Chapter 25 I am actually walking alone in front of you! (Please collect, recommend and read)
Seeing the smile on Zhou Cheng's face, Luo Yun and Cai Dongfan moved inexplicably.
Then I felt a strange emotion in my heart, a little sour and astringent.
The current grading and classification of surgeries by the National Health Commission are divided into levels one to four.
First-level surgery: various surgeries with low technical difficulty, simple surgical procedures, and low risks.
Junior residents: Under the guidance of superior physicians, they can preside over first-level surgeries.
The classification of junior residents refers to those who have worked as a resident physician for less than 3 years, or who have obtained a master's degree and have worked as a resident physician for less than 2 years.
In other words, academic graduate students like Zhou Cheng and Du Yanjun, including Lin Lin, are not engaged in residency positions and are all in the category of low-year residents.
In principle, both Zhou Cheng and Du Yanjun can preside over and carry out first-level surgeries under the guidance of superior doctors.
However, all surgeries and operations require authorization.
Without authorization, you can only participate in the surgical process as an assistant and cannot preside over the surgery. Otherwise, it will be a violation of the regulations and the surgery will be overstepped. If anything goes wrong, you need to bear independent responsibility. Although the superior doctor also has joint and several liability.
But the responsibility he bears independently is enough to ruin a doctor's life.
Authorization of routine surgery, first-level surgery: approval by a physician above the attending physician and the department director authorized by the department director or department deputy director.
Second-level surgery: approved by the department director. Emergency second-level surgery is approved by second-line doctors. When approving, the attending physician and second-line doctors should carefully examine the patient.
In other words, only Cai Dongfan can currently grant approval for first-level surgeries on a regular basis, and even Luo Yun can only grant approval temporarily in emergencies.
Now that he can obtain this surgical authorization, Zhou Cheng can complete first-level surgeries such as manual reduction of fractures and plaster external fixation with greater peace of mind.
Zhou Cheng obtained the medical qualification certificate last year. Because he had to work alone, he naturally registered and obtained the professional qualification certificate. The place of practice was Shashi No. 8 Hospital. Now he has obtained the approval of the superior doctor for surgical authority. Even during the reset process,
There were some accidents, and those were errors within the medical scope.
It does not fall into the category of leapfrog surgery.
Therefore, Zhou Cheng thanked Luo Yun and Cai Dongfan very happily: "Thank you, Teacher Cai, thank you, Teacher Luo."
It is impossible to obtain authorization for a first-level surgery from the chief physician of another group, and others are too lazy to care about you. Zhou Cheng naturally wants to thank his superiors for their appreciation.
However, Zhou Cheng's thanks made Cai Dongfan feel even more uneasy.
After all, logically speaking, Shashi No. 8 Hospital is a tertiary-level hospital, which is already the highest level in terms of hospital level. Basically, the resident doctors in the hospital should start to let lower-level doctors after receiving the medical qualification certificate.
While taking on duty duties, a certain amount of authority will be delegated.
For example, Cai Dongfan's own student, Du Yanjun, only took the certificate exam this year and the results were released. The certificate has not yet been received, but he has obtained the authorization for surgery. Zhou Cheng has obtained the certificate for more than eight months, and his results are satisfactory.
It took a year to get it.
So much later than Du Yanjun.
Cai Dongfan dare not say that he has no selfish motives and is a qualified superior teacher.
Of course, while Cai Dongfan was touched in his heart, he said: "It's okay, this is what our superior doctors should do. Work hard and come on."
"Go and do your own business first. Our superior doctors will definitely see your performance."
Luo Yun immediately understood what Cai Dongfan meant. It is estimated that Zhou Cheng's happy expression just touched a chord in Cai Dongfan's heart, making him feel quite guilty, so he wanted Zhou Cheng to disappear as soon as possible.
So Luo Yun immediately said: "Let's go out and fill out the form. Then we have to go to the medical department."
Suddenly, he stabbed another knife deep into Cai Dongfan's heart.
Luo Yun saw the corner of Cai Dongfan's mouth twitching slightly, and hurriedly patted Zhou Cheng: "Be quick."
But I didn’t dare to say it.
Who said you need to use a knife to kill?
Inner anxiety and suffering actually make people feel more uncomfortable.
Speaking of which, Zhou Cheng called Cai Dongfan his teacher, but Cai Dongfan rarely regarded Zhou Cheng as his student. This was the source of uneasiness.
He and Zhou Cheng left the director's office together, and then walked to the doctor's lounge together. After opening the door and closing it, Luo Yun saw that there was no one in the lounge, so he locked the door.
Zhou Cheng looked at Luo Yun and knew that Luo Yun must have something to say.
Luo Yun didn't show off and said directly: "Zhou Cheng, actually I asked you to leave early just now because Director Cai felt a little uncomfortable."
"Well, it's because of you, not entirely because of you. But it's all in the past, and things in the past can only be let go."
"Let me tell you directly. So far, among the doctors in charge of the bedside, you are the fifth one to have obtained the first-level surgical authorization."
"The first one is Pang Dingkun, then Du Yanjun and Min Chaoshuo. The other two people, Lin Lin and Du Ruiqi, also obtained the surgery authorization from Director Hu. Next, it is you."
At this point, Luo Yun sighed with emotion, looked tangled and said: "The reason why I tell you so straightforwardly is that I hope you don't hold any grudges in your heart."
"After all, even Xu Yanlin has not obtained authorization for surgery yet."
Xu Yanlin, his uncle was the deputy director of the Department of Hepatobiliary Surgery, and he was also trained by the society. He had not obtained the authorization for surgery, which surprised Zhou Cheng.
"Yan Lin hasn't obtained the authorization yet? I thought he had already obtained it." Zhou Cheng replied very unexpectedly.
Luo Yun said calmly: "What's so strange about this? Although his uncle is the deputy director of the Department of Hepatobiliary Surgery, medical treatment and clinical practice are not child's play. Even clinical surgical operations are not repetitive or life-saving.
.”
"Under such circumstances, who is willing to take responsibility for him? Director Yan is not his uncle."
"The main thing is to be reliable and capable. In clinical practice, patients and their families will not give you any chance of trial and error."
"Of course, congratulations, you have been recognized by Director Cai. In fact, you are already ahead of many people."
Zhou Cheng nodded and said, "Yes."
At the same time, I thought to myself, not only am I ahead of many people, but I am actually already ahead of most people in the department, right?
The person who walks in the front is inherently lonely.
As for holding grudges, if it were me before, I might still feel a little uncomfortable.
However, my own strength will not be reduced just because I do not have authorization for surgery.
Therefore, it doesn't matter.
It's just that I had no strength but no chance to show it, which was quite a headache. Now that I have the chance, I can show it, so what else is there to say?
Isn’t it nice to walk safely within the rules?
"No, Teacher Luo, I'll fill out the form right away, and then ask Director Cai to sign it." Zhou Cheng was still happy in his heart.
Authorization for surgery by your superior represents recognition of you and a commitment to share responsibility with you.
This is their concern. Zhou Cheng can understand them very well, because Zhou Cheng has also stood at such a height in the simulation copy...
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