Chapter 184: Taking the medical license exam, unexpectedly obtaining anesthesia skills
In the following days, Zhou Can followed Director Xue and Deputy Director Lu in the cardiothoracic surgery department almost every day, and he had very few opportunities to practice. He was not allowed to do some high-risk operations at all.
Compared with other departments, the chief physicians of cardiothoracic surgery are the most cautious group of surgeons Zhou Can has ever come into contact with.
Director Hu Kan would occasionally take him with him to perform surgery.
I take him two or three times a week.
When following these chief physicians in performing surgery, the tasks I was basically assigned were retractors, skin sutures, cavity sealing, etc.
It seems like I have returned to the intern stage.
Zhou Can was not in a hurry, but carefully observed the steps and techniques 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 a timely manner if he has any questions.
Although he did not have the opportunity to practice difficult surgeries these days, his knowledge and understanding of various cardiothoracic diseases, 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 influenced by the 'steady' style of cardiothoracic surgeons, Zhou Can felt that he seemed to have a hint of 'steadiness' when performing surgery.
This morning, while he was doing his ward rounds, he received a call from the hospital's personnel department, saying that they had helped him apply for the Practical Skills Examination for Licensed Physicians on the 14th of this month.
There is less than half a month left.
Those 'aunties' in the personnel department really think highly of him.
For such an important exam, at least give a month or two’s notice in advance!
Fortunately, Zhou Can’s surgical skills were no lower than level three. As long as his luck was not extremely bad, he was confident that he could pass the exam.
After Director Xue learned that he was about to take the practicing physician practical skills test, this kind-hearted team leader gave him some special care.
The focus is to help him improve his diagnostic skills of cardiopulmonary auscultation, imaging X-ray, CT, ultrasound, electrocardiogram, etc.
She told Zhou Can that in the practical skills test for practicing physicians, the content about the mind accounts for the majority.
In addition to heart and lung auscultation and imaging diagnosis, there are also medical history collection and case analysis. As for medical ethics, physical examination, and basic surgical operations, Zhou Can got free points.
During daily ward rounds, some key patients required physical examinations, which also helped Zhou Can accumulate rich experience in physical examinations.
Not to mention basic surgical operations.
I guess he can beat all the candidates in the entire examination area.
Even a doctor who has been practicing medicine for more than ten years may not be able to compare with him.
Zhou Can found that the training department arranged by the hospital for him was just right.
Just over a month into my training in cardiothoracic surgery, I started taking the medical license examination.
In the practical skills test, mind accounts for a very important proportion.
If he says I didn't calculate the date, I won't believe it even if you kill me.
The 14th is coming soon.
Over the past ten days, with the help of Director Xue, Zhou Can has been specifically strengthening his practical skills in cardiopulmonary auscultation, imaging diagnosis, electrocardiogram diagnosis, etc.
Going to refer to it at this moment, he seemed very calm.
If you have knowledge and skills, you can handle any test question and naturally you won't panic.
…
When the practicing physician practical skills examination was over, Zhou Can walked out of the examination room with a confident smile on his face.
The practical exam is divided into multiple station exams.
The first test station tests clinical thinking ability.
It mainly includes cardiopulmonary auscultation, imaging diagnosis, electrocardiogram diagnosis, medical ethics, medical history collection, case analysis, etc. It is indeed similar to what Director Xue said.
Zhou Can did intensive study and training in this area before taking the exam. In addition, he had a good foundation and passed the first test easily.
The examination content at the second examination station is a physical examination, which are all very simple course examination items and can be passed easily as well.
The last test station's test content is basic operations.
This was Zhou Can's strong point. His performance was as fierce as a tiger, fast and good, and the examiner's jaw almost dropped.
Perhaps they couldn't believe that the young man who had just taken the medical license examination had such impressive surgical skills .
If any examiner's jaw really dropped, Zhou Can could show off his bone-setting skills and help him put his jaw back in place.
After the exam, he returned to the cardiothoracic surgery department of Tuya Hospital, and his colleagues asked him how he performed.
Zhou Can smiled and said "It's okay".
With Director Xue’s focused training and Zhou Can’s ability, it would be really unfair if he failed the exam.
Two weeks later, the results came out.
Zhou Can was changing the dressing for a patient who had just undergone surgery in the ward when the personnel department called him.
