Self-evaluation is a comprehensive and systematic summary of personal situation over a period of time, which can give people the motivation to work hard. Let's sum up with our heart and conscientiously complete our self-appraisal. How to write self-evaluation to play a role? The following is my carefully compiled model essay on clinical self-appraisal of internal medicine (generally 6 articles) for your reference, hoping to help friends in need.
Clinical self-appraisal of internal medicine 1 During my internship in neurology, I strictly abide by the rules and regulations of hospitals and departments, respect teachers and care for patients. Positive learning attitude, rigorous work style, never late to leave early, obey the teacher's arrangement, obey the teacher's assignment, and be able to complete their duties to the letter during working hours. In my work, I am strict and earnest, and listen to the teacher's teachings with an open mind. All the work is done in an orderly way, and everything is arranged in an orderly way. He has a thorough grasp of aseptic operation technology, impeccable nursing, rapid and accurate measurement of vital signs, skilled operation of various injections and intravenous drip, and quick and agile movements.
Stick to the post, closely observe the patient's condition, actively help the patient, be able to independently complete the installation and debugging of ventilator, ECG monitor and infusion pump, and complete various nursing records in a timely, clear, reliable and concise manner. In short, during my internship in neurology, I integrated theory with practice and completed my internship task to the letter, which won unanimous praise and high praise from all doctors, nurses and patients in our department. At the same time, I laid a solid foundation for internship in other departments in the future. I think I have achieved the purpose and requirements of internship in our department, and I am worthy of being an excellent intern!
Internal medicine clinical self-evaluation 2 This time, under the arrangement of the school, I came to a people's hospital for a one-month surgical internship. The substantial and intense internship ended in a blink of an eye. This experience can be described as fruitful, which has made a qualitative leap in my understanding of medicine. The following is my personal evaluation of the internship.
Before entering the icu, the teacher explained the management system and disinfection system of the icu and introduced the environment of the icu, which made me understand the ICU and made my work easier. Specially arranged a special disease knowledge lecture, that is, the introduction of common diseases in thoracic and cardiac surgery, so that I have a certain understanding of thoracic and cardiac surgery diseases, which is conducive to postoperative monitoring. Let me understand the significance and importance of central venous manometry, which is an objective standard for directly reflecting left ventricular function and measuring blood volume, guiding fluid replacement speed and evaluating blood volume.
After entering the clinic, surgery is often the main task, while theoretical study and clinical thinking training are relaxed, especially in thoracic and cardiac surgery. There are many kinds of diseases and operations in thoracic and cardiac surgery, which I can easily pay attention to.
It's all about operation. So I take doing more surgery and practicing my hands as the main purpose of my internship. The pathophysiology will change greatly after the operation. I must comprehensively and accurately consider the medical history, signs, degree of illness, surgical methods and other aspects, in order to accurately grasp the key points, see the essence, understand the impact of surgery on patients, and formulate correct treatment measures.
Through one month's internship, I have a good understanding of postoperative monitoring of thoracic and cardiac surgery, and basically mastered the clinical application and matters needing attention of monitors, ventilators, defibrillators and micropumps. , and can independently complete the monitoring skills such as central venous pressure detection, endotracheal intubation sputum aspiration, writing nursing records, and summarizing the amount of entry and exit.
This valuable internship is a timely help for me who is very lacking in clinical experience. During my internship, I kept a modest and serious attitude towards learning and took the initiative to learn.
Time flies, the sun and the moon fly, and one year's internship life passes quickly. Looking back on the past year, I can't help feeling a lot. In a month, he was officially accepted as an intern in the clinical laboratory by the hospital. During this year's internship, I constantly strengthened my study, improved my own quality and professional quality, positioned myself accurately, and tried to do my job well. The internship in the past year is reported as follows: In just a few months, under the correct leadership of the party and government leaders and the director of the clinical laboratory, I have earnestly studied various professional knowledge, forge ahead, seek truth from facts, carry forward the work style of keeping pace with the times, and adhere to the "patient-centered" clinical service concept. Self-evaluation mainly includes the following items:
First, be conscientious and do your job well.
