For Fang Ziye, after completing his master's degree, it wouldn't be difficult to secure a position with tenure and a modest talent recruitment fee at a prefecture-level city hospital.
Hanshi University's Zhongnan Hospital, though not a top-tier hospital, still carried the prestigious reputation of Hanshi University, an established 985 institution. This background would be quite influential when seeking employment in some prefecture-level city hospitals across the country.
However, climbing further up the ladder wouldn't be easy.
Pursuing a Ph.D. isn't something you can just do on a whim!
This opportunity to continue studying was extremely precious!
To focus on studying, writing papers, and reading literature, Fang Ziye, like other classmates, moved out of the dormitory.
When it was time to burn the midnight oil reading literature, others might be too exhausted after their shifts and need to sleep.
That simply wouldn't align with his goals.
Having personal time was crucial for learning.
--
[Note: Free Knowledge Points can be used to actively upgrade skills. Knowledge Points are generated based on the physician's weight in the diagnosis and treatment process. Knowledge point income details: +0.5, +0.2, +0.1... +0.1]
[Current Knowledge Point balance: 0.1!]
Fang Ziye looked at his sole 0.1 point of free Knowledge Point balance, deep in thought.
This was the output from his skill training in the practice room, and the efficiency seemed to have improved slightly. Previously, it took about two hours to generate 0.1, but today it only took one hour!
In the ward, pondering over patients' medical records and modifying medical orders could also produce a small output.
But the biggest output came from when he followed his teacher to perform surgery. When the teacher let him cut a lesion, it generated a substantial 0.5 points!
Fang Ziye had obtained this panel about half a month ago and had only managed to accumulate 5 points through various methods.
Through observation and basic statistical reasoning, he found that the efficiency of Knowledge Point gains was clinical > medical records > outpatient > practice room operations.
"If only there were more lesion removals," Fang Ziye muttered to himself.
But he quickly shook his head.
Even his teacher, who had surgical privileges in the department, only performed minor surgeries. Although dubbed a senior attending physician, the surgeries he was authorized to perform were just slightly simple bone defect repairs.
Of course, these slightly simple bone defect repairs were procedures that even the directors in prefecture-level hospitals rarely dared to touch.
Other more difficult surgeries were performed by associate professors, and the most challenging ones required professors to complete.
When professors took the lead, associate professors acted as assistants, and Fang Ziye's teacher could only snag a few opportunities. Below them, attending physicians and Ph.D. seniors were all fiercely competing for chances...
The next day.
After handing over his shift, Fang Ziye's teacher, Yuan Weihong, left for class. He was currently teaching undergraduate functional experiment courses at Hanshi University's Second Clinical College, responsible for three small classes, spending most of his time on teaching matters.
During ward rounds, Fang Ziye was just a small fry!
Fang Ziye and his teacher Yuan Weihong both reported to Professor Deng Yong.
Professor Deng Yong led the way, with Associate Professor Xie Jinyuan close behind. Although Fang's teacher wasn't present, Attending Physician Qin Geluo stepped up with a grin to take his place and bear the brunt of any scolding.
Professor Deng Yong's two Ph.D. students quickly followed behind the group of bigwigs, beginning to explain the patients' basic conditions. One was in his second year of Ph.D. studies, the other in his third. They were the chief residents in the group.
Fang Ziye and Li Yuanpei, being slightly more senior, were qualified to follow behind the Ph.D. seniors due to the departure of the third-year master's students.
Behind them were Shu Lang and Gong Ziming, second-year master's students, and Jie Han and Zhu Yunwen, first-year master's students.
Add to that the little resident trainee Lan Tianluo, who followed Fang Ziye like a shadow.
A total of twelve people, practically assembling all the basic elements of a surgical team except for interns.
Fang Ziye's job was to report the detailed data of the patients under his care, record any medical orders that needed changing, listen to Professor Deng Yong and Associate Professor Xie Jinyuan discuss some complex cases, and watch as they challenged the two Ph.D. seniors, selecting one or two disease types and asking them to report on the current research progress of their treatments.
Indeed, for master's students like Fang Ziye and Li Yuanpei, the most frequent questions from professors were about current treatment principles.
Treatment principles and research progress in treatments were two different domains.
One dealt with existing treatment methods, while the other focused on prospective new treatment plans...
