Part I pediatrician self-assessment model
Newborn in Zhejiang University Hospital Hospital of Obstetrics and Gynecology neonatology study two months has been successfully completed, inventory of the work of the training can be described as a bittersweet, benefited a lot. When I first came to Hangzhou, everything seemed unfamiliar, I was not familiar with the environment of the hospital and the department, I was not familiar with the routes around the neighborhood, the biological clock was disrupted by the different working hours, plus I was homesick for my family and my children, which made the first half of the month of my training feel very long every day. However, the head nurse, the director and the teaching staff here helped me quickly familiarize myself with the environment and workflow of the ward, and adapt to the life and work here. After that, I established a cordial relationship with them, so the days fly by, very full, here learned advanced nursing concepts and techniques, feel their high work passion, rigorous work style and teamwork spirit of collaboration, really worth the trip.
First, the systematic study of new knowledge and new technologies and management system
Through intense and full learning, I realized that there were many misunderstandings in the previous clinical work, such as the selection of arteries when collecting arterial blood, sputum suctioning for newborn asphyxiation, and umbilical cord care, etc. After two months of clinical practice, I was able to learn the concept of advanced nursing concepts and techniques. After two months of clinical practice makes me familiar with the specialized nursing work mode, and mastered the use of CPAP machine and the occurrence of pneumothorax treatment, the occurrence of necrotizing small bowel colitis in preterm infants observation, care and X-ray reading, preterm infants lung hemorrhage treatment and reading, pulmonary hypertension patient care, respiratory patient care and records, newborns, preterm infants infections observation and care, the maintenance of new knowledge and new technology PICC. She is also familiar with new knowledge and technology such as PICC maintenance. After work, the department often organize a number of business learning, and constantly improve their own quality.
Through exchanges with the head nurse, we have obtained internal management system manuals, including training manuals for nursing staff, neonatal resuscitation authored by Director Wu, training system for personnel related to the neonatal unit, various systems related to the neonatal unit, duties of the cleaning staff, disinfection measures for various instruments, and communication skills with families in the unaccompanied wards, which will lay a good foundation for the opening of the neonatal unit in the future.
Second, feel the harmonious teamwork and professional attitude
First of all, good teamwork, the department set up three wards, both relatively separate, but also very unified. Each comrade in the completion of their own work at the same time and collaborate with each other to ensure the quality of care in the ward.
The director and Dr. Jiang here taught me patiently and carefully, answered my questions relentlessly, and showed a spirit of dedication that touched me very much. They answered my questions, comments and suggestions in a timely manner. A time will also give me lectures, tirelessly, until you understand.
The most impressive thing is that the medical staff wash their hands. Every day the doctor comes to the room, the first thing is to wash his hands, after seeing a patient to contact another patient, will certainly go first to wash his hands. Each ward has a hand-washing sink and hand sanitizer, and each child has a hand sanitizer at the bedside, and the hand-washing is done with a special paper towel. The nurses, not to mention, wash their hands or use hand sanitizer before every operation. Although they are very busy at work, they will never skip the part of hand washing. Hand washing has become a habit for everyone, because we have y realized: hand washing is the cheapest measure to prevent hospital infection, but it is the most effective.
Third, the experience of warm and meticulous humane service
I just came to the hospital when the first feeling is neat, clean, warm, the deepest feeling is that they are not verbal humane service, but really do the humane care of the children. The taps in the treatment room and cleaning room are all sensor switches, equipped with long-handled press type hand sanitizer and hand towels, which can not only avoid cross infection, but also save energy and protect the health and safety of the staff, and this is how the refined management mode is reflected in every detail. If CPAP is used, an artificial protective film is placed between the nose and the nose plug to prevent pressure injuries; when tearing the adhesive tape on the face, it is lubricated with Johnson's Baby Lotion before tearing it off; and every day when bathing, the children who are just two days old will be cleaned all over the body in all the folds of the skin with Johnson's Baby Lotion with a very gentle movement. Gastric tubes are inserted through the mouth rather than the nose, as we do not want to aggravate their respiratory problems by giving them one less nasal cavity. For preterm babies, the environment is relatively quiet and the voice and handling is as soft as possible to minimize sound stimulation. All treatments are concentrated and all incubators are covered with a cartoon cloth to minimize light and external stimulation. Live in the warm box of newborns are made of cartoon thin quilt bird's nest, so that every child feels comfortable, everywhere reflects their love and care for every child as their own children to treat.
