I study in the First Hospital of Jilin University. According to the requirements and regulations of the hospital, I went to seven departments to study, including internal medicine, internal medicine, gynecology, pediatrics, ent, emergency and orthopedics. During my study, I will abide by the rules and regulations of the hospital and its departments, respect teachers, unite with comrades and be strict with myself. I try not to be late, not to leave early, not to be absent from work for no reason, and not to leave my post without authorization. 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 independently, solve problems independently and work independently, and constantly cultivate my lofty thoughts and good professional ethics of serving the people wholeheartedly. After this study, I improved the writing level of medical documents such as course records, consultation records and discharge records. Improve the ability of diagnosis and treatment of common diseases and frequently-occurring diseases in various departments; Further mastered the normal values and clinical significance of common tests and the treatment of various dangerous, serious and urgent patients. The learning tasks of all departments were successfully completed, and no medical errors and medical accidents occurred. In addition, as a preparation for party member, I got in touch with the Party branch of the hospital where I was studying, which ensured that when I left school and was not cultivating people's vision, I could continue to study the Party's education and keep moving closer to the Party organization. During this period, I actively participated in political study, business study and various activities organized by internship units and departments, which made my study life more substantial and meaningful. In a word, I am very satisfied with my performance during my further study and full of confidence in my future work. I sincerely hope that you will give me more valuable opinions and suggestions to help me make greater progress!
Chapter 2: Self-evaluation practice of continuing medical education is the first step for us to apply theory to practice and clinic. In this process, I have gained a lot and gained a lot of experience. The following is my self-evaluation of this practice: during my internship, I will abide by the rules and regulations of the hospital and various departments of the hospital, unite with my comrades, and strive not to be late, not to leave early, not to be absent from work without reason, and not to leave my post without authorization. Treat patients kindly, have a good attitude, strive to put theoretical knowledge and basic skills into practice, constantly sum up learning methods and clinical experience, try to improve their ability of independent thinking, independent problem solving and independent work, and cultivate their lofty thoughts and good professional ethics of serving the people wholeheartedly, without any medical mistakes and accidents.
I finally learned a different doctor-patient relationship here. I can always hear the adjective "pediatrics" from other people's mouths, which always means belittling pediatrics. But when I work here, I not only have to face the little emperor, but also have to deal with my parents who treat them as treasures, so it is very important to communicate well, but at the same time I also know that I should constantly improve my comprehensive quality, especially my psychological counseling and endurance.
In a word, I am satisfied with my performance during my internship and full of confidence in my future work. I sincerely hope that you will give me more valuable opinions and suggestions to help me make greater progress!
Since joining the work, this comrade has been able to systematically understand the basic theoretical knowledge of this major, read professional journals extensively, understand the current situation and development trend of this major at home and abroad, and constantly absorb new theories, new knowledge and new technologies and apply them to clinic. Be able to master the technical operation of this major, independently complete ophthalmic surgery, and use traditional Chinese medicine to treat ophthalmic diseases. Personally participate in and guide the rescue of urgent, dangerous and difficult cases, deal with special difficult problems, conduct case discussions and rounds, discuss and study related professional issues and medical record handling. It has certain ability in the diagnosis and treatment of common and frequently-occurring diseases in internal medicine and some urgent, dangerous and difficult diseases.
20 1 1 At the beginning of the Spring Festival, I entered the Reproductive Center of the First Affiliated Hospital of Sun Yat-sen University for a three-month study. Now, three short and full months are about to pass. The strict management, strict discipline and good medical style of the center have created an excellent learning atmosphere for us, and I have benefited a lot from studying here.
Under the strict requirements of the center and the careful guidance of my tutor, I study hard, abide by the rules and regulations of the hospital and go to work on time. At present, we have basically mastered a series of technical operations in the culture room, from egg retrieval processing to early embryo observation and scoring, embryo transfer and so on. Through the teaching of the center teacher, I have a further understanding of the ethical issues involved in human assisted reproductive technology. As the teacher said, when we choose embryos, it is like manipulating the "hand of God" and determining the fate of each embryo. we
Only by constantly learning new technical methods, striving for perfection, being strict with ourselves and improving their cognitive level can we give these future babies a scientific and reasonable home.
I feel the discipline and rigor of a big center, and I also feel a spirit of hard work and enterprising. As a medical worker, I will, as always, do my job well after graduation, apply what I have learned and this spirit to my work practice, and contribute my life energy to the development of assisted reproductive technology in China.
