top student at medical school

Chapter 455 High-quality articles don't have to wait (Please subscribe)

"Left side, retractor. Be careful of exposure." Fang Ziye's calm, gentle yet decisive voice echoed throughout the operating room.

The circulating nurse, already accustomed to this rhythm, was now sitting under the operating room's timer panel, playing on her phone.

To her left was a steel tray, on which a pile of supplies were already neatly arranged, so that she could easily grab something for the operating table.

The scrub nurse also sat on the instrument cart on the operating table, arranging the surgical instruments in an orderly manner. The instruments that need to be repeatedly moved up and down the operating table were placed very professionally in the upper left corner.

In front of the anesthesia machine, Luo Tingzhu held a notebook while asking Professor Zeng Quanming some questions. Her voice was soft, but the questions were carefully prepared and not the kind of low-IQ questions.

On the contrary, Professor Zeng Quanming sometimes hesitated in his answers.

At Luo Tingzhu's current level, not all her doubts can be resolved by asking her teacher; more often than not, she needs to find the right answers herself.

When Liu Huanglong entered the operating room, he only attracted the attention of the circulating nurse, the scrub nurse, and Luo Tingzhu. The four people on the operating table were simply focused on the surgery.

After completing a small phase of the operation, the group turned around and addressed each other as Professor Liu or Teacher Liu.

"You continue the surgery, I'll observe from the side." Liu Huanglong, wearing only scrubs, did not rush to wash his hands and go up to the operating table.

As someone who had led a team before, Liu Huanglong was more concerned about the operating model of Fang Ziye and Yuan Weihong's small team.

Upon hearing this, Fang Ziye said, "Tianluo, continue with the debridement from your direction. Debridement of muscle is different from debridement of damaged tendons."

"The activity of tendon tissue in the body is different from that of muscle. It does not require much blood supply, so we should preserve as much as possible during the debridement process."

"Muscle tissue requires blood supply and energy. Tendons are merely connecting devices, while muscles are the power source. The origin and insertion points of muscles mostly rely on tendon connections to complete contraction!"

Lan Tianluo nodded slightly upon hearing this, took the round knife from Fang Ziye's hand, and carefully began to clean the local wound. The operation was slightly restrained, unlike Fang Ziye's bold and unrestrained movements.

However, even so, Liu Huanglong still found it incredible that Lan Tianluo's wound-cleansing technique had reached such a level.

The teamwork among the junior disciples led by Yuan Weihong was indeed beyond the reach of ordinary people.

……

Liu Huanglong slowly circled the operating table twice, making sure he could clearly see the details of the operation and the rhythm of each person's cooperation from all angles, before slowly walking out of the operating room.

Standing in front of the sink, Liu Huanglong washed and disinfected his hands while looking up at himself in the mirror—

To be honest, Liu Huanglong regretted it a little.

Although Fang Ziye's teaching ability is simple and lacks many techniques, his strength lies in his patience and profound knowledge. He himself is currently an authority in the field of damage.

Working in isolation leads only to failure.

For a long time, Liu Huanglong believed that after understanding Fang Ziye's understanding of the principles of damage, he could integrate and even make breakthroughs through his own knowledge and intelligence.

This reflects Liu Huanglong's confidence in his own abilities. After being exposed to many surgical techniques, Liu Huanglong would make significant progress in his skills within a certain period of time.

Liu Huanglong believed that as long as he didn't compare himself to Fang Ziye, he would have let down all his guard and let go of his competitive mentality towards Fang Ziye, and he would still be Liu Huanglong.

Even with Fang Ziye's guidance and instruction, Lan Tianluo, Yuan Weihong, and others could still use their talents to pull Yuan Weihong and the others ahead.

However, at this moment, Liu Huanglong felt that he had made a huge mistake.

Guidance from a renowned teacher and one's own qualifications are both indispensable.

