I. Scientific Outlook on Development
1, Scientific Outlook on Development definition
Scientific Outlook on Development refers to the methodology of "putting people first, establishing a comprehensive, coordinated and sustainable development concept, and promoting the all-round development of economy, society and people" put forward by the Third Plenary Session of the 16th CPC Central Committee, and promoting the reform and development of various undertakings in accordance with the requirements of "coordinating urban and rural development, coordinating regional development, coordinating economic and social development, coordinating the harmonious development between man and nature, coordinating domestic development and opening up".
2. The first meaning of Scientific Outlook on Development: development.
3. The core of Scientific Outlook on Development: People-oriented.
4. Basic requirements of Scientific Outlook on Development: comprehensiveness, coordination and sustainability.
5. Scientific Outlook on Development's fundamental approach: overall consideration.
6. Scientific Outlook on Development's specific content: people-oriented development concept; Comprehensive development view; Harmonious development view; The concept of sustainable development.
7. Why is "people-oriented" the core of Scientific Outlook on Development?
People-oriented is a basic principle of historical materialism.
People-oriented is the concentrated expression of our party's fundamental purpose and ruling philosophy.
③ People-oriented answered a series of basic questions of Scientific Outlook on Development.
8. The essence of Scientific Outlook on Development: Marxist outlook on development.
9. Scientific Outlook on Development's basic theory: the scientific methodology of Marxist materialist dialectics.
Second, medical reform.
1, promulgated on: 2008- 10- 14.
2. Full name of medical reform: opinions on deepening the reform of medical and health system.
3. The guiding ideology of medical reform?
Guided by Deng Xiaoping Theory and Theory of Three Represents, we will thoroughly implement the Scientific Outlook on Development, proceed from China's national conditions and learn from international beneficial experience, and strive to achieve the goal of universal access to basic medical and health services and solve the most concerned, direct and realistic interests of the people.
4. What are the basic principles of medical reform?
Adhere to the people-oriented principle and put the protection of people's health rights and interests in the first place.
Adhere to the national conditions and establish a medical and health system with China characteristics.
Adhere to the unity of fairness and efficiency, and combine the role of government-led and market mechanisms.
Adhere to overall consideration and combine the improvement of the institutional system with the solution of current outstanding problems.
5. What is the goal of medical reform?
Short-term goal: effectively reduce the burden of residents' medical expenses and effectively alleviate the "difficult and expensive medical treatment".
Long-term goal: establish and improve the basic medical and health system covering urban and rural residents, and provide safe, effective, convenient and cheap medical and health services for the masses.
6. Five key reforms of medical reform?
Accelerate the construction of the basic medical security system.
Initially establish a national system of essential drugs.
Improve the primary medical and health service system.
Promote the gradual equalization of basic public health services.
Promote the pilot reform of public hospitals.
Third, the Sichuan earthquake, the leadership in the front line, what do you think?
(1) embodies the purpose of serving the people wholeheartedly by the party and leaders.
② It embodies the superiority of socialism.
③ It shows that the Party and leaders attach great importance to people's livelihood.
④ It embodies the fast and efficient working mechanism of the government.
⑤ It embodies the virtue of one party supporting from all directions when it is in trouble.
You just joined the work, and there are not many patients. What should I do?
① Analyze the reasons, find out the crux and correct it in time.
② Learn from experienced predecessors with an open mind.
③ Keep improving in business, constantly learn theoretical knowledge and be brave in innovation.
④ Strive to improve service quality and treat patients warmly and thoughtfully.
5. Lifelong learning, what do you know?
(1) Lifelong learning can review the past and learn new things. Through theoretical study, it can be well combined with clinical symptoms, which is conducive to comprehensive analysis of the disease and effectively prevent missed diagnosis and misdiagnosis.
② Lifelong learning can update knowledge. Modern medical knowledge is changing with each passing day, and new technologies and research are constantly emerging. Lifelong learning can make you develop continuously, stand at the forefront of science and serve patients better.
Select questions in hospital interview and summarize by yourself (part two)
6. What do you think of the problem of red envelopes?
The main reasons why doctors accept red envelopes are as follows: ① Medical staff work hard, but their income is not high and they can't stand the temptation, so they accept red envelopes. ② The patient distrusts the doctor's mind and thinks that the doctor will do his best as long as he gives a red envelope.