After graduating from technical secondary school, I worked as a nurse in * * College for several years, although I repeated the same job every day. However, in the past few years, I have been devoted to my study and work with rigorous attitude and positive enthusiasm. During this period, I have both the joy of success and the bitterness of failure. Working experience made me realize that there is still a gap between clinical nursing and theoretical knowledge in books. At the same time, we are fully aware of our own shortcomings, and we must have excellent professional skills and ideological and political consciousness in order to occupy a place in this socialist society with rapid development of high technology. So, in 20** years 1, I completed the two-year full-time junior college course of * * Medical University, and my theoretical knowledge was qualitatively improved.
Actively cooperate with superiors and colleagues at work, correctly implement the doctor's advice and various nursing technical operating procedures, do a good job in basic nursing, and strictly implement aseptic operation and the system of three checks and seven pairs. Find problems, report them in time and solve them in time. I can integrate theory with practice in my work, and I can consult the head nurse and senior teachers in time if I don't understand any questions, so as to improve my professional level. Treat patients with civility and courtesy, and behave in a civilized manner, be kind and be anxious.
People are anxious and think what patients think. Actively communicate with patients, timely understand the psychological dynamics of patients, so that patients can receive better treatment and do a good job in health education.
I am strict with myself in my study. With a strong pursuit of the goal and knowledge of becoming an excellent angels in white, I studied hard, studied hard, had a correct attitude and a clear goal, basically mastered some professional knowledge and operational skills, mastered specialist knowledge and various specialist nursing operations, and integrated theory with practice. In addition to learning professional knowledge, we also pay attention to the expansion of all aspects of knowledge, extensively dabble in other disciplines, and improve ideological and cultural quality.
Keep in line with the CPC Central Committee ideologically, adhere to the Four Cardinal Principles, and seriously study Theory of Three Represents Theory. Ask yourself to be positive, love the motherland and the people, support the leadership of the China * * * production party, support various principles and policies, abide by national laws and regulations, and actively move closer to the party organization; Self-motivated, brave in criticism and self-criticism, and establish a correct outlook on life and values. Can strictly abide by the rules and regulations of the hospital, actively participate in various activities organized by hospitals and departments, respect leaders and unite colleagues. In my life, I have developed good living habits, lived a full and orderly life, and managed my daily life with a rigorous and positive attitude. I am warm and generous, honest and trustworthy, ready to help others, and have my own balance principle. I can live in harmony with my colleagues and actively participate in various extracurricular activities, thus constantly enriching my work experience and life. Nurses are called angels in white, which is a very glorious occupation. As an old nurse employee, I will study harder, make continuous progress, and constantly improve my professional and technical level, so as to further improve my theoretical knowledge and operational skills. Strive to be an excellent nursing staff, worthy of the glorious title given by people!
Chapter III: Self-evaluation of medical further education: I thank the leaders of our hospital for giving me this opportunity for further education. Through this study, I have greatly broadened my horizons, enhanced my professional ability, recognized the professional and technical gap between our hospital and large domestic high-level hospitals, and defined my future study and development direction, laying a solid foundation for future study and professional skills training.
The PLA General Hospital is the largest comprehensive hospital integrating medical treatment, ship protection teaching and scientific research. It is one of the important medical and health care bases in the country, and undertakes the medical and health care work of the Central Committee, the Military Commission and the headquarters, and undertakes the diagnosis and treatment of difficult diseases in all military regions and services of the whole army. At the same time, the hospital also treats local patients from all over the country. The hospital * * * has more than 4,000 beds and * * * has 150 clinical and medical departments.
The hospital has an annual outpatient volume of 2.5 million, treated more than 80,000 patients and performed nearly 40,000 operations. At the same time, the hospital develops a number of new businesses and technologies every year, which has formed obvious technical characteristics and advantages, which has enabled many difficult diseases to be effectively diagnosed and treated, many complicated operations and major rescues have been successful, and some diagnosis and treatment technologies have reached the international advanced level.
First, technical cooperation in advanced technology.