As a member of the clinical laboratory, I am not only a doctor's eye, but also a doctor's assistant. It is another criterion since I took office to grasp my responsibilities. Apply what you have learned, collect teachers' opinions, learn from foreign experience, put forward opinions and suggestions, and be a good doctor's consultant. So far, it has basically met the requirements of the hospital for various patient detection parameters; In order to ensure the accuracy of all kinds of patients' test data, the whole process of inspection and testing is carried out in strict accordance with the "National Clinical Inspection Operating Rules" and "Product Instructions", and the inspection reports issued in the past year are basically accurate. In the inspection business, we can resolutely implement the concept of medical safety first and put an end to medical accidents. Further improve the quality of medical service and improve service attitude to win the trust of patients.
Second, professional knowledge, working ability and specific work
Although the daily laboratory work is very busy, it is difficult to do it. For example, I have never done a lot of manual sampling before. But in order to do a good job, obey the leadership arrangement and actively support the work of the department director, I am not afraid of trouble, learn from the teacher with an open mind and explore the practice myself. In a short time, I mastered the manual sampling work, clarified the working procedures, improved my working ability, and formed a clear working idea in specific work. In order to make up for my lack of professional knowledge, I constantly ask myself to make up this knowledge every day, laying a solid foundation for myself and future interviews.
Third, work attitude and hard work.
It is my duty to do everything possible to relieve the patient's pain. I hope all patients can recover soon, so every time I enter the ward, I spare no effort to encourage them with limited time, patiently understand their illness, establish confidence in overcoming the disease, and silently pray for their early recovery. I love my job, can treat every job correctly and seriously, and serve my family enthusiastically. Seriously abide by labor discipline, ensure attendance on time, effectively use working hours, stick to their posts, and work overtime to finish the work on time.
Fourthly, I have also received criticisms and corrections from all sides in my work, and I have carried out rectification one by one, which has achieved good results.
During the months of my internship, under the leadership of the hospital leaders and department directors, I worked hard. Although some achievements have been made, the quality of all aspects needs to be further improved, and there will inevitably be problems and mistakes in the work. For example, my personal work is not perfect enough and needs to be improved in the future. I sincerely hope that leaders and teachers can criticize and correct me in time. The new year means a new starting point, new opportunities and new challenges. I am determined to make persistent efforts, by going up one flight of stairs, to create a new situation in work, raise my ideological understanding and work performance to a new level, and make more contributions to the development of the General Hospital.
1, reasonably arrange the time of different departments.
When I get to the hospital, I have to communicate with the teaching teacher and handle many things flexibly. I can't always follow the "hard arrangement" in the practice manual, just like the practice manual says that there are no arrangements for blood transfusion department, blood morphology room and PCR room at all, but many hospitals need people who know this when they come out to work. If you follow the rigid arrangement of the internship manual, you will only spend too much time in some departments and learn the same knowledge. Then we should know how to arrange the internship. Teachers and group leaders should communicate well and arrange corresponding departments to study for us. There is also the biochemical room, which is a major department of the laboratory.
But the degree of full automation is the highest, and many times we have little chance to start work. What allows us to do is very simple instrument operation, and the most important thing is the organic combination of theory and clinic. If you simply learn instrument operation, what you do in the biochemical room is "centrifugation" at most. It is really centrifugation of blood samples all day, just like a director said, "Centrifugation, centrifugation, separation from the heart is broken ..." I think the internship time in the biochemical room can be adjusted a little less, because the combination of theory and clinic in the biochemical room can be combined with what I usually see in the dormitory during my internship!
But you should master the method of communicating with the teacher. When I was an intern in Guangzong, there was a school group that didn't communicate well with the teacher director of the department. The director criticized me and said, "There are so many sessions, and I haven't heard anyone say that this arrangement is to arrange too many biochemical rooms!" ..... "And our South Medical Group began to communicate well with the teacher, saying that it felt that the time in the immunization room was a little short, but it would be more in the immunization room. We can have more hands-on opportunities in the immunization room, and many teachers are very busy, so the biochemistry room can be adjusted for a week ... so we reached a "suggestion" with the teacher director. After the adjustment, we were praised. The director also said that we have our own ideas and can reduce the workload of the department. Really different communication methods achieve different results, and sometimes there are worlds apart.
