"Practice is the only standard to test the truth", as a medical student, empty theoretical knowledge is never, but also need to combine with practice, know the truth. The following is organized by me for you "medical students hospital learning experience", only for reference, welcome to read.
After three years of theoretical learning on paper, finally looked forward to the opportunity to show their fists on the battlefield. More than two months of apprenticeship down, obtained a lot of experience, experience and experience is also quite a lot. Now in the hospital how to learn in this regard to pick one or two points I feel more y to talk about.
First, with the teacher's communication and exchange
I believe that every student who has been to the hospital apprenticeship know that the relationship between the hospital and the teacher's very important. This point in the hospital before, up to Tan Secretary, down to the senior brothers and sisters have repeatedly reminded us of this point. But when we really arrived at the hospital, we realized that this is actually a great learning experience. I was in the province of Chinese medicine apprenticeship, outpatient doctors a day to see dozens of patients, ward doctors a day also have to be in charge of more than a dozen beds, down to the end of the day, the teacher is so busy that there is no time to with you "kamikaze".
A few weeks later, I realized that the sky is the limit. As long as the teacher thinks that you are a piece of "can be made", they will be very happy to teach you. The key is that we have only one week in each section, how to let the teacher in the shortest possible time to find you this piece of "He Shi B璧"? I'm not sure how to do this, but I think it's a good idea.
First of all, it is a shocking method. If you can actively undergraduate a common disease to explain your own knowledge and insights, although it is difficult to speak very thorough, in-depth, accurate; and if you can timely and correctly answer the teacher in the room questions, even if the analysis is not comprehensive enough, but also let the teacher feel that you are a thinking student, the teacher is usually more willing to give this kind of student lectures. I know this from experience. When I was in the acupuncture ward, my instructor had a graduate student, a seven-year student, two interns from the second hospital, and me, a trainee. In the beginning, I was really passive and overwhelmed because it was the first section. One day, when the director was checking the room, he suddenly asked me what the "four points of the waist" were. This was a difficult question. I had read Prof. XXX's book before and answered correctly from memory. Moreover, I answered the next few questions correctly. I'm not sure if I've ever been in a position where I've been able to get a good deal on my own, but I'm sure I've been able to get a good deal on my own.
The previous method may not be easy to grasp, it requires a solid and extensive knowledge as a foundation, more or less a little bit of luck component of the existence. The next method is everyone can do is diligent. As the saying goes, diligence makes up for clumsiness. Every teacher loves a hardworking student. On my first day in the massage department, the teacher who took me was full of complaints and said without any face that the students of our Acupuncture and Push College were the most unqualified, which made me aggrieved and angry. Later, I realized that there was a senior brother in our college who followed him as an intern before me, but he was lazy all day long, and sometimes he didn't even go to work. At that time, I made up my mind that I must use one week to change the teacher's view of us. So every day I arrived at the clinic half an hour early, and did all the preparations before the teacher went to work, so that I could start work as soon as the teacher arrived. When the teacher was busy, I used the hospital routines I learned in the ward to help him see some of the patients, which reduced the teacher's workload to a certain extent.
Of course, the above two methods can work if you need to respect the teacher from the bottom of your heart, abide by the discipline, and love to learn.
Second, they grasp the opportunity to actively learn
This is very important. In the hospital, advanced students, doctoral students, graduate students, interns at home and abroad, trainees are many, if you do not take the initiative to fight for the opportunity, simply can not learn anything. Of course, there are tricks to this.
First of all, you can take the initiative to ask for a night shift with your teacher. The first thing you need to do is to get your hands on some of the most popular products and services in the world, and you'll be able to do that on your own.
Secondly, if your instructor is too busy, don't go to him for everything. In fact, there are a lot of good teachers on the wards, that is, those who are doctors and postgraduates. During that time, I was very inspired.