Lan Tianluo and Yuan Weihong are not ordinary people who can be easily discarded after spending time immersing themselves in them.

Liu Huanglong had just finished looking around when he saw that Yuan Weihong, under Fang Ziye's guidance, was gradually approaching his level.

Liu Huanglong knew that a few days ago, Yuan Weihong's skill level was still a little behind his own.

Lan Tianluo is far inferior to me; his foundation is too shallow. Considering Lan Tianluo's limited clinical experience, no matter how prodigious he is, he still needs to accumulate fundamental skills over several years.

"It seems that what I need to shed is not only the desire to compete with Fang Ziye, but also my arrogance. I need to humbly seek advice and examine myself with humility."

"There's still time. We should ask for advice and exchange ideas more often. Creating unnecessary divisions is not conducive to the team's growth."

"To err is human, to forgive divine," Liu Huanglong murmured softly.

After this self-consolation, Liu Huanglong's lips curved into a subtle smile, a smile that no one else could see, no mirror could see, and even Liu Huanglong himself could not see.

But Liu Huanglong himself could feel it.

After quickly putting on sterile surgical gowns and gloves and going on stage, Liu Huanglong asked, "Weihong, can we switch places temporarily? I need to say a few words to Ziye."

Liu Huanglong's polite voice made it hard to refuse.

One doesn't hit a smiling face, especially since Liu Huanglong is now the nominal group leader. Yuan Weihong immediately stepped aside with Liu Huanglong, back to back, making way for one of their assistants and standing diagonally opposite Fang Ziye.

Yan Zhiming was pushed to a more corner position.

Fang Ziye and Lan Tianlu waited until Liu Huanglong was in position before cooperating and proceeding with further operations.

After hearing Fang Ziye say a few words, Liu Huanglong said, "Ziye, if you are going to teach in the operating room in the future, you can prepare a teaching plan in advance."

“Teaching is a matter of personal preference. If you are teaching a large class to undergraduate or master’s students, it is understandable that you can apply a one-size-fits-all approach.”

"But this is an operating table. You can think of the operating table as a small-scale private lesson. There are only so many people on the operating table."

“Take Tianluo for example. He clearly has a stronger grasp of data. In this case, you can guide him to explain and interpret the information in a way that he is better at.”

"For example, when you are instructing Lan Tianluo on how to perform debridement, you can add some simple mathematical terms, such as one-half, or to the exact number of centimeters."

"The basic operations of wound cleaning are cutting, splitting, and angled cutting. These operations actually have certain angle ranges. If you can summarize these angle ranges in detail, Tianluo will receive stronger feedback!"

"I privately inquired about Tianluo's progress with people in the department and found that in the skills training room, Tianluo can climb any operation ladder with relatively objective standards very quickly."

"As for your teacher Yuan Weihong, he is more sensitive to anatomical locations and structures. Don't talk about here, there, left, right."

"Use more precise descriptions, specifying which muscle it is, whether it's the tibialis or fibula, and its approximate location and depth."

"You have to trust your teacher's basic skills. After you tell him these things, he can pinpoint the content you are describing very accurately."

"Take Yan Zhiming for example."

"If I'm not mistaken, what Yan Zhiming is currently most sensitive to are surgical anatomy atlases. The reason I have this guess is that Yan Zhiming often looks at surgical anatomy atlases rather than reading the textual descriptions of anatomy."

"He also took notes and translated the contents of the diagrams into text, which proves that he has a strong sense of spatial awareness."

"Of course, we may not have his strong sense of three-dimensional space, so he'll need to organize and analyze it himself..."

Upon hearing this, Fang Ziye realized that he wasn't the only one looking at Liu Huanglong in astonishment; Lan Tianluo and Yuan Weihong were also giving him similar looks.

Fang Ziye himself has never engaged in professional teaching. Fang Ziye's teaching is simply about sharing his knowledge; how much others can absorb depends entirely on their own fate.

But as the saying goes, a good teacher is the key to your future success.

