Chapter 171

Xue Tao immediately arranged for Wang Zhongxing and Mao Mao to go revise the medical orders.

However, before Xue Tao could say a few more words to Fang Ziye, Shen Tao spoke up first: "Director Xue, Director Wu, could I borrow your Deputy Chief Physician Office? I need to chat with Little Fang for a bit?"

It seemed like he was asking Xue Tao and Wu Guo Nan, but he was actually asking for Xue Tao's opinion; the key to the Deputy Chief Physician Office was currently with Xue Tao.

Upon hearing this, Xue Tao hurriedly fished the key out of his trouser pocket, keychain and all, and handed it to Shen Tao: "Teacher Shen, I think it's better to give you a key."

"That way your work will be more convenient too."

When Shen Tao first arrived, Director Zhang Mingcan had suggested giving Shen Tao a key to the Deputy Chief Physician Office, but at that time Shen Tao had just arrived and did not accept it.

Shen Tao thought seriously for a moment, then said: "Actually, I always feel a bit shameless; after all, I haven't yet qualified to enter the Deputy Chief Physician Office."

This was actually an agreement.

Wu Guo Nan then said: "Teacher Shen is joking; the Deputy Chief Physicians at People's Hospital and the Deputy Chief Physicians at our hospital are still hard to equate. The baselines aren't on the same level."

Shen Tao then led Fang Ziye away first.

After reaching the Deputy Chief Physician Office, Shen Tao smelled the cigarette smell inside that hadn't yet dissipated, popped a cigarette from the box into his mouth with a click, lit it, and watching the sensible Fang Ziye go push open the window, explained in a soft voice: "Little Fang, you haven't encountered the matter of medical order kickbacks before, have you?"

"Some things, don't say too directly; just turn a blind eye."

The so-called kickback means that after prescribing intravenous drugs or oral medications, even if they are essential, the pharmaceutical reps will give a little exchange reward; it's not much each month, but for a Resident Physician, several hundred yuan is still a very decent income.

Among these, intravenous drugs have more kickbacks than oral drugs.

And this reward for essential medications, regardless of whether you redeem it or not, does not affect the patient's expenses.

Fang Ziye looked at his own suggestion; after Xue Tao and the others corrected the medical orders, he obtained a high 41 Knowledge Points.

Fang Ziye then knew that his suggestion was correct in terms of treatment. The problem on another level was temporarily not considered.

But doing something that affects other people's income is like cutting off their livelihood.

Watching Fang Ziye just thinking and continuing to take the paper cup to pour himself water, Shen Tao first wiped his own Mediterranean hairline, and in his capacity as a martial uncle analyzed: "Of course, the reason Xue Tao agreed so readily is because the benefits you currently bring to the group far exceed the harm caused by this suggestion just now."

"Perhaps you haven't officially started yet, so you don't understand the coefficient ratio in the department and clinical group performance distribution."

"Let me put it this way: surgical operation fees are distributed within the group according to performance coefficients, not exceeding to other groups, but the department's total performance is a major distribution across the whole department, including comprehensive coefficients for doctors and nurses."

"Current national policies all encourage more operations, meticulous operations, and lowering the drug ratio."

Fang Ziye walked up to Shen Tao, put down the water cup, sat down squarely in front of Shen Tao, and said with a smile: "Thank you for the guidance, Teacher Shen; I will keep your words in mind."

People who aren't teachers, or those with bad relationships, wouldn't give such meticulous guidance.

Shen Tao didn't tell him what he should or shouldn't do, but gave him a method to weigh pros and cons, letting him exercise his own judgment.

Fang Ziye naturally immediately drew a bottom line for himself: that his interference with medical orders would be limited to within his own group; Director Zhang Mingcan's group and Director Hong Du's group outside the group were not places a Follow-up Resident like himself could cross into.

"Newly arrived, able to listen first, not refute or explain first; it seems the rules Yuan Weihong established for you are quite good."

