Orthopedic Surgery Internship Summary
Summary is a review, inspection, analysis and evaluation after a certain period, a certain project or certain work has come to an end or has been completed, so as to draw lessons. A kind of written material with some regular understanding, it can make us more efficient, so we need to go back and summarize and write a summary. Have you decided how to write the summary? The following is an internship summary of orthopedic surgery that I carefully compiled for reference only. Let’s take a look.
Orthopedic Surgery Internship Summary 1
Time flies, and the internship time in Orthopedics has passed. During these days, I learned a lot of things that cannot be learned in textbooks, and not only In terms of medicine, there are also aspects of life and work ability.
I remember that when we first arrived at the hospital, we all went to the department to report with curiosity and anxiety. When we first entered the department, we didn’t know what to do, and we were afraid that it would be a disservice. But then The teacher patiently taught me some of the work in the hospital that I gradually became familiar with. In total, I have had over a hundred surgeries in the hospital, ranging from medial malleolus fractures, clavicle fractures, and metacarpal fractures to major ones such as total hip replacement, cervical spine surgery, and lumbar spine surgery. In fact, size is only a relative term. In the eyes of doctors, all surgeries should be major surgeries and should be treated equally.
Speaking of surgery, I remember my first surgery when I was on night shift in the emergency department with my teacher. A patient with an open fracture of the distal tibia and a dislocation of the tibiotalar joint came in. When the gauze bandaged on his leg came in, When I opened it, I saw that the fractured end had punctured the skin and came out. That was the first time I saw living bones. They were nothing like the bones I saw in the anatomy laboratory, but I didn't feel that scary. After doing some treatment and taking blood tests, the patient entered the operating room. The operation lasted from zero to two o'clock. My legs felt weak after I came out of the operating room. The first time I had surgery, I felt very tired, and it was done in the middle of the night when I should be sleeping. At that time, I felt that being a doctor is not easy. Not only must you be ready for surgery at any time, but you must also be mentally alert. Willpower.
During the four months of internship, what impressed me most was the spinal surgery. The spinal surgeries I participated in included cervical spondylolisthesis, cervical disc herniation, lumbar compression fracture, burst fracture, and lumbar disc herniation. . The surgeon who performs spinal surgery needs to be a bold and careful person, because even a slight deviation can cause irreparable damage to the patient's nerves. But if the operation is successful, the effect is very significant and the patient's pain is relieved. Taking lumbar burst fracture as an example, patients will undergo routine examinations and elective surgery after admission. The general process of spinal surgery is: after incising the skin and subcutaneous tissue, use an electric knife to peel off the erector spinae muscles to expose the lamina and vertebral body. In type C With the assistance of an arm fluoroscopy machine, a positioning needle is used to locate the vertebral pedicle, and then the pedicle screw is screwed into the positioning needle. Then, the spinous process of the diseased vertebra is cut off with spinous process scissors, and the spinal canal is removed with rongeurs and gun pliers. position the bone fragment to release the spinal nerve. After exposing the spinal nerve, check whether there is any rupture in the dural sac. If there is any rupture, suture it with a ligature.
Finally, connect the tail rod and transverse connection of the pedicle screw. After counting the gauze instruments, cover the pedicle screw with muscle tissue, connect the negative pressure drainage device, fix it, suture it layer by layer, and close the incision to ensure no pain. The wound is covered with a bacterial dressing and the operation is completed. During the operation, hemostasis must be completely stopped, nerves must be protected, and drainage tubes must not be sutured during suturing. The dressing is changed on the first day after surgery. If the bleeding fluid drained is less than 50 ml on the second day, the drainage is pulled out. Then the dressing is changed every other day, and the stitches are removed 14 days after surgery. You can be discharged from the hospital after the sutures are removed. This is the process from admission to discharge for a patient with lumbar burst fracture. The patient needs to be hospitalized for at least sixteen or seventeen days, which is half a month. During this half month, the attending doctor is the patient's biggest psychological support. Therefore, we must treat patients as family members during this half-month period.