"Okay, thank you, Teacher Liu." Fang Ziye nodded repeatedly.

In fact, what Liu Huanglong said is not difficult for Fang Ziye; he just needs to pay a little attention to the wording of his explanations beforehand.

However, these very words may lead to completely different interpretations by different people.

Everyone has their own learning anchor and strengths.

Some people may not have good grades, but they have very accurate spatial positioning and an extremely strong sense of direction. They can accurately remember almost any route they have traveled, no matter how complicated it is.

Some people, however, are exceptionally good with numbers. They may not have a great memory, but they can recite historical events related to numbers by heart.

Some people, on the other hand, have formed a very systematic, spherical framework of knowledge, which is organized very clearly. When you explain or supplement this knowledge to them, they will naturally add this knowledge to their own spherical framework, forming branches on a spherical shape, making it deeply memorable.

What Fang Ziye is more interested in is Liu Huanglong's very accurate and insightful analysis of a person's strengths.

Therefore, Fang Ziye paused the surgery and cautiously asked, "What about Jie Han, Teacher Liu?"

“Jie Han, Jie Han is suited to self-study.”

After Liu Huanglong finished speaking, he paused for a good ten seconds before replying, "I haven't known Jie Han for long, but I know that Jie Han's thinking is too scattered. If you tell him something, he will radiate that thing outwards."

"Only by gradually gathering together on his own can he form a line."

"This is almost unsolvable. The more you explain to him, the more detailed you are, the more lines he can radiate."

Yuan Weihong nodded vigorously: "That's right, Professor Liu, I've been suffering for a long time."

"Then you'll give it to me?" Liu Huanglong said with a simple smile as he tried to snatch the person away.

“But I’m happy to do it.” Yuan Weihong’s pupils contracted.

He wouldn't give way to any of Fang Ziye and the others. Wouldn't that be like tearing out his heart?
Sending Fang Ziye to Deng Yong for his doctoral studies was a last resort for Yuan Weihong. He felt incredibly fortunate to have even taken on these students.
Others would beg for this, but Yuan Weihong wouldn't cut off his own arm.

Jie Han was standing nearby. He listened to Liu Huanglong's words and hesitated, but after repeating this several times, he finally spoke up: "Teacher Liu, do you think it might be better to do it this way?"

"Choose a learning plan that suits you better, organize a way of understanding that you are best at, and submit it to your senior."

“After we’ve established the framework of the problem, you can fill in the framework and the details within it. If you, Senior Brother Fang Ziye, were to describe the framework and details in great detail, wouldn’t that be a waste of time?”

This is something Jie Han often does: he picks out his own questions!
Then ask questions in a concentrated manner, which can save a lot of time and reduce the anger of senior students and teachers.

After all, concentrated silence and anger are more readily accepted by angry people than scattered silence and anger.

"That's okay too."

"This might be better, because what I just explained was only my partial understanding. The one who understands you better is yourself."

“Take the initiative to learn, and express your gaps in the way that is easiest for you to understand, leaving room for Fang Ziye to fill in the gaps as appropriate.” “Ziye, it seems I’ve taken on another big task for you,” Liu Huanglong said apologetically.

Fang Ziye said, "It's okay, Teacher Liu, I think this idea is very good."

In his heart, he silently chanted, "Infinite Heavenly Venerable, anyway, no one knows that you have learned how to destroy and injure, which is actually a disguised way of 'working' for me."

Now, with only Nie Mingxian and Lan Tianlu 'working', Fang Ziye has benefited greatly, with his knowledge points increasing at a rate of at least 20%.

Now, less than ten days later, Fang Ziye's knowledge points have surged to 40,000.

This is 40,000 points, not 4,000 points, and definitely not 400 points!!
Excluding weekends, Fang Ziye gains about 5,000 knowledge points every day.

The surgery continued, and with Liu Huanglong also participating, the pace of the surgery became noticeably smoother.