"Tell me your views on this hospital, and the reason you agreed to become Director Hong Du's Follow-up Resident?" From their interaction, Shen Tao did not find Fang Ziye to be a pure tech nerd who knows nothing about human relations.

Therefore, communicating with such a person is very comfortable, no need to worry too much; Fang Ziye certainly has his own weighing methods.

Fang Ziye placed his hands properly and explained: "Teacher Shen, you also know, whether it's the Provincial People's Hospital or Zhongnan Hospital, at our stage, contact with clinical operations is limited to suturing and cutting skin, and then the Training Room."

"Therefore, generally our hospital's staff, in the first year after joining, are all followers, and only from the second year do they assume the duties of Chief Resident."

"Naturally, viewed this way, the opportunity for me to come to Enshi Central Hospital, such a grassroots hospital, for tempering, is rare."

Shen Tao heard this and immediately knew what Fang Ziye was hinting at; while Fang Ziye spoke, he took a deep drag, then touched his forehead, exhaling smoke: "It seems your potential index has already broken through the baseline, so Professor Deng Yong plans to let you graduate early and start work early."

"Teacher Shen, I don't know about that; what do this baseline and potential index mean?" Fang Ziye, adhering to the principle of asking when he doesn't understand, showed a puzzled expression.

"Before it's spelled out, it's definitely confusing; once transparent, it corresponds to just how awesome you are at this age."

"Converted to research potential index, roughly if your annual output workload can exceed fifty, then you're damn awesome; generally you can jump a rank early for treatment."

"Fifty workload units a year — that's a dozen or so major papers."

"If you can have seventy-five workload units a year, that kind of efficiency is basically the treasure among treasures in every research group; hold it for two or three years, and you can even produce a high-scoring paper of twenty-plus points; which lab and supervisor wouldn't love that."

"Of course, I've heard of even more awesome ones, who can produce a workload unit in one or two days, three or four days; such maniacs haven't appeared in our medical circle yet; maybe in other fields, like that student Cao in the news, his talent truly belongs to the absolute top tier……"

"We won't discuss this in particular detail; let's get back to clinical practice."

"Actually, clinical ability levels are truly not as easy to directly evaluate as research. After all, research has papers as a third-party objective indicator, and clinical workload as an evaluation capacity. What about clinical ability and talent?"

"In our Hubei Province circle — no, it should be said in the relatively mainstream domestic circle — they take the growth curves of a few super big shots as the baseline."

"For example, Academician Wu of Hepatobiliary Surgery; his talent is definitely top-tier; from starting point to the peak of contemporary medicine, all told, he only used ten years."

"If we divide from nothing to something into a thousand or ten thousand gradations, then the achievements needed per year are respectively one thousand and one hundred degrees."

"How to divide this degree? Other surgeries have other surgeries' division methods."

"In our Orthopedics Department, the division of this degree generally takes a skill from nothing to being able to go out and perform demonstration surgery as the benchmark, as 5 degrees out of 100. 50 degrees out of 1000."

"However many years you take to reach a Level 3 or Level 4 surgery — these 5 degrees — 5 divided by years is your potential index; basically reaching around 2 counts as a baseline, then 3 is a baseline, 4, 5, 10… 100 and so on, each with different baselines."

"Does it sound a bit convoluted?" Shen Tao looked at Fang Ziye's increasingly bewildered expression and asked.

Fang Ziye nodded.

This whatever-degree thing is of course convoluted.

"Then let me give a more intuitive example: your teacher's potential index is roughly 10; this beast, in the shortest time only half a year, can train a skill to what we commonly call 'mastery' — the level of being able to go out and do demonstration surgery."

"And the most awesome figure of the younger generation in our Trauma Surgery should belong to a Professor Long under Professor Duan of Tongji Hospital; his potential index is around 15. Maybe three or four months to learn a surgery."

"Professor Liu Huanglong of Peking Union Medical College Hospital has a potential index of 40. Academician Wu's calculated potential index at its peak should be around 60; 60 is basically world-top-tier; currently most super big shots can only hover around this point."