My internship in orthopedics has ended. During my internship, I abide by the laws and regulations of the hospital and various departments of the hospital. I respect my teachers, unite my classmates, strictly demand myself, and strive to achieve the best results. Being late, not leaving early, not being absent from work without excuse and not leaving work without permission. Be amiable and have a good attitude toward patients, and strive to apply the theoretical knowledge and basic skills you have learned into practice.
In this process, I continue to summarize learning methods and clinical experience, try my best to improve my ability to think independently, solve problems independently, and work independently, and constantly cultivate my lofty ideas and good professional ethics of serving the people wholeheartedly. What I learned in school before was theoretical, but now that I have been exposed to clinical practice, I have discovered that what I see in actual work is not as simple as imagined, and it is not as typical as what is said in the book. Many times, I have to rely on my own daily experience at work, so Only by dedicating yourself to internships and experiencing them well can you slowly accumulate experience. Worthy of a pure white coat! Orthopedic Surgery Internship Summary 2
In the blink of an eye, I have been practicing for a month, and the scene when I think back is still vivid in my mind. Now, one month has passed. The initial expectations, hesitation and confusion. In this month, it has gradually faded away, replaced by a kind of persistence in work, perception of life and respect for life. During this month in orthopedics, I gained insights into work, understanding of life, and another level of understanding of interpersonal relationships. At the beginning, we swept and made the bed every day. I started to feel a little irritated. I felt that I couldn't do many operations. I felt that sweeping and making the bed was so boring. I felt that those things were so simple, and I couldn't train myself to increase my ability. The role of one’s own skills and professional qualities. Until the head nurse of our surgical department came to our department, asked about our situation, and checked our appearance. Her words made me start to wake up and reflect on whether it was worthwhile to be tired every day. The head nurse asked us what we did every day and what operations we performed. We all talked about sweeping the bed and making the bed nonchalantly. Then she asked us, if you do this every day, you have never thought about whether there is any way to make the bed tidy without having to clean it every day, so that the patient can feel very comfortable. We were all thinking that at the time. Although we also think of many ways. But why do we always wait for others to ask questions before we suddenly realize that there is such a problem? We always complain about being tired, but have we ever thought about what we get in exchange for being tired? Is it worth it? We always go to work rigidly without thinking, asking questions, and then solving problems. . The head nurse said that we should really consider the comfort of the patients. Don't feel bored doing these things every day. We should be tired and happy, and truly experience the joy.
Every day here, I have to come into contact with all kinds of patients and family members. They bring me some touching and some unhappy. However, these undoubtedly teach me to remember the touching and forget the unhappy. , still face it with a smile. Sometimes we feel very sad. Sweeping and making their beds every day only makes them impatient and indifferent to us. Maybe life is like this and can never be smooth sailing. Only in this way can we cherish those touches even more. And because of this, the success we have achieved through hard work It is sweeter and more colorful. Whenever we shuttled through those wards over and over again, observing the patient's fluid drip rate and the patient's reaction after infusion, the family members would say take a break, they were so tired from spinning around, and at that time I really felt that everything we did for them was happiness. of. There are some people and things that we cannot control. We can only change ourselves and remember to smile at all times.
In short, I have learned a lot in this month. Both in terms of knowledge and interpersonal relationships, I began to learn to adapt to the transition from school life to social life. Learn to find and think about problems, instead of thinking of solving problems when others ask them. In the next few months, you must continue to think and integrate theory with practice, so that you can do a better job in nursing. Internship Summary of Orthopedic Surgery 3
With a sense of hope and a sense of confusion, I came to Renhe Hospital of China Three Gorges University and started my internship career. From then on, my identity will change from a student to a trainee nurse, my living environment will change from school to hospital, and the people I come into contact with will change from teachers and classmates to doctors, nurses, and patients. Regarding these three major changes and how to be a qualified internship nurse, although the teacher has given us countless instructions, I still feel uneasy. I am not used to it, I am afraid of being scolded by the teacher, and I am afraid that I will do better than others. I'm so scared, I don't know where to start...