2. Adjustment of internship mentality
You can be lazy or lose your temper when there are many students in school. You are still a student at school, but when you get to the hospital, it will be very different. Your role is not only a student, but also a medical worker. When you are responsible for yourself, you must be more responsible for patients. You can continue to play this "advantage" when the school is curious and active, but you should grasp this "degree". Stay curious and active, but at the same time be careful what you say and do. Just like facing a patient's blood sample, you can't and must not accidentally break the blood test tube, which is really irreversible.
Many clinical operations in hospitals are sometimes different from those in schools. Even if you are familiar with the operation at school, you must listen to the teacher before the teacher tells you to operate. Don't think you fully understand it. Many times you can learn from the teacher with an empty bottle.
3. Communicate with your classmates more.
We should also learn to be good at observing and summarizing. We usually take a small notebook with us and write down what we don't understand at any time, which is more than the communication between classmates, because at the beginning, the family will be assigned to different departments, and everyone's problems are new and they are all in the running-in stage. But if we put the information and feelings we know in the first running-in stage: which operations are easy to make mistakes (such as manual washing of the board in the immune room), which departments should pay attention to the instruments and so on. That is, communicate with students in other practice places and master the similarities and differences and information of different hospitals. In this way, we will have more topics to communicate with our teachers. Many times, it is better to get along with teachers as "friends" than as "teachers and students". Friends will be more easygoing and the learning atmosphere will be better.
The clinical self-evaluation of internal medicine was carried out for 4 years and 20xx months, and was sent by the leaders of our hospital to the Department of Cardiology of the Second People's Hospital of Yunnan Province for half a year. It is a medical research institution integrating clinical treatment, scientific research and teaching of cardiovascular diseases. It is also a famous cardiovascular hospital with strong technical force. During my further study, I will abide by the rules and regulations of the department, respect teachers, unite with colleagues, and be strict with myself, so as not to be late, not to leave early, not to be absent from work for no reason, and not to leave my post without permission. I am kind to patients and have a good attitude. I try my best to apply my theoretical knowledge and basic skills to practice. In this process, I constantly sum up my learning methods and clinical experience, strive to improve my ability to think, solve problems and work, and constantly cultivate my lofty thoughts and good professional ethics of serving the people wholeheartedly.
In the process of further study, under the guidance of teachers, I can master the diagnosis and treatment of common and frequently-occurring diseases in cardiovascular system, and improve the diagnosis and treatment level of acute, dangerous and difficult cases in CCU. Proficiently mastered the methods of inquiry, key points of physical examination and accurate application of drugs in cardiology diseases. I can immediately complete the operation of ECG machine, master the key points of ECG reading, issue accurate reports, and understand the operation procedures such as coronary intervention, permanent (temporary) pacemaker implantation, electrophysiological examination and radiofrequency ablation, valve defect occlusion of congenital heart disease, IABp, and electric defibrillation. , and successfully complete the learning task of the department, without any medical errors and accidents.
Through this study, I have broadened my horizons, broadened my thinking and changed my concept. In the future work, I will continue to study hard, keep in mind my responsibility as a qualified doctor, constantly strengthen ideological study and professional study, comprehensively improve my comprehensive level and provide quality services for patients.
After more than half a year's nursing practice, I have carefully studied the Regulations on Handling Medical Accidents and its laws and regulations under the careful guidance and patient teaching of the teaching teacher. Through study, I realize that the concept of modern nursing quality is to satisfy patients in all directions and in the whole process, which makes people put forward higher and newer requirements for medical nursing service, and the theoretical level and practical level have been improved to a certain extent. During the internship, I will strictly abide by the rules and regulations of the hospital, earnestly perform the duties of a nurse intern, be strict with myself, respect teachers, unite with classmates, care for patients, never be late, never leave early, work hard, strive to standardize nursing work, improve skills and services, make basic nursing flexible, make love activities regular, combine theory with practice, study theory in a planned and focused way, and measure and record nursing work. During my internship, I always took care of myself. Based on patience, we should strive to be diligent in eyes, hands, feet and mouth, think about patients' thoughts, be anxious about patients' urgent needs, and provide quality services wholeheartedly, thus establishing a good medical ethics.