"Learn a surgery in a month, and the proficiency still has to be……" Shen Tao listened and found it rather sci-fi.

"Teacher Shen, what about you then?" Fang Ziye listened, pondered for about three or four seconds, and gossiped.

Shen Tao's face twitched slightly at this; he stubbed the cigarette butt into the ashtray: "Are you always this good at killing the conversation? The focus of what we're saying is you."

"But I don't have it yet, Teacher Shen." Fang Ziye said with a red face.

"No, you do."

"Level 3 and Level 4 skills are the clinical operation mainstream, but as everyone knows, the most basic skills are the hardest to improve. For example, Yuan Weihong mentioned your suturing technique."

"When calculating the potential index, this operation skill can be multiplied by two times on the original basis; let me think."

"Five divided by three years then multiplied by 2, your current basic potential index is at least 3.33!"

"And as your basic capabilities improve more and more, the speed will be even faster when you subsequently learn specialty operations."

"Anyone whose basic potential index can generally exceed 1 is a freak!" Shen Tao looked at Fang Ziye with undeniable approval, counting it as a word of encouragement.

While Shen Tao spoke, Fang Ziye was actually extremely shocked inside.

According to Shen Tao's words, if so-called entering the hall and room means Level 4, that is 560 points of proficiency.

One month just through operation learning, produced 560 proficiency.

Is this world crazy or am I, Fang Ziye, crazy?

Genius and ordinary people, although merely a difference in title, but the gap between genius and genius, is it countless times larger than the gap between ordinary people and genius?

Before, Fang Ziye spent two years, working himself to death, basically putting all his time into the training room and writing papers, only reaching around Level 2 15/50, equivalent to two years total producing only 30-some proficiency points...

Calculating like this.

Fang Ziye wanted to ram his head into a wall and die.

Of course, Fang Ziye also knew that even he was absolutely not the batch with the worst talent in surgery.

"Teacher Shen, when learning surgical operations, the further you learn, is it relatively easier?" Fang Ziye, through Shen Tao's hint, figured out this principle.

"Of course, if you lay a good foundation in the front, then when conducting specialty operations later, it will definitely be easier and easier to learn."

"Many specialty operations are derivatives or variants of the basic skills in the training room. For example debridement, in Level 3 and Level 4 surgeries it is also used, just the techniques and understanding of different debridements like muscle debridement, necrotic tissue debridement, infected tissue, gangrenous tissue are not quite the same."

"Rooted in the bottom, if you carefully ponder, all clinical operations are ultimately just variations of surgical basic skills, nothing more."

"Alright, let's stop here, in a bit we'll go eat first."

"Heard you also intend to participate in this year's youth skills competition, I'm very optimistic about you."

"There's no training room here, so I can't help you much, but clinically, during surgeries, I'll try to teach you more things, as long as you don't mind me being annoying." Shen Tao at this moment wasn't touching his Mediterranean, but stroking his chin instead.

"Master-uncle, you're joking. Just afraid you won't be willing to teach, looking down on my dull aptitude." Fang Ziye hurriedly accompanied with a smile.

In his heart he calculated: even if calculated by Shen Tao and his own master Yuan Weihong being the same clinical operation talent level, Shen Tao's current potential index is still around 10, meaning in half a year he could possibly learn 500+ proficiency!

Shen Tao is 34 now, counting from when he started accumulating clinical operations as a master's student, at least ten years have passed, one thousand a year, ten years is ten thousand.

Okay, Fang Ziye finally roughly knows what level the most senior attending physicians with aptitude like Yuan Weihong and Shen Tao are at.

At least the look of 5-10 Level 4 skills.

Then, recalculate that Professor Liu Huanglong's skill pool—

Bottomless.

"You go out first, I'll light another, think about some things." Shen Tao waved his hand, letting Fang Ziye leave first.

Fang Ziye nodded and went out, continuing to calculate Luo Tingzhu's potential inside.

