Chapter 92: Leading Well Means Greater Pressure (First Update, Asking for Subscriptions)
Professor Qi gave instructions while Fang Ziye walked toward the corresponding operating table, and had the other professors place the corresponding practice materials, giving Fang Ziye time to put on gloves and check the operating instruments.
While saying: "Our hospital's training room, practice materials, may differ slightly from other hospitals. The Trauma Surgery Subspecialty's professional program standard is: Suturing Technique must be able to suture tofu well; Incision Technique must be able to cut tofu into an octahedral pyramid shape, with distinct tiers."
"Debridement Technique requires the ability to carve three-dimensional Simplified Chinese characters on tofu; Hemostasis Technique requires rapid fixed-point capture of vascular bleeding points, within twenty seconds, single-point repeated forty times, standard Hemostasis Technique completion rate higher than thirty-six times."
"The completion requirements are..." Professor Qi roughly repeated them once for Fang Ziye, then said: "No rush, doesn't matter if you didn't remember clearly, we can say it many times until you understand this assessment standard."
"Of course, the entire assessment, one item fails, all grades void. When you conduct operational assessments later, you'll need to come again."
These things were naturally not said for Fang Ziye; Fang Ziye knew these standards by heart long ago, and had reached the corresponding standards very early. Today's Fang Ziye can recite the Doctoral Stage clearance standards by heart.
Just can't do it.
Then, the assessment sequence arranged for Fang Ziye was: Incision Technique, Debridement Technique, Hemostasis Technique, and Suturing Technique.
Similarly, Senior Wen Zhonghua had already started catching rats, and had also completed anesthesia operations in advance, exposing the tail artery throughout, placing it on the operating table, waiting for Fang Ziye to switch over.
Debridement Technique and Hemostasis Technique, Fang Ziye's current level is only Level 3; for proficiency, to be safe, Fang Ziye added Level 3 30/500 to each respectively, to guarantee absolute success.
This was all of Fang Ziye's Knowledge Points, all placed on these two operational skills.
100 proficiency corresponds to the next operation material; currently still at the tofu level, Fang Ziye has already repeated many times in the training room.
"Two operation chances, complete once is enough. Fang Ziye, you may begin." Professor Qi saw all the old professors had already taken out thick stacks of scoring scales, and gave this instruction.
First is Incision Technique!
Incision Technique, Fang Ziye was least worried about, and didn't think about cutting pork belly or other high-end operations, just directly took the tofu block and started carving.
Fang Ziye wasn't anxious, only sought stability, first steadily and methodically starting from the top, slicing down a few cuts, a shape approaching a regular octahedron had already emerged, and the pyramid's apex was extremely fine.
A completely regular octahedron, unless machine-engraved, otherwise, on a rectangular tofu block, is impossible.
Human operation not only must assess excision range and distance, but also control incision force and angle; this is too demanding, but even a shape approaching an octahedron made quite a few people present turn pale.
Just this one hand, is not something ordinary people can complete.
If skill insufficient, wanting to turn a rectangular tofu block into a sharp octahedral pyramid shape first, is extraordinarily difficult.
But this is Incision Technique.
Fang Ziye finished operating, lightly let out a breath of relief.
Strength hasn't dropped, proves one's capability works, no need to be too nervous.
Then is the carving stairs step, requiring horizontal and vertical two cuts, along the smooth octahedron's eight faces, slicing one by one to become stairs.
This step is extremely critical; if any step's incision depth or force isn't grasped well, it will directly collapse.
Fang Ziye at this moment just thought to act casually; even if unsuccessful, there's still one more chance.
Carefully carved for about ten minutes, Fang Ziye finally produced the Incision Technique's octahedral pyramid shape.
Very standard, and because Level 3 Incision Technique progress improved, smoother than the previous plane.
After Fang Ziye finished operating, Professor Qi just nodded slightly.
As if indicating Fang Ziye in Incision Technique has already reached standard, then looked at the other old professors.