Third, the grasp of the content of learning
In the ward apprenticeship in the end to learn what? I believe there are still many people are not clear. I myself was also confused, to the oncology department, the teacher who took me to wake up the dreamer. He told me that in addition to seeing more diseases in the ward, I also had to learn the teacher's instructions, how to prescribe laboratory tests, and even just memorize the names of medicines, all of which were of great help to us. It was only then that I realized, as if in a dream, that I hadn't mastered much in this area until then, except for my hands-on skills. Also, on the wards, there is often a combination of several illnesses in a single patient, so if you can get a good grasp of it and review it carefully, you can learn. When I was in the sixth year of my life, there was a child who was admitted to the hospital for mumps complicating orchitis and viral myocarditis, and only admitted him as a patient, I mastered the common signs of these three diseases, and because of the combination of theory and practice, I was very impressed. This is not comparable to the purely theoretical learning in school. The list goes on and on. As long as you know how to grasp, there is learning everywhere in the hospital, there are learning opportunities everywhere.
Medical students hospital learning experience twoThe second semester of the university, our correctional class to the emergency department of the First Affiliated Hospital of the University of several apprenticeships, the real close contact and observation and learning from the clinician's behavior in the field of medicine. The first time I saw this, I was able to get in touch with the clinic in advance and gain a lot of valuable experience in advance.
First of all, through the apprenticeship, we understand the process of patients in the emergency department of the First Affiliated Hospital. The overall process is: patients first in the registration office, or by phone, the network and other ways to make an appointment to register, and then waiting in line outside the appropriate clinic, their turn and then enter the clinic to accept the doctor's consultation; then the doctor will carefully ask the patient a variety of conditions and make a preliminary diagnosis and remind the patient to go to the fee to do the necessary checks; the patient check the doctor to check the back of the check to do further diagnosis, and finally prescribe medication or recommend the patient to go to surgery. After the patient comes back from the examination, the doctor will make further diagnosis according to the examination and finally prescribe medication or suggest the patient to go for surgery. If the patient needs to be hospitalized and the hospital has spare beds, the doctor will arrange for the patient to be hospitalized. While the patient is going for a check-up, the doctor will continue to see the patient behind him. Thus, we can see that with the help of advanced registration systems and the like, it is both convenient and orderly for patients to see a doctor at the First Affiliated Hospital, and the efficiency of doctors' work will also increase as a result.
In the course of my apprenticeship I realized the importance of communication, y appreciated the importance of communication, and experienced the joy it brought me. Communication is an art, it is a bridge of understanding and trust between people. Whether we can communicate or not not not only affects the life of each of us, but also affects our work. In the process of apprenticeship, we also felt the clinicians' rigorous and responsible style of medical practice. In a more humanized society, our doctors have not only cared about the disease, but they also care about the patient's mental health and treat every patient more humanely. When a patient walks in from outside the clinic, he or she is greeted with a smile and told about their condition. After the doctor finishes his consultation, if the patient needs to be referred for surgery, he will first kindly explain to the patient the necessity of the surgery and the approximate cost. If the patient agrees to the surgery, he will notify the doctor on the other side of the operating room and also tell the patient where the operating room is located. No longer is everything decided by the doctor, but more of a combination of the patient's wishes and respect for the patient's choice. We were interned in different outpatient departments, and we were most impressed by the doctors in the internal medicine clinic. Internal medicine patients are generally very uncomfortable, sometimes vomiting, coma, etc., so internal medicine doctors need to have a greater psychological tolerance, and to take adequate precautions. This internship is undoubtedly a far-reaching impact on us as freshmen, and we have eliminated the old habit of only knowing theoretical knowledge from textbooks and only contacting patients during internships. Let us early contact with the clinic, feel the clinician's work in advance. I hope that we can scientifically arrange the time in the future learning career, learn excellent medical technology, and at the same time improve their humanistic cultivation, for the future to be a good doctor to be fully prepared.