During the period of training coincides with the Spring Festival, the department of each door are posted on the word of good fortune, the cafeteria is no exception. At the Lantern Festival, the cafeteria at noon free distribution of each person a hot dumplings, so that I fully feel their humane management.
Fourth, learning standardized training and services
"Hardware is the foundation, software is the soul." NICU has many kinds of brands of instruments, a variety of neonatal ventilators, high-frequency oscillatory ventilators, imported and domestic baby warmers, radiation table, CPAP, and central monitor, infusion pumps, infusion peristaltic pumps, etc., each nurse is familiar with the operation of each instrument, which is due to their standardized training. Nursing checkups and nursing lectures are arranged every month, with slides plus bedside forms of everyone **** the same learning and nursing questions, and a nursing operation sampling test in January. For new nurses, but also arranged for specialists to teach, every week to arrange the training is from the department system and each kind of the most basic operating procedures to speak, so that they are more quickly familiar with and master.
The NICU also conducts weekly parent classes taught by senior nurses. If a premature baby is discharged, the parents of the child ready to be discharged will be contacted to the reception room of the department to learn nursing knowledge, such as bathing, feeding, diaper changing and other daily work, the nurse will be demonstrated on the spot, until their parents completely mastered the baby will not be assured that the baby handed over to their hands. This naturally extends nursing care into the home.
Further training is very tiring, because there are many things to learn, you need to do it yourself to master, you need to think carefully to adapt to the role of change, you need to cultivate their own spirit of prudence and so on. This is a process, stick to it, they will have a perfect jump.
This valuable learning opportunity has given me many experiences and feelings. Perhaps such a learning opportunity will not bring radical changes to their own work, but on life, work I have more thoughts, I hope to give new meaning to the future life.
Part II pediatrician self-identification model
xxx is the organizer and conductor of the management of the hospital department, occupies a pivotal position in the management of the hospital, especially in the health care market today, the level of xxxx management level is high and low, directly affecting the department and even the whole hospital's overall work. All-round development, in order to do a competent xxxx, I think we should do:
First, learn management, understand management, keep pace with the times, creative work
1, as a manager, first of all, we should be able to mobilize all the resources of the department, which will be invested in the opportunity to produce the most short-tailed effect.
In terms of our pediatrics, first of all, we should be good at discovering the merits of the nursing staff in the department, the use of their strengths, guidance for their work, and to play the individual expertise. Second, the establishment of team spirit, to allow them to work together to achieve results and give full play to their individual strength. Furthermore, we should seize the focus, take the point to bring the surface, and play the advantages of equipment and personal advantages.
2, to work creatively with the times. The standard is not just how much achievement for the department, but to make patients satisfied.
Second, xxx should have certain professional qualities
1, to strengthen their own learning, and constantly improve their theoretical knowledge and technical level, handsome first to accept new knowledge and new technology, to do professional and technical leader.
2, in the daily work of enthusiasm, sincerity, tolerance, often set a good example, to others, only then can achieve the subordinates full commitment and support.
3, no matter what the conditions can have a clear mind, a balanced mind, well organized and rational arrangement of manpower and material resources, so that the departmental nursing work normal operation.