During the seven-month study in the PLA General Hospital, with the care and help of doctors and nurses in the General Hospital, the rotation of each group was successfully completed. Through the study, I have been able to independently complete the surgical cooperation of orthopedic internal fixation of limbs, anterior and posterior cervical internal fixation, thoracolumbar internal fixation and percutaneous low-temperature plasma ablation of nucleus pulposus vaporization; Rectal portal vein shunt in general surgery
Radical cancer resection, total gastrectomy, retroperitoneal tumor; Esophageal and pulmonary surgery in thoracic surgery and three esophageal incisions; Cooperation in neurosurgery, such as anterior and posterior cervical internal fixation, oral and nasal pituitary adenoma, meningioma, carotid aneurysm clipping, acoustic neuroma resection, etc.
Second, advanced instruments and equipment.
I went to the PLA General Hospital for further study, and saw and personally operated many advanced instruments. Such as ultrasonic scalpel, blanket heater, ring electrode, orthopedic and neurosurgical navigation system, neurosurgical craniotomy electric drill and pneumatic drill, nerve electrical stimulator, rapid disinfection pot, low-temperature disinfection pot, instrument ultrasonic cleaning pot and ethylene oxide disinfection pot.
Two chemical sterilization methods, glutaraldehyde soaking and formaldehyde re-steaming, have been eliminated in the operating room of general hospitals. They usually choose high-pressure sterilization, ethylene oxide sterilization and low-temperature sterilization, so the types of disinfection pots are relatively complete, and the operation is convenient and safe, which not only ensures the sterilization requirements of instruments, but also greatly saves the time for the next operation. In the nerve group, the advanced navigation system is used to cooperate with the operation. Through navigation, the position of the space-occupying lesion and whether the resection is complete can be accurately judged, which greatly improves the quality of the operation. The navigation system used in orthopedic surgery of spinal internal fixation can help doctors to judge whether the nail is in the cone or not and whether there is nerve damage, which increases the safety factor of the operation.
Third, the management of the operating room
The PLA General Hospital has many advantages in logistics management, human resource management, equipment management and high-value goods storage, which is worth learning. These departments are printed with detailed information about the charging items.
Table, after each operation, the toll collector will check the bookkeeping in a unified way, and the expenses will be settled on the same day, so as to prevent arrears and missed charges. The instrument is responsible for all operations the next day. Conventional instruments and special instruments should be used, and the supply of emergency surgical instruments should be guaranteed. After the operation, the instruments should be cleaned, maintained, packaged and sent for disinfection. The teaching of new nurses and advanced students in general hospitals is very strict and standardized, and the training is managed by a teaching team leader. In order to prevent students from blindly coming to the stage, they were first organized to learn the rules and regulations and workflow of the hospital operating room, which laid a solid foundation for students to cooperate with the operation smoothly in the later period. Every operation has been trained in a unified way, and personal habits in the operation process have been eliminated. Adopt the "One Belt, One Belt" teaching method. In this process, through demonstration teaching, teachers let all students know the coordination process of each operation, get used to the habits of operators, and pay attention to matters during operation. All the students have benefited a lot.
Fourth, private conversation
Through the comparison during the research period, it is found that there are both gaps and advantages between us and the PLA General Hospital. For example, in the operation notice, the foreign hospital will indicate the operation site, special supplies, whether it needs autologous blood recovery instrument and whether the patient has special infection, so that the head nurse can arrange the operation; Our hospital has done a very detailed job in cleaning, maintaining and disinfecting instruments, and has also done a very good job in maintaining instruments, basically putting an end to the strike phenomenon of instruments during surgery.
After seven months of advanced study, with the help of doctors and nurses in the operating room of PLA General Hospital and personal active study, my theoretical knowledge and professional skills have been greatly improved, and I have achieved the established internship goal, successfully completed the advanced study task and won unanimous praise from the teaching teachers. Strive to further improve my work in the future with the income from further study, and at the same time implement and carry forward the advanced management concepts and practices of other hospitals in our hospital.
Chapter IV: Self-evaluation of medical further education. From August 2007 to July 2008, I studied in Abdominal Surgery, Cancer Hospital of China Academy of Medical Sciences for one year. Under the inculcation and careful training of all teachers, I have successfully completed the task of further study through my unremitting efforts and diligent study, and achieved certain results and achieved the expected purpose. Now I summarize as follows.
Cancer Hospital of China Academy of Medical Sciences is the highest level hospital in China. Its clinical level, foundation and scientific research ability are in the forefront of China, and it has a considerable position in the international oncology field. I feel very honored to study in such a high-level hospital, get in touch with the frontier of oncology and listen to the guidance of first-class experts and professors in oncology.