Medical students hospital learning experience threeFor us, dental internship is the first to enter the restorative department, from the internship room in the imitation of the head mold on the practice all of a sudden transition to the patient's mouth operation, from a medical student all of a sudden to become a sitting in front of the patient's stomatology doctor, at first we are all a little bit excited, but also a little bit apprehensive, but fortunately, we have a both conscientious and responsible and strict requirements and approachable good teacher Ms. Apple Zhang has always been a good teacher, but also a good teacher. Fortunately, we have a good teacher, Ms. Zhang Ping, always by our side, constantly encouraging us, constantly helping us, from receiving patients to the operation of each step to give careful guidance, every bit of our progress is wrapped up in the teacher's heart and soul.
I still remember the nervousness of the first time I saw a patient, I still remember the feeling of relief when I heard the patient's thanks for the first time, and the frustration when I made a mistake, all of these are the valuable experience of my life, and my life is a valuable asset. During the first week in the prosthodontic department, the teachers instilled in us the service concept of "serving the patients, treating the patients as our own family members", and at the same time taught us that as a doctor, we also need to have the awareness and skills of self-protection. In general, most patients still hold respect or awe for their doctors, who save them from suffering, improve their quality of life, and fulfill their needs for survival, for which they are grateful. In the ten weeks that I have been seeing patients, most of the patients I have seen have been very cooperative, and I have served them conscientiously with warmth and sincerity.
When I see patients wearing my denture with a smile of satisfaction; when patients give me a fair evaluation of my services, the joy is born, accompanied by a heavy sense of responsibility. Due to the time and chair limitations, we receive a limited number of patients, the type of disease contacted is also the focus of each, some students always receive activities of the work, some students always receive fixed work, so the students jokingly referred to as "fixed group" or "activities of the group! So the students jokingly called them "fixed group" or "activity group". Because of the characteristics of the restorative work itself, many patients first need periodontal or dental treatment, so many patients just check the transfer away, which is really unfavorable to only 9 weeks of time.
It would be great to have more clinic time and chairs in future clerkships. In our three-team rotation, we spent one day and a half out of every day in the technician's room, making dentures for patients. Due to the limited time in the previous internship, basically it is point to point, to master the basic production procedures, but to do a good job you have to put in more effort, whenever we encountered problems xxx teacher is always tireless for us to explain, and often work overtime, just to make our denture to do a better job, so that we can make progress more quickly. He insisted on working even when he was sick and had a fever, and we were very grateful to him. During the time we spent in the mechanic's room, we helped each other and **** progressed together. In the first and second weeks when the students basically did not receive work, relatively time is relatively generous, if we can use this time to arrange for students to visit the clinic, see the demonstration, I believe there will be greater gains.
From the first day of entering the restoration, we began to face the challenge, every day there are new gains, every day will also find new problems, so we actively summarize the students to communicate with each other, so that the experience *** have, each other *** encouragement. In the summary of the small lecture class students on the problems that have arisen and the teacher *** with the discussion; in the classroom of the case discussion, students for the complex condition of the information, talk about the point of view, teaching and learning. If you can increase the number of small lectures, each time without a long time, ten to fifteen minutes is good, on the daily problems in time to summarize, the students' progress will be more rapid.
I was in this five-week restoration internship, the most profound feeling is that the clinical operation and the knowledge of the book is still a great distance, how to book knowledge and clinical operation of the integration of up to live learning, but also need a long learning process, the teacher is our guide, the teacher's operating experience is our valuable wealth, in the clinic to learn from the teacher is our rapid growth. The first step in the process is to learn from the teacher's experience, and the second step is to learn from the teacher's experience.
Five weeks of dental internship is just the beginning of our internship. We are still very immature, we need the teacher's advice and guidance, but we have a firm heart, no matter what kind of difficulties encountered, we will follow the footprints of predecessors, step by step.
