The most basic knowledge is often the most stable knowledge.

This is like a chef cooking, Sichuan cuisine, Cantonese cuisine, Shandong cuisine... there are many varieties and colors, but no matter which cuisine you are or which school of chef you are, you still have to use the most basic ingredients such as oil, salt, soy sauce and vinegar.

of seasonings.

This can be verified in many courses. This is especially true for basic subjects such as mathematics and physics. What medical students need to learn in modern times is much broader than what it was after 80 years.

, there is no change in content.

Of course, the same goes for certain courses in medicine.

For example, anatomy, histology, parasites, etc. Although decades later, due to technological advancement and in-depth research, many mechanisms that have not yet been clarified have been discovered, and many wrong theories have been corrected, at least now

Eighty percent of the knowledge points are still correct. These are the subjects where Tian Lu spends the least time in reality. He only needs to learn the systematic knowledge and then find out the difference between reality and the future.

But there are also some disciplines, such as pharmacology, toxicology, etc., that have undergone tremendous changes after the 1980s. In the 1980s, too many new drugs and synthetic toxins appeared, and the current drugs continue to be used in the 1980s.

The applications are minimal. It can be said that compared with reality, these subjects are almost beyond recognition.

However, such a huge change does not mean that Tian Lu has to spend more time. In fact, when future drugs have not yet appeared, Tian Lu only needs to learn pharmacology or toxicology in reality. He does not even need to

Pay attention to the latest research progress in this area, and just learn the knowledge in the textbook.

The subjects that take the longest are those disciplines that will have many breakthrough developments in the future, but cannot completely put aside past achievements.

It's like neuropathology.

In fact, I have already learned this course in the basic medical course I completed in my senior year, and it is much more sophisticated and complex than in reality. If it is just for learning purposes, it seems that there is no need to read this book.

of.

However, just as he must think before refuting the Indian chief, Tian Lu must understand the difference between reality and systematic knowledge to prevent himself from saying something different from what he is doing now in his daily work. After all, without systematic research and

Future knowledge verified by experiments, and words spoken from the mouths of medical interns like Tian Lu are not even speculations, they can only be considered jokes.

Although the development of pathology is not as great as the progress of clinical technology, after all, there has been a lot of progress and some previous conclusions have been overturned. Especially many common diseases, such as epilepsy and Alzheimer's disease (dementia)

Wait, in the future we will be able to fully describe its pathogenesis and pathological manifestations.

For these courses, what Tian Lu needs to do is to collect the latest research progress in the world as much as possible, then verify it with the system knowledge, and mark the differences in the system courses. This kind of work seems simple, but in fact

But it was rather cumbersome. In an hour, Tian Lu only read twenty or thirty pages. Compared with the usual efficiency of the input function, it was really nothing to mention.

At around seven o'clock, Lei Kang came up and asked him to go down for dinner, which was a simple takeout pizza and vegetable salad. After eating, Lei Kang said hello and went out to enjoy himself, while Tian Lu returned to the house. After taking a short rest,

Entering the system while lying on the bed.

Seeing the long list of icons inside the clinical medicine door, Tian Lu couldn't help but frown and sighed softly.

It has been more than a year since I entered clinical courses, but in my fifth year, due to the emphasis on internships, a lot of time and energy need to be spent during the day, whether at home or abroad, and the procedures for going abroad are extremely cumbersome.

, so Tian Lu’s learning progress in the system is relatively slow. Until now, the progress of the clinical medicine course is less than half, and it is still far away from completion.

There are two main reasons:

On the one hand, the amount of information is too great. In the future, clinical medicine will be more detailed than the current sub-disciplines. There will be at least more than a hundred majors, and the content of each major is so huge that it will take a huge amount of time to just read it through.

On the other hand, the connection between majors is much closer than it is now. Although medicine in the future will also be subdivided into many specialties, it will place more emphasis on the integrity of human beings. This seems to be related to a certain aspect of traditional Chinese medicine.

These concepts are quite consistent. After encountering a disease, you cannot simply limit yourself to one major, because the disease of one organ will affect another organ, and the development of a disease may affect multiple systems.

System...

Many connections that have not been clarified or discovered in modern times will be slowly discovered with more advanced technological means and larger research in the future. In this case, when targeting a disease or a symptom

, the content that needs to be considered is actually greatly increased.

In fact, Tian Lu originally had doubts about the clinical courses containing so much content and such a wide scope. In modern medicine, the subjects are becoming more and more detailed. Although there is a lot of content to learn in college, it is really difficult to get into it.

After entering the clinic, it is usually enough to be proficient in this major. This is just like when Lei Kang was invited to be a neurosurgery translator and didn't care when he failed. The differences between different majors are still very big.

energy

It is limited and cannot take into account such subjects.

But while studying clinical medicine, Tian Lu gradually understood the reason why the future medical training system made such regulations.

With the help of the physician support system, even if the content is overwhelming, it is definitely not an impossible task to master all the required courses. In fact, the content in clinical medicine is just like the content of modern medical students in college.

The clinical courses in the program are the same, mostly focusing on specific knowledge points. For example, internal medicine is a systematic and detailed explanation of various diseases, from etiology to pathogenesis, from pathological anatomy and pathophysiology to staging and classification, and from clinical

When it comes to prevention and control measures, although these specific knowledge points are far more systematic and diversified than modern times, most of them require memorization and there are very few difficult-to-understand contents.

And this is the biggest advantage of the system!

It only takes four short years for future medical students to complete the study of two sub-systems, which is enough to illustrate this point. What's more, in the clinical medicine course stage, the power of system simulation once again stunned Tian Lu.