Part III pediatrician self-identification model
Pediatrician further training self-identification in August 20xx in xx University of Traditional Chinese Medicine, graduated from the medical specialty of Chinese medicine, the same year assigned to xx City Occupational Prevention and Control Institute of Clinical and Occupational Disease Prevention and Control Physician, 20xx to the end of the year 20xx at the people's hospital of the Duanzhou District of xxx Work, served as infectious diseases, internal medicine, emergency department, pediatricians, served as internal medicine, deputy director of the medical department, during the period of further study of pediatric internal medicine and respiratory medicine. 20xx end of the year to the present in xxx hospital, served as vice president of the business, the current president of the people's congress of the district of duanzhou, in addition to completing the administrative management work, adhere to the four half-day clinical work every week, clinical mainly engaged in Chinese medicine pediatric internal medicine and traditional Chinese medicine and western medicine respiratory medicine two specialties. He is mainly engaged in the clinical work of pediatric internal medicine and traditional Chinese and western medicine and respiratory internal medicine. During the period of working in the Occupational Disease Prevention and Control Center, he was mainly engaged in the treatment of occupational diseases with Chinese medicine and the treatment of common and frequent diseases in the clinic. For example, in the treatment of occupational diseases, she applied the method of benefiting qi, tonifying blood and nourishing yin in the treatment of benzene poisoning and radioactive leukopenia, with good efficacy. During the working period in Duonzhou People's Hospital, according to the characteristics of working in western hospitals and clinical front line, she insisted on using the method of combining Chinese and western medicine to treat diseases, and also used the modern dosage form of traditional Chinese medicine to rescue critically ill patients, and was good at summarizing the experience of the predecessors, applying Chinese medicine to treat jaundice hepatitis, severe hepatitis, cirrhosis, etc., and also received good results from the use of traditional Chinese medicine in treating chronic cardiorespiratory failure diseases. The treatment of pediatric viral enteritis and diarrhea using the famous old Chinese medicine prescription "Cang Ling Tang" has obvious efficacy. During this period, he was also engaged in clinical research on respiratory diseases, such as: the study of the relationship between routine examination and swan-ganz catheter and the average pressure of the pulmonary artery, and the study on the treatment of pulmonary arterial hypertension by the method of activating blood circulation and removing blood stasis. Observation on the efficacy of intra-thoracic injection of fritillary injection on cancerous pleural fluid, and observation on the treatment of advanced cancer pain by traditional Chinese medicine.
At the end of 20xx, he was transferred to XX hospital to work, combined with the needs of XX hospital work, clinical mainly engaged in traditional Chinese medicine treatment of pediatric internal medicine diseases and respiratory diseases, in the hospital opened a pediatric Chinese medicine internal medicine and respiratory internal medicine specialist clinic, engaged in the treatment of related diseases, focusing on the use of traditional Chinese medicine rationale and method of prescription, adhere to the identification of the evidence of treatment of specialized diseases, the effect is very good, this kind of no needles, spend less money, good efficacy, less pain, the limit of Chinese medicine treatment method, the effect is very good, the effect is very good, and the effect is very good. This kind of Chinese medicine treatment method without injection, less cost, good efficacy and less pain can minimize the problem of high cost for the public, which is very popular among the patients, and is welcomed by the pediatric patients because most of the treatments are without injections. During the prevention and treatment of SARS, when the cause of the disease was not known at the beginning of the discovery of SARS, the theory of Chinese medicine in preventing and treating "warm epidemic" was applied, and timely treatment was carried out with the use of "The method of "clearing heat and removing toxins and nourishing yin" was mainly used to prevent SARS, which was fully in line with the treatment programs launched by experts of relevant national and provincial organizations to prevent and treat SARS. Played the role of Chinese medicine in dealing with the prevention of sudden outbreaks of infectious diseases. In recent years, we have been digging deeper and carrying forward traditional Chinese medicine to treat diseases, introducing physical therapy to treat internal diseases, combining traditional Chinese medicine with moxibustion, microwave therapy and chiropractic to treat children's asthma, bronchitis, allergic diseases and diarrhea, etc. The combination of physical therapy and traditional Chinese medicine reduces to a large