medical simulator

hiss!

Zhou Cheng became depressed. Is his aptitude really that bad?

Is it true that I am not suitable to be a surgeon?

Is my home just the town hospital?

With a solid basic knowledge of anatomy, and ordinary proficiency in the removal of internal fixation devices, can you still end up going to the town hospital? ?

No!

In this simulator, I have already started open reduction and internal fixation of fractures. Is it still not enough to qualify for hospital stay?

Can only go to labor dispatch?

Staying in the hospital is at least hired by the hospital, and the labor contract is signed with the hospital. The labor dispatch is a third party. If there is a third party to exploit again, it is of course better to stay in the hospital.

How much competition will there be at this time?

Forget it, it's just a simulation, and I still have many opportunities to simulate.

However, after choosing to keep the skills, Zhou Cheng had something more in his mind, and there were traces to follow.

It feels as if I can go to the stage to do open reduction and internal fixation of fractures now.

At the same time, although the copy of the emulator fell into cooling, another reminder came.

[Obtaining Simple Fracture Open Reduction, Plate and Screw Internal Fixation (Introductory): The skill can be analyzed, and the skill will not disappear after the analysis.Do you want to parse? 】

Chapter 4 Friends in the department!

Simple fracture open reduction, plate and screw internal fixation (entry) was successfully analyzed.

Analyze the following skills.

【1. Surgical anatomy experience in long bone surgery of extremities (general);】

【2. Manipulative reduction of fractures (introductory);】

【3. Closed reduction and Kirschner wire internal and external fixation for simple fractures (common);】

【4. Skin and subcutaneous tissue suture (common). 】

[Analysis skills can be used as initial skills for the next simulation. 】

After reading it, Zhou Cheng felt that it was quite scientific. Every operation, no matter how simple or not, actually contained a large amount of knowledge reserves of the surgeon. If you can't do it, it's too fake.

Gained a lot of new knowledge.

Look at the cooling time for the next simulation, it only takes 5 minutes.

Go ahead and wait.

After casually playing with the phone, swiping the live broadcast, at 00:05:30, Zhou Cheng accurately controlled the cooling time of the simulation copy, and started a new round of simulation.

It's just that this time, what skills should be attached to the simulation?

In the end, Zhou Cheng decided to choose the best.

【1. Open reduction, plate and screw internal fixation for simple fractures (introduction)】

[2. Removal of internal fixation device after fracture (common)]

The other skills are already included in these two major skills, and they are just some details, so there is no need to repeat the selection.

Zhou Cheng started a new round of simulation.

……

[Your progress in learning about complex fracture surgery is still slow, you have lost the appreciation of your superior physician, and you still haven't been able to get the qualification to stay in the hospital. 】

[You became a labor dispatcher and continued to work in the unit. 】

This?

Adult Zhou is numb.

Such a strong start can be 'played' by myself like this.

Could it be that besides being handsome, he has no talent to be a doctor?

Ah, life.

[In the second year, your hard work brought you the opportunity to deal with complex fractures from your superior physician, but you still haven't grasped it. 】

[During the operation, you feel that your ability to deal with complex fractures is still insufficient. 】

【You start to become a tube bed machine...】

【You are persistent, devoted yourself to learning, observed many operations, and finally at the age of 32, you mastered open reduction and internal fixation of complex fractures (introductory). 】

[At 40, your peers have already become deputy chief physicians or associate professors, and you are still just an old attending physician, becoming their junior physician...]

[At the age of 50, you became the oldest attending physician in the department. Through a lot of surgical practice, you improved the open reduction, plate and screw internal fixation of fractures and the closed reduction and intramedullary nail internal fixation to (proficient), But your peers have long dismissed simple fracture surgery. 】

【You have also left the duty career, but you suddenly feel that life is boring, exhausted, and the motivation to study is missing, without any sense of career accomplishment...】

【70 years old, you died depressed...】

[The simulation ends. 】

[You can choose to keep one of the following]

[Skills: open reduction, plate and screw internal fixation of fractures (skilled). 】

[Skills: open reduction and intramedullary nailing of fractures (skilled). 】

[Memory: experience in diagnosis and treatment of fractures (unremarkable). 】

[Dungeon Cooling: Cooling time: 30min. 】

Zhou Cheng is a little tired!

However, after careful analysis, it was decided to choose the skill of open reduction and intramedullary nail fixation (proficient).

The standard treatment for fracture patients today is intramedullary nail fixation, because the opening of intramedullary nail fixation is relatively small, relatively less traumatic, and the fixation is firm and stable.

It is basically the gold standard in the treatment of fractures.

Then Zhou Chengcheng decided not to wait for the next simulation, Sujue, the dog's life is the most important thing.

He has to go to work in the hospital tomorrow morning.

In the morning, at exactly seven o'clock, the damn alarm clock rang.

Zhou Cheng hates 'Zhou Zhen' very much, and disturbs his good dreams every morning!

Brush your teeth, take a shower, buy breakfast.

At 25:[-], I came to the department on time.

However, when Zhou Cheng arrived, he found that there were already many people in the doctor's office.

They are all regular training doctors who need to manage the bed just like him.

There are three groups in the department, all led by chief physicians.