After nearly three months of internship, I have gained a lot of experience. Here, I have summarized the following points:
First, the issue of theoretical knowledge: I have always been a student before, and the school is student-centered.
Chinese-style education has always been cramming, passively accepting so much knowledge. Although I have taken so many exams, my knowledge seems to have disappeared in my mind, so I have to keep flipping through books. When I was speechless again and again when the teacher asked questions, I realized that my memory was superficial. The memory without time is like the footprints on the beach. At the time, it seemed profound and obvious, but it could not withstand the cleaning of time.
Second, the problem of role transformation. At the beginning of the internship, I didn’t understand many things. Although I had done internships before, I still felt that I was not confident enough when it came to actual operations. Could I have made a mistake? What if I did? I always do things timidly, and the classmates who intern with me perform very well. I think the teachers like them, and things don't seem to be my turn. I blindly follow the basic care and follow the operations every day. I wanted to let me try it, but I didn't dare. Therefore, I think role transformation is a hurdle, and I must work hard to overcome this. The main method is to take initiative. I found that as long as you take the initiative to ask questions and put forward operational requirements, the teachers will be happy to teach. You can no longer wait for the teacher to ask you to do something like you did in school.
Three, the exercise of courage. When facing patients, especially surgical patients, it is common to see blood. Seeing patients moaning in pain, especially during operations, will always make your heart rise to your throat. Therefore, if you are cautious and restrained, it will cause more harm to the patient. Big pain. Therefore, you have to exercise your courage to be bigger and bigger. Being bold and careful is the goal I pursue. Only accuracy and speed can the patient's pain be solved early.
Fourth, aseptic concepts and standardized operations. During the surgical internship, every teacher emphasized the concept of asepsis. Therefore, I deeply understood the concept of asepsis and followed it unconsciously during operations. And standardized operation is really a very conservative and safe approach! As for new methods and innovative thinking, you have to be familiar with the situation before talking about it.
5. Smile service: Here, I see smiling faces, and they all feel particularly beautiful and cute. It makes me feel that if I were a patient, I would Would not hesitate to choose to live here. Therefore, I also ask myself not to bring emotions to work, keep a sunny smile every day, and make patients feel warm!
My internship in orthopedics is about to end. During these three months of internship, I Observe disciplines and laws, abide by the rules and regulations of the hospital and its departments, respect teachers, unite classmates, be strict with yourself, and strive not to be late, leave early, be absent from work without permission, or leave work without authorization. Be amiable and have a good attitude toward patients, and strive to apply the theoretical knowledge and basic skills you have learned into practice. During this process, I constantly summarized my learning methods and clinical experience, tried my best to improve my ability to think independently, solve problems independently, and work independently, and constantly cultivated my lofty ideas and good professional ethics of serving the people wholeheartedly.
During my internship in the undergraduate department, I abided by labor disciplines, worked conscientiously, studied diligently, and was able to apply the knowledge I learned in books to practice. Under the guidance of the teacher, I basically mastered the care of some common diseases in orthopedics and some basic operations. It was my gradual transition from an intern to a nurse, which made me realize the particularity and necessity of clinical work. What I learned in school before was theoretical, but now that I have been exposed to clinical practice, I have discovered that what I see in actual work is not as simple as imagined, and it is not as typical as what is said in the book. Many times, I have to rely on my own daily experience at work, so Only by dedicating yourself to internships and experiencing them well can you slowly accumulate experience.
I would like to thank all the teachers who helped and taught me during this internship, and thank them for their careful guidance. Thanks to Renhe Hospital of China Three Gorges University for cultivating me every step of the way and gaining fruitful results. I will use a more proactive work attitude, more solid operational skills, and richer theoretical knowledge to work in future jobs and improve clinical practice. In terms of nursing work ability, I will need to learn more knowledge in the future, so that I can continue to make progress, and the requirements for myself should also be improved, so that I can gain more. I will remember this hospital internship to lay the foundation for becoming an excellent angel in white in the future and to be dedicated to the nursing career! Orthopedic Surgery Internship Summary 4
Time flies, and in a blink of an eye, I walk into ____ -__ City No. 1 Hospital, it has been half a year since I came to the Orthopedics Department to become a life-saving nurse. Since graduation, I have been devoting myself to study and work with a rigorous attitude and positive enthusiasm. I have the joy of success and the bitterness of failure. .