extent the side effects and damages caused by the medicines, especially antibiotics, in the process of treating human body. The combination of physiotherapy and traditional Chinese medicine greatly reduces the side effects and damage of drugs, especially antibiotics, on the human body during the treatment process. At the same time of adhering to the theory of Chinese medicine to treat diseases, we constantly absorb the theory of modern medicine to enrich the development of Chinese medicine theory, such as the introduction of "Long's chiropractic" theory and therapy, the application of the theory of "spine-related disorders, deepen and enrich the traditional knowledge of internal medicine theory, due to the deepening of understanding of the theory of the etiology of internal medicine diseases, the understanding of the theory of internal medicine diseases, and the understanding of the cause of the disease. As a result of the deepening of the theoretical understanding of the etiology and pathogenesis of internal medicine diseases and the diversification of internal medicine treatments, the diagnostic level and therapeutic efficacy of internal medicine diseases have been improved. In addition to the serious study of this specialty, but also concerned about the development of related disciplines, directly participated in the ministerial-level project "Lingnan picking method for the treatment of ankylosing spondylitis standardized research", has passed the acceptance and scientific and technological achievements appraisal, and has been awarded the XX City Award for Scientific and Technological Progress. He has been practicing medicine for more than twenty years, not forgetting the sense of mission to promote the cause of traditional Chinese medicine, keeping his feet on the ground, insisting on taking every step to promote the essence of traditional Chinese medicine, and taking the cause of traditional Chinese medicine as a lifelong career choice. Won the xx provincial people's government issued the "fight against non-iodine third-class merit", xx city people's government awarded the "xx city famous Chinese medicine practitioner" honorary title, won the xx city Chinese medicine hospital excellent director, in January by the Chinese people *** and the state ministry of personnel, the ministry of health, State Administration of Traditional Chinese Medicine awarded the "National Health System Outstanding Worker" honorary title.
Part IV Pediatrician Self-identification Essay
The one-year study has just ended, and I'm back to the workplace I'm familiar with. First of all, I would like to thank the hospital, the leadership to give me this valuable opportunity, but also to thank all colleagues, because of their hard work, so that I feel at ease to complete my studies.
The unit of my training is the respiratory department of Tangdu Hospital of the Fourth Military Medical University of the Chinese People's Liberation Army, which is one of the first master's degree-granting disciplines in China, an advantageous medical discipline in Shaanxi Province, a national drug clinical trial institution, a benchmark department for grass-roots construction of the Fourth Military Medical University, and a training center of bronchoscopy diagnosis and treatment and a training base of respiratory machine in the northwest region. Shaanxi Provincial Medical Association respiratory tuberculosis branch chairman unit and the whole army respiratory discipline vice chairman unit. Respiratory medicine *** two wards, with 80 beds, another allergic reaction disease research laboratory, pulmonary function blood gas room, bronchoscopy room, respiratory medicine intensive care strengthening ward and respiratory medicine laboratory. It is an advanced unit with the best technology and equipment in respiratory medicine in Shaanxi Province and Northwest China. The teachers here are highly ethical, knowledgeable and approachable, not only the level of diagnosis and treatment is among the best in China, but also attach great importance to the cultivation of the younger generation, maintaining a strong talent echelon, and the peaches and plums are all over the world.
They are the director of the department weekly room 1, three line weekly room 2 times. The checkups feel the atmosphere and - harmonious, pragmatic, and emphasize evidence-based medicine, many principle issues have reached **** knowledge, but allows differences that do not violate the principle. Tang Du Hospital has always emphasized comprehensive treatment, and the whole department from time to time organizes a multidisciplinary joint examination room with the participation of diagnostic radiology, pathology, surgery, internal medicine, radiotherapy and other disciplines. During the checkup, the first-line or advanced doctors will report the history of the disease; the superior doctors will carefully read the films, analyze the possible diagnosis, further examination and treatment plan. In this way, patients can be treated rationally in a systematic and planned way, and at the same time, young doctors can learn a lot of related knowledge. Reasonable and comprehensive treatment is one of the important factors for the high level of diagnosis and treatment in Tang Du Hospital.
