top student at medical school

Chapter 10 This time, the awesomeness wasn't bought by the teacher (Please add to your favorites and read on).

There are quite a few rare diseases treated in the trauma surgery outpatient clinic, but my teacher's title is attending physician, and he also has the same outpatient clinic as Professor Deng Yong, so no patients with rare diseases came to see him.

Another patient with plantar fasciitis arrived. Fang Ziye, through questioning and physical examination, ruled out fractures and did not feel any particularly hard lump. Based on the patient's symptoms of increased pain when stepping on a protruding hard object, he could almost make a diagnosis.

I instructed him in advance to buy a pair of shoes with softer soles and to get an X-ray to check for any suspicious 'tumor' lesions. This would mark the end of the patient's consultation.

When visiting a clinic, avoid being careless! (This is not detailed enough.)

Fractures can be largely ruled out through physical examination, but masses cannot.

At least Fang Ziye's physical examination skills are not that profound.

Yuan Weihong watched as Fang Ziye, who had been working with him in the outpatient clinic for two years and had the demeanor of a young doctor, wandered around the ward, even after Fang Ziye had finished seeing the last patient with chronic ankle pain.

He gestured with his hand and said, "You stay there. When a patient comes to review the films, you can look at them for him first, and then go over the medical orders yourself. If there are any errors or inappropriateness, I will point them out to you."

"It's a pity I didn't bring any tea."

Fang Ziye was overjoyed upon hearing this and made a mental note of it: "Master, you can have it next time."

Yuan Weihong simply smiled in response.

He had been through Fang Ziye's age once, and he knew that young doctors at that age were gradually maturing in their theoretical knowledge and wanted to experience being a doctor, so he could understand...

However, after Yuan Weihong delegated authority, Fang Ziye's knowledge points increased at an astonishing rate as he carefully studied the medical orders and reviewed the images of the patients. In just one hour, his knowledge points reached as many as thirty-nine!

This rapid increase in knowledge yields far more lessons than diligently working out medical orders, meticulously inquiring about medical histories, and nitpicking over every detail in the ward.

Appropriate ambition can be very helpful for personal growth.

After get off work, Yuan Weihong still straddled his electric scooter with his feet on the ground, looked at Fang Ziye who was smiling like an old man, and asked, "The sense of accomplishment from seeing patients alone is great, isn't it?"

Fang Ziye nodded steadily: "Thank you, Master, for giving me this opportunity."

Yuan Weihong turned on the power switch and took two steps, then stepped back two steps on his toes: "Isn't it true that without the pressure of writing articles, your whole mindset has become much more relaxed?"

"You've made great progress recently."

Fang Ziye was Yuan Weihong's first student. He stayed by Yuan Weihong's side for more than two years, and Yuan Weihong naturally saw Fang Ziye's progress.

Fang Ziye immediately shook his head.

The teacher assigned a Q1 SCI paper in the field of 'super master's degree in natural sciences'. Fang Ziye dared not say that his writing was bad; it was just that his ability was insufficient. If he could consistently produce such high-quality papers...

Let alone pursuing a doctorate, even if you occasionally make a joke at the associate professor's office, the professor has to put up with it.

Doing scientific research is not only a shortcut to getting a doctorate, but also a shortcut to promotion.

In clinical practice, the dialogue is only with patients, but scientific research results are a dialogue with the whole world, conveying your personal and institutional voice to the world.

The difficulty is also completely different.

Yuan Weihong then rode away...

However, when Yuan Weihong saw Fang Ziye again the next day, Fang Ziye seemed like a completely different person. From eight o'clock in the morning to noon, he stayed in the ward, meticulously examining the three patients under his care, from physical examination to the completion of medical record writing, striving for perfection in every detail. Every word and sentence seemed to have been carefully considered and scrutinized to the smallest detail.

For every medical prescription, Fang Ziye even sought out articles to support it. Then, if any modifications were needed, he would first consult Yuan Weihong to see if it was appropriate to use it this way, and whether it was just theoretical.

Fang Ziye's actions, the chain of evidence, and his cautious behavior put even his teacher, Yuan Weihong, under considerable pressure.

I wouldn't say that other people's articles are absolutely useless, but I do feel that it's completely unnecessary to switch to a harmless drug just to reduce the probability of complications in a very small number of cases.

However, adhering to the principle of caution, and given that the two drugs have exactly the same mechanism of action, Yuan Weihong authorized the modification.

Yuan Weihong also heard from his youngest student, Jie Han, that his senior brother, Fang Ziye, would spend four hours every afternoon practicing in the training room and then go to the market to buy a pound or two of meat to take home. He didn't know what Fang Ziye was doing with it.

When he was on duty and unable to go to the practice room, Fang Ziye would treat each newly admitted patient as if they were a formidable enemy, striving to be meticulous in every detail.

The duty doctor's task is to properly receive new patients upon admission.

The responsibilities include creating medical record templates and writing preoperative medical orders. Then, the attending physician can take over the procedure the following day.

However, since the on-duty doctor has the first right to see newly admitted patients on their shift, Fang Ziye did not hesitate to confront the doctor directly, asking for detailed medical histories and conducting thorough physical examinations. He even went so far as to bring his diagnostic textbooks into the operating room to compare and examine each patient individually…

But such serious behavior, while it may seem strange to outsiders, is not really that strange.

When it comes to truly learning, many procedures, examinations, and diagnoses inevitably originate from textbooks, but go beyond them. Being attentive to patients is nothing to be ashamed of.

Finally, on August 20th, five days after the last outpatient visit.

Fang Ziye's accumulated knowledge points have finally reached 50, enough to upgrade a basic medical skill to level 3, which could very likely allow him to pass the training room requirements.

After careful consideration, Fang Ziye chose the point suture technique.

The department is full of major surgeries. The only procedure that junior doctors can handle is suturing. No matter how good you are at other procedures, your superiors won't assign you to them. You'll just be sitting in the practice room, showing off and getting dusty.

However, suturing is different. Perhaps someone will take a liking to you and know that your suturing skills have improved, so they will give you one or two opportunities.

Practice room.

The third suture material is tofu. For trauma surgeons, the suture technique is to ensure that when suturing tofu, the suture does not tear the tofu, the needle exits the tofu as if it were a needle, and no hole is created during the knotting process.

Furthermore, the suture knots must not be loose, the suture depth must not exceed 5mm, and the stitch spacing between the left and right sides must not exceed 5mm before the procedure is considered complete.

As we all know, tofu is not more difficult to sew up if there are more stitches, but rather if the stitches are shallower.

Fang Ziye carefully worked along the long opening of the tofu, and the result of twenty-four stitches was displayed on the practice table. The stitches were fine and dense, and the knots were secure, as if they had been measured and glued on with a ruler.

Around the training platform, not only Fang Ziye's junior brothers came to watch in astonishment, and not only Fang Ziye's classmates were incredulous, but even the doctoral senior brother who happened to be in the training room was quite amazed.

"Could this be Xiao Fang performing normally when he's not writing articles?"

Fang Ziye felt relieved and looked up at everyone with a smile.

This time, the awesomeness wasn't something the teacher bought; it grew on its own.

(End of this chapter)