After being exposed to clinical practice, I discovered that not only should I have a solid theory, skilled clinical operations, and good professional ethics, but I must also cultivate my patience and love, etc. The six-month period of use is about to end, but I will have stricter requirements on myself. My self-assessment is as follows:
Ideologically, I have a strong self-motivation, the courage to criticize and self-criticize, and have established a good reputation. Correct outlook on life and values. Those who can strictly abide by the rules and regulations of the hospital, actively participate in various activities organized by the hospital and departments, respect leaders, and unite colleagues.
In terms of study, I strictly demand myself, rely on my strong pursuit of the goal and knowledge of becoming an outstanding angel in white, study hard, be diligent and studious, have a correct attitude, have clear goals, and basically master some majors. knowledge and operational skills, proficiently mastered professional knowledge and various professional nursing operations, and integrated theory with practice. In addition to the study of professional knowledge, we also pay attention to the expansion of knowledge in all aspects and extensively explore knowledge in other disciplines, thus improving our ideological and cultural quality.
At work, I actively cooperate with superiors and colleagues to correctly implement medical orders and various nursing technical operating procedures, provide basic nursing care, and strictly implement aseptic operations and the three-check-seven-pair system. Discover problems, report them promptly, and resolve them promptly. In the work, I can integrate theory with practice. If I encounter problems that I don't understand, I can promptly ask the head nurse and senior teachers for advice, and strive to improve my professional level. Treat patients with civilized and courteous services, behave in a civilized manner, have a kind attitude, be considerate of the patient's concerns, and think about what the patient wants. Actively communicate with patients and understand their psychological dynamics in a timely manner so that patients can receive better treatment and do a good job in health education.
In life, I have developed good living habits, lived a fulfilling and organized life, and took care of myself every day with a rigorous and positive attitude towards life. He is enthusiastic and generous, honest and trustworthy, willing to help others, has his own balanced principles of doing things, can get along well with colleagues, and actively participates in various extracurricular activities, thereby constantly enriching his work experience and life.
I will devote my limited life to unlimited medical work. In the future work, I will work harder to learn and improve, and constantly improve my professional and technical level, so as to improve my theoretical knowledge and operational skills. Go to a higher level to better serve patients. Strive to be an excellent nursing staff, worthy of the glorious title of Angel in White! Orthopedic Surgery Internship Summary 5
Time flies, and in a blink of an eye, the internship life in orthopedics is over. Looking back on these days, there are hardships It is fun, sour and sweet. Every day, I go through ward rounds, change dressings, write disease records, follow up on surgeries, and write discharge summaries. Every day is spent in such repetitive busyness. Nearly a month of internship in orthopedics has allowed me to learn more about myself. Orthopedic dressing changes are the most common and complex, and surgeries are almost always the longest. Many of them are open fractures of limbs and machine injuries. Often one stop lasts for several hours, or even one day without leaving the stage. Especially during the night shift, when emergency patients arrive, they have to go on stage, and the operation often lasts until midnight. Although it is very tiring, I still feel very fulfilled. On the stage, I used to think that tying surgical knots was not difficult, but in the process of suturing wounds, it still requires a certain amount of skills. For the first time, I learned that this seemingly simple operation can actually be performed. It was so difficult. Every time I had an operation, no matter how late or tired I was, the teacher would still insist on letting me sew the wound. My speed was very slow, but he always taught me patiently, telling me to study hard, practice more, and ask more questions. , practice makes perfect only if you think more, I am very grateful to Teacher You for giving me these opportunities.