Medical Students Hospital Learning Experience IVAs a medical student, not only do we need to have strong theoretical knowledge, but we also need to have some clinical experience, because we are facing human life. Therefore, in this summer vacation, decided to apprentice in the hospital. I am honored that I can be in my hometown xx hospital apprenticeship. Through this short two-week internship, I really learned a lot, and y realized that when I face some problems alone, I can't deal with them properly, and I feel that the theoretical knowledge I learned before can't be flexibly applied in the clinic. Apprenticeship is a kind of training, a kind of social practice activity to consolidate theoretical knowledge to feel the hospital environment and understand the hospital affairs, and it is also a kind of preparation for my dream of medical care. Apprenticeship, let me feel most y: clinical is the consolidation of theoretical knowledge base, clinical field experience, field operation, let me reproduce those boring and stubborn knowledge in school when all the problems. For example: every day in the face of the teacher's busy figure, I only complain, complaining about their own inability to apply the theory in practice, complaining about their own apprenticeship before they did not study properly, coupled with the traditional education mode of duck, passive acceptance of knowledge harmed students, in the school to the examination, to the teacher to focus on the teacher or the teacher to give the focus, if we are in the clinic work, the patient asked us some questions, we can say that this is not the key to memorize? If we work in the clinic and a patient asks us some questions, can we say that this is not the key point I memorized? More sadly, we can only get a short memory, can not become the material to fight disease, really have a kind of "books to use when the party hate less" regret and sigh ah. Once upon a time made such a joke: "a trainee doctor in accepting the patient's inquiry, because of swallowed in one gulp, for the knowledge of the not quite understand, on the pretext that to go to the toilet, but in fact sneak back to the office to flip through the book to go. Then what excuse should be used to evade the next question?" Therefore, the study of medical knowledge, can not be half false, we must be a solid theoretical foundation, and more importantly, we must learn to link theory to practice, so as not to mislead people and make a big mistake ah.
The first morning of the apprenticeship, I came to the hospital early, I followed the nurse morning care. To seven thirty, doctors and nurses door punctual handover, the night of the doctors and nurses will last night's patient's situation report, and then each bed doctors began to check, I also followed them, listen carefully to how they check the patient and how to ask them. Looking at their meticulous work attitude, my heart could not help but be filled with respect. First of all, the doctors questioned the patients, asking them about their illnesses, such as: whether they had fever, whether they had pain, how they ate and drank, whether their excretion was normal, and whether they had polyuria or oliguria, etc. Then, the doctors carefully examined the patients and listened to how they examined them and how they worked. Then, the doctors carefully observe the patient's signs and sometimes make percussion, and finally give medical advice. At this time, the nurses started to compare the medical advice, and according to the medical advice to take medication and treatment, the nurses check the temperature every 4 hours and plot the temperature curve for the doctor's reference, in addition, every half an hour to make room rounds, to check whether there is any abnormality. In this short period of two weeks, I was in the surgical internship, most of the patients in the surgical department are patients who have undergone surgery, which requires us nursing workers to be more careful and have strong professional knowledge, and always pay attention to the changes in their condition. At the same time, some patients can not get out of bed, to lie in bed for a long time, which also requires us to do a good job of nursing workers, their psychological comfort work. It has been said that any simple little thing clear, if you can do continuously for 10 years, is a great work! Do our line of work, is to adhere to the word seriously, any time, under any circumstances are not sloppy! Indeed, life is fragile, not to mention people suffering from diseases. In the general ward, although basically family members in the care, but, after all, they are not professional, there is no sense of vigilance, so as a nurse, we have to give the family and the patient to do a good job of missionary work as well as nursing care, in order to prevent the occurrence of adverse accidents.