In the practice work of each department, we can standardize the writing of all kinds of nursing documents, complete the handover records in time, do a good job in patient evaluation, nursing and health education, do a good job in nursing common diseases and frequently-occurring diseases in each department, conscientiously implement aseptic operation procedures, do a good job in preoperative preparation and guidance, and complete intraoperative and postoperative nursing and observation. Be able to seriously analyze problems in the work, solve problems in time, and repair both inside and outside. Maternal and child, intensive care and other nursing operations (write down specific operations), strictly implement three checks and seven pairs, and actively participate in various case discussions and academic lectures, constantly enrich their professional knowledge, and gain a more comprehensive understanding and understanding of holistic nursing technology and ward management knowledge through learning. Through more than half a year's internship, my theoretical level and practical level have been improved. In the future work, I will continue to work hard, keep in mind the responsibilities of nurses, constantly strengthen ideological study and professional study, comprehensively improve my comprehensive level and provide quality services for patients.
Students who have studied neurology may find that the clinical manifestations of different parts of the nervous system damaged by the same cause are very different. On the contrary, although the etiology is different, if the same part of the nervous system is damaged, the clinical manifestations are almost identical, which also determines the different thinking modes of the diagnosis of nervous system diseases. In the process of understanding nervous system diseases, it is particularly emphasized to look at the "location" of the disease first, and then at the "qualitative". Learning and mastering this way of thinking is of great significance for correctly understanding nervous system diseases. Neurology is considered as a highly logical and theoretical clinical discipline. We say that the nervous system is complex, which is aimed at human cognitive ability of the nervous system. In fact, the nervous system is like a huge and very orderly information transportation network. Through this network, the surrounding organs and centers are organically combined to form a complex life. If any part of this network or center has problems or is destroyed, it will be manifested in various forms. Faced with this complex and orderly network and center, it is impossible to judge it without strict logical thinking and understanding of its structure. The second is the practice method. Students find it "difficult" to learn the anatomy, physiology and pathophysiology of the nervous system, or to learn the diseases of the nervous system. The reason why it is said to be "difficult" is that its anatomical and physiological functions are complex, its content is abstract and its learning time is relatively short. Obviously, it is unrealistic to ask students to fully understand nervous system diseases in just a few weeks of practice. The key is to learn to understand nervous system diseases. It will be very easy to understand each specific disease after mastering the methods of understanding nervous system diseases. So, what is the way to understand nervous system diseases? As mentioned above, the nervous system is like a huge network system. Its basic unit is nerve conduction pathway, which is usually composed of receptor, afferent nerve, center and effervescence. The organic combination of conduction pathways constitutes the nervous system network. With the concept of network, we can better grasp the methods and points of practice, so as to achieve the purpose of understanding nervous system diseases.
Let's talk about how to master the practice methods from the perspective of network, so as to do a good job. Because the nervous system is a huge network system, we must first understand the composition and function of the nervous system, which is what we call the anatomy and physiology of the nervous system. Therefore, to do a good job in practice, we must first review and master the anatomy and physiology of the nervous system, which is the premise and basis for understanding and understanding nervous system diseases. We know that the basic unit of nervous system network is conduction pathway, so our review and study should start from these basic units and review the related anatomical and physiological functions with conduction pathway as the main clue. Due to the limitation of students' study time, it is impossible to have a comprehensive understanding of this network during their study and internship. Therefore, students should grasp the key points when reviewing, that is to say, they should grasp the main trunk roads that constitute the network, such as the distribution and function of each pair of cranial nerves, and the parts that enter and exit the skull; Internal structure and function of brain stem; The position, start-stop and function of the main conduction bundle of spinal cord; Composition and significance of common deep and shallow reflex arcs; Distribution area of each skin segment of spinal nerve, etc. These contents are briefly described in the form of tables in the teaching materials and related reference materials, and you can refer to these books when reviewing. Mastering the "main road" of the network can better grasp the main body of the network, which is very important for understanding nervous system diseases. It can be said that the more comprehensive the understanding of the composition and function of the network, the greater the help to understand the nervous system diseases. Therefore, students should master as much knowledge of anatomy and physiology as possible.