Take diagnostics as an example. The actual textbooks are purely text-based. Although it is not difficult to understand, after all, it can only be understood through imagination. The system's simulation implementation function makes this diagnostic knowledge simple and straightforward.

For example, those common symptoms, typical or ** can be seen on a person; for example, those physical examination methods, a simulated doctor will perform standardized operations on a simulated patient; and then

For example, in those experimental diagnoses, the system simulated the entire process of the experiment one by one for Tian Lu to watch again and again.

Otherwise, it is just a profession and it may require people to devote their whole life to it.

And in Tian Lu’s view, clinical practice is the continuation and concretization of basic medical knowledge. Those basic knowledge previously learned, such as biology, biochemistry, etc., as well as basic medical courses, such as anatomy, physiology, pathology and disease, etc.

, in fact, it has laid a solid foundation for clinical courses. It can be said that all clinical courses are based on the application of basic medicine.

This is just like washing a car. The most troublesome way is to get a bucket of water and a towel, and scrub it bit by bit. The simpler way is to go to the car wash room on the roadside and let the workers spray it with a water gun, which is much faster.

Many. And the faster way is, of course, to go to a car wash room with complete equipment. Old cars go in and new cars come out, which is more efficient. But no matter which method is used, if you want to make your car look new and shiny, you need to do

of

The purpose is the same, which is to remove dirt from the car body.

The basic medical courses tell you what a car should look like, what it will look like when it is dirty, and why it is dirty... while the clinical medicine courses will tell you what these dirty things are and what they are.

How to remove these dirt, and which method is fastest and causes the least damage to the car body...

Of course, there is a gap between practical application and theoretical knowledge after all. Even future medical students, after completing all the theoretical knowledge in the first eight years, will also have to undergo four years of clinical internship! Moreover, the knowledge after eighty years

There are still differences between now and then. The basic content such as pathology and patients is fine, and most of it remains the same, but the treatment has undergone huge changes.

The car is also cleaned with water now, but in the 1980s, it was used to shine a flashlight on the car. After the light flashed, the whole car was as good as new...

From this aspect, Tian Lu has always believed that taking the internship seriously and coming to Los Angeles was the most correct decision.

Tian Lu had a deep understanding of this when he was doing an internship in the First Affiliated Hospital of the school: actual clinical work and book knowledge are often different, and many things, such as communication with patients, emergency situations, etc.

Processing, etc. can never be learned in the classroom.

After arriving in Los Angeles, Tian Lu discovered that the clinical work here was also very different from that in China.

This difference is all-encompassing.

From the training of medical students, there are completely different places in the medical system, medical concepts, and medical environment. Of course, in terms of hardware conditions, China is far behind, especially in basic research, the gap is still

bigger.

The more he saw and understood, the more Tian Lu made up his mind.

Regarding future plans, there are two most important points. One is to be able to successfully find a suitable hospital for resident training. Although residents in the United States have a much harder time, the hospitals have advanced equipment and superior facilities.

The hardware conditions still make him jealous. The second is to complete the two sub-system courses of medical basics and medical experiments as soon as possible. Only after completing these two courses can he use the clinical diagnosis and operation support system to train a doctor.

Generally speaking, these two systems are the essence of the entire system!

Tian Lu made a rough estimate. Because of the internship, it is estimated that the system learning will not make much progress before graduation, and can only complete half of it at most. However, in the second half of the year, in addition to the application interview for the position of resident physician,

Apart from the exam, there is basically nothing else to do. Therefore, until he goes to the hospital for residency training next year, he will have at least six or seven months to concentrate on systematic study!

Leave everything behind and study with all your strength!

In that case, he can completely complete the learning progress, and by the time he enters the residency training stage, he can at least complete most of it.

Tian Lu also once thought about whether he could wait until he completed all the theoretical courses before applying for a residency position. After all, he was only twenty-three years old, which was too young for most residents. But

After careful consideration, he gave up this plan. Although the training of a resident doctor is hard, with Tian Lu's current knowledge, he can still be lazy in many theoretical studies, and it is not that he has no time at all.

No matter how bad the time is, one or two years is enough!

When he thought that after completing the study of the medical basic support system and the medical experiment support system, he could start the clinical diagnosis support system and the clinical operation support system, Tian Lu felt as if he had been electrified, and his body aroused goose bumps!

"At the beginning of April, we can almost go to Shenwai to stay."

Tian Lu felt that the time was indeed ripe to leave the general surgery department. This time he applied for a five-month internship, the first month as an outpatient internship, the next two months as a general surgery internship, and the last two months, Tian Lu planned to stay in the neurosurgery department.

During his internship in China, Tian Lu did not wait for the surgical part, so this internship mainly focused on this. Of course, he understood the principle of being inferior to being good. General surgery is the basis of surgery, so he must go there, and neurosurgery is

As the jewel in the Department of Surgery and the department that Tian Lu is most interested in, it naturally takes a certain amount of time.

Because he is a trainee, Tian Lu cannot usually do it himself, but can only watch from the sidelines. The input function of the system is not only able to input text, but also can input everything that the eyes can see and hear.

In other words, it should be something that Tian Lu can "feel"! Therefore, two months is enough for him to practice all the basic operations of general surgery.

"Then, in that case, let's use the previous time to go over neurosurgery and microsurgery." After thinking about it for a while, Tian Lu finally made up his mind, and then with a thought, he clicked on neurosurgery.

That huge icon...

.................................................................

This chapter is quite boring and dispensable, but since it has been coded, I am reluctant to delete it. Haha, just understand it. And many parts are my own understanding. Professionals should not care.

Finally, I would like to ask, is there any master who can recommend this book?

I just logged in and I was shocked! The collection actually increased by more than 100 overnight, which made me feel a little incredible.
Chapter completed!