"Dr. Zhou, congratulations, you have passed the Practical Skills Test for Licensed Physicians! Please prepare for the Comprehensive Physician Qualification Test. The first test will be in about a month and a half, around the 20th. The test will last for two days, so please arrange your work handover in advance."
Zhou Can had ranked first in the Tuya regular training application examination, and the hospital had promised to help him get the certificate.
Now his words are true, and Zhou Can doesn’t need to worry about the application at all.
Just arrange everything for him properly.
Some people say that the comprehensive medical examination is difficult, while others say it is easy.
Zhou Can was aware of his theoretical knowledge, which was at best above average.
For a while, he might have to put his medical practice aside and brush up on his basic knowledge.
Whether he can obtain a medical qualification certificate is very important to him.
Many trainees are forced to change their careers because they fail the examinations for medical license or physician qualification certificate.
He doesn't want everything to go smoothly and then suddenly suffer a Waterloo.
Anyway, he felt very happy that he had passed the practical skills test for practicing physicians.
It was a good explanation for four years of university study, one year of internship and one year of regular training. Now all that was left was the comprehensive physician qualification examination.
After he changed the patient's medicine and returned to the office, his excitement and joy finally subsided a little.
"Doctor Zhou, you look so happy. Did you pass the medical practitioner practical examination?"
Director Xue asked him with a smile.
"You are so good at predicting things. Thanks to your good words, the personnel department just called and told me that I passed. I was able to pass the exam so smoothly, thanks to your help."
Zhou Can was really grateful to her.
"I didn't do much, you have the ability. But the upcoming comprehensive medical examination is hellishly difficult, you have to be mentally prepared. There are two exams in total, both of which are extremely difficult. From now on, there are about four months left. Judging from your questions and your thinking when analyzing the condition, I'm afraid your basic medical knowledge is a weakness."
Director Xue's expression became much more serious.
Although she usually speaks in a gentle manner, she is very smart and knows everything.
Just don't say it out loud.
"The one who knows me best is Director Xue! You are able to be awarded a senior professional title at such a young age. Your theoretical and academic knowledge must be top-notch. Please help me."
Zhou Can also took advantage of the situation and hugged her thighs tightly.
With her help, the chances of passing the comprehensive medical examination are much greater.
There is more than four months, less than half a year. If you want to catch up on basic medical knowledge, you have to find the right direction.
If he just reads books and does exercises without any method, he will be drowned in the sea of books and suffocated in the ocean of exercises.
What's more, from now on, there are only about fifty days left until the first test of the comprehensive medical examination.
Less than two months.
If Zhou Can said he was not in a hurry, that would be a lie.
"The medical comprehensive exam not only covers a wide range of knowledge, but also requires you to flexibly apply the theoretical knowledge you have mastered. I find that what you lack is knowledge, but you have no problem applying it flexibly. You have a very active mind and a strong learning ability, but why haven't you kept up with the basic medical knowledge?"
Director Xue was very puzzled by this.
She has already held some teaching positions and has gained rich teaching experience.
It is also more accurate to observe students.
She has a relatively accurate prediction in her mind about which student has better talent, which student is good at what, and what minimum achievements they can achieve through hard work.
"Oh, don't mention it. I was young and naughty, and I was arrogant. At that time, I thought that memorizing a lot of boring basic medical knowledge by rote was very low-level. Then, in my senior year, others passed the postgraduate entrance examination one by one, but I failed. Fortunately, I was a student of Tuya Medical College, and I was lucky enough to get the opportunity to intern at Tuya General Hospital."
Zhou Can spoke of his own experience with great sadness.
"After being beaten up by society, I changed my bad habits of being angry and dissatisfied. I calmed down and began to practice basic surgical skills and learn various practical skills. In addition, I have always liked to read various case records, reasoning and dialectics, so I have some basics in this area. Finally, the internship was completed and I successfully passed the regular training examination. Then, step by step, I had the honor of meeting you."
"You are my benefactor. If you don't help me, I'm afraid I will have to suffer a second beating from society, fail the comprehensive medical examination, and then change my career..."
Zhou Can has been acting miserable for so long just to arouse Director Xueyan's sympathy.
With her help, I will pass the comprehensive medical examination first.
“Haha~!”
"I never knew that Dr. Zhou, a super genius who is as famous as Du Leng, has such a talkative side! But after listening to your growth process as a genius doctor, whether for the benefit of the hospital or to prevent a genius from dying, I have decided to help you."