The occurrence of nervous system diseases is essentially a failure of a certain link or part of the network. In order to find out the location and causes of these faults, we must take corresponding methods to obtain relevant information, that is, asking medical history, physical examination and auxiliary examination. In inquiring about medical history, we should not only master the general methods of inquiring about medical history, but also pay special attention to: ① The object of knowing medical history is not only the patient, but also the relatives or insiders of the patient. This is because, on the one hand, patients with consciousness disorder can't describe their medical history, on the other hand, patients' feelings at the time of onset may be different from the actual condition. For example, epilepsy patients do not have an insider's understanding of their performance at the time of onset. ② Pay attention to judge the difference between the patient's feelings and the actual situation. Among the patients with nervous system diseases, there are more patients who deliberately exaggerate or narrow their condition than patients with other system diseases. Therefore, when analyzing the medical history, we should pay attention to whether the patient's chief complaint is consistent with the actual signs and the general situation of the patient, otherwise it will easily lead to improper narration, misunderstanding and mistakes in diagnosis and treatment.
Internal medicine clinical self-evaluation 6 xxxx is a busy year, but also a full and mature year, which is even more important for our xx students, because in this year, we completed clinical practice and handed over a satisfactory answer sheet.
If I was just an ignorant medical student a year ago, immersed in book knowledge and knew little about clinical application, then my clinical practice this year really made me feel my changes.
Specifically, this year I made the following evaluation and summary:
1. Combining theory with clinical practice. I have been studying medicine for four years, but the first three years were all pure theoretical knowledge in books, and the complicated technical terms really stumped us. Through the practice and personal experience in the department, I have seen the specific clinical manifestations of many diseases, further gained perceptual knowledge, and combined with books, I have a deeper understanding.
2. Improve medical skills. In clinical departments, through daily rounds and doctor's orders, we can flexibly master the specific diagnosis and treatment plans of different patients and diseases under different circumstances, and understand the differences of individuality, specificity and variability of diseases, and no longer stick to the theoretical outline in books.
3. Enhance hands-on ability. A major feature of clinical practice is that there are many opportunities for hands-on operation, such as gynecological examination in obstetrics and gynecology, bone marrow puncture and chest puncture in internal medicine, lumbar puncture in pediatrics, surgical debridement, suture and dressing change. And they can actively strive for personal experience by exerting their subjective initiative.
4. Learn to care about patients. When I first entered medical school, I once studied the oath of medical students, and I believe this will be the oath I believe in in my future life. Clinically, seeing so many patients' painful expressions and joy after recovery, I believe you will feel that it is worthwhile to be tired again. In the hospital, the doctor is a person that patients can trust completely, and your every move gets great attention. Therefore, please don't be stingy with your smile, even a simple greeting can sometimes help patients recover. As for the protection of patients' privacy, I learned it through practice.
5. Learn to respect and teach. Each of our students will have a tutor when they practice in the new department. Although some departments can only be taught by graduate students because of personnel restrictions, individual tutors are not necessarily knowledgeable, and some have no initiative to teach, but in any case, they are all your teachers and can help and guide you when necessary, so please respect them.
In a word, one year's clinical practice has come to an end, but the gains from it may be endless for life. Thank you for teaching us hard. Thanks to the patients, you have improved our clinical knowledge; Thanks to the classmates in the same group, you care about each other when necessary; I am more grateful to myself. It was my persistence that brought the internship to a successful conclusion and benefited a lot.
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