Saving lives is the duty of doctors. Doctors accept red envelopes, which not only damages the relationship between doctors and patients, but also damages the image of medical staff. Those who receive red envelopes will increase the financial burden of patients, and those who receive red envelopes will seriously delay the best treatment time for patients.
Whether to accept a small red envelope directly takes into account the doctor's medical ethics, directly affects people's livelihood and economic interests, and directly affects the good and evil of a hospital and even the whole social atmosphere.
I think this situation can be improved from the following two aspects.
On the one hand, hospitals should strengthen supervision and management and increase penalties for accepting and asking for red envelopes; On the other hand, patients should change their mentality, consciously restrain themselves from giving red envelopes and trust doctors.
Seven, how to be a qualified medical worker?
I think we should do the following:
First, abide by various rules and regulations, consciously study medical ethics norms and related laws and regulations, and improve their own medical ethics;
Second, correct work attitude, scientific, rigorous, realistic, responsible, not afraid of hardship and fatigue, and actively consult others when encountering difficult problems in work;
Third, strive for perfection in technology, pay attention to the consolidation of professional knowledge and continue to learn, integrate theory with practice, and constantly accumulate work experience;
Fourth, we should have an overall concept in our work, obey the arrangement of leaders, unite and cooperate with colleagues in our work, and handle the relationship between colleagues well;
Fifth, we must have a heart and treat every patient fairly, regardless of their height, size, wealth. Treat patients with a cordial attitude, communicate patiently, take "everything for patients" as the purpose, and serve warmly.
Eight, the content of medical ethics?
Medical ethics: the professional ethics of medical staff and the ideological quality that medical staff should have are the sum of the relations between medical staff and patients, society and medical staff.
Medical ethics: the thought and code of conduct guiding medical staff to carry out medical activities.
Contents of medical ethics norms:
1, heal the wounded and rescue the dying, practice socialist humanitarianism, always think of patients and do everything possible to alleviate their suffering.
2. Respect the patient's personality and rights. Patients should be treated equally regardless of nationality, sex, occupation, status and property.
3, civilized and polite service, dignified behavior, civilized language, kind attitude, sympathy, care and consideration for patients.
4, integrity, consciously abide by discipline, not to seek personal gain from medical care.
5. Keep medical secrets for patients, implement protective medical care and protect patients' privacy.
6. Learn from each other, respect each other, unite and cooperate, and correctly handle the relationship between colleagues.
7, rigorous and realistic, forge ahead, study medical skills, keep improving, constantly update knowledge and improve technical level.
Nine, how to take the patient as the center?
In my opinion, the duty of being a medical worker is to heal the wounded and rescue the dying and do everything possible to alleviate the pain of patients. So we should be patient-centered.
First of all, we should improve our medical skills. For patients, of course, I hope to cure the disease and restore health in the shortest time. This requires medical staff to accumulate experience, consolidate and learn theoretical knowledge in their work, so as to improve their medical skills. In this way, missed diagnosis and misdiagnosis can be greatly reduced, and the right medicine can be given in the treatment, so as to reduce the burden of patients as much as possible.
At the same time, we should improve medical ethics. Respect patients' rights, keep medical secrets for patients, treat patients equally, be kind, compassionate, communicate patiently, and think from patients' standpoint.
In addition, the hospital regularly conducts telephone follow-up or organizes some medical lectures for discharged patients, so that patients can understand their own diseases, how to prevent them and matters needing attention in daily life.
For those of us who are about to go to work, we should consciously learn relevant theoretical knowledge, deeply understand the essence of "all for the patient, all for the patient, all for the patient" and put it into practice in our work.
X. What do you think of today's doctor-patient relationship?
The doctor-patient relationship is tense now. To alleviate this situation, we must first understand the reasons, which can be roughly divided into the following three reasons: the doctor's reasons; Patient reasons and management reasons.
The reasons for doctors are mainly reflected in low medical skills and low medical ethics. Medical staff are inexperienced, underestimating or mishandling the change of illness, poor service attitude, weak sense of responsibility and carelessness. It will cause dissatisfaction of patients and even disputes between doctors and patients.
