394 Room for Negotiation (1/2)
”Doctor Ling, our practical skills examination… Is now divided into three stations. One station tests you on medical history collection, one is physical examination, while the last is a multimedia test, which actually refers to testing your ability in reading scans…” Kong Xiangming did not feel that it was appropriate for him to stand while talking to Ling Ran, so he brought a chair out and sat across Ling Ran.
The other two examiners also found themselves unable to sit behind the long table anymore as well. They could only follow Kong Xiangming and move their chairs out. They placed their chairs slightly behind Kong Xiangming's.
Because of it, the examination hall appeared rather grotesque.
However, Kong Xiangming could care less about those things. He brought a file and passed one exam paper to Ling Ran before he smiled and said, ”For you, the physical examination and multimedia tests are just at the tips of your fingers. The medical history collection test is a small written test. You'll need to fill it up a little. If we fill it for you, the handwriting will not be the same as yours, so it won't be suitable.”
The other two examiners were speechless as they looked at Kong Xiangming. This was the first time they witnessed an examination where the examiner had the spirit to serve the examinee.
Ling Ran always received additional services from people. When he was young, Tao Ping always tried to bring him along whenever she left for trips. She would let the young Ling Ran check in at the hotel reception. Normally, they would receive a room upgrade to a certain degree, and at most of the time, they would get the best type of room for the day.
When Ling Ran faced Kong Xiangming's considerate examination, he chuckled lightly before he said, ”Let's just do things according to the normal procedure.”
”That's good too. We can avoid others talking behind our backs.” Kong Xiangming could not guess Ling Ran's thoughts, so he just followed whatever Ling Ran said.
He knew that Ling Ran did not have a medical doctor qualification certificate. He also heard that Yun Hua Hospital had made an exception for Ling Ran and formed a contract with him, and he was to take the medical licensing exam. Without knowing the reasons behind these, Kong Xiangming would not simply take any action.
”Then, let us do the medical history collection test first.” As Kong Xiangming spoke, he chose and took a paper out from the document folder before he passed it to Ling Ran. Then, he asked, ”How about this question? Female, fifty-four years old, pain in her right knee joint, recurring symptoms, getting more serious over the past three years?”
This question no longer corresponded to the scope of questions that Ling Ran's number was supposed to handle.
However, it was normal for the examiners to change the questions at the very last minute. As compared to a general written examination, examinations on practical skills were more random.
Kong Xiangming was mainly worried that Ling Ran would get stuck at stupid questions. If Ling Ran could not answer correctly, not only would Ling Ran feel awkward, Kong Xiangming would feel awkward too. Of course, most importantly, he did not want Ling Ran to feel embarrassed.
As the department director of the Department of Orthopedic Surgery at Yiyuan County Hospital, if Kong Xiangming wanted to make his life easy in Yun Hua City and even the entire Changxi Province, he must first not offend the provincial hospital and Yun Hua Hospital, then only was he not to offend the Medical and Healthcare Institution he was based at.
Doctors were constantly judged by their peers.
Publishing a research article required peer review, and obtaining a professional rank also required peer assessment. That was even more so the case if funding was needed. If the doctors attended all sorts of academic meetings, they also needed support from their peers.
In their working environment, affiliated hospitals would require a lot more things from their superior hospitals.
In short, the degree of how arrogant a senior doctor could be to a junior doctor was directly reflected to how harsh a superior hospital could be to an affiliated hospital.
Most of the time, the highly skilled doctors from superior hospitals did not even need to use their authority to oppress affiliated hospitals. When they checked the work of the affiliated hospitals, they could easily make them suffer.
Kong Xiangming did not expect Ling Ran to be able to suppress his hospital, but he did not want to offend Ling Ran or worse, offend Rebuker Huo, because of such a small case.
He invited Ling Ran as a freelance surgeon many times in the past to perform finger replantations, Achilles tendon repairs, and knee arthroscopy surgeries. So, if he chose a medical history collection test on the knee, Ling Ran would naturally be able to handle it easily.
Ling Ran did not think as much as Kong Xiangming. Once he got the question, he took out a pen and answered accordingly.
[Main questions to be asked for diagnosis:
[One, whether knee joint functions are limited.
[Two, whether the knee joint is stiff, whether there is any swelling in the region, and whether there is any sound that can be heard during any movement, or whether friction can be sensed during movement.]
…..
After writing down the treatment process and related medical history, the length of Ling Ran's answer was around the hundreds, and he considered himself to have written down all the main points for this question.
Kong Xiangming helped Ling Ran check through his answer before he smiled. ”No problem, perfect!”
Ling Ran nodded gently.
It was a normal daily routine for a doctor to collect a patient's medical history.
For example, junior doctors in charge of beds had to swiftly respond to the symptoms mentioned by admitted patients, they also needed to enquire the necessary questions. After they obtained sufficient information, they would make their own diagnosis or consult senior doctors.
If there was any difference between the test and the daily routine, it would be that the daily work of the resident doctors in specialist departments were only limited to their department, while the scope of the practical skills examination was wider, but it was not very difficult either.
”Next test is…” Kong Xiangming looked at Ling Ran's expression and slowed down his speech rate. He said, ”Technical operation and physical examination. If we decide to test you on your skills, I wonder which skill should we test you?”
Just like what he said just now, if Ling Ran did not want to do these two tests, he could just skip them. But if Ling Ran wanted to do them, Kong Xiangming must choose a suitable one…
Kong Xiangming cast a glance at Ling Ran and recalled back many of the rumors he heard. He then said, ”How about tracheotomy?”
Ling Ran was fine with anything.
In fact, even if Kong Xiangming suggested a skill that was rarely used, Ling Ran would still be totally fine with it.
After all, the medical licensing exam was meant for interns and new resident doctors. Theoretically, whatever the interns had learnt, Ling Ran knew them too. It was just a matter of how skilled he would be.
Even when he was still in school, Ling Ran did not fail in this kind of test that would elicit multiple cheers in a person when he or she passed.
Kong Xiangming brought the tracheotomy training model over.
The model only had a brain and neck. At first glance, it looked rather scary.
Beside the model were clear words written with a colored pen. [The cricothyrotomy and tracheotomy model is only for cricothyrotomy practice.]
”Doctor Ling, you can try it first.” Kong Xiangming was still worried that Ling Ran would suffer a setback.
”Okay,” Ling Ran said before he started performing a tracheotomy.