Professor Deng Yong, with his upright posture and a sizeable mole on his chin, nodded after hearing his Ph.D. student's report: "You've clearly done some reading, but your understanding of the treatment progress isn't thorough enough."
"Although bone transport surgery is a popular topic in treating bone defects, there's a new type of material emerging that might allow bone cells to crawl and regenerate within the material, potentially replacing traditional bone transport surgery..." Professor Deng Yong spoke as if reciting from memory...
Fang Ziye wouldn't say it was like listening to gibberish, but he was certainly confused about half of it.
In clinical practice, understanding the diagnosis of a disease type is quite challenging, requiring solid fundamentals. Then, delving deeper into current treatment principles and methods is a gradual process. Only after thoroughly grasping all current treatment methods worldwide can one be qualified to look forward to research progress.
The complexity of the medical knowledge system can be summed up in eight words:
Advising someone to study medicine is a curse!
After completing the ward rounds, Fang Ziye finished his role as a small follower and welcomed his 'life peak.' The newly arrived resident trainee, Lan Tianluo, quickly said enthusiastically, "Brother Ye, I'll go change the dressings first, you go back and write the medical orders."
"It's not a surgery day today, shall we go to the practice room earlier?"
Fang Ziye nodded in agreement.
After Lan Tianluo ran off, Yuan Weihong's first-year graduate student, who was also Fang Ziye's direct junior, hesitantly said, "Senior Fang, can you help me modify the medical orders? My aunt has come for an outpatient consultation, and I need to take her to see the doctor..."
Jie Han was Fang Ziye's junior, having just started his first year of master's studies. He entered clinical practice on the same day as Lan Tianluo, but because Jie Han was a master's research student and Yuan Weihong's student, the chief resident assigned him two beds to manage.
This is how it works in large teaching hospitals. Not only are opportunities to operate in the operating room scarce, but even the assignment of beds in the clinical department is a coveted resource, with too many people and not enough to go around. If you're not willing to do the work, there are plenty of people ready to take over your responsibilities.
And managing assigned beds is your only chance to become an assistant in the operating room.
If you assist frequently enough, catch the eye of your superiors, and establish a solid foundation, they might reward you with one or two chances to suture or make an incision, which is considered the true entry point.
Even for professional master's students who have obtained their medical license and can independently take shifts and manage beds, the authority to give medical orders still lies with their superiors. Resident physicians and junior master's students only need to modify the medical orders according to their superiors' instructions.
Unless there are special circumstances—
For example, bed 11, the patient his junior Jie Han had handed over to him.
The superior's instruction was to stop the post-operative pain medication for bed 11 and switch to oral celecoxib. The post-operative anti-infection medication was to be completely stopped, and the post-operative anticoagulant medication was to be changed from low molecular weight heparin sodium to rivaroxaban for anticoagulation therapy.
However, after carefully examining the patient's relevant blood test results, Fang Ziye discovered that while the pain medication and anticoagulant could be stopped, not only should the antibiotic not be discontinued, it should actually be upgraded!
But even with this discovery, Fang Ziye didn't dare to make independent decisions about medication. Instead, he reported—
"Brother Luo, could you come take a look at this? Bed 11, the patient who had bone transport surgery last Friday, her blood test results this morning aren't good. Her white blood cell count has suddenly spiked to 23."
"Should we request a consultation with the pharmacy department for this case?"
Brother Luo was Qin Geluo, an attending physician in the department, with less seniority than Fang's teacher Yuan Weihong.
Hearing this, Qin Geluo rushed over to take a look.
The blood test results had only come out at 8:40 AM, and the ward rounds hadn't even reached 8:40 yet. The previous inflammatory indicators had been trending towards normal, so it wasn't that Jie Han had been careless.
Qin Geluo immediately made a phone call, and while it was connecting, he said: "Ziye, go check the wound condition, immediately send a bacterial culture and drug sensitivity test, and send a routine microscopic examination of the exudate to see if there are any pus cells locally!"
"Also, ask the patient if there's been any high fever period, and hand this over to today's on-duty doctor. If there's high fever, draw a blood culture stat!"
Infection is the greatest enemy in surgery, and everyone is terrified of it because once post-operative infection occurs, it makes the treatment process extremely complicated.