Patients distrust medical treatment, such as patients often trust experienced old doctors and lack trust in young doctors; Patients' expectations of health are too high. On the issue of treatment effect, doctors think the effect is ideal, while patients think the effect is not obvious. Patients complain to medical staff because of the tension, anxiety and irritability caused by the disease, and even have extreme words and deeds. All these may cause tension between doctors and patients.
For management reasons, some hospitals put too much emphasis on economic benefits, and often adopt the methods of prescribing and repeating multiple examinations, which increases the burden on patients and causes patients' dissatisfaction.
Knowing the reasons, we should start from these three aspects to ease the tense doctor-patient relationship.
For medical staff, it is of great benefit to improve their medical skills and medical ethics, and try their best to provide quality services for patients, satisfy patients and generate trust, which will help to establish a harmonious doctor-patient relationship. For those of us who are about to go to work, we should consciously learn relevant theoretical knowledge, deeply understand the essence of "all for the patient, all for the patient, all for the patient" and put it into practice in our work.
It is necessary to strengthen the publicity of medical ethics for patients.
In management, hospitals should strengthen the management of medical staff and always put social interests first.
In addition, I think we should also formulate relevant laws and regulations to regulate the doctor-patient relationship.
In my opinion, only by doing these things effectively can we alleviate the current tense doctor-patient relationship.
XI。 How to improve service quality according to customers' needs?
Medical service target refers to all people who need test results. Combined with the post of laboratory medicine I applied for, all of them are patients and clinicians. Patients come to the laboratory to receive various inspection services. Doctors treat patients according to the results of laboratory services.
For emergency patients, laboratory staff should open the green channel in time, and strive to give the test results to patients quickly and accurately, or report them to doctors, so as to treat patients in time. For patients with flat diseases, only routine workflow is needed.
For patients who come to see a doctor, we provide warm service. For the old, weak, young and disabled patients, we should think what they think, be anxious and provide thoughtful services.
However, when we meet some extreme patients who don't understand hospital work for some reason, we should use some communication skills to avoid medical disputes.
Selected questions in hospital interview, which I summarized myself (part two)
12. How much do you know about medical occupational risks?
Medical occupational risk refers to the possibility of self-injury caused by uncertain factors in the process of medical behavior.
Medical occupational risks mainly come from the following aspects: chemical damage caused by various disinfectants, detergents, drugs and harmful substances; Physical injury caused by radiation and acupuncture during diagnosis and treatment; Contact with blood, body fluids, secretions, excretions, etc. In the process of medical service, it may lead to biological damage caused by various pathogenic microorganisms.
Strengthening medical occupational safety education is the key to prevent medical occupational risks. Laboratory is a place where all kinds of pathogenic bacteria are concentrated, which not only pollutes patients' blood, urine, feces, sputum and other secretions, but also harms chemical drugs and radioactive substances. The laboratory has undoubtedly become one of the high-risk departments of the medical profession, and the research on the occupational safety of inspectors is particularly important.
The general protection principle is: 1. Develop good work habits. No matter whether the patient specimen has infectious pathogens or not, it should be treated as infectious protection. If you enter the laboratory, you should wear overalls, work caps and gloves. In some special posts, such as microbiology laboratory, STD laboratory, AIDS laboratory, virus room, etc., you should wear masks and protective glasses to minimize the direct exposure of inspectors' skin or mucous membranes. 2. In the implementation of various dangerous medical behaviors, we should strictly follow the operating procedures. We should learn and use biological protection knowledge to protect ourselves from viruses, bacteria, fungi and parasites. 4. Master the first aid knowledge of accidental injuries.
Thirteen, the common people "see a doctor is difficult and expensive", what do you think?
People have two problems in seeing a doctor:
① it is difficult to see a doctor
Reason: The allocation of medical resources is unreasonable. Medical resources are far from people-oriented, the distribution of hospitals is seriously polarized, and the allocation of resources is seriously "emphasizing the city and neglecting the countryside".
② Expensive to see a doctor
The main reason is the rapid growth of medical expenses. There are some problems in the hospital, such as over-examination, over-medication, and false drug prices.
In view of the above problems, we can solve them from the following aspects:
1, formulate a more just and reasonable medical reform plan.
