At midnight on the first day of the competition, the website of the Golden Knife Award was opened on time. The website was built using Alibaba Cloud.
At eight o'clock in the morning, in the locker room, Yang Ping took out his mobile phone. The pattern on the Golden Knife Award APP was an exquisite scalpel.
Whether it is a website, an APP, or a WeChat official account, only registered members can log in. Registering as a member is free, but you need an ID card and a doctor's qualification certificate, which everyone has already prepared before the start of the competition.
When Yang Ping logged into the APP, the video in the South China Division was still blank. It shouldn’t be so early. The video section of Nandu Affiliated One has already shown that it is being connected, and the operation should start soon.
The video cameras are all on the shadowless lamp. If the surgery is under a microscope or laparoscopic surgery, it is directly connected to the video system of the equipment, so the shooting area is limited to the surgical area, and the patient's privacy is not exposed.
Before the operation, an informed consent agreement will be signed with the patient, informing them that the surgical area will be videotaped for competition, and will be watched by surgeons in this specialty across the country.
Generally, patients will agree, because everyone thinks that the doctors who can participate in the competition have been carefully selected and have excellent surgical skills.
There are also a few patients who refuse, but this does not affect the selection of participating cases. The number of cases in large tertiary hospitals is only too large and not too small, so they are not considered at all.
After the video is live broadcast, it is encrypted and stored in Alibaba Cloud. The judges can watch the live broadcast or watch the replay when scoring.
Judges generally like to watch replays so that they can observe repeatedly and score more accurately.
Doctors prefer to watch live broadcasts, which make them look more interesting, but most doctors don’t have so much time and they watch videos after get off work.
After an operation is completed, within 24 hours, all judges must complete the scoring, and sufficient reasons must be given for deductions.
In the final scoring, the highest and lowest scores are removed, and the remaining scores are averaged.
The judges have an expert pool and adopt a avoidance system, with avoidance for those in the same competition area, avoidance for those with family relationships, and avoidance for those with a teacher-instructor relationship.
There is no need to worry about someone hiding an identity that needs to be avoided, because with the existence of the Internet, everyone will pick up any possible special relationship.
Therefore, on an open online platform, the possibility of favoritism is very rare. If there is any favoritism, doctors across the country will look at it and criticize the favoritist.
Perhaps because of the advancement of network technology, this Golden Knife Awards is particularly lively. The number of people online now exceeds 100,000. There are only more than 3 million practicing doctors, including assistant physicians, in the country. More than 100,000 people are online, and the participation rate is already very high.
High.
At this time, everyone had just entered the operating room and was changing clothes in the dressing room. They took the time to glance at their mobile phones to see which hospital was the most confident and the first to start the live broadcast.
The surgeries in the regional competition are all traumatic orthopedic surgeries, so many hospitals can produce cases, and some grassroots county hospitals are also eager to try. Although they know that they cannot qualify, uploading a few surgeries is still an experience.
A separate comment area next to the video area is equivalent to a barrage. In order to see interesting comments while watching the video, the barrage and video are separated.
The comment areas of some hospitals are deserted, while some hospitals are very lively, such as Nandu Affiliated No. 1. The video has not started yet, but many people are already scrolling.
"I'm here to see Su Nanchen."
"The guy who was in my class was the top scorer in science in Nandu."
"I heard that he is Professor Su's son? Please respond with knowledge."
"That's right, I'm the number one scholar in science, and I'm in the 8-year system of Xiehe University. Without Lao Su's connections, it wouldn't be a problem to get into the First Annex, right?"
"His wife is a 28-year-old doctoral supervisor at Nandu Medical University."
"Is it true? I became a doctoral supervisor at the age of 28. How old will I be to go to university?"
"People who engage in basic medicine are not like climbing up the clinical ladder step by step. One or two articles in "Nature" or "Science" can be done by a doctoral supervisor."
"Twenty-eight-year-old doctoral supervisor? Are you talking about Lin Lan from the Genetics Laboratory of Nandu Medical University? She is really a beauty, with both talent and beauty."
"At this level, it seems that only someone like Su Nanchen can suppress it."
"Where is Lin Hao, the chief surgeon in Attached One?"
"It is also the eight-year system of Concordia."
"I'm a senior at the age of 30, and I'm still pulling the hook. I won't say anymore, so hurry up and pull the hook, or I'll get scolded again."
While chatting, the topic went off topic, but as long as it is not illegal, everyone can speak freely. This is why the Internet has made the event so popular.
Yang Ping was curious and entered the video area of Sanbo Hospital. Song Zimo and everyone were still preparing for the operation, and the video area was not opened.
But the barrage is no less than Attached 1.
"Brothers, who still remembers the fifth-stage replantation?"
"Who doesn't remember? The village has just received electricity, right? Sanbo and five-stage reimplantation have become obsolete. The weird surgeries in academic conferences can crush the Japanese. That's the heavyweight."
"Does anyone know Yang Ping, the surgeon? I heard that guy is really awesome."
"Even Takahashi was overthrown by him, you say he is awesome or not."
"Did he perform the surgery? I can't believe it."
"Brothers from Shanghai, some of you should know Song Zimo, right?"