My postgraduate major is abdominal surgery. Abdominal surgery in Cancer Hospital of Academy of Medical Sciences has a high academic level in each sub-specialty, and has a group of first-class experts and scholars in the specialty. During my further study in abdominal surgery, I was fortunate to study and work under their guidance, and watched and participated in their major operations. Based on the basic theory of abdominal surgery, the advanced treatment standard of tumors has been qualitatively improved. We have witnessed their superb surgical level and skills, and standardized radical surgery for gastrointestinal, hepatobiliary, pancreatic and breast tumors (such as radical resection of rectal cancer with pelvic nerve preservation, local resection of early rectal cancer, standard D2 radical resection of gastric cancer, local resection of early gastric cancer, radical resection of root-3 colon cancer, partial hepatectomy with hepatic blood flow obstruction, breast-conserving surgery for breast cancer, local resection of pancreatic tumor, and middle school). Therefore, we have a further understanding of the standardized treatment of abdominal surgical tumors and improved the surgical ability and skills. In addition, the intraoperative radiotherapy technology for abdominal and breast tumors just developed by the hospital has made me understand the latest progress in comprehensive treatment of tumors.
The characteristics of the combination of colleges and universities make the level of scientific research among the best in China and have a considerable position in the world. Frequent international exchanges have made me realize the importance of combining clinical practice with scientific research. A year flies, and it is unrealistic to try to learn all the knowledge in such a short time. It is important to learn the advanced concepts of expert academic group, cancer hospital of Academy of Medical Sciences, cancer research and clinical treatment. Only in this way can we gradually improve and catch up with the frontier of the discipline. I hope I can have more opportunities for further study in the future. In short, over the past year, through this rare learning opportunity, I have redoubled my efforts and studied hard, and finally benefited a lot. This is a valuable asset in my life, which will certainly play a great role in promoting my future work and study. I will make persistent efforts and strive for new achievements in my future work.
Over the past year, under the earnest teaching and careful training of teachers, I have successfully completed the task of further study through my unremitting efforts and hard study, and achieved certain results and achieved the expected purpose. Now I summarize as follows, in order to attract more talents and create new achievements.
1. Medical ethics: From the first day of admission, I regard myself as a member of the hospital, strictly demand myself, abide by the rules and regulations of the hospital, follow the example of old experts, professors and every teacher around me, abide by professional ethics, do not treat guests, and do not seek personal gain for doctors. Always take the interests of patients as the highest interest, and take how to facilitate the treatment and rehabilitation of patients as the fundamental starting point of work. Be responsible for the patients in charge, patiently and carefully explain the patients' doubts, and give the best treatment in time under the guidance of the teaching teacher to obtain the best curative effect. Respect teachers, unite colleagues, love their posts and be dedicated. Over the past year, we refused to eat dinner and red envelopes many times, and there was no dispute, which was well received by teachers, patients and their families.
Second, work and study: can seriously stick to their posts, do not be late, do not leave early, and work hard. Be responsible for the patients in charge, complete the medical record writing in time, improve the examination and give treatment in time. Can properly handle the relationship between work and study, so as to learn while doing. Actively participate in various professional academic activities in departments and hospitals. On the premise of not affecting work, I often take advantage of Saturday and Sunday breaks to attend various national and local academic conferences outside the hospital, and my knowledge is constantly broadened and my knowledge structure is constantly enriched. Radiotherapy is a major with high theoretical and technical requirements, involving all aspects of radiation physics, radiation biology and radiation clinic. Becoming a qualified radiotherapy doctor is really not an easy task. Over the past year, I have constantly overcome various difficulties, studied hard, and humbly asked every expert and professor around me for advice. I have also read many professional books and made serious reading notes, and my professional and technical level has improved rapidly. At present, I have mastered the standard treatment norms of various common tumors, and I can flexibly use various tumor treatment schemes in principle.
In short, over the past year, I have cherished this rare learning opportunity, worked harder, studied hard, and was not ashamed to ask questions, and finally benefited a lot. This is a valuable asset in my life, which will certainly play a great role in promoting my future work and study. I will make persistent efforts and strive for new achievements in my future work.
2008 1 month 16
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Note: Further Education Hospital:
China Academy of Medical Sciences and Peking Union Medical College Cancer Hospital Cancer Institute;
Tumor radiotherapy specialty