2. Rational allocation of urban and rural medical resources.
3. Solve the problem of false high of drugs and realize the "sunshine trade" of drugs.
4. Establish and improve the medical security system.
14. What are the reasons for "difficult and expensive medical treatment"?
(1) The health care sector is balanced.
(2) The financial input is insufficient, and it shows a gradual downward trend.
③ The development of medical insurance is slow.
④ The production and circulation of drugs and medical devices are in disorder.
⑤ The operating mechanism of public hospitals is unreasonable, and there is a profit-seeking tendency.
⑥ The government lacks supervision over the medical market.
15. Small swine flu problem?
1. Swine flu is an acute respiratory infectious disease caused by swine flu virus.
2, the virus is afraid of high temperature, eating cooked pork will not be infected.
3, symptoms: high fever, cough, fatigue, anorexia.
4. virus type: A H 1N 1.
5. Transmission route: air and contact transmission.
6. prevention?
Wash your hands frequently, including your mouth and nose. If you are sick, limit contact with others.
(2) Ventilation frequently, drying clothes and eating cooked food, so as to minimize the places where people gather.
③ Avoid physical contact.
④ If you have flu symptoms, you should seek medical advice in time.
Sixteen, you are a medical staff, at work, encounter suspected swine flu patients, how to deal with it urgently?
Stay calm and don't panic, you know it's normal to encounter such things in the hospital.
(2) Avoid the patient and immediately report the matter to the superior to prevent panic.
(3) Euphemistically tell the patient that other tests are needed, and then take him to another empty room for isolation, and tell him that there may be H 1N 1, hoping that he will cooperate with our work and not walk around at will.
④ Call 120 and ask him to transfer to another hospital.
Let your colleagues cover for you, and you need to be isolated yourself.
Seventeen, others give you a red envelope, what do you do?
It is our bounden duty to make it clear that we medical workers can't accept red envelopes.
(2) If the patient and his family are particularly excited, temporarily accept the red envelope, return it to the patient after the operation, or put the money into the patient's hospitalization expenses.
(3) to reflect on their words and deeds, to see if some places caused the misunderstanding of patients, thus prompting them to think of sending red envelopes.
Eighteen, how to correctly handle interpersonal relationships?
(1) Do a good job first, and don't let interpersonal relationships affect the work process.
2 reflect on yourself and find out the problem.
(3) If it is your own problem, apologize to them and ask for forgiveness; If it's his problem, communicate with him to solve the contradiction.
(4) If it is really difficult to handle, report to the superior leader and let the leader handle it.
19. Personal advantages and disadvantages?
I am cheerful, helpful, sincere, adaptable and United.
I am diligent and eager to learn, with high learning efficiency and quick learning ability.
I take my work seriously and positively.
Disadvantages: relatively young, relatively shallow experience, and not rich in work experience.
But I believe I will constantly enrich myself, integrate theory with practice, accumulate work experience, serve patients wholeheartedly and become a qualified medical worker.
I hope it will help everyone! Thank you.
Interview Questions and Reference Answers of Health System Source: Wang Guohua Diary.
Interview questions and reference answers of health system
1. As a medical worker, what advantages and disadvantages do you think you have?
I am a medical worker, engaged in medical work, able to contact all kinds of people, and often deal with some emergencies, which makes me have a strong ability to treat people, calm and calm when things go wrong, clear-cut, crisp and neat, serious, steady and patient.
Secondly, I have a strong team spirit, I can establish a cooperative relationship of mutual trust with my colleagues, I have good listening and communication skills, I can interact with others, I enjoy information and honor, I work hard, I can finish my work in time, I am willing to help my colleagues, and I am willing to undertake work outside my own work. This spirit has been improved and improved in my work.
Third, as the saying goes, no one is perfect, and I also have shortcomings, such as shallow social experience and little work experience. Only by constantly discovering, constantly correcting and consulting others sincerely and humbly can we overcome our own shortcomings and constantly improve ourselves.
When you were on duty, an emergency patient suddenly fainted in front of you. What did you do?
It's normal to encounter this kind of thing at work. I want to handle it calmly, quickly and properly, and I can't panic.
Second, check the patient's vital signs immediately to see if they are stable, and report the situation to the doctor on duty in the hospital.