The leader of Zhou Cheng's group is Chief Physician Cai Dongfan, and under Cai Dongfan there is another attending physician named Luo Yun.General daily affairs are managed by Luo Yun, and some simple operations are also performed by Luo Yun.

Chief Physician Cai Dongfan only conducts occasional ward rounds and complicated operations on operation days.

In addition to the senior doctor, Zhou Cheng's group also had two regular trainees who were the same as Zhou Cheng.

Du Yanjun, Zhang Zhengquan.

Each person manages four beds.

But now only Du Yanjun came to the doctor's office, Zhang Zhengquan was still there.

"Brother Zhou Cheng, good morning." Because of a group, Du Yanjun greeted Zhou Cheng.

Zhou Cheng is one year older than Du Yanjun, and now he is in the third year of regular training. Du Yanjun is the second year of postgraduate merged into regular training, and is also a student of Chief Physician Cai Dongfan.

But Zhou Cheng came a year earlier than Du Yanjun, so he called Du Yanjun slightly smaller: "You are early too, Yan Jun."

"A patient was discharged from the hospital yesterday, so come early to see if there are any new patients admitted." Du Yanjun said.

Then he asked: "Brother Zhou Cheng, have you had breakfast? I'm going to order some noodles, do you want to come together?"

Du Yanjun has a master's degree, and he is still working so hard, probably because he is eyeing the quota for staying in the hospital.

After all, the hospital did not say that they must choose from the batch of graduates.

Really enough volume.

Zhou Chengdao: "I have eaten, thank you."

"By the way, Yan Jun, you seem to be on duty today, right? You can help me track down my patient's postoperative blood test results this afternoon."

The second orthopedic department of the No. 24 Hospital is on duty [-] hours a day. Zhou Cheng has not discharged patients today, and if Du Yanjun is on duty today, he will have another operation tomorrow.

So Zhou Cheng planned not to come to the department in the afternoon, but to stay at home and read for a while.

Since everyone is working hard, you have to read the book carefully.

"Okay, no problem." Du Yanjun smiled, he often does this kind of thing.

He is a master's degree candidate who was incorporated into regular training.

After graduation, you can combine the four certificates into one, which looks wonderful.

But he not only needs to complete the final exam of the regular training, but also has to be busy with the graduation of the graduate student. Now he is in the second year of the graduate student, and he is about to start his graduation thesis. Besides the opening of the graduation thesis, he also needs to write a CSCD article. Satisfy the master's graduate graduation requirements.

What's more, if he still wants to get that place in the hospital, the article Du Yanjun plans to write is not CSCD, but SCI.

In this case, he has hope.

After all, there is another academic master student in the department who graduated and was later trained here. The requirement for master graduation is to publish an SCI, if only the clinical ability is equivalent to him.

Really not enough to fight for.

There must still be a lot of things that need Zhou Cheng's help in the future.

Anyway, Zhou Cheng is fine.

Du Yanjun was thinking...

Chapter 5 Involution starts with small things!

After Zhou Cheng got acquainted with the patient himself, it was time to hand over the shift early.

After the on-duty doctor and the on-duty nurse handed over the general situation of yesterday's new admissions and surgical patients, the right to speak was handed over to the director.

The director of the ward is Yan Haihan, a middle-aged man in his 50s, with a medium build, thin body, slightly dark skin, a little hot temper, and a lot of prestige in the department.

Yan Haihan said: "Let me emphasize again, safety is the first priority, safety is the first priority, and the director who leads the team must take responsibility."

"In addition, it is necessary to strengthen the teaching work of the regular trainees and graduate students in our department."

"The hospital now attaches great importance to the teaching situation of each department!"

"Even the hospital has even given the number of places to stay in the hospital. We have two wards in the orthopedics department, and there are two places in total. Comrades in our department, Gui Peisheng, you have to work hard. This is your senior brothers and sisters from the previous sessions. There is no chance."

Yan Haihan's words obviously encouraged many people. Zhou Chengyou noticed that the eyes of Zhang Zhengquan and Du Yanjun in his group became brighter.

Finally, after the shift was over, Luo Yun took Zhou Cheng and Du Yanjun to the ward rounds. Chief Physician Cai Dongfan was in the outpatient clinic today and was at the outpatient clinic on time at eight o'clock, so he didn't even attend the early shift.

There are three groups in the department, with a total of 48 beds including extra beds!The three groups are divided equally, each group has sixteen beds.

The beds belonging to Cai Dongfan are 25-36 beds, +9 to +12 beds.

There are only three doctors in charge of the bed, and each person has an average of five to six beds.

Zhou Cheng and Zhang Zhengquan are two people, each with five beds.

Du Yanjun manages six beds by himself, and the extra bed is because Du Yanjun is a graduate student in the department, so he needs more learning opportunities.

However, having more beds does not necessarily mean that there are more learning opportunities. Now the department is not full of patients, and there are only twelve patients in Zhou Cheng's group.

Ward rounds are daily rounds. Under the leadership of Luo Yun, after a detailed look at the existing twelve patients.

Then Luo Yun looked at the duty list again and said, "Is it Yan Jun's turn to be on duty again today?"

Because Du Yanjun is on duty, Luo Yun, as Du Yanjun's superior doctor, needs to be on the second-line shift.The time is not fixed.