This doctor is already middle-aged, and he's only just started practicing medicine.
Chapter 203 Is this a trainee assessment?!
Chapter 203 Is this a follower assessment?!
November 14, Jilin City. Xiangzhou People's Hospital.
When Lu Cheng arrived at the personnel department of Xiangzhou People's Hospital to report for duty, he found that, as expected, only five people from the emergency department were participating in the subsequent assessment.
Originally, the emergency department had two positions, one in surgery and one in internal medicine, with a total of six people required to participate in the subsequent assessment.
However, on the day the written test ended, Lu Cheng received a phone call from Qi Mu, who said that someone had been forced to give up the subsequent assessment plan.
Of course, it was only after arriving that Lu Cheng learned that the personnel department had called Qi Mu over to confirm in person that he wanted to voluntarily give up the subsequent assessment.
Li Yuanlin, on the other hand, was there to confirm that Lu Cheng would be present to take the exam.
Otherwise, if Lu Cheng doesn't come and I also give up the subsequent assessment, wouldn't that give a third person a huge advantage?
The personnel department has already sent the internal medicine staff to the departments for subsequent assessments. At this moment, Qi Mu and others have returned to prepare to send the surgical team to various specialties for a three-day on-the-job assessment!
Lu Cheng and Li Yuanlin were not with Qi Mu, but with another colleague from the personnel department.
The group first sent off Lu Cheng and Li Yuanlin, because there were only two of them in the emergency surgery department, while the other surgical departments were in the surgical building.
Inside the emergency department, after the personnel department staff confirmed the candidates for the second round of the selection exam with Xiao Zhaoxi, the personnel department staff said as usual, "Director Xiao, one person gave up the on-the-job assessment, so I've brought the other two over to you."
Xiao Zhaoxi smiled and nodded: "Yes, thank you, Teacher Long. We will definitely make the arrangements well."
The comrade from the personnel department, surnamed Long, said: "Director Xiao, I still need to send other people to participate in the on-the-job assessment, so I won't disturb your work any longer."
Teacher Long still had many people to see off, so he immediately turned back to say goodbye.
Xiao Zhaoxi said, "Dr. Lu Cheng, Dr. Li Yuanlin, first of all, on behalf of our emergency department, I welcome you both for choosing our department."
“You must all be among the best surgeons in the state to have passed the preliminary selection test.”
"I'll be happy no matter who stays in the end, but there's only one spot for the selection exam, and there are two candidates for the second round of interviews. I want them both to stay."
"But the higher-ups didn't give me that many spots, so I'll have to reluctantly give them up," Xiao Zhaoxi said regretfully, trying to be polite.
After Xiao Zhaoxi finished speaking, Li Yuanlin scratched his ear, looked at Lu Cheng, and gently shook his head, saying, "Director Xiao, actually I'm just here to observe."
"You've seen the grade sheet that Mr. Long from HR just gave you. I don't plan to waste any more time. I'll go back after I finish registering."
Xiao Zhaoxi paused, looking somewhat taken aback: "Dr. Li, the apprenticeship assessment hasn't even started yet, are you already planning to give up?"
"Director Xiao, everyone understands, you don't need to say these polite words. Even if I participate in the shadowing assessment, you can't let me pass, can you?"
"If I had known this would happen, why waste my time? I would have been better off going back to work more shifts and preparing for next year's selection exam properly," Li Yuanlin said in a very snobbish tone.
"Director Xiao, I am certain that I made this decision voluntarily and independently, and I will respond in the same way if higher authorities call me later."
Li Yuanlin, unaware that he had found a bargain, decisively turned and left.
Rather than working for the state hospital for free and being paid by them, I'd rather go back and get some minor surgeries done so I can earn a higher salary next month.
……
It was 9:30 in the morning.
Lu Cheng had just arrived at the emergency department and was only in the initial on-the-job assessment stage when he was the only one left to participate in the subsequent assessments.
Xiao Zhaoxi had not anticipated this situation.
However, Lu Cheng was indeed someone Xiao Zhaoxi wanted to recruit, so Xiao Zhaoxi directly took Lu Cheng to the surgical team's office area and introduced him to people—
"Director Tian, let me introduce you. This is Dr. Lu Cheng. He was selected through our department's on-the-job training program and previously worked at Longxian People's Hospital."
"Xiao Lu, this is Director Tian Zhiliang of our department, and he will be your future leader in our surgical team," Xiao Zhaoxi said.
"Hello, Director Tian!" Lu Cheng greeted Tian Zhiliang with a smile.