During the apprenticeship, I followed the teacher, listened carefully to the explanation and guidance, understood the basic operation of many medical equipment, observed and practiced many kinds of medical operations, such as vital signs measurement (weight, blood pressure, respiration, pulse, temperature), cardiac monitoring, intravenous drip, intramuscular injections, intravenous injection, traumatic injury, etc., and many professional instruments I was the first time to see. There are many seemingly simple nursing operations, but when I really do them, I realize that they are not so. In the short two weeks in the hospital, I humbly learn from the nurses, closely follow the nurses, inch by inch, the young nurses patiently explained to me about nursing knowledge. Slowly, I traveled through the wards, learning their nursing terminology and some of their daily routines. I assisted the nurses in receiving patients, did the four measurements (blood pressure, temperature, pulse and weight), mastered the measurement of blood pressure and temperature, contacted the liquid dispensing session, and strictly adhered to the "three checks and seven pairs" (three checks: preoperative check, operational check, postoperative check; seven pairs: bed number, name, drug name, concentration, dose, method, time). The principle of "Three Checks and Seven Rights" (three checks: check before operation, check during operation, check after operation; seven rights: bed number, name, drug name, concentration, dosage, method, and time) is applied to dispense fluids for patients. At the same time, new things came one after another, which brought me an exciting impact at times. I was full of curiosity, observing attentively and asking questions actively, and the nurses patiently explained to me, so that I learned how to use some medical instruments, and basically grasped the essentials and precautions of nursing operation. They vividly analyzed each seemingly simple operation, and gave me many opportunities to practice with these instruments and equipment and practice nursing operations under the premise of rules and regulations. All of this gave me a sense of what I would be doing in the future. Although this internship was a bit hard and tiring, it was still quite enjoyable. Checking rooms, changing medicines, and following surgeries were all part of my daily life. This surgical internship experience, the complexity of which only those who have personally experienced the taste may be able to understand, sweet and sour, bitter and spicy, no matter what the taste, it is worth recalling. Of course, the more important thing is to know a lot of books can not learn things, but also know a few good friends, perhaps this is more valuable than books.
The nurse's sense of responsibility and excellent skills and communication with others are very important, and more importantly, is to learn how to communicate with patients. I think I'm still very responsible and confident in my skills. So how can we establish a good nurse-patient relationship?
As we all know. To establish a harmonious nurse-patient relationship, the first thing to do is to put your heart into the heart. With a heart of love, a kind of thinking to imagine the patient's pain and pain, contradiction and wandering, the patient's pain as their own pain as their own pain, with the heart to experience the patient's bewilderment and overwhelmed, as long as you reach out in time with a pair of warm hands, the patient will be able to feel the power from the palm of your hand, and perhaps they will get a victory over the devil's determination and confidence, the disease is not attacked from the breakthrough, that is the Splendid landscape of the medical profession. Secondly, good at communicating with patients. Among them, the smile is a surprise victory of the imperial sword. Here, I see smiling faces, but also all feel particularly beautiful and lovely, so that I have a kind of relaxation and warm and comfortable feeling, if I am a patient, I will not hesitate to choose to live here, therefore, I also ask myself not to bring emotions to work, every day to maintain a sunny smile, so that the patient every day to feel the warmth, whether it is cold winter or hot and hot, the smile is always a The smile is always a beautiful scenery. Smile service" is conducive to their own pleasure, but also to alleviate the patient's fear and pain, this is a good thing such as a double whammy why not?
Once again, in front of the patient to always keep a not die of self-confidence. Not good with people is a major weakness of mine, that timidity and unnatural will make me lose a lot of learning opportunities, due to my low self-esteem, not active and did not get the corresponding operation training, such a reality cold noting to me splashed a cold water, is an undergraduate, do things should be handy is, but I am, do things fearful of the end, afraid of wolves, afraid of tigers, dare not boldly try to cast my not know progressive, good, I have a patient, full of patience, and I am not afraid to try, I am not sure how to do things, I am not sure of my own. Good, I have a patient teacher, and then in her know, I picked up the operation, is indeed another feeling, if the patient to see you a confident and steady face, their fear will be reduced by half. Therefore, self-confidence is an invisible pill, whether it is the nurse itself, or the patient, are essential things.