Director Xue was amused by him.
Which teacher doesn’t like good students?
Zhou Can is extremely outstanding in all aspects, except for basic medical knowledge, which becomes a weakness due to his young age and ignorance.
She just happened to have the ability to help Zhou Can, so naturally she would lend a hand.
"So you agree?" Zhou Can was overjoyed. "Thank you! Thank you!"
"Wait for me in the office after work. I'll learn about your basic situation first, and then I'll make a specific study plan for you. But let me make it clear in advance, even if I help you pass the comprehensive medical exam this time and you successfully obtain the two certificates, it doesn't mean that your shortcomings have really been made up. Learning is a long-term accumulation process. My personal advice to you is to keep learning until you die."
"In the future, when you encounter a case or medical history that you don't understand, you must look up more information and focus on accumulating knowledge day by day."
She said to Zhou Can with a serious face.
"clear!"
Zhou Can started learning in this way in the fourth month of his internship.
When he encounters medical records or pathological mechanisms that he does not understand, he will promptly look up information or consult senior doctors.
After one year and nine months of hard work, his basic medical knowledge has actually made great progress compared to his senior year.
This can be seen from his performance in the regular training application examination a year ago.
His theoretical test scores at that time were not bad.
Of course, it is because of the strong pathological diagnosis ability and rich accumulation of case medical records, but the basic knowledge has also been supplemented.
After talking to Director Xue, Zhou Can honestly wrote medical records, wrote medical orders, and looked up information.
If nothing else, at least he is more motivated to study than before.
At around two o'clock in the afternoon, Director Le called Zhou Can.
"Doctor Zhou, if you have nothing to do now, please come to Operating Room 1 immediately. Director Hu will perform a thymoma resection soon. This operation is extremely difficult, and you can learn a lot of surgical experience and knowledge."
"Okay, I'll be right there!"
After Zhou Can hung up the phone, he informed his superior, Dr. Long, and hurried to operating room No. 1.
The interaction between people is magical.
He and Director Le had nothing in common.
Just because I cured the patient who had undergone pectoral muscle tear surgery, I later kindly reminded Director Le that the patient who had undergone heart bypass surgery might have taken anticoagulant painkillers within a week.
Because of these two things, Director Le's impression of him increased greatly.
Then slowly get to know each other.
Director Le has never stopped cultivating him.
This is certainly due to the two reasons that Zhou Can is a good person and has outstanding potential.
At least these two reasons are not what made the two people go from strangers to familiar with each other.
If we are destined to meet ; if we are not destined to meet, we will not even know each other.
Sometimes it really is like this.
Zhou Can rushed to Operating Room No. 1, but the operation had not yet begun.
The patient was already lying on the operating table, and the anesthesiologist was the doctor with the zombie face again.
At this moment, Director Le and Director Hu have not arrived yet.
"Doctor Feng, you are in charge of the anesthesia again! Is there anything I can do?"
Zhou Can has dealt with this anesthesiologist many times.
Every time this person performs anesthesia for an operation, it is a major level 4 operation.
And judging from my feeling, his level is even better than Dr. Guan's.
Apart from his cold face, silence and a bit weird personality, his skills are really good.
"Intubation! Put on a ventilator."
He really is very frugal with words, and his tone is cold.
Zhou Can was already used to it, and he helped with quick, professional movements.
All the instruments were connected quickly.
In order to avoid pain to the patient, catheterization is usually performed after successful general anesthesia.
"You must be careful when administering the anesthetic. Don't give it too quickly. If you give it too quickly, it will be difficult to save the patient. After administering the drug, you must carefully monitor the patient's reactions. The complexion, breathing, blood pressure, heart rate, and brain waves are all important to pay attention to."
It was extremely rare that Dr. Feng actually taught Zhou Can some anesthesia techniques and key points for the first time.
And once he opens his mouth, he speaks only useful stuff.
[Congratulations on successfully obtaining the anesthesia skill. You can now perform anesthesia surgery on patients. Your current experience value is 1/10 of the first level, which is a failing level for an intern.]
Zhou Can never expected that he would have such a big unexpected gain.
Naturally, he happily accepted the medical skills given by the system.
The anesthesia obtained at this moment is completely different from the local anesthetics given to patients before.
This is true anesthesia.
Much more advanced.
