Simple fracture open reduction, plate and screw internal fixation (introduction) was successfully analyzed.
Parse out the following skills.
【1.Experience in surgical anatomy of long bone surgery of limbs (general);】
【2.Manual reduction of fractures (introduction);】
【3. Simple fracture closed reduction with Kirschner wire internal and external fixation (common);】
【4.Skin and subcutaneous tissue suturing (common).】
[Analysis skills can be used as the initial skills for the next simulation.]
After reading it, Zhou Cheng felt that it was quite scientific. Every operation, no matter whether it is simple or not, actually contains a lot of knowledge reserves of the surgeon. If he only knows how to perform open reduction, plate and screw internal fixation of fractures, he does not even need to perform ordinary sutures.
If you can't do it, then it's too fake.
I gained a lot of new knowledge.
Look at the cooldown time for the next simulation, it's only five minutes.
Keep waiting.
After playing casually on his mobile phone and watching the live broadcast, Zhou Cheng accurately controlled the cooling time of the simulation copy and started a new round of simulation at 00:05:30.
But this time what skills will be included to simulate it?
In the end, Zhou Cheng decided to choose the best.
[1. Open reduction and internal fixation of simple fractures with plates and screws (Introduction)]
[2. Removal of internal fixation device after fracture (common)]
The other skills are actually already included in these two major skills. They are just some details, so there is no need to make repeated choices.
Zhou Cheng started a new round of simulation.
…
[Your progress in learning surgery for complex fractures is still slow, you have lost the appreciation of your superior doctors, and you are still not qualified to stay in the hospital.]
[You become a labor dispatch worker and continue to work in the unit.]
this?
Everyone was numb.
Such a strong start can be 'played' like this by myself.
Could it be that apart from being handsome, I really don’t have the talent to be a doctor?
Alas, life.
[In the second year, your hard work gave you another opportunity to deal with complex fractures from your superior doctor, but you still haven't grasped it. 】
[During the operation, you feel that your ability to deal with complex fractures is still insufficient.]
[You begin to become a bed machine...]
[You were determined to study hard and observed many surgeries. Finally, at the age of thirty-two, you mastered open reduction and internal fixation of complex fractures (introduction). 】
[At the age of forty, your peers have become deputy chief physicians or associate professors, but you are still just an old attending physician and have become their junior physician...]
[At the age of fifty, you became the most senior attending physician in the department. Through extensive surgical practice, you upgraded open reduction, plate and screw internal fixation of fractures and closed reduction and intramedullary nail internal fixation of fractures to (proficient)
, but your peers have long disdained simple fracture surgery.】
[You have also left your duty career, but you suddenly feel that life is boring and exhausted, and you have lost the motivation to learn, and you have no sense of professional accomplishment...]
[At the age of seventy, you die depressed...]
【Simulation ends.】
[You can choose to keep one of the following]
[Skill: Open reduction and internal fixation of fractures with plates and screws (skilled).]
[Skill: Open reduction and intramedullary nail internal fixation of fractures (skilled).]
[Memory: Experience in diagnosis and treatment of fractures (unremarkable). 】
[Copy cooling: Cooling time: 30min.]
Zhou Cheng is a little tired!
However, after careful analysis, we decided to choose the skill of open reduction and intramedullary nailing and internal fixation of fractures (skilled).
Today's standardized treatment for patients with fractures is intramedullary nail internal fixation, because the opening of intramedullary nail internal fixation is relatively small, relatively less invasive, and the fixation is firm and stable.
It is basically the gold standard for fracture treatment.
Then Zhou Chengcheng decided not to wait for the next simulation, because his life was at stake.
He has to go to work in the hospital tomorrow morning.
In the morning, at seven o'clock sharp, the damn alarm clock rang.
Zhou Cheng hates 'Zhou Shen' very much and disturbs his sweet dreams every morning!
Brush your teeth, wash your hands, and buy breakfast.
At 7:25, I came to the department on time.
However, when Zhou Cheng arrived, he found that many people were already in the doctor's office.
They are all trained doctors like him who need to take care of the bed.
There are three groups in the department, led by the chief physician.
The leader of Zhou Cheng's group is Chief Physician Cai Dongfan. There is also an attending physician under Cai Dongfan named Luo Yun. Luo Yun is responsible for general daily affairs, and some simple surgeries are also performed by Luo Yun.
Chief physician Cai Dongfan only occasionally conducts ward rounds and performs complex surgeries on operation days.
In addition to the superior doctors, Zhou Cheng's team also has two regular trainees like Zhou Cheng.
Du Yanjun, Zhang Zhengquan.
Each person manages four beds.
But now only Du Yanjun is in the doctor's office, Zhang Zhengquan is still missing.
"Brother Zhou Cheng, good morning." Du Yanjun greeted Zhou Cheng because they were in a group.
Zhou Cheng is one year older than Du Yanjun and is currently in his third year of regular training. Du Yanjun is in his second year of postgraduate training and is also a student of Chief Physician Cai Dongfan.
But Zhou Cheng came a year earlier than Du Yanjun, so he called Du Yanjun slightly younger: "You are also early, Yan Jun."
"A patient was discharged yesterday, so I came early to see if there are any new patients." Du Yanjun said.
Then he asked: "Brother Zhou Cheng, have you had breakfast? I'm going to order some noodles, do you want to join us?"
Du Yanjun has a master's degree, and he is still working so hard, maybe because he is eyeing the quota for admission to the hospital.
After all, the hospital did not say that it must be selected from the batch of graduated graduates.
It's quite rolly.
Zhou Chengdao: "I've eaten it, thank you."
"By the way, Yan Jun, it seems you are on duty today, right? You can help me track down the results of my patient's postoperative blood test this afternoon."
The Orthopedics Department of the Eighth Hospital is on a 24-hour duty system. Zhou Cheng did not discharge any patients today, and if Du Yanjun is on duty today, he will have another surgery tomorrow.
Therefore, Zhou Cheng decided not to come to the department in the afternoon, but to stay at home and read for a while.
Since everyone is working hard, you should also read the book carefully.
"Okay, no problem." Du Yanjun smiled, he often did this kind of thing.
He is a master's student who was admitted to the regular training program.
After graduation, you can combine the four certificates into one, which will look wonderful.
But he not only needs to complete the final examination of the regular training, but also has to be busy with the graduation of a graduate student. He is now in his second year as a graduate student and is about to write a thesis topic. In addition to the thesis topic, he also has to write an article on CSCD.
Meet the requirements for master's degree graduation.
What's more, if he still wants to get the place to stay in the hospital, the article Du Yanjun plans to write is not CSCD, but sci.
Only in this way can he have hope.
After all, the requirement for graduating from another academic master's degree in the department is to publish an SCI, if he is simply equivalent to him in terms of clinical ability.
It’s really not enough to fight for.
There will definitely be many areas where Zhou Cheng's help will be needed in the future.