Finally, we have reached the first level of the medical qualification examination.
Practical Skills Test.
After passing the practical skills test, you can take the written test.
If you pass the written test, you will become a real doctor.
Compared with the second written test of the Physician Qualification Examination.
This level is relatively easy.
According to statistics in recent years.
Nearly 800,000 people take the physician qualification examination nationwide every year.
The number of people who passed the first level and practiced the skills was more than 550,000.
The pass rate is over 70%.
At least 7 out of 10 people will pass.
Generally, those who have practiced seriously in large hospitals for more than one year and have some experience in consulting.
I went home and read a book.
Basically it all passes.
With Zhou Yisheng's strength, it is almost 100% that he will pass.
Su Quan is not 100%, but has a 99% probability of passing.
The number of patients the tertiary emergency department comes into contact with every day is frightening.
Practical experience in preparing for exams?
The two of them were already full.
However, no matter how strong you are, you still have to take the exam.
There are many professional directions for applying for the doctor qualification examination, such as clinical, dental, traditional Chinese medicine, public health, etc.
Of course both Zhou Sheng and Su Quan are in the clinical field.
In the examination area of Qin Middle School, the clinical direction has the most examination points.
For example, Military Medical University, Jiaotong University School of Medicine, and Qinzhong Medical College, Zhou’s alma mater, are all test sites for clinical practice skills.
If you take the exam at Qinzhong Medical College, it will be pretty good.
After all, it is my alma mater and the environment is more familiar.
But once it was assigned, both Zhou Sheng and Su Quan would take exams at Jiaotong University School of Medicine.
This isn't much of a problem.
If you have the ability, it will be the same no matter where you take the exam.
On the day of the exam.
Zhou Sheng and Su Quan did not go to the exam together.
Because the exam times for the two are different.
A practical skills test is a bit like an interview.
Go round after round.
Su Quan was in the first round, and the exam started at eight o'clock in the morning.
The exam for students on Monday is the third round, starting at 1:30 p.m.
This day happened to be the day shift for the fourth group.
Su Quan asked for a day's leave early.
Prepare well for the exam.
Still working on Monday morning.
In his opinion, it is completely unnecessary to take a day off for a small practical skills test.
He calculated the time and set off from the Central Hospital at 12 noon.
When we arrived at the School of Medicine of Jiaotong University, it happened to be around one o'clock in the afternoon.
At this time, the school gate was already full of people wearing white coats.
Needless to say, these people are all candidates who came to take the exam.
Bustling and bustling, it’s truly spectacular.
As for why I wear a white coat during the exam.
The reason is simple.
As I said before, this skills test is just like an interview.
The examiner's subjective factors account for a lot.
Therefore, the first impression the candidate leaves on the examiner is very important.
Wearing the white coat you wear when working in a hospital is dignified and serious, and is naturally the safest.
Of course Zhou Sheng is no exception.
The outfit he was wearing was what he wore to work in the morning.
Now even the replacement time is saved.
Park the car on Monday.
After checking the documents, enter the examination room.
Find your test center according to the information on the admission ticket.
The next step is to wait for the staff at the examination room to inform you to enter the station for the examination.
Why a pit stop test?
This clinical practice skills examination is divided into three stations.
You need to enter the exam in order.
It's a bit like a more rigorous interview. You need to change three places and pass three levels.
The focus of each level is different.
Zhou Sheng waited for a while.
Hear staff announcements.
Entered the first stop.
The first stop is medical history collection and case analysis.
Complete written test.
In a large classroom.
Zhou Sheng found his seat and sat down.
Wait for everyone to arrive.
The invigilator began to hand out papers.
Papers are distributed in the form of "plum blossom paper".
In other words, Zhou Sheng's test papers before and after were different from his.
The purpose of this is to make it impossible for those who want to take a peek.
There are only 2 questions on the test paper.
The first one is about medical history taking.
This is what we often call outpatient consultation.
Give you a common clinical symptom.
Let you write down the consultation process.
Of course, this is an exam.
Don't write too plainly.
The writing process must have a certain format.
This is not difficult for Zhou Sheng.
After staying in the emergency center for so long, I have seen almost all common diseases. What should I ask?
Naturally, he knew it very well.
As for the format of the exam, he has also seen some examples.
Overall there is no problem.
Zhou Sheng took a look at it and saw that his topic was: A boy, 2 years old, had a fever for 1 day and had convulsions once and was admitted to the emergency room.
It’s simple. I see a lot of emergency room visits for children with fever during the Monday and night shifts.
Generally speaking, children who are sick during the day go to the pediatrician for medical treatment.
Go to the emergency room more frequently at night.
Zhou Yisheng has rich experience in this area.
When a child has a fever, he knows exactly what to ask.
He started writing answers directly on the test paper.
1. Based on the main complaint and related identification inquiries
1. Inducement of the disease: whether there is contact with other patients with fever, whether there is any trauma
2. Degree of fever and whether there are chills
3. Unconsciousness during convulsions
4. Is there any cough, runny nose or vomiting?
5. Diet, sleep and defecation conditions since the onset of the disease
6.Have you done routine blood work?
7. Have you ever used drugs at home and what are their effects?
…
Zhou Sheng is at your fingertips.
Done in a few minutes
The second question is a case analysis question.
This type of question is much more difficult than the first question.
It will give a complete case.
Let you give a complete case analysis.
For example: What disease is this? Why is it this disease and why is it not another disease?
What tests will be done and a treatment plan will be given in the end?
The topic of the Monday issue is a case of meningococcal meningitis: a 17-year-old male came to the clinic on January 15 due to high fever, headache, and frequent vomiting for 2 days. The patient suddenly had a high fever of 39.5 degrees 2 days ago, accompanied by chills.
Chills, severe headache, frequent vomiting, projectile vomiting of food and bile, no upper abdominal discomfort, and little eating.
He has been in good health in the past, has no history of stomach problems or tuberculosis, and has no drug allergies. Similar patients have occurred in his school.
Physical examination: t 39.1 degrees, p 110 times/min...
Auxiliary examination: hb 124g/l, wbc…
A typical case of meningococcal meningitis.
If you specialize, it's a matter of neurology.
However, emergencies can also occur.
For Zhou Sheng, who is already an expert in emergency medicine and supernatural beings.
Not a big problem.
Answer immediately and follow the procedure.
Diagnosis: Meningococcal meningitis is likely
Diagnosis basis: Onset in winter and spring (January 15th), the disease occurs locally (there are similar patients in the school)
Sudden onset of high fever, severe headache, frequent projectile vomiting
Blood tests showed an increase in the total number of wbc and the proportion of neutrophils
Further testing: blood culture
Treatment principles: 1. For pathogenic treatment, high-dose penicillin is preferred, and third-generation cephalosporins can be used.