In orthopedics, there are many types and locations of fractures and trauma. For car accident injuries, knife injuries, machine injuries, reduction of various joints, plaster external fixation, open reduction and internal fixation of limb fractures, I have a certain understanding of various debridement and sutures, etc., and I have also improved on the principles and operations of surgical asepsis. After staying in the same department for a long time, I feel that everyone is really like a family. The care and guidance of the teachers and the collaboration of the entire department make the busy work fulfilling and happy. Although I am still a student now, maybe my abilities are limited, but I will use my efforts to enrich my knowledge and skills, study frequently and practice more, and keep up my efforts. Orthopedic Surgery Internship Summary 6
During the month of orthopedic surgery internship, I experienced more than 20 surgeries, large and small, and worked three night shifts and one weekend day shift. It can be said that I learned a lot through these operations and post-operative treatment.
Not only in terms of technology, but also in terms of humanistic care. In these short 30 days, pain and happiness coexisted. The greatest pain is physical fatigue - in orthopedic trauma operations, many fractures of the limbs are caused, and among the fractures of the limbs, fractures of the lower limbs are particularly common. Fractures are classified differently according to different angles. Fractures are divided into closed fractures and open fractures according to whether the fracture end is exposed to the outside world at the fracture site. Open fractures must be surgically reduced, while closed fractures can be reduced according to the situation of manual reduction and The severity of the condition determines whether open reduction is required. When a lower limb fracture is determined to undergo surgical open reduction, the entire wound limb must be disinfected before surgery. The disinfection process is as follows: first use 2% iodine to disinfect, and then use 75% alcohol to remove iodine.
The patient is lying flat on the operating table. After we disinfect the front and side of the leg, you will find the problem. How to disinfect the part where the leg is in contact with the operating table? Yes, your idea is completely Correct - just raise your legs and disinfect the back, but things are not as simple and easy as you think. Many people think that they just need to lift their legs and it’s not a big deal. However, when the leg bone is broken, the broken end will become an extremely sharp knife. If we simply raise the affected limb, the greater the angle of the fracture under the action of gravity, the greater the chance of damage to the surrounding blood vessels and nerves. Therefore, we cannot just lift the affected limb, but also pull the affected limb along the direction of the force line. There is a saying that the arm cannot twist the thigh. When you lift the affected limb while pulling it outward, and make sure your body does not touch the operating table for 5 minutes, you will find that your arm is shaking. , your breathing is speeding up, and when you see so many little golden stars, you will regret not having more breakfast in the morning. Haha, isn’t it a bit painful?
The requirements for sterility concepts in the operating room are very strict, and the nurses in the operating room are extremely strict, and they will not comply with the sterile regulations even a little bit. This will immediately arouse their dissatisfaction, and many interns have received a lot of scolding for this. However, because I have received rigorous training in simulated operating rooms and internships, I have rarely seen their faces in the operating room, and based on my My performance was very professional. Unknowingly, they no longer treated me as a student, but as a standard surgeon.
My excellent performance was naturally noticed by Professor Li Zhengwei of our surgical team, so he was very confident about me and allowed me to do some tasks. The most exciting thing for me was a femoral shaft surgery. He was the surgeon. Five people came on stage at once, him, his resident doctors, fellow doctors, one of his graduate students, and me. I was the youngest in terms of seniority, but It was during this operation that I performed for the first time. The situation at that time was that the fracture site had been cut open and the fracture was in good alignment. Professor Li set up the steel plate. After he finished driving the first bone nail, he said to me, Xiao Yang, come here, you do it. I was very excited. Under the envious gazes of the three doctors, I held an electric drill and steadily drove the drill bit into the femur, and then fixed it with steel nails. The technique was very good, and the professor nodded with satisfaction. This is a great encouragement to me. In the dressing room after the operation, Professor Li Zhengwei expressed his hope that I would become an orthopedic surgeon. With the expectations and encouragement from this nationally renowned orthopedic expert, I feel that my goals are clearer and I am more motivated. I believe that I will not disappoint his expectations! Internship Summary of Orthopedic Surgery 7
According to the relevant regulations of Weifang Medical College and our hospital, and in accordance with the requirements of the graduation internship syllabus, under the teaching leadership of our hospital, Through the joint efforts of the general medical staff, our department successfully completed the internship teaching tasks of 20x*-20x*. The summary of the teaching work of our department this year is now reported as follows:
First of all, in Clinical teaching:
Teaching case discussion is held once a week, hosted by the department director or teaching secretary. The teaching case discussion takes existing typical cases as the discussion object, and conducts comprehensive analysis of the cases based on clinical manifestations and auxiliary examinations. Through active guidance, students' ability to analyze and solve problems is improved. At the same time, new developments in disease diagnosis and treatment were introduced, which broadened the students' horizons. There is a department practice lecture once a week and a teaching ward round once a week, all taught by experienced attending physicians and above, with a completion rate of 100%.