The more capable the assistant, the smoother the collaboration with the lead surgeon.

Fang Ziye was certain that if he, Liu Huanglong, and Nie Mingxian joined forces now, the damage to a machine could be completed in two to three hours.

Even functional reconstruction surgery can be controlled within five hours.

This saves a lot of time compared to a functional reconstruction surgery that took six or seven hours or even more than ten hours in May.

This is the immense explosive power that comes from the improved abilities of both the lead surgeon and the assistant.

……

It was 4:30 in the afternoon.

Both functional reconstruction surgeries performed today have come to an end.

After Lan Tianluo, the attending physician, sent the patient back to the ward, Liu Huanglong led the remaining group of people toward the changing room.

Liu Huanglong said while putting on his watch, "It's 4:30."

"We strictly control our daily work hours to around eight hours, which is a good rhythm and a good balance between work and rest."

"In this situation, there is no need to add another unit for the time being."

"The focus of surgery should be on quality; there is no need to pursue quantity."

"Weihong, do you have any plans for today? If not, let's go out for dinner together?"

"Everyone has worked hard this month."

Upon hearing this, Yuan Weihong thought for a moment and said, "Then thank you, Professor Liu. I'll send a message home."

In July, the department's team was reorganized. So far, everyone's cooperation has been quite smooth, and the atmosphere has gradually improved.

It's good to balance work and rest. After working hard for almost half a month, it's normal to have a small get-together within the group.

"Then I'll make a reservation. You guys, does anyone have any appointments in advance? If so, let me know. If not, I'll assume you're all free tonight," Liu Huanglong asked Fang Ziye and his group.

Friday, the weekend is almost here.

Weekends are a great time for dates.

Fang Ziye noticed Liu Huanglong's gaze piercing him and asked with a smile, "Teacher Liu, would you mind adding one more person?"

Strictly speaking, Luo Tingzhu is not exactly an outsider.

As the only female graduate student in trauma surgery (and a doctoral student is also a graduate student), Luo Tingzhu was the 'darling' of the department; at least everyone treated her kindly.

"Don't worry, I'll call Director Zeng from the anesthesiology department and his student, Dr. Luo, myself. Do you have anyone else you want to invite?" Liu Huanglong gave Fang Ziye a wicked smile.

It's clearly an implication that Fang Ziye should openly create a chaotic scene involving scumbags.

Fang Ziye twisted his shoulder blade as he went downstairs: "Teacher Liu, shall we call Yuanpei again? Brother Pei is managing the group very well, which is quite hard work."

When Fang Ziye returned to the department this time, he found himself feeling very relaxed.

Li Yuanpei was so helpful that Fang Ziye only needed to run around for consultations, occasionally go to the practice room, and sign the discharge medical records.

Even the assignment of interns to work no longer needs to be done by Fang Ziye.

Fang Ziye had suggested giving Li Yuanpei some money, but Li Yuanpei was too embarrassed to accept it, and Fang Ziye was also too embarrassed to force him to do so and insult him—making it seem as if Li Yuanpei was his hired assistant.

"Okay, go ahead and call them up," Liu Huanglong said while editing the message.

As they spoke, the group arrived at the lockers in the changing room, and Fang Ziye began to take off his clothes and put on his casual clothes.

Jie Han suddenly spoke up: "Master, Master! Teacher Liu has replied."

Yuan Weihong was also taking off his scrubs when he heard the words. He was startled and tightened his grip on the neck under his chin. He almost got sent flying on the spot.

Yuan Weihong squeezed the blue scrubs in his hand and looked at Jie Han.

However, after showing his phone screen to Yuan Weihong, Jie Han smiled and said, "Master, the first review goes straight to acceptance. The editorial department also has follow-up commissions. Why don't you and Teacher Liu go back?"

Upon hearing this, Fang Ziye took off his clothes and peeked at Jie Han's phone screen—after reading it once, he summarized as follows.