Almost every person's score for Fang Ziye was above ninety points; compared to only needing sixty to pass, this is much higher.
And at this time, a person raised their hand: "Teacher, in our teaching hospital, practice material for Incision Technique isn't tofu; can we choose practice materials we're more familiar with?"
"For example, our hospital's practice material is pork belly, requiring ability to cut through each layer of pork belly completely flawlessly, and the inlay deviation residue between fat and lean meat must not exceed 0.5mm."
"Allowed! ~" Professor Qi nodded and said.
"Our Zhongnan Hospital will not deliberately make things difficult for students on operation materials; I forgot to mention this, hereby apologize."
"Generally, common practice materials in domestic training rooms, our training room has them prepared; however our hospital's platform isn't as good as top institutions, so sometimes save where we can."
"And, all domestic universities' training room clearance standards, we have them collected here; we professors are also very familiar; your Senior Brothers and Sisters have also participated." Professor Qi said.
That student immediately let out a breath of relief upon hearing this.
But Professor Qi immediately said: "However the standard you mentioned is a bit dishonest; if I remember correctly, some universities, for example Huaxi Hospital's Incision Technique assessment requires cutting open and separating pork belly while also beating it thin once from within."
"Requiring each slice after beating thin, the thickness difference between both sides not exceeding two millimeters."
"Right? I didn't remember wrong, did I?" Professor Qi looked at the speaker, looking like 'you still want to play tricks in front of me?'
This student nodded, indeed feeling these old professors are not easy to fool.
And with Professor Qi's words, quite a few people's faces turned even whiter; the fluke ideas that existed before also dared not surface again.
Originally just now, this classmate suddenly brought this up, they still thought, hey, right, Zhongnan Hospital's professors and training room standards are different, we can lower our hospital's training room standards, he doesn't know.
But thinking now, it was still themselves and others being too naive.
Immediately after, Fang Ziye quickly and standardly completed Debridement Technique and Hemostasis Technique operations.
Debridement Technique, Fang Ziye carved a 'Bo' character with relatively high difficulty.
This was also a relatively complex font Fang Ziye practiced for several days to prepare.
And after this font was carved, the crowd instantly stirred.
Whispering: "Holy crap, can't all be done at this difficulty, right? Crazy, choosing such high difficulty operation at this time."
Generally, for Debridement Technique operation, if simple font can be chosen choose simple font; you raise difficulty this high all at once, we'll have a hard time later.
"Silence, don't disturb the candidate's operation." Fang Ziye had already walked to the Digital Artery Replantation operating table.
"Choosing what font, or what assessment mode, assessment difficulty, assessment material, is the candidate's own freedom; no one will interfere with your choices."
"Of course, things like one-stroke, two-stroke, such completely non-technical fonts, don't choose them; everyone's adults now, don't treat others as fools."
"Fang Ziye, you continue; you request to do Digital Artery Replantation suturing; how do you want to replant, complete what kind of requirement?" Professor Qi quite openly let Fang Ziye propose a requirement himself.
No way, Master's Stage, who would set Digital Artery Replantation suturing this difficulty for you?
"Professor Qi, I choose ten-segment suturing, vascular patency rate greater than eighty-five percent." Fang Ziye conservatively stated a figure.
"Good! ~" Professor Qi waved his big hand, agreeing while saying to the other students.
"If other candidates also want to complete such high-difficulty operations, demonstrate their own strength, they can also customize a standard themselves; as long as not outrageous, and don't treat us examiners as fools, we'll all agree."
"After all considering real situations, every university's training room is different..." Professor Qi's voice was quite magnanimous.
This fully demonstrated the bearing and capacity of a renowned university.
And before Fang Ziye formally began, while someone was cutting the rat's tail artery for Fang Ziye, a person raised their hand and said: "Professor Qi, can we not benchmark against such high difficulty?"
"This student, actually counting it up, has already passed the assessment."