To develop the department, we must emphasize on re-education, re-learning and the cultivation of reserve talents. I participate in academic activities mainly include: 2 times a week theoretical learning, new advances in treatment; 1 time a week intra-departmental academic discussion; occasional external academic exchanges, including lectures by experts at home and abroad, domestic and international academic conferences. Long-term high-intensity, self-conscious learning, communication is also an important factor in their longevity.
I also have a small gain. First of all, the systematic study of the relevant basic knowledge, the latest diagnostic and treatment technology, a comprehensive mastery of respiratory and related departments of the diagnosis and treatment of common and frequent diseases, proficiency in respiratory routine operations, such as closed drainage of the pleural cavity, pleural biopsy, trans-ultrasound, CT-guided percutaneous lung penetration, basic mastery of the operation of bronchoscopy, thoracoscopy, and other operating principles.
The collaboration of all disciplines is a guarantee to improve the level of diagnosis and treatment. Each department has technical expertise, each doctor also has technical expertise, in order to make the department's diagnosis and treatment level is guaranteed. It is not enough to have good clinicians, there must be advanced equipment and perfect auxiliary examination in order to design an ideal treatment program. At the same time, the collaboration between various departments in the hospital is also very important, such as surgery department, pathology department, diagnosis department, etc.. The comprehensive strength of the outstanding, in order to have a high level of diagnosis and treatment.
I was also impressed by the advanced equipment and technology. In our primary hospitals, there are many problems that we face, but with the advanced medical equipment and technology, we will be able to solve them and make them clear. Nonetheless, conventional treatment is still the most commonly used means of treatment. I think, relying on our hospital's current technology and equipment, as long as we can standardize and rationalize the use of conventional technology, to carry out the new business, new technology, can also make most of the patients to obtain satisfactory results.
Further study experience and recommendations:
1, the department to develop, the hospital to be strong, invincible in the competitive health care market, we must take the road of construction of specialties, disciplines complete, science in the development of academic specialties, disciplines more and more subdivided the more detailed, we must strengthen the cultivation of talents in various disciplines, we must pay attention to the re-education, re-learning, and the cultivation of the reserve talents.
2, the development of the hospital, we must strengthen the internal medicine subspecialties, surgical subspecialties, pediatrics, obstetrics and gynecology, radiology, CT room, ultrasound room, electrocardiography, pulmonary function room and other departments of the cooperation between the rooms, it is not enough to have a good clinician, there must be advanced equipment and perfect auxiliary examination, in order to design the ideal treatment program. In order to have a high level of diagnosis and treatment, so that more patients benefit, better improve the social and economic benefits of the hospital, and improve the hospital's visibility.
3, it is recommended that the establishment of specialized respiratory medicine, the establishment of a strong thoracic surgery, the current epidemiology shows that respiratory diseases (excluding lung cancer) in the city of the cause of death in the 4th, in the rural areas accounted for the 3rd, lung cancer, whether the incidence rate (1.2 million years) or the mortality rate (1.1 million years) ranked first in the world of cancer in our country lung cancer has exceeded the cause of death of 20% of cancer, according to the disease spectrum and the current situation of our hospital. According to the disease spectrum and the current situation of our hospital, in order to fight for this part of the patients and create better social and economic benefits for the hospital, it is recommended to purchase advanced equipment such as bronchoscopy and thoracoscopy as soon as possible and accelerate the training of personnel in this area to carry out new business and new technology, the thoracic surgery department and respiratory surgery department can not survive without bronchoscopy, not to mention the development. Increase and strictly grasp the use of ventilator-assisted respiratory treatment of critical patients with the indications, can save the lives of most respiratory patients, prolong life and improve the quality of life. It is recommended that critical patients (especially respiratory patients) routinely check the arterial blood gas analysis, which can be a better prognosis of the patient's condition to have a better judgment, but also improve the use of equipment. For the time being, new business such as pleural biopsy and percutaneous lung puncture can be carried out, and comprehensive treatment such as thoracic perfusion therapy for tumors can be carried out. Ventilator therapy can be carried out.
