My medical skills add experience

Chapter 184 Examination for Medical License, Unexpectedly Acquired Anesthesia

In the following days, Zhou Can performed operations with Director Xue and Deputy Director Lu in the Department of Cardiothoracic Surgery almost every day, and there were very few opportunities to get started.Some high-risk practical operations are not allowed to touch him at all.

Compared with other departments, the chief physician of cardiothoracic surgery is the most cautious group of surgeons that Zhou Can has come into contact with.

Director Hu Kan would occasionally take him to do surgery together.

Take him like two or three times a week.

Follow these chief physicians to perform operations, and what you get is basically pulling hooks, sewing skin, closing the mouth and so on.

Life seems to be back to the intern stage.

Zhou Can was not in a hurry, but carefully observed the steps and skills of each operation, and learned various valuable experiences in dealing with crises.

After the operation, he will make a summary of the operation, and ask Director Xue or Deputy Director Lu for advice in time if he does not understand.

Although he hasn't been able to get the opportunity to practice difficult surgery these days, his cognition and understanding of various diseases in cardiothoracic surgery, as well as various surgical plans and procedures, have made rapid progress.

This is a kind of accumulation and also a kind of precipitation.

Perhaps due to the influence of the "stable" style of cardiothoracic surgeons, Zhou Can felt that he also had a shadow of "stable" when performing surgery.

This morning, he was doing ward rounds in the ward, and he received a call from the hospital's personnel department, saying that he had declared for the practical skills exam for licensed physicians for him.It's the 14th of this month.

About half a month away.

The gang of "aunts" in the personnel department really think highly of him.

For such an important exam, at least one or two months in advance notice!
Fortunately, Zhou Can's surgical skills are not lower than the third level. As long as he is not extremely unlucky, he has the confidence to pass the exam.

After Director Xue found out that he was about to take the practical skills exam for medical practitioners, this kind-hearted team leader gave him some special care.

Focus on helping him improve the diagnosis of cardiopulmonary auscultation, imaging X-ray, CT, ultrasound and other examinations, electrocardiogram diagnosis, etc.

She told Zhou Can that in the practical skills examination for licensed doctors, the content of the heart and soul accounted for the majority.

In addition to including cardiopulmonary auscultation and imaging diagnosis, there are also medical history collection and case analysis.As for medical ethics, medical ethics, physical examination, and basic surgical operations, for Zhou Can, it was all about rewarding points.

Every day during ward rounds, some key patients need to undergo a physical examination, which has also accumulated rich experience in physical examination for Zhou Can.

Needless to say, the basic operation of surgery.

It is estimated that he can beat the candidates in the entire examination area.

Even if he has been practicing medicine for more than ten years, he may not be able to compare with him.

Zhou Can found that the regular training department arranged for him by the hospital was really just right.

Just over a month after the regular training in cardiothoracic surgery, I started to take the medical license exam.

Practical skills test content, heart and mind accounted for a very important proportion.

If it is said that the date is not accurate, he would not believe it if he was killed.

The 14th is coming soon.

With the help of director Xue, Zhou Can has been strengthening his practical skills in cardiopulmonary auscultation, imaging diagnosis, and electrocardiogram diagnosis in a targeted manner for more than ten days.

Going to refer to it at this moment, he seemed very calm.

With the goods in the stomach and the skills in the hands, he can handle any kind of exam questions, so naturally he doesn't panic.

……

After all the practical skill exams for medical practitioners were over, Zhou Can walked out of the exam room with a confident smile on his face.

The practical exam is divided into multi-station exams.

The content of the first test station is clinical thinking ability.

It mainly includes cardiopulmonary auscultation, image diagnosis, electrocardiogram diagnosis, medical ethics, medical history collection, case analysis, etc.Sure enough, it was similar to what Director Xue said.

Zhou Can did intensive study and exercise in this area before the reference, and he had a good foundation, so he passed the first test easily.

The content of the exam at the second exam station is physical examination, which are very simple class exam items, and they are also easy to pass.

The test content of the last test station is basic operation.

This is Zhou Can's strong point. The operation is as fierce as a tiger, fast and good. At that time, the examiner's jaw almost fell.

Perhaps they couldn't believe that the young guy who had just taken the medical license examination was so skilled in surgical operations.

If any examiner's jaw really dropped from shock, Zhou Can can also show off his bone setting skills by the way, and directly help him reset his skills.

After the exam, when he returned to the Department of Cardiothoracic Surgery of Tuya Hospital, his colleagues asked him how he was doing in the exam.