Up to now, although many people's moods were complex, they were still not bad; at least among this batch today, one person had still managed to achieve a good start.
They did not blame Fang Ziye for 'cheating', being familiar with the operation materials.
What the fuck kind of joke is this, clinical operation is the least thing you can fake; as long as you operate on the spot yourself, no matter how you cheat, if you can complete the operation, that is strength.
Which medical skill is not honed through thousands of hammerings and refinements, and the treatment targets you will face in the future are also familiar disease types; would you still prepare for unfamiliar disease types?
"Until the last step, a final conclusion cannot be made."
"Student Fang still lacks the suturing technique operation assessment. If he can complete the tail replantation and reach the standard he set for himself, then the suturing technique counts as passing the assessment."
"But if he cannot pass the tail suturing assessment, then Student Fang still needs to complete the tofu suturing to conclude his assessment process." Professor Qi said.
In the crowd, someone still whispered a sentence.
"Tail replantation with over eighty-five percent vascular patency rate, even senior PhDs and attending physicians dare not say they have this level; what are you doing posturing in front of us?" The voice was not loud, almost a mutter.
Professor Qi instead glanced back at him: "This student, I do not reject you hiding your strength, nor do I oppose that because of this reason, our Zhongnan Hospital loses a top-tier talent. Even a talent who might become a Nobel laureate in the future."
"Strength comes from posturing? Huh?" Professor Qi did not give you any young people face, questioning directly on the spot.
What are you making a fuss about here?
You want to hide your clumsiness, don't hide it; you love your so-called not posturing, then don't posture, just stuff your head into your crotch and carry it; let's see who can see what you've grown into.
No one dared to step forward and respond again.
And the others, at this moment, were also exceptionally nervous.
Although the good start was a good start, but Fang Ziye's ability was really too strong.
To tell the truth, rat tail artery replantation is the most common practice material for all hand surgery; nationwide it is almost standardized, the only thing not standardized is the requirement for vascular patency rate.
Some places require ninety percent, some places require above ninety-five percent, some perverted places require above ninety-nine percent, and only then can they slowly fumble in clinical practice for half a year to a year before they can truly get started.
This is something that can be faked?
It is not!
Moreover, Fang Ziye is Zhongnan Hospital's own Master's graduate student, certainly one of the 'aces' here, representing that Han City University Affiliated Zhongnan Hospital has the skill and level to cultivate such high-quality talent.
Professor Qi's words are also not wrong; being weak is the original sin; if you can't stand it, feel that Zhongnan Hospital conducting such a special plan is posturing, then go wherever you want to go; even if you become a Nobel Prize winner in the future.
Right now, I fucking wouldn't want you either, and wouldn't regret it.
Fang Ziye at this moment completely disregarded everything else, honestly and methodically began suturing, with Level 4 suturing technique, completing the tail artery replantation suturing; the difficulty was not too high, just that the vascular patency rate level was a bit high.
Moreover, this operation also required suturing ten consecutive segments of tail artery anastomosis; the overall vascular patency rate level had to be above eighty-five percent; this difficulty was even greater.
Ten segments, requiring forty stitches.
Fang Ziye's operation did not dare to speed up; therefore the total time consumed a full twenty-plus minutes before completing the final stitch's knot.
Old Professor Li, personally acting as Fang Ziye's assistant, helped cut the threads.
Thus, Fang Ziye's operation came to a conclusion.
Immediately after, Old Professor Li directly opened the vascular clamps that had been clamping the vessels for hemostasis.
Previously there had been continuous heparin saline prophylactic anticoagulation, so the blood had not coagulated, and vascular patency was good.
After blood perfusion, on the blood flow real-time measurement device below, it "beep beep beep beep" flashed a few times, then obtained a green number.
89%!
There was no ninety percent, but even eighty-nine percent vascular patency rate still made many onlookers suck in a sharp breath of cold air.
"This really..." a person only managed to say three words, then dared not discuss anything further.