Third, if the patient's condition is stable, then I will work with the nurse on duty to make corresponding symptomatic treatment for the patient's condition.
Fourth, if the patient is in critical condition, I will contact the doctor on duty in other departments immediately and ask for assistance in treatment.
5. During the treatment, you can't leave your post without leave, and you can't arrange your own shifts. If the patient needs to be examined by our company, he should report the situation to the doctor on duty and leave after approval.
3. You are an emergency medical worker. When you are on duty, your relatives and friends have something urgent to ask you. What would you do?
Ask friends and relatives carefully first to understand the specific situation and nature of emergencies, and then make corresponding judgments.
Secondly, if this urgent matter is related to my occupation, such as relatives being unwell or injured, I will deal with it according to the situation on duty at that time and the order of illness. I will deal with serious patients first, and I will never give priority to my relatives because of my personal relationship.
Thirdly, if it is a personal matter, I will explain to my relatives the principle of our emergency duty. Be sure to stick to your post and not leave your post without leave. See if you can help him deal with it after work. I believe my relatives and friends can understand.
Fourth, if things are really urgent, I will ask for leave from the chief physician on duty in the hospital, and I can only leave my post after being approved by the leader on duty and arranging relevant personnel to take over;
After you are hired, what preparations will you make if you are transferred to the countryside to support agriculture?
First, as a new doctor, it is very necessary to exercise at the grass-roots level, and the work at the grass-roots level is also very important, so I will not complain, but exercise at the grass-roots level with a positive attitude, so as to enrich my grass-roots experience through this exercise and lay a good foundation for better work in the future.
Second, access to relevant information, in-depth understanding of national rural policies and measures,
Third, understand the overall economic development of the township through relevant departments, such as the Statistics Bureau.
Fifth, go deep into the fields to understand the actual situation, understand the ideas of the masses, understand the local weak links, and formulate their own work plans and key issues in their work.
5. What do you think of individual medical workers accepting red envelopes in violation of regulations? What would you do if you were in this situation?
First, the phenomenon of accepting red envelopes exists, but this situation is individual, not universal, and most doctors refuse to accept red envelopes. In recent years, the health authorities have repeatedly used "receiving red envelopes" as an excuse to carry out rectification of unhealthy trends in the industry. From the establishment of a report phone to the establishment of an honest account; From hiring social supervisors to unannounced visits; The Law on Medical Practitioners in People's Republic of China (PRC) stipulates that doctors may not take advantage of their positions to ask for or illegally accept patients' property or seek other illegitimate interests. The problem of collecting red envelopes has changed a lot in recent years.
Second, most hospitals are public, and the normal income of doctors depends on their qualifications and professional titles. Capable doctors do more work and don't get much, which is one of the reasons for receiving red envelopes. The social environment has caused doctors to receive red envelopes. In fact, the root cause of receiving red envelopes is not doctors. Patients often have the view that doctors will not seriously see a doctor if they don't give a red envelope. Actually, this is a misunderstanding.
Third, in such a situation, I will explain to the patient that I will never accept a red envelope, and explain to him that even if a real patient does not give a red envelope, the doctor will take care of the patient's life. This is our professional ethics, and it is also the minimum criterion for a doctor.
6. When you were on duty, what would you do if you found mass nitrite poisoning?
First, report the situation to the college leaders immediately, including the approximate number, location and severity of poisoning.
Second, immediately contact the chief physician on duty, report the specific situation, and request the chief physician on duty to inform all departments of the hospital to be prepared to rescue a large number of patients.
Third, the rescue of patients should prioritize, the seriously injured should be rescued first, and at the same time, we must get in touch with the patients' families as soon as possible.
Four, notify the hospital security personnel to maintain order, and pay attention to appease the family mood, to prevent further deterioration.
Verb (abbreviation of verb) What happens in this process should be reported to the superior at any time.
7. The country is vigorously developing community health. The Health Bureau of our city has decided that from this year, all newly recruited medical staff must serve in township community health centers for five years. Do you think you have a greater role in the community or in the municipal hospital?
First, the state vigorously develops community health services, which is a policy that benefits the country and the people. As a new doctor, it is very necessary to exercise at the grassroots level, and the work at the grassroots level is also very important, so I will not complain, but exercise at the grassroots level with a positive attitude.