Zhou Can smiled and said "It's okay".

With director Xue's key training, coupled with Zhou Can's strength, it would be unreasonable if he didn't pass the test.

After two weeks, the results came out.

Zhou Can was changing the dressing of a patient who had just undergone surgery in the ward, and the personnel department called him.

"Dr. Zhou, congratulations, you have passed the practical skills exam for medical practitioners! Please prepare for the comprehensive exam for medical qualifications. The first exam will be about one and a half months later, on the 20th. The exam will take two days, please arrange it in advance Good job handover."

When Zhou Can took the No. 1 exam for the Tuya Guppei recruitment exam, the hospital promised to help him obtain the certificate.

As expected now, Zhou Can didn't need to worry about applying for the exam.

Make arrangements for him directly.

Some people say that the comprehensive medical examination is difficult, while others say it is easy.

Zhou Can's theoretical knowledge is well known by himself, at best it is above average level.

For a while, he might have to put aside the practice of medical skills and make up for the basics.

Whether he can get a doctor's qualification certificate is too important to him.

There are many regular trainees who are forced to change careers because they failed the medical license or physician qualification examination.

He didn't want to go smoothly and suddenly come to Waterloo.

In any case, he was very happy to have passed the practical skills test for medical practitioners.

It can be regarded as a good account of four years of university study, one year of internship, and one year of regular training.Now it's time for the comprehensive examination for medical qualifications.

After changing the patient's medicine and returning to the office, his excitement and joy calmed down a little.

"Doctor Zhou, seeing you smiling so happily, have you passed the practice exam for medical practitioners?"

Director Xue asked him with a smile.

"You are really good at predicting things. With your good words, the Human Resources Department called just now and told me that I have passed. I was able to pass the exam so smoothly, thanks to your help."

Zhou Can is really grateful to her.

"I didn't put in much effort, it's because you have the ability. But the next medical comprehensive exam is hell-level difficulty, you have to be mentally prepared. There are two exams, both of which are extremely difficult. From now on Starting to count, it will take about four months. I usually look at your questions and your thinking when analyzing your illness. With all due respect, your basic medical knowledge should be a shortcoming of yours. "

Director Xue's expression became much more serious.

Don't look at her usual talk and kindness, but she is very smart and knows everything.

Just don't say it out loud.

"Those who know me, Director Xue! You can be rated as a senior professional title at such a young age. You must be first-class in theory and academics. Please help me."

Zhou Can also hit the snake with the stick and hugged her thigh tightly.

With her help, the chances of passing the comprehensive medical examination are much greater.

More than four months, not even half a year, if you want to supplement the basic knowledge of medicine, you have to find the right direction.

If he just reads books and writes questions without rules, it is enough for him to drown in the sea of ​​books and suffocate to death in the sea of ​​questions.

What's more, counting from now, there are only [-] days left before the first test of the comprehensive medical examination.

Not even two months.

If Zhou Can said that he was not in a hurry, he would be lying.

"The examination questions of medical comprehensive not only have a wide range of knowledge, but also need to use the theoretical knowledge you have mastered flexibly. I found that what you lack is knowledge. Knowledge has not kept up?"

Director Xue was puzzled by this.

She has already taken up some teaching positions and has rich teaching experience.

The students are also more accurate.

Which student has good talent, which student is good at what, and through hard work, what achievements can be achieved at least, she has a relatively accurate prediction in her heart.

"Oh, don't mention it. When I was young and stubborn, I was arrogant. At that time, I thought it was very low-level to memorize a lot of boring basic medical knowledge by rote. Then, when I was in my senior year, others passed the postgraduate entrance examination one by one, but I I failed the postgraduate entrance examination. Fortunately, I was a student of Tuya Medical College, and I was lucky enough to get the opportunity to practice in Tuya General Hospital."

Zhou Can talked about his experience, full of sadness.

"After being severely beaten by the society, I got rid of seven social youth problems of not being angry and eight being dissatisfied. I settled down and began to practice basic surgical skills, and worked hard to learn various practical skills. In addition, I have always liked to watch various I like to reason and differentiate syndromes, and I have some foundation in this aspect. Finally, the internship is over, and I successfully passed the regular training exam. Then I walked step by step, and I am honored to meet you."

"You are my noble person. If you don't help me, I'm afraid I can only suffer the second severe beating from the society, fail the comprehensive medical examination, and then change careers..."

Zhou Can sold the misery for so long in order to arouse director Xueyan's sympathy.

To get her help, let's pass the comprehensive medical examination first.

"Hehe~!"

