a systematic manual reduction standard. 】

【Thirty-two years later, you broke the surgical contraindications and formed a systematic manual reduction standard in the tristalleolar fracture. 】

[At the age of 67, you broke the current surgical contraindications in the double fracture of the tibia and fibula, formed a systematic manual reduction standard, and then you started lobbying.But no one agrees with your technique to reset the standard. 】

[Because in their view, the manual reset standard you formed will only increase the learning burden for young doctors, without much achievement and meaning.The indications for the standardized manual reduction surgery you gave are not very strong, but simple surgery can achieve more reliable results. 】

[And there is no need to bear the corresponding risks. 】

[At the age of 78, you still failed to convince the domestic academic circles, and you died in depression. 】

[The simulation ends. 】

[Comprehensive score: perfect.You have broken the limit of your current skills! 】

[You can choose to keep one of the following! 】

[Closed reduction of fracture (leading - Li Shuo level)]

[Note: The current highest level of closed reduction surgery for fractures is perfect, which leads to a new breakthrough in the proficiency of the perfect level. It is said that you have formed a relatively systematic theory, but whether this theory is applicable and beneficial to clinical practice, Whether it is popular, economical and beneficial needs further confirmation. 】

[Your failed lobbying experience. 】

Ugh!

Seeing the result of this simulation, Zhou Cheng sighed.

Well, came up with something new, but no one found it useful, is it a waste of time?

It doesn't matter, just trial and error.

Chapter 20 Settling down