Second, I think we should look at it dialectically. Working at the grass-roots level can enrich my grass-roots work experience, improve my basic business level and lay a good foundation for better work in the future.
Third, however, municipal hospitals are exposed to many diseases, have relatively more opportunities for exercise, and their professional level can be greatly improved, because they can play a greater role with the experience accumulated in the community before.
8. What do you think is unreasonable in the hospital where you practice? How did you handle it?
First, in the process of internship, I found that in the hospital where I practiced, there were fewer facilities for the disabled.
Secondly, in view of this situation, I first made a survey with my classmates, such as counting the number of disabled people who entered the hospital within a week and asking them to fill out some questionnaires.
Thirdly, after the investigation, I will write a detailed investigation report to the hospital, analyze the patient's satisfaction and the equipment that needs to be added, and put forward practical plans for the hospital's reference, hoping that these situations can be solved by the hospital.
9. A salesman of a large pharmaceutical company came to your department to sell drugs, claiming that he had established contacts in the hospital, and other colleagues received red envelopes. As long as you prescribe more medicine for me, you can get a proportional commission. I was just about to give you a red envelope when my colleague came in. What should you do?
First, I will explain to pharmacology that I will never accept a red envelope. As a medical worker, I have the minimum professional ethics.
Second, actively communicate with colleagues, explain that this is the first time such a thing has happened, and ask colleagues how to solve such a thing next time.
Third, conduct self-reflection to see if there is anything wrong with your usual speech or behavior, which has caused a wrong impression and misunderstanding on pharmacology!
Fourthly, if this phenomenon of accepting red envelopes does happen, I should suggest to the hospital to improve the relevant system.
10. Medical disputes have become a hot topic in today's society. what do you think?
First of all, medical disputes and medical accidents are inevitable, especially in recent years, affected by many factors, the incidence of medical accidents has shown an obvious upward trend.
Second, analyzing all kinds of medical disputes and accidents in recent years, we can almost find lessons from responsibility. Work is not serious, the system is not implemented, talk casually, don't talk about skills. Therefore, I think to do a good job in preventing medical disputes, we must strengthen the sense of responsibility of all kinds of personnel at all levels.
Third, no one wants to see the occurrence of medical disputes, because the wishes of both doctors and patients are the same. As a doctor, we must strengthen communication, mutual understanding and trust with patients and children. Medicine is a highly specialized field. Patients should first trust and abide by the doctor's entrustment, actively cooperate with the doctor's treatment and examination, and at the same time understand some common sense of diseases. As for the "doctor's parents", doctors should also treat anxious patients with a cordial and patient attitude, and advise them to explain clearly to their families when doing relevant examinations and treatments. Only in this way can disputes be prevented subjectively, thus ensuring the smooth progress of medical work, allowing patients to get timely treatment and recover as soon as possible.
1 1. At present, H 1N 1 is popular. You are from the Health Bureau. How to organize publicity activities? What are the key problems?
First, the current prevalence of H 1N 1 has caused worldwide spread. First of all, we should attach importance to this matter ideologically, vigorously publicize how to prevent it, and talk about some conventional treatment principles.
Second, draw up a plan and submit it to the leaders for approval, including the time, place, objectives, departments to be coordinated, necessary funds, the selection of activity personnel, and the specific form and content of the activity.
Third, make preparations, coordinate various departments in advance, apply for funds, select and train staff, and contact grassroots departments such as streets to ask them to assist in this work. And print some brochures to facilitate on-site distribution.
Fourth, in the implementation process, do a good job in organization and coordination to ensure the success of the event.
Fifth, after the activity, we should summarize it in time, report to the leaders and sum up experiences and lessons.
12. What should I do if I suddenly find a patient suspected of H 1N 1 in the outpatient department?
First of all, keep a calm mind and don't panic. It is normal to meet such patients in the hospital.
Second, tell the patient in a euphemistic tone that other tests are needed, and then take him to another room for isolation.
Third, report the situation to the superior immediately and explain that the patient has been isolated.
Fourthly, euphemistically inform patients that they may have HIN 1 and need other tests to make a definite diagnosis. I hope he can cooperate with our work, isolate him and stop walking around.