"I really didn't realize that the super-genius Doctor Zhou who is as famous as Du Leng still has such a clumsy side! But after hearing about the growth process of a genius doctor like you, whether it is for the benefit of the hospital or to prevent a genius Fallen, I have decided to help you."

Director Xue was amused by him.

Good student, which teacher doesn't like it?
Zhou Can is excellent in all aspects, but the basic knowledge of medicine is a shortcoming due to his youth and ignorance.

She happened to have the ability to help Zhou Can, so she naturally wanted to help.

"So, you agreed?" Zhou Can was overjoyed. "Thank you! Thank you!"

"After work, you wait for me in the office. After I understand your basic situation, I will make a specific study plan for you. But I have something to say first, even if I help you pass the comprehensive medical exam this time, you will get it successfully. Dual certificates, but this does not mean that you will really make up for your shortcomings. Learning is a long-term accumulation process. My personal advice to you is to live and learn when you are old."

"In the future, if you encounter a case or disease history that you don't understand, you must check more information and pay attention to accumulating over time."

She said to Zhou Can with a straight face.

"understand!"

Zhou Can began to study in this way when he was in the fourth month of his internship.

When encountering medical records or pathological mechanisms that he doesn't understand, he will check the information in time, or ask the superior doctor for advice.

After a year and nine months of hard work, his basic medical knowledge has actually improved a lot compared to when he was a senior.

This can be seen from his regular training application exam a year ago.

He did not score badly on the theory test at the time.

Although there are reasons for strong pathological diagnosis ability and abundant case records, but some basic knowledge has been supplemented, and there are also reasons.

After agreeing with Director Xue, Zhou Can honestly wrote the case, issued medical orders, and checked the information.

Not to mention anything else, at least he is more motivated to study than before.

When it was past two o'clock in the afternoon, Director Le called Zhou Can.

"Doctor Zhou, if you have nothing to do now, come to operating room No. 1 immediately. Director Hu will perform a thymoma resection immediately. This operation is extremely difficult, and you can learn a lot of surgical experience and knowledge."

"Okay, I'll be right over here!"

After Zhou Can hung up the phone, he explained to the superior doctor, Dr. Long, and hurried to the No. [-] operating room.

The interaction between people is very magical.

He and Director Le were originally out of reach.

Just because he cured the patient with the torn pectoral muscle that time, he kindly reminded Director Le that the heart bypass surgery patient might have taken painkillers with anticoagulant effect within a week.

Because of these two incidents, Director Le's favor for him increased greatly.

Then get acquainted slowly.

Director Le has never stopped cultivating him.

Of course, there are two reasons why Zhou Can can be a man and has outstanding potential.

At least it is not these two reasons that make the two become familiar from strangers.

It is destined to meet thousands of miles away, but not to meet each other face to face.

Sometimes it really is.

Zhou Can rushed to operating room No. 1, but the operation hadn't started yet.

The patient is already lying on the operating table, and the anesthesiologist is that zombie-faced doctor again.

At this moment, Director Le and Director Hu have not yet arrived.

"Doctor Feng, you are in charge of anesthesia again! Is there anything I can do?"

Zhou Can had dealt with this anesthesiologist many times.

Every time this person presided over the anesthesia operation, it was a fourth-level major operation.

And based on feeling, his level is still higher than the official doctor.

In addition to his cold face, he doesn't like to talk, and his personality is a bit weird, but his skills are really good.

"Intubation! Put on a ventilator."

He really cherishes words like gold, and his tone is also cold.

Zhou Can has been used to it for a long time, with quick hands and feet, and professional movements to help out.

All the instruments were connected in no time.

Intubation of the urinary catheter is generally done after successful general anesthesia in order to avoid the pain of the patient.

"You must pay attention to the dosage of this anesthetic, not too fast. If you give it too fast, it will be difficult to rescue if there is a danger. After giving the drug, you must carefully watch the patient's various reactions. Face, breathing, blood pressure, heart rate , brain waves are all things that need to be focused on.”

It is extremely rare that Dr. Feng even taught Zhou Can some anesthesia techniques and key points for an unprecedented time.

And when he opened his mouth, it was all dry stuff.

【Congratulations, you have successfully obtained anesthesia and can perform anesthesia on patients.The current experience value is 1/10 of the first level, and the interns fail the level. 】

Zhou Can never expected that there would be such a big windfall.

Naturally, he happily accepted the medical skills given by the system.

The anesthesia obtained at this moment is completely different from the local anesthetic given to the patient before.

This is true anesthesia.

Much more advanced.

(End of this chapter)