This miracle doctor just wants to be fired!

Not long after, the practical interpretation competition began.

The contestants were taken to a special computer room, where each person had a computer in front of them. The screens displayed electrocardiogram images and brief medical histories of different patients in turn.

Everyone needs to complete the interpretation within the specified time and write down the diagnosis results and their basis.

Zhou Cheng sat down in the designated spot, took a deep breath, and adjusted his state of mind.

As the system notification sounded, the first electrocardiogram appeared on the screen.

The patient is an elderly male with a history of hypertension. The electrocardiogram shows ST segment elevation and T wave inversion.

Zhou Cheng quickly observed the features in the image and, combined with the patient's medical history, quickly determined that it was an acute myocardial infarction. He then swiftly wrote down the diagnosis and its supporting evidence and clicked submit.

The difficulty of the following questions gradually increases.

There are complex cases such as paroxysmal supraventricular tachycardia and atrial fibrillation with intraventricular conduction block.

There are also some highly deceptive abnormal electrocardiograms that can easily lead to misdiagnosis.

Zhou Cheng dared not be careless in the slightest. He carefully observed each electrocardiogram and analyzed the waveform, rhythm, heart rate, and other indicators one by one.

By repeatedly examining the clinical history, we can ensure that the diagnosis is accurate.

Just as he was focused on answering the question, the contestant next to him suddenly exclaimed, and then the computer screen went black.

It turned out that the other party made a mistake and accidentally knocked off the power cord.

The staff on site rushed over to handle the situation, but restarting the computer and restoring the exam interface took a lot of time. The contestant looked anxious, and his subsequent answering rhythm was completely disrupted.

Zhou Cheng glanced at it but didn't pay much attention, refocusing his attention on his own question.

The last question was a child's electrocardiogram (ECG). Because children's heart rates are faster and their waveform characteristics differ from those of adults, interpreting the ECG was quite difficult.

Zhou Cheng slowed down, carefully compared the standard values, and made his own judgment based on the child's symptoms.

……

After the practical exercise, Zhou Chengzhang breathed a sigh of relief, feeling that he had performed well.

Whether it was a theoretical written test or a practical judgment test, he was able to answer almost all the questions, even the most difficult ones.

At noon, the organizing committee arranged a light meal, and the contestants from all over the city gathered together.

The group discussed the competition topic; some were full of confidence, while others sighed in disappointment due to poor performance.

"These questions were way too tough!"

"Yes! Especially that theoretical question, the comprehensive analysis question about electrolyte imbalance combined with ECG changes. The question was long and convoluted, and it took me ten minutes just to sort out the patient's history."

A young doctor wearing glasses at the next table shoveled rice into his mouth while frowning and speaking with a tone full of helplessness.

The doctor opposite him immediately chimed in, "That's right! I didn't fully figure out that problem in the end either, so I could only guess based on my experience."

"In the last practical exercise, there was a pediatric electrocardiogram. The heart rate was ridiculously fast, and the waveform was different from that of adults. I almost misdiagnosed sinus tachycardia as supraventricular tachycardia."

"You're lucky, the contestant next to me had it much worse." Another doctor in a blue and white striped shirt chimed in, his tone tinged with a sigh. "During the practical exam, he must have been too nervous, because when he reached for the pen, he accidentally knocked over the power cord, and the computer screen went completely black. The staff spent almost twenty minutes fixing the system, and his hands were shaking the whole time he was answering the questions. I guess he's out of the running this time."

Zhou Cheng sat not far away, listening quietly to their discussion, occasionally taking a bite of his meal.

At this moment, Li Yaping from the cardiology department of the same hospital came over, sat down opposite him, and asked with a smile, "Zhou Cheng, how did you feel this time? I saw that you came out of the practical part quite early, did you answer all the questions smoothly?"

Li Yaping is also a cardiologist at Jinghua City People's Hospital, and is considered Su Yi's colleague.

Zhou Cheng is now a "celebrity" within the People's Hospital. Everyone knows more or less about the complaint in the emergency department and has seen Zhou Cheng's video.

That's why Zhou Cheng came to participate in the semi-finals, and many of his colleagues from the hospital came to greet him.

"It's alright. I was confident about most of the theory questions, but I struggled with one or two multiple-choice questions. The practical questions were indeed quite difficult, especially the one about atrial fibrillation combined with intraventricular conduction block. You have to carefully distinguish the waveforms, otherwise it's easy to miss a diagnosis." Zhou Cheng put down his chopsticks, picked up a bottle of mineral water and opened it. "Fortunately, I see a lot of similar cases in the emergency room and have handled many similar cases, so I'm quite confident when interpreting them."

"You're so modest," Li Yaping smiled. "Of all the people our hospital sent this time, you have the most solid foundation. I just heard some doctors from other hospitals say that the ECG question about acute myocardial infarction in this practical exam was relatively simple, but the difficult part was the interpretation of the complex arrhythmias later on. Many people stumbled on those."

At this point, Li Yaping paused, "By the way, did you notice that this time the questions particularly emphasized combining clinical history? Simply memorizing the characteristics of an electrocardiogram is completely useless."

"That's true." Zhou Cheng nodded in agreement. "For example, the question about paroxysmal supraventricular tachycardia provided the patient's age, medical history, and symptoms during the attack. This information can help in the diagnosis. If you only look at the electrocardiogram, it's easy to confuse it with ventricular tachycardia. Once misdiagnosed, the treatment will be completely wrong."

Several doctors nearby, hearing their discussion, also gathered around.

"Oh dear! I almost got that question wrong. It wasn't until I saw in the question stem that I realized it was supraventricular tachycardia, because the patient was a young woman with a history of Wolff-Parkinson-White syndrome."

A young female doctor said, her face still showing a hint of lingering fear.

"I think this competition is testing our clinical reasoning ability, not just simple ECG interpretation, but also comprehensive analysis in combination with the patient's specific situation."

Everyone started discussing, and the atmosphere gradually became lively.

Zhou Cheng didn't say much, mostly just smiled politely and continued eating with his head down.

He knew in his heart that the competition was over, and no amount of discussion could change the result, so he might as well calm down and wait for the results to be announced.

……

The competition results were officially announced at 8 p.m. that evening.

Zhou Cheng went to the official website of the event organizing committee and quickly searched for his name in the list.

Finally, the name "Zhou Cheng" appeared on the list of those who advanced to the finals, and he ranked second in total score!

Just then, his phone rang; it was Su Yi calling.

"Dr. Zhou, how did the competition go? Did you advance?"

Su Yi's teasing voice came from the other end of the phone.

"I advanced by sheer luck, second overall," Zhou Cheng replied with a smile.

"You're great! You didn't disappoint me." Su Yi's tone carried a hint of surprise and approval. "Let's get together tomorrow night, it's on me, consider it a celebration for you!"

Zhou Cheng thought about it and, since he didn't have anything else to do tomorrow, agreed.