Tian Zhiliang quickly shook hands with Lu Cheng: "Hello, Dr. Lu. I've heard so much about you. I'm truly impressed!"
"Director Tian, you're too kind," Lu Cheng said with a modest smile.
Tian Zhiliang was bald and had a slightly rough, street-smart vibe. He put his hands on his hips and said, "It's not just being polite. Almost everyone in the surgery department of our hospital knows you, Xiao Lu!"
"The last surgery was at Xiangya No. 2 Hospital."
Xiao Zhaoxi immediately coughed: "Director Tian, Xiao Lu is here to participate in the training assessment. Don't talk about things you shouldn't."
Tian Zhiliang immediately chuckled sheepishly, "Director Xiao, it's my fault!"
"Xiao Lu, then you'll just follow Director Xiao closely. What about the other brothers?" Tian Zhiliang looked around.
Xiao Zhaoxi immediately handed the preliminary test results sheet from the personnel department to Tian Zhiliang.
Tian Zhiliang immediately understood what was going on and gave him another thumbs up: "So, Dr. Lu, you've already killed the game before it even started?"
"Then it's settled, isn't it?"
"Perfect timing, I get off work tonight, let's go for drinks."
Xiao Zhaoxi coughed again: "Tian Zhiliang, I'm just telling you about this, not telling you to take people out drinking. In our emergency department, alcohol is prohibited on weekdays."
"In the emergency department, there's no such thing as a weekday or a weekday. Director Xiao, you might as well just say that no one is allowed to drink alcohol."
"In terms of weekdays, is our department closed for the weekend?" Tian Zhiliang had a strong sense of social decency and a loud voice.
Xiao Zhaoxi was too lazy to discuss these things. As a unit that cannot be regulated by labor laws, only people in the industry understand how long the working hours are: "Director Tian, Lu Cheng will follow you for now."
"Anyway, according to the rules, he is supposed to be assigned to a deputy senior officer and accompany you on duty the whole time."
"You can be in charge of scoring then."
Tian Zhiliang laughed and said, "That's no problem, I can give any score I want, I can do it right now."
Lu Cheng is the only one who will be assessed on his role as a trainee. He can give him a score of 60 or 70, which is acceptable and not outrageous.
Anyway, whether it's good or bad, Lu Cheng is the only one competing.
This is called enjoying it all to yourself.
……
Of course, Lu Cheng not only found that his apprenticeship assessment went very smoothly, but also discovered that he had an extra work meal card shortly after he reported for the assessment.
Xiao Zhaoxi got this directly from the logistics department. The name was already on it. After handing it to Lu Cheng, Xiao Zhaoxi handed over his own meal card and said, "Xiao Lu, here's your meal card, but don't use it yet. You can use my card."
"While we don't need to worry about some details, we shouldn't be too arrogant either."
"We've brought you all your work clothes. You're just not on duty for now, but we've already reserved a locker for you in the department."
"The top left cabinet in the lounge is yours, and cabinet number four in the office is yours. You can put your own unused items, toothbrush, toothpaste, shower gel, etc."
Lu Cheng nodded upon hearing this: "Okay, Director Xiao."
"Well, nothing else. Just follow Director Tian wherever he goes," Xiao Zhaoxi added.
Lu Cheng said, "Director Xiao, we don't need this card. We don't have time to eat in the cafeteria. We order takeout all the time."
Xiao Zhaoxi said meaningfully, "Take it first, you can use it to buy drinks. Anyway, you're my subordinate, you'll have time."
Upon hearing Xiao Zhaoxi's words, Lu Cheng immediately understood and took Xiao Zhaoxi's card to the convenience store downstairs, bringing back seven or eight bottles of drinks.
Tian Zhiliang looked at it and exclaimed, "Lu Cheng, are you trying to get us to commit corruption?"
Lu Cheng said, "Director Tian, it can't be that bad. Just a few bottles of drinks and it's all corrupt? That would be terrible, we wouldn't be able to investigate it all."
Tian Zhiliang wasn't really going to nitpick over every detail. He grabbed a bottle of iced coffee, unscrewed the cap, and called out, "Brothers, Lu Cheng's here with drinks. Come and get yours yourselves, I don't need to call your names."
The emergency department at the state hospital is much larger than the team at Longxian People's Hospital, with seven or eight doctors on duty at the same time every day.
Our hospital has a total of 16 doctors and 31 nurses, 11 of whom hold senior professional titles, including 1 chief physician and 7 associate chief physicians!
While everyone was getting drinks, Lu Cheng also got to know a few people.