Luo Tingzhu's case, counting from when she started clinical contact, in most situations she was only contacting basic skills, but Luo Tingzhu can guarantee in about one month to raise one operation to Level 3 standard.

And it's multiple operations rising simultaneously, meaning in about one month she can increase 30-50 proficiency points, and the proficiency increase in the basic skills stage, when corresponding to specialty skills later, can still double.

That is 60-100 proficiency points level, this way in about five months she can learn one Level 4 professional operation skill, such a potential index is also around 10, equivalent to his own teacher.

Then himself?

If instant level-up.

Shameless, utterly shameless.

Fang Ziye's train of thought had just turned there, then he stopped thinking further.

Just felt that what Master-uncle Shen Tao told him was simply top-tier useful.

This way, Fang Ziye can very clearly control his own improvement speed, outside others' expectations but within the world's reasonable understanding, just ask who dares to hit him?

Don't ask, ask and it's you're too trash.

But if, one day, he suddenly puts a skill from not knowing to adding points to Level 4 or even Level 5, ordinary people can't understand, even the most top-tier genius's improvement speed can't understand.

One person not understanding is him being trash, everyone not understanding means you must have a demon.

bingo!

Fang Ziye felt he had already solved the biggest barrier, a lightning rod, firmly planted into the ground, no matter how much he acts cool, as long as he doesn't exceed this bottom line, reach a terrifying degree, then it's sky high sea wide, letting Fang Ziye freely roam.

After going out, Fang Ziye was naturally called by Xue Tao and Wu Guo Nan to chat, asking if he encountered any difficult patients during his shift today.

After dinner ended, Fang Ziye still decided to part with Wu Guo Nan and the others, politely refusing the suggestion to go to KTV together, and went to the skill training room where Huang Kai was, as Guo Yunlei said.

Seeing Fang Ziye arrive, Kai Ye was both excited and a bit nervous.

In the skill training room, there were already twelve or thirteen people starting operation practice.

Zhang Mingcan's group's senior attending physician Guang Shenqing, Zhang Jinchuan, Cao Zhen, Li Ruokai, and Mao Mao. Some other people

Because Zhong Xue, Xue Gao and others were older, they had no face to participate in the competition again.

Huang Kai didn't disturb others, but actively came to the skill training room entrance, thick upturned lips smiling: "Dr. Fang, you really came, I'm truly flattered."

Huang Kai's lean muscles bulged, but also somewhat awkward.

"Kai Ye, thank you for giving me such an opportunity. I see inside, they're all from our hospital." Fang Ziye knew Huang Kai taking the initiative to call him was already kind-hearted.

"Hey, what our hospital not our hospital, Dr. Fang if you want to come to our hospital, my position is yours. Just I've participated in competitions several times, so Director Zhang Mingcan entrusted me to guide students."

"Dr. Fang, how about you practice first, let me see roughly what level your basic skills have reached?" Huang Kai pointed into the skill training room, nervous mood already eased, obviously the teacher identity he's not doing for the first time.

Fang Ziye then nodded first.

Huang Kai then gave Fang Ziye some practice materials.

Actually just common tofu, as materials for incision, debridement, suturing, hemostasis.

However, the patterns these materials can play out, Fang Ziye has basically cleared them all.

And Huang Kai's so-called teaching practice, actually just simply misappropriated the basic materials from Zhongnan Hospital's training room.

But since he came, Fang Ziye also hadn't entered a training room for a long time, so he familiarized himself with the corresponding techniques practice, also counting as laying a foundation at Huang Kai's place in advance.

Huang Kai saw Fang Ziye clear all the Tofu Practice Materials, and his heart tightened at once.

His mouth gaped open, and panic rose inside him——

What ghost is this?

Closed Reduction and Suture and Debridement and so on all done equally well?

No way, could this Fang Ziye actually have deeper Medical Attainment in the Basic Skill domain?

So, Huang Kai half-believing half-doubting offered up one by one the materials he usually practiced Suture Technique on, could not Hide anything anymore, Otherwise his unilateral Invitation might become a joke……

(Chapter End)