For a Master's student, being able to reach the level of suturing tofu is already quite difficult; only a portion of people can reach this level, and among such people, many are slightly lacking in other operations, such as incision technique; to reach all of them requires very high clinical talent...
But Fang Ziye could stand several floors higher, as if strolling in a leisurely courtyard.
Such a level, going to a prefecture-level city hospital, would be a pillar of hand surgery; don't look down on it.
Professor Qi watched for a while, then measured once more; this time the vascular patency rate level was a little bit higher than before, reaching ninety percent.
"Congratulations, Student Fang, you have successfully passed our hospital's PhD assessment high-end and cutting-edge technology special plan; as long as you can guarantee obtaining your Master's degree and diploma, you can directly wait for PhD enrollment."
"Several professors, what do you think?" Professor Qi asked.
"Being able to perform tail artery replantation suturing at this age absolutely meets our hospital's standards and requirements for the high-end and cutting-edge technology special plan." Old Professor Li Guohua very rudely affirmed with his tone.
And with this determination, Fang Ziye let out a long breath of relief; at once, the heavy responsibility of pursuing a PhD had been unloaded. From this moment on, no one dared to say his PhD qualifications were non-standard anymore; even fellow assessment personnel, they dared not say the hospital was engaging in favoritism and fraud, that professors went through the back door.
If you're capable you step up, you can come too; if not, don't yammer; this special plan doesn't occupy general quotas.
What does it have to do with you?
After Fang Ziye's operation completed, the crowd immediately began to stir.
A youth who looked even more handsome than Fang Ziye, with shifty eyes, asked: "Professor, this student, should have had a very good level previously; he just came to go through a process, right?"
"Yes, so this student, do you also want to come go through a process?"
"We welcome all outstanding talents to go through the process; one counts as one; even those who haven't registered now, as long as they have such willingness, we old fellows, are all willing to work overtime."
"Even if they missed the current PhD application assessment period, we can still think of ways to get you in; why don't you be the second to try?" Professor Qi neither confirmed nor denied.
Although it must be said, this time, Fang Ziye's operation seemed unable to exceed the task; these people are all sharp, not stupid, knowing the hospital deliberately arranged it.
But Professor Qi still used his voice to suppress a bit; the implication being.
You come hit me?
Anyone hit me?
You repeat this kind of operation to hit me.
Welcome to hit.
The youth's face twitched a few times; in the end, he still didn't harden up.
Such a special assessment still cannot be lightly taken on; whoever takes it lightly, especially while provoked, whoever takes it loses face.
Better to continue maintaining silence.
After finishing the operation, Fang Ziye immediately switched identities and directly began helping clean the operating table, and also helped wash the operating instruments, as well as prepare the operation materials that subsequent candidates might involve.
This is not a violation; Professor Qi has already expressed such a stance, which counts as an arrogant stance. If you still say Fang Ziye is cheating, that is just being stubborn. Moreover, similar special plans generally exist in ordinary 985 institutions.
Places that don't have them should reflect on why their own institutions lack such opportunities and special plans.
After Fang Ziye had finished packing up, Professor Qi still asked: "Is there anyone willing to come up and check whether Candidate Fang's operated materials are real?"
No one dared reply; even at this moment when Fang Ziye openly shed his candidate identity and transformed into a staff member, they didn't even dare cast angry glances his way.
Joke; this is merely Professor Qi directly retorting. If anyone keeps yapping, what if Fang Ziye, young and vigorous, throws back a line: "You're making a fuss, why don't you come try?"
How awkward that would be.
Everyone is still more or less Master's Students with some substance; they at least want some face.
Professor Qi then said: "If no one replies, I'll randomly call roll. It's random, I don't know any of you; whoever ranks second, it's up to luck."
"Cao Zi Qing, who is Cao Zi Qing? You come for the second assessment operation; please state your sub-specialty and operation materials..."
(Chapter End)
End of Chapter