……
"You mean that guy in surgery? Does he have some powerful connections? He's the only one in the surgical team who's being assessed. It's so obvious that he was chosen beforehand," a nurse from the hospital gossiped.
Lu Cheng wasn't the only one there for the on-the-job assessment in the emergency department; two female doctors and one male doctor from the internal medicine department were also there. The three of them were creating a 'healthy competition'.
On the other hand, Lu Cheng was enjoying a life of luxury with Tian Zhiliang, and they almost became sworn brothers over drinks.
"I have heard that Dr. Lu Cheng's written test score was so good that it made the other two people withdrawn."
"My written test score was more than 30 or 40 points higher than the second-place candidate," a nurse said.
Another older nurse exclaimed with a slightly exaggerated expression, "Impossible! How can there be such a big difference? Did the questions get leaked?"
"Then I don't know, Sister Zou." The nurse shook her head.
Just as the two were talking, Tian Zhiliang happened to be passing by with Lu Cheng. They heard everything clearly, and Tian Zhiliang knocked on the nurses' station: "What are you doing?"
"Didn't you notice the prescription? Please review it. We need to get a wound cleaning kit."
"Director Tian, I'll go get it right away." The older nurse immediately put down her phone. "Hurry up, I thought you were all ready and chatting here." Tian Zhiliang's tone was cold and threatening.
Lu Cheng remained silent.
After the nurse brought the wound cleaning kit, Tian Zhiliang said, "Xiao Lu, you're a seasoned doctor now. Someone will be coming to clean and suture the wound later. You'll be in charge of that."
"This is the most routine service in our hospital's emergency department. The rest are all rather strange illnesses."
"For example, retrieving a light bulb or a tennis ball," Tian Zhiliang joked.
Lu Cheng's eyes flickered, but he didn't respond to Tian Zhiliang's joke. Instead, he asked, "Don't we do things like appendicitis in the emergency department?"
Tian Zhiliang said, "There are plenty of surgeons available; we can call for a consultation anytime."
"If you can't beat them, you can't get anything."
"This is a real emergency room."
Tian Zhiliang knew that some county hospital emergency departments would compete with specialist departments for surgeries, and they had actually managed to secure them.
However, the state hospital has strong specialized departments, and the emergency department is overcrowded.
Lu Cheng: "..."
"Director Tian, would you please watch over me while I'm operating the equipment?" Lu Cheng said.
"Okay." Tian Zhiliang didn't dare to give up too much.
Although he knew that Lu Cheng was highly skilled in surgery, he was, after all, mentoring Lu Cheng for the assessment.
Once Lu Cheng started, his movements were swift and his operation was effortless.
Tian Zhiliang only glanced at it a few times before scratching his head.
After watching for a few more minutes, Tian Zhiliang turned and left the control room, his cheerful expression gone.
As Tian Zhiliang stepped out of the control room, he was still pondering, "Is Lu Cheng here for a proper audition?"
"Here to cause trouble, huh?"
The layman looks at the excitement and the insider looks at the doorway.
Tian Zhiliang could not see any flaws in Lu Cheng's debridement and suturing. Sometimes, he even felt that Lu Cheng was putting on a show, a standard demonstration of debridement and suturing.
He rarely saw such basic skills in other department heads at the hospital.
After thinking for a while, Tian Zhiliang thought of the recent rumors circulating in the hospital and became even more certain that there was no smoke without fire.
A reputation is well-deserved; Lu Cheng probably really is capable, otherwise he wouldn't be performing surgeries that even hepatobiliary surgeons can't handle.
And that was not hearsay or deliberate exaggeration.
After all, the nature of that surgery was exceptionally special, and no one would dare to cooperate with Lu Cheng in putting on an act.
Lu Cheng, even under those circumstances, went on stage and completed the surgery in an orderly manner.
This means Tian Zhiliang has a lot more to consider.
……
Lu Cheng saw Tian Zhiliang leave while he was operating the system, but he did not call Tian Zhiliang back.
The patient asked, "Doctor, why did Director Tian leave?"
“Your situation is quite simple and falls under the category of routine illnesses. Director Tian has confirmed that I handled it correctly, so there’s no need to worry about it.”
Lu Cheng then instructed, "Don't move yet, just two more needles and it will be fine."
"Go get a tetanus shot and some medicine later, then you can go home."
"The wound isn't very big."
The patient, a woman nearing forty, said, "Thank you, Dr. Lu. I just accidentally fell down the stairs and scraped a nail."
"Yeah, I can see that."