Jie Han's article on limb salvage surgery for traumatic injuries, submitted to JAMA, has been accepted, and the editorial department sent a congratulatory message.

At the same time, the editorial department also warmly invited us to name the specialized technique and hoped that our subsequent research results could continue to be submitted to JAMA.

JAMA even allows you to commission articles; once submitted, they are reviewed immediately and published as soon as possible.

Millions of people worldwide have had limbs amputated due to devastating injuries.

This is a very large dataset of traumatic injuries, for which there is currently no good solution worldwide, and it is also a promising area for future development.

Even though JAMA is a very prestigious journal, it certainly wouldn't let a manuscript like this pass by.

Technology needs to develop, right? And industries like automobiles need to continue to progress, right?
As cities develop, more and more high-energy damage occurs, and the incidence of destructive damage will only increase, not decrease.

In this situation, such articles will definitely increase the JAMA impact factor!
Yes, the impact factor of journals can be increased.

Impact factor = total number of articles cited in the current year / total number of articles published in the previous two years.

The total number of articles published in the main JAMA journal each year is fixed. If an article is cited a lot, it is considered a high-quality article, which will inevitably increase the journal's impact factor.

This article about the damage to mothers and unborn children will definitely be widely cited.

Of course, you can also submit to Nature, but at the level of JAMA and Nature, the specific journal is no longer important.

Because the impact factor of a single article can also be increased.

Once your citation count explodes, the impact factor becomes less important; instead, your team and the authors' names become the benchmark.

Yuan Weihong immediately stopped pursuing the matter of Jie Han almost scaring him by strangling him.

What's the saying?

If you can publish in a journal like JAMA during your master's studies, or even if you don't need JAMA but just BMJ, you can call out, "Xiao Yuan, pour me a cup of tea."

This is certainly an exaggeration, but it also has a certain degree of truth to it.

The corresponding authors are Fang Ziye, Liu Huanglong, and Deng Yong.

After reading it, Liu Huanglong said, "Ziye, you can handle this matter as you see fit. Whether or not to continue submitting articles to JAMA is your choice."

"Be a little polite, it's best to play hard to get, don't refuse too directly, but don't agree either, otherwise the foreigner will think you've agreed."

Liu Huanglong, fearing that Fang Ziye lacked experience as a corresponding author, offered some guidance.

Fang Ziye looked at Yuan Weihong, who said, "You'll have to learn how to handle this yourself. You'll be mentoring students in the future, so you'll have to start contacting the editorial department yourself."

"You still expect your master to help you for the rest of your life?"

Fang Ziye chuckled: "Master, you definitely will."

"Then we should definitely celebrate! Let's have some drinks tonight. Yuan Weihong, are you okay with that?"

“There are many people on duty in the department now. They can handle most emergency surgeries. As for the ones they can’t handle, we’re getting old,” Liu Huanglong suggested again.

"Yes, I'm getting old. Let's do it little by little." Yuan Weihong was the biggest winner; why would he disagree?
However, although Liu Huanglong and Yuan Weihong's tone conveyed a sense of defeat and a desire to enjoy their retirement, Fang Ziye and the others found Zhen Ji'er rather strange.

Liu Huanglong is thirty-eight years old this year, and Yuan Weihong is thirty-seven.

Medical profession!

I'm getting old!

This age has absolutely nothing to do with being old.

Many people in the field of clinical medicine are just beginning to exert their efforts and are far from reaching their golden age or peak period; they are still in a period of rapid growth.

However, if Master is willing, then he is happy.

The group headed to the restaurant.

Liu Huanglong drove alone, leaving space for Yuan Weihong and others.

Yuan Weihong simply took Fang Ziye away on his electric scooter, perfectly embodying the term "snobbish"...

Lan Tianluo, Jie Han, and others hailed a taxi while touching their noses in the rearview mirror.

(End of this chapter)