Bai Ye got up early today because he had to report to the hospital, and the postgraduate entrance examination and re-examination required practical skills. It was more convenient to practice this in the hospital.
Moreover, after all, I am still in the internship period, and it seems that I haven’t practiced well yet.
There was a postgraduate leave before the postgraduate entrance examination. After the postgraduate entrance examination, I participated in the traditional Chinese medicine knowledge competition. Then I went home to spend the New Year. After the New Year, I hurriedly went to the Kyoto Experimental Group for further study.
I've been running back and forth, it's almost April, and I have to take the postgraduate re-examination in two weeks.
Bai Ye still feels that he should strengthen the basic quality of clinical practice ability.
Although there are a lot of skills at level 4 and level 5 now, these are the most basic basic skills. When it comes to clinical practice, what is needed is a process of integrating theory with practice.
If the basic skills are not solid, what is the likely result?
You know it but you don’t know why! So these basic skills are still very necessary.
However, the theoretical basis alone is not enough. After all, this is a clinical subject and requires clinical training and practice.
Bai Ye went to the hospital with Fatty. Fatty had been taken to the hospital every day since the Chinese New Year. His mother found him an old director of the spleen and gastroenterology department and asked Fatty to follow him out to the outpatient clinic.
The old director is an old expert. He has worked in the Provincial Traditional Chinese Medicine Hospital for nearly 40 years and is an old and famous doctor in the industry in Shanxi Province.
There are two half-day outpatient clinics a week, and when the outpatient clinic is busy, there are nearly a hundred people!
I get outpatient service at seven o'clock in the morning every day, and it doesn't end until around two o'clock in the afternoon!
The fat man mainly followed the prescription and arrived at the hospital early every day. He lowered his head and raised it again at two o'clock.
In one month, I lost a total of seven or eight pounds, which made the fat man sigh. No wonder the ancients said that there is a beautiful face in the book. How can you gain weight with such intense study? Even if you are as fat as me, it will not take long to become beautiful.
It’s worth as much as jade!
Bai Ye came to the hospital early with Fatty. Since he didn't come to the hospital last month, he didn't report it at all after the year, so naturally he wasn't assigned to a department.
The general rotation of interns is: one month for each department. After Bai Ye found the medical department, he knocked on the door and entered.
A characteristic of the hospital's administrative departments is that sometimes they are busy and work overtime for several hours, and sometimes they are free to raise birds.
Bai Ye waited in the hospital and had no place to go, so he simply went to have breakfast and arrived at the administration building around 8:30.
At the beginning of the year, the medical department has been very busy lately. After Bai Ye knocked on the door and entered, everyone lowered their heads, wondering what they were sorting.
The person in charge of the specialist department was a middle-aged bald man whose name was Song. Bai Ye couldn't remember clearly.
After Bai Ye found the man, he found an opportunity and said, "Hello, Teacher Song, I'm here to report."
The man then raised his head and looked at Bai Ye: "Are you a graduate student? A trainee? Or a visiting scholar? An intern?"
Bai Ye handed over the badge: "Teacher Song, I am a fifth-year intern at Jinxi Traditional Chinese Medicine Hospital. My name is Bai Ye. I took a leave of absence last month because of something else, so I am here to report."
When the man waited for Bai Ye to say his name, he was stunned for a moment. It seemed familiar. Yes, it was the dean who personally greeted the director a month ago.
When an ordinary intern asks for leave, he needs to be greeted by the dean? Do you think the dean is very free?
Suddenly, the man raised his head and said with a smile: "Well, I'm back. Now I'll arrange a department for you."
Seeing that the man was so easy to talk to, Bai Ye quickly thanked him: "Thank you, teacher."
The man asked: "Do you...do you have a department you particularly want to go to?"
Bai Ye was stunned for a moment: "As for the department...Teacher Song, it's like this. I will take the postgraduate re-examination of Haishi University of Traditional Chinese Medicine in mid-April, so I want to practice physical examination and basic clinical skills, and...it is estimated that in mid-April
I have to ask for leave from you, so I’m sorry to trouble you.”
When the man heard this, he thought for a moment and smiled: "Haishi University of Traditional Chinese Medicine? It's not bad! You have to work hard, young man. If that's the case... you go to the training center."
"The training center has recently organized our hospital's graduate students and graduate students to participate in physical examination and four major puncture skills training. If you go over and help, you can just study. It will also be convenient for you to take the postgraduate entrance examination and re-examination. The training will be over in the middle of the month. You
Just in time to take the re-examination."
When Bai Ye heard this, his eyes suddenly lit up: "Thank you! Thank you, teacher."
The man waved his hand, signed the transfer form, and handed it to Bai Ye: "Prepare well for the reexamination, come on! Go report as soon as possible."
Bai Ye thanked him again and left.
The training center was built by the hospital in 2015, the year the country officially introduced the medical student training policy.
The purpose of the training center is to manage and train medical students. The training center of Jinxi Provincial Hospital of Traditional Chinese Medicine occupies an entire two floors, with various models inside to facilitate student training.
In fact, there is no specific job here. Bai Ye follows a 33-year-old female teacher named Chen Lin.
Chen Lin said: "Starting today, in the past ten days, students will come every afternoon to train on the four major punctures, cardiopulmonary resuscitation, physical examinations, etc. You can follow the teachers to see if there is anything that needs help and help them.
.It doesn’t matter if it’s specific, you can just read here in the morning and prepare for the retest.”
There were not many people in the entire training center in the morning, and Bai Ye was happy to have some free time, because there were often lectures here, and all the computers had these courseware and videos.
Bai Ye turned on the computer and found a video of physical examination and started watching it.
Physical examination is a routine examination of the human body in modern medicine. It mainly uses sight, touch and hearing to evaluate some common signs and conditions of the human body.
Starting from head to toe, first inspect the head and face, then palpate the head and face lymph nodes, and check the light reflex of the eyes and the reflex of the nervous system.
Next are some diagnostic techniques for the chest. The chest is the focus of the examination because it contains two very important organs, the lungs and the heart.
Moreover, clinical diagnosis of the anterior chest is very common, such as lung auscultation, the level of breath sounds, whether there are phlegm sounds, whether there are dry and wet sounds, etc. These are the main basis for judging the manifestations of pulmonary cases.
There is also percussion. Some common diseases can be diagnosed through percussion of the lungs. Normal percussion of the lungs is voiceless. If there is pleural effusion or pneumothorax, there will be different sounds.
This is especially true for the heart. The position and size of the heart can be determined by percussion, and there are five common auscultation areas for the heart.
These things are the most basic, Bai Ye takes them seriously.
But the gain from reading it once is very low. This kind of thing that is closely linked to practice can only progress faster through learning through practice.
At around 3 o'clock in the afternoon, a group of regular trainees came one after another, and they were divided into groups and assigned to study in different rooms.
Bai Ye took the initiative to go to the room where the physical examination was held. The speaker was a doctor from the pulmonology department of the hospital named Zhou Bobo, a senior attending physician.
There were simulators placed in the room, and Zhou Bobo personally demonstrated to everyone, starting from head to toe, step by step, explaining while doing it.
After watching it live this time, Bai Ye probably had an impression in his mind, but it was just an impression. If he actually went on stage to do it, the effect would probably be average.