"Sister, in this situation, I don't recommend cosmetic sutures because the wound was already uneven."
"If cosmetic suturing is to be performed, not only will you have to go into the operating room, but you will also have to trim the incision, which will aggravate the soft tissue damage. It's not worth it."
"Look, the stitching is working pretty well now." Lu Cheng planned to show the patient.
However, her injury was on the outer back side of her right arm, which was right in her blind spot. She couldn't see anything even when she turned her head: "Doctor, I can't see."
"It's okay, I'll have a nurse at our hospital take a picture of you, and you can see it in a bit."
"In this situation, if you keep your wound dry and prevent infection after surgery, the prognosis is quite good..." Lu Cheng reassured you with a smile.
Lu Cheng quickly sent the patient away.
It was 1:40 PM.
While Tian Zhiliang was taking a lunch break in the lounge, the door was suddenly knocked open.
"Director Tian, a patient injured in a car accident has arrived. The vet said he has a femoral artery injury..." the nurse said urgently.
Upon hearing this, Tian Zhiliang immediately tensed up, jumped out of bed, and ran out as fast as he could without even bothering to straighten his shoes.
While the emergency department does not perform specialized surgeries, emergency hemostasis and life-saving for femoral artery injuries are among the essential services it must provide.
This has a mortality rate, and the mortality rate is not small.
However, as soon as Tian Zhiliang arrived at the emergency room, he found that Lu Cheng and a colleague on duty were already standing on either side of the emergency bed.
The attending physician in his department was the assistant, and Lu Cheng was the operator. They had already stabilized the bleeding. Moreover, Lu Cheng had quickly separated the wound in the groin area and skillfully and steadily inserted the hemostat.
The clicking sound of the hemostat closing was like forcibly shutting the gates of hell that had just been opened.
After doing this, Lu Cheng checked again and said, "The bleeding in the femoral artery has been temporarily stabilized, but the condition inside the abdomen still needs to be examined."
"The patient's vital signs are relatively stable. After establishing intravenous access, let's send him to the CT room first, and then consult with vascular surgery, general surgery, and orthopedics!"
"Brother Hong, what do you think?" Lu Cheng asked Liang Jianhong for his opinion.
Liang Jianhong was clearly flustered at this moment, completely losing his composure, and replied blankly, "I think this is acceptable."
It's unclear whether he was frightened or stunned by Lu Cheng's actions.
Lu Cheng turned his head and saw Tian Zhiliang, so he immediately made way for him: "Director Tian, you've arrived. Please come and take a look first."
Tian Zhiliang certainly had to see it; it involved the patient's life and death.
People can die in the emergency room, but it's also a real problem!
After putting on sterile gloves, Tian Zhiliang checked the wound four or five more times and found that not only had the bleeding stopped, but even the previous bloodstains had been cleaned quite thoroughly by Lu Cheng.
The wound is still bleeding, but it no longer obstructs vision.
"What is your blood pressure?" Tian Zhiliang asked.
"105/61!" a nurse replied. "IV access established!"
Tian Zhiliang immediately replied, "Start the colloid infusion."
"Monitor closely, send to the CT room, and request consultations from general surgery, vascular surgery, and orthopedics."
"Liang Jianhong, you go with the patient to the CT room for the examination. I'll go make a call," Tian Zhiliang added, still worried.
Liang Jianhong, who was looking for his phone, immediately put it down upon hearing this and quickly pushed the bed out of the emergency room with the nurse, while another nurse hurriedly cleared the way.
Lu Cheng stood aside, slowly began to remove his blood-stained gloves, and started washing his hands.
When Tian Zhiliang looked at him with a complicated expression, Lu Cheng's expression remained unchanged. He simply explained dutifully, "Director Tian, there are four hemostatic forceps inside. Three are for stopping bleeding, and one is for separating tissues. We didn't have time to remove it!"
Tian Zhiliang nodded, his expression and tone becoming serious, no longer displaying the gangster-like air of his earlier self: "Yes, I'll tell the specialist doctor later."
"Dr. Lu, why don't you go and rest for a bit? I'll take care of the rest."
As the attending physician, Lu Cheng naturally wanted to take the initiative to find things to do, so he said, "Director Tian, I'll help with writing medical records and requesting consultations."
"Alright!" Tian Zhiliang calmed down completely and dared not underestimate Lu Cheng in the slightest.
Someone who can achieve such efficient hemostasis in such a short time cannot be considered an ordinary junior doctor or a "connected doctor"!
Are these the candidates selected for the on-the-job assessment?
yes!
But he is also a master.
(End of this chapter)
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