My Medical Skills Give Me Experience Points

"Of course, nothing is absolute in the world, and we can't give up eating for fear of choking. Sometimes the cause of disease is clear, but the pathophysiological mechanism is not; or there may be only symptoms without an identifiable cause. In such cases, symptomatic treatment is a provisional measure. It can relieve the patient's suffering and preserve their life as much as possible. One must avoid dogmatism in the practice of medicine."

Director Shang might have been worried about training Zhou Can into a blockhead, so he added another sentence.

Diagnosis and treatment are extremely complex processes that must be approached with flexibility and adaptability.

People who only know how to apply formulas rigidly are not suited to be doctors.

Etiology, pathogenesis, syndromes, and symptoms are different perspectives from which a disease is understood and reflected upon. This requires doctors to discerningly approach therapy, treatment based on differentiation of syndromes, and symptomatic treatment in a flexible manner.

"Understood!"

Zhou Can nodded in acknowledgement.

He was never the type to act rigidly.

"As a residency trainee under my supervision, there aren't any special requirements. All you need is to maintain a serious and responsible attitude. If you could add initiative and diligence on top of that, that would be even better."

The requirements set forth by Director Shang seemed simple, but in reality, they were quite demanding.

The phrase 'serious and responsible' alone is very difficult to live up to. Adding 'initiative and diligence' makes it all the more challenging. It's like doing the residency tasks well while also caring about the things a director would worry about.

"Later on, I'll arrange for your departmental login account to be set up, allowing you to view the patient information of our group at any time. When you have the time, you could even check the patient information from other groups in the department. Feel free to ask me if you have any questions."

This treatment was basically the standard privilege Zhou Can got as he joined the new department.

For a common trainee, having a few words with a senior doctor would be enough to make their day.

Yet Zhou Can could consult the senior doctor at any time.

"Next, let's talk about your daily work schedule. For now, it will mainly involve checking nursing records, verifying test results, writing case reports, prescribing orders, and rounds—the usual procedures. Now that you are a trainee, you cannot be compared to interns who just arrived; you need to take on more work assignments. For example, if a new patient is admitted to our group, they might randomly be assigned to one of you trainees or to an excellent intern for individual management."

Interns generally don't take on too much work.

Seniors wouldn't just let them manage patients on their own, mostly out of fear of mishaps.

After all, interns are usually undergraduates who have just completed four years of medical theory at school. Medical undergraduates typically start their internships at hospitals in their fifth year.

Tuya Medical College is one of the top medical universities and has a symbiotic relationship with Tuya Hospital.

Some of its outstanding fourth-year students get the opportunity to intern at Tuya General Hospital.

Those who are slightly less outstanding might end up interning at Tuya's affiliated hospitals or elsewhere. Usually, the school arranges the internship postings for students.

When interns first enter a hospital, they are essentially novices.

The full series is hosted on My Virtual Library Empire, known as MV7LEMPYR.

The teaching doctors usually don't manage their interns much; it's not uncommon for someone to finish a yearlong internship without even knowing what their supervising doctor looks like. And this is not a tall tale, but a fact.

Interns are mostly supervised by resident doctors and the head of the residents.

Some particularly excellent interns might catch a break by latching on to a senior doctor.

In short, interns don't manage patients alone right after entering a hospital.

From when does this begin?

When a senior starts letting you write case reports on your own, it's a sign they're preparing you to manage patients alone.

Zhou Can is a trainee and already holds a Medical Practitioner Certificate; managing patients alone is a given for him.

But he has just joined Digestive Internal Medicine; after all, he should be allowed a couple of days to adapt!

Being well-known has its drawbacks.

Director Shang didn't even ask if he could manage the patients well; he just went ahead and arranged it.

Moreover, from his tone, managing patients alone seems to be the very basics.

"I have many trainees, interns, resident doctors, and attending physicians under me. If you want to get higher-level training opportunities, you need to strive for them yourself. Whoever performs well will be given more opportunities to grow, fair and square. If you want to get the chance to participate in interventional surgery, sit in on consultations, or even join research projects, you will need to perform well."

Fair competition is what Zhou Can liked the most.

Ordinary interns and trainees were almost sure to be utterly defeated by him in a competition.

Even resident doctors would find it hard to compete with him.

Perhaps some of the attending physicians could pose a challenge.

At least it used to be the case in all the surgical departments, and now that he's in Internal Medicine, he wouldn't dare to make bold claims without proof.

After getting access to the departmental login account, Zhou Can began earnestly reviewing patient case information within the group.

By going through the medical records others have written, one can generally infer a doctor's level of excellence.

"Dr. Zhou, a patient who has undergone radical total gastrectomy has been admitted to bed 71, and Director Shang said you are to manage this case," said the nurse greeting him, who was quite beautiful and had particularly fair skin, with a sweet smile on her face.

"Alright, I'll be right there."

Receiving a patient to manage on his own on the first day of work was probably Director Shang's way of testing him.

All these senior doctors are sly old foxes.

Earning their praise and recognition is not an easy task.

No matter how big of a reputation Zhou Can had earned in other departments, entering a new department or working under a new senior doctor meant that earning trust and recognition would require him to make an effort.