In the small lectures, the teaching staff was well prepared and summarized the lecture content based on clinical practice based on the lecture outline, highlighting horizontal and vertical knowledge connections instead of simply repeating theoretical content, which achieved good results. Practical skill operations are carried out 1-2 times a week to enable students to master the diagnosis and treatment procedures and precautions for common diseases in orthopedic surgery. Before leaving the department, students can independently complete the basic orthopedic operation skills required by the syllabus under the guidance of the teacher. .
Under the organization of the department director, the teaching teachers shall do a good job in the exit assessment and examination of each group of students, listen to the opinions of the rotating teaching teachers, and make objective and comprehensive evaluations of the students' internship situation. The students’ internship performance and graduation grades were both good. This year's relevant teaching files are well managed and stored in an orderly manner.
Secondly, in terms of self-construction:
Several intern symposiums were held to extensively solicit opinions from interns on teaching and clinical teaching, which promoted the internship teaching work of our department. . Department symposiums are held every quarter to exchange teaching experiences, commend good people and good deeds, promote mutual learning in teaching, and improve the level of teaching management. Through auditing, trial lectures, organized training, etc., various methods are adopted to cultivate the teaching ability of young and middle-aged teachers and do a good job in building a teacher echelon.
Once again, complete other tasks seriously:
1. Each teaching teacher continues to strengthen learning through hospital-wide business training, internal organizational learning, self-study, etc., and strives to improve ideological and professional quality . Strengthen reflection and summarize teaching gains and losses in a timely manner. Be realistic and innovative, and earnestly carry out teaching and research work. The whole subject has formed a good learning atmosphere and created a good environment for students' internship.
2. For every task assigned by the hospital and departments, we can complete it with the greatest enthusiasm, and basically achieve high quality and efficiency.
3. Through auditing, trial lectures, organized training, etc., adopt various methods to cultivate the teaching ability of young and middle-aged teachers and do a good job in building a teacher echelon.
4. Summary and improvements:
This school year our school carried out a series of cultural and sports performance activities, large-scale sports games, literary evenings, etc.; at the same time, we summarized the gains and losses in teaching. Looking back on the work of this school year, while enjoying the results, we are also thinking about our shortcomings in our work. The main points are as follows:
1. The study of the new curriculum standards for clinical teaching is not in-depth enough, and I have not thought enough about the practice of the new curriculum, and cannot record some teaching ideas and problems in a timely manner. , for reflection;
2. In terms of teaching and scientific research, I have increased my efforts in learning this school year and carefully read some theoretical books on teaching and scientific research, but they are not in-depth enough.
3. Strengthen bilingual teaching and focus on the application of multimedia, focus on connecting with the most cutting-edge research results, and broaden students' horizons.
After a year of hard work, the teaching level of our department has improved greatly. The students think that the teaching teachers have noble medical ethics, are down-to-earth in their work, and are serious and responsible. Through learning, they have gained a lot and have successfully completed the tasks stipulated in the internship syllabus. Moreover, our department was rated as "Advanced Department for Practical Teaching" by the medical school, and the director was awarded Rated as "Excellent Teacher in Practical Teaching". This is an affirmation of our work and an encouragement to us. We will continue to work hard and do a good job in teaching next year. ;