novelslam Chapter 45 Training the Team Members!
Chapter 45 Training the Team Members!
Professor Chen is a middle-aged man in his fifties. He is the administrative director of the Department of Cardiology and also the director of the Department of Internal Medicine.
He wore glasses, was of medium build, and looked very refined.
After the teams were seated in their respective groups, he stood on the podium, smiling broadly: "This time, quite a few familiar faces are missing again."
"However, the old giving way to the new is the very essence of blood circulation."
"My name is Li Xin. I am the proposed leader of the training group for the postgraduate clinical thinking competition at Xiangya Hospital, and also your mentor during the training."
"Let me briefly announce the training camp rules to everyone."
"The provincial competition training camp will last for a week, and the competition will begin on the 9th and 10th."
"The national competition will begin on August 1st. However, the training camp at that time will be organized by Central South University, with a stronger team of training instructors drawn from the three Xiangya Hospitals."
"So, whether you can make it to the national competition and participate in higher-quality training depends on your performance in the provincial competition."
"These past few days, your training has mainly focused on the diagnostic and treatment protocols for common and relatively rare diseases in internal medicine, surgery, and emergency medicine..."
"We will show you real clinical diagnosis and treatment activities through specific case studies."
"Of these factors, diagnosis comes first, accounting for 60% of the score; treatment accounts for 30%; and teamwork ability accounts for 10%!"
"Based on this score, we should conclude that the cases that appear in the provincial and national competitions are all cases that require treatment."
"This is not a clearly defined outline, but we should strive to work in this direction during our intensive training sessions."
"..."
Professor Chen Xin spoke at length for a good ten minutes.
Most of them are related to the competition.
Su Xiheng and the others listened attentively, and Chen Zhuoan was also listening, but he felt that the training content taught by Professor Li Xin was a bit thin.
However, since this was a training camp organized by the hospital, Chen Zhuoan couldn't offer any opinions.
He would provide further explanations to his teammates privately.
There's no need to show off at this time, saying things like Professor Li Xin and others' training content is outdated.
After Professor Li Xin finished speaking, he officially led everyone to the Clinical Skills Training Center building of Xiangya Hospital.
This morning's training session was related to cardiology.
He is not only a counselor and a competition instructor, but also a mentor for standardized diagnosis and treatment of cardiovascular diseases.
The class started at 10:00 AM and lasted until 12:00 PM, for a total of two hours.
The afternoon classes will be a bit longer, covering gastroenterology and respiratory medicine.
Before class started, each team introduced themselves to each other.
Chen Zhuoan's group was no exception.
After Su Xiheng and the others finished their brief self-introductions, Fu Yongbing from the emergency department asked, quite gossipy:
"Captain, Dr. Su, are you two a couple?"
"They're definitely a couple."
Su Xiheng looked slightly embarrassed, but Chen Zhuoan nodded, clapped his hands, and said in a mature and old-fashioned voice, "Everyone has something, so let me say a few words."
Upon hearing Chen Zhuoan's voice, the others turned around.
His expression was unreadable.
What are you trying to do?
Chen Zhuoan said, "The Clinical Reasoning Skills Competition is just its apparent name. In reality, the essence of this competition is a retrospective analysis of death cases."
"Therefore, when setting up a question, the question setter usually deliberately completes the answer."
"We have a natural advantage over actual clinical practice."
"That's the first point."
Before Fu Yongbing even started his lesson, Chen Zhuoan had already begun: "Second point."
"Although the percentage of cases treated is not high, we can't afford to make mistakes!"
"That means you can be wrong, you can not know how, but you cannot be wrong!"
"Is that clear?"
"No, missing one will only result in a point deduction, but making a mistake will result in a negative point deduction, no points at all, and all your previous efforts will be wasted!"
Fu Yongbing was quite old, almost thirty, and he looked at Chen Zhuoan, this young man, speaking so eloquently, as if he were an old man.
Fu Yongbing smiled and said, "Captain, you seem to know a lot about the game?"
"Let me introduce myself. I've participated three times, and my best result so far is first prize."