"I know him. He is from Fudan University, but he completed his clinical internship at Magic Six. We call him Rukawa Kaede. This guy can challenge the University of Wenzhou, but he is actually just an assistant. This class is promising."
"The body size of Sanbo is not enough. Scoliosis, bone tumors, and upper cervical spine. These surgeries are the highlight of the finals. It would be good to reach the quarterfinals. It is unlikely to win the championship."
"I heard that robotic surgery will be added to this year's finals?"
"Yes, robotic surgery is a must in the finals."
Yang Ping was not interested in these comments. He listed the standard steps of some surgeries. At the same time, each step had a score. In fact, if he got full marks, it meant that the surgeon had truly mastered every detail of the surgery.
For unknown reasons, many hospitals treat open reduction and internal fixation of both forearm and radius fractures as the first operation.
The first surgery uploaded by Song Zimo was also open reduction and internal fixation of a double fracture of the right forearm and radius.
This is a relatively simple operation and is an entry-level surgery in orthopedic trauma.
There are three months of regional competition. The surgery in the first month is for limb fractures. As long as all the required surgeries are completed before the end of the month, there is no need to follow the order.
If it cannot prepare all surgical cases within a month, then the hospital will have to consider whether to participate in the competition in another ten or eight years and develop the department first.
The regional competition mainly examines basic skills---basic knowledge, basic theories, and basic skills. At this stage, the most important thing is to be steady and never overturn.
Yang Ping opened the surgical scoring instructions for both forearm and radius fractures. If he printed them out, they would probably take several pages.
Song Zimo and Xu Zhiliang should be on stage soon. Yang Ping is not worried about Song Zimo at all. He still knows a lot about this help.
So he didn't plan to go in for the time being. He simply went to the lounge to lie down for a while and casually look at other hospitals' surgeries.
The video area is being broadcast one after another, and there are actually judges watching the live broadcast and giving scores. The surgery is being done at the same time, and the scores for each step in the scoring column are coming out. These judges are worthy of being bosses.
Yang Ping took a look and found that all of them had double fractures of their forearms.
Someone had a lot of points deducted as soon as the operation started.
The distal radioulnar joint was dislocated and was reduced in the emergency. Injuries to the triangular cartilage complex, inferior radioulnar ligament, etc. were not considered. MRI examination of the wrist joint was not performed. Points will be deducted!
Improper use of blood strips before surgery will result in points being deducted!
If you hold the knife incorrectly, points will be deducted!
If the incision is not vertical, points will be deducted!
After entering, the blood vessels and nerves were not well protected and the rubber strips were not used to gently retract them. Points will be deducted!
The superficial branch of the radial nerve passes through the radial fracture site. The hand sensation was not recorded in detail in the first course record and the physical examination in the admission record. The superficial branch of the radial nerve was not explored during the operation. Points will be deducted!
Excessive periosteum stripping and lack of awareness of protecting the blood supply of the fracture end, points will be deducted!
If you hold the electric drill incorrectly when drilling, points will be deducted!
If the order of depth measurement and tapping is reversed, points will be deducted!
For simple transverse fractures, locking bone plates are used, and the selection of implants is inappropriate. Points will be deducted!
There is also an operation that uses a single incision for radius and ulna fractures, which can easily cause cross healing and violates the basic principles of surgery. Points will be deducted!
A simple double fracture of the forearm has dozens of points. Each point of concern is clear and the points deducted are well-founded. No point is deducted randomly.
Yang Ping called up all the surgical scoring instructions and read them carefully. There were still some differences between the competition and the usual surgeries. For example, when he did the cruciate ligament reconstruction himself, he never used a positioner and drilled holes with his bare hands.
If this is put into a competition, one step will be missed and points will be deducted directly. Therefore, it is also very important to be familiar with the scoring instructions.
This is like solving a problem for the college entrance examination, every step must be clear.
Anyway, there were still three months left, so Yang Ping read part of the scoring instructions and retrieved the information about Little Andrew, a child patient with multi-ligament rupture of the knee joint that Robert had sent to him.
Plan in your mind how to perform this operation. This operation is indeed difficult. There is no ready-made surgical plan that you can refer to. You need to redesign a personalized surgical plan and design special surgical instruments.
Yang Ping simply entered the system space and conducted serious research on this operation in the space.
He drew a complete set of surgical instrument drawings in space, and then also drew the surgical steps in pictures. After several revisions, he finalized the final plan.
After coming out of the space, he went to the anesthesiologist's office to get a stack of A4 paper and began to draw the surgical steps and surgical instruments.
Now I am very proficient in drawing, not to mention that I drew it in the system space. Now I just copy it from my memory and use a pencil to quickly draw the drawings one by one.
Yang Ping took photos of all these pictures with his mobile phone and sent them to Robert, asking him to find OrthoPediatrics to produce all the surgical instruments in advance.
Robert probably won't be able to perform this surgery on his own. He only studied here for a week. In one week, he only understood the basic knowledge of the surgery, and he couldn't even understand it in depth.
But the further back in Little Andrew's surgery is, the more difficult it will be. Yang Ping is worried, and I believe Robert is also worried.