Fu Yongbing's words immediately drew the attention of the others.
The first prize is the best result besides the special prize.
This is a master.
Chen Zhuoan glanced at Fu Yongbing: "What does Senior Brother Fu want to say? Then finish speaking?"
Fu Yongbing shook his head: "No, Captain, I just wanted to tell you not to be so old-fashioned."
"I'm too lazy to be the captain, I'm just a henchman."
After thinking about it carefully, Chen Zhuoan said, "Senior Brother Fu, once you've determined your identity, stay true to it."
"Please don't talk too much, okay?"
Fu Yongbing helplessly waved his hand: "Sure, after all, you're the captain."
This exam mainly covered internal medicine and surgical cases, with almost no emergency cases, so Fu Yongbing's preliminary results were not ideal.
But he was both convinced and unconvinced.
I'm convinced that the exam questions are the same, but I'm not convinced that there are too few emergency room cases.
……
Professor Li Xin's training session began, using specific case studies to explain the basics of the competition to everyone.
In other words, there will be a brief medical history presentation, and the team needs to complete the patient's admission, diagnosis, and list of test results.
Then, based on the list of inspection results you provided, you can see the corresponding inspection result content.
If your test results are not crucial, then it's considered an extra test, which is unfounded and will result in a deduction of points.
Finally, treatment is administered.
However, this treatment is not the standard treatment; it is only part of the treatment.
For example, if a cardiology patient has atrial fibrillation or ventricular fibrillation, cardioversion with medication or electrical cardioversion may be necessary depending on the specific manifestations of the atrial fibrillation or ventricular fibrillation.
If there are signs of a heart attack, then interventional procedures such as sheath placement are necessary as a prelude to treatment.
No one would actually require graduate students to perform interventional surgery, but they would require them to be well-prepared for the actual intervention.
Internal medicine was originally supposed to be Su Xiheng and Peng Ying's domain.
However, the treatment involved manipulation, and the two seemed somewhat overwhelmed.
When placing an arterial sheath, it may frequently dislodge or be misplaced.
Ultimately, puncture techniques still require practice.
While Chen Zhuoan was still carefully instructing Su Xiheng and Peng Ying, telling them not to rush,
Fu Yongbing coughed and said, "How about I do the puncture?"
Su Xiheng asked, "Senior Brother Fu, are you capable of piercing through?"
"The chances should be pretty good." Fu Yongbing was very calm and careful with his words.
Peng Ying and Su Xiheng immediately gave up their seats, their faces full of anticipation.
Chen Zhuoan felt slightly annoyed by Fu Yongbing's actions.
This is for teaching purposes, not for you to show off.
However, since the others had no objections, Chen Zhuoan didn't say anything more.
Fu Yongbing is indeed quite capable.
He successfully inserted the arterial sheath into the patient's radial artery in just three punctures, and the sheath-core separation was performed exceptionally well.
"Arterial puncture is slightly more difficult than venous puncture, mainly because the direction of the artery cannot be clearly visualized; one can only rely on the arterial pulsation."
"Therefore, we must find out the course of the artery in advance and determine the angle of needle insertion."
After calmly finishing his statement, Fu Yongbing looked at Chen Zhuoan and asked, "Captain, what do you think?"
Chen Zhuoan rolled his eyes at Yongbing.
Then, with his eyes closed, he took a new sheath puncture device and inserted it into the prosthetic model.
Without hesitation, Chen Zhuoan pulled out the puncture core, and the red dye reagent simulating blood came out!
The angle of the puncture was almost parallel to that of Fu Yongbing's puncture.
The two sheaths were stuck there.
Su Xiheng and the others stared at Chen Zhuoan in stunned silence.
Chen Zhuoan reopened his eyes and explained again, "Su Xiheng, Peng Ying, Han Yuanyuan, when we conduct treatment, we must not only know what to do, but also why to do it."
"It's not that just because you know it, you don't have to listen."
Chen Zhuoan is referring to Fu Yongbing.
The other three people all turned their gazes over.
After a moment of stunned silence, Fu Yongbing lowered his head in embarrassment.