4, it is recommended that the hospital set up a comprehensive emergency center, the establishment of emergency observation room, combined with the withdrawal of the infusion room, which is also conducive to the management of patients in the observation room and get better treatment, in line with the conditions of hospitalization of the proposed patients should be admitted to hospitalization, and at the same time, also to the hospital to create a better economic income. The entire hospital departments of medical staff rotation, emergency department doctors are not fixed, so that the emergency department doctors also learn to specialize, learning and use, so that the whole hospital medical staff to get the overall development, so that the hospitalized doctors get emergency training, master emergency knowledge and technology.
Part V pediatrician self-identification essay
Since 20xx xx months xx to 20xx xx months xx, in response to the provincial Department of Health initiated the "province's backbone of maternal and child physician training" activities, to the children's health department of XXXXX hospital for a period of six months in the children's health department. The children's health care department for a period of six months training, now will be further study over the identification of the following:
I rotated in the children's health care department for two months, has passed through the health care clinic, bone density room, pediatric dietary nutritional analysis and guidance, pediatric motor neurodevelopmental intervention therapy, pediatric intelligence measurement and other related health care departments. Her daily work includes: following the chief physician's outpatient duty, general pediatric outpatient checkup, assisting the instructor to conduct physical examination of the patients, independently doing the motor function exercise of young children, assisting the instructor to conduct dietary and nutritional analysis of young children, assisting the instructor to conduct the bone density examination of young children, and providing health care guidance to the children.
Understanding of the new technology are: infant and young children intellectual development assessment, infant and young children dietary nutrition analysis, infant and young children temperament type analysis, children's mental health counseling, electroencephalography in children's epilepsy early diagnosis of the application of infant and young children's ophthalmology examination and eye health care in children's health care, infant and young children's oral health care in children's health care should be transported. The technologies that may be applied in our children's health care work are: widely promoting the application of bone density in children's physical examination, vigorously advocating the application of trace elements in children's health care, strengthening the management of early neonatal health care, strengthening the evaluation of infants and children's development at all stages, realizing one-stop service from the birth of the child to the health care of all ages, and giving full play to the application of children's health care manuals in infants' and children's growth and development.
At the end of the study, I think I felt the importance of the medical profession. After entering the department, I found a strong learning atmosphere within the department, and I feel that I have returned to my student days. Every day after dealing with the doctor's orders, the department will start a collective discussion on difficult cases or special cases, and even the director will personally lead us to the patient's bedside to repeat the detailed checkups in the process of discussing the doubts found during the discussion. Weekly teaching will be carried out in the department, and the leader of each group will organize speeches, explaining some personal experience in diagnosis and treatment and some of the latest domestic and foreign treatment plans and research results. The department has its own library, all books are open to the public and can be accessed at any time. Anyone from the head of the department to the interns can ask questions at any time and get satisfactory answers. The deepest feeling is still the teachers' thirst for knowledge, compared to the attitude towards learning, our learning is only passive knowledge to accept knowledge, only think of learning when needed, the teachers in the higher hospitals their learning through years and years of accumulation, has formed a kind of habit that can be in the bones, blood, just like we must eat and drink water every day. In such a learning atmosphere, the entire department staff will form a benign competition mode, in mutual supervision, mutual encouragement in the business level to get the overall improvement.
At the same time in the XXXXXX Hospital for further study in this period of time, really feel the real sense of responsibility as a doctor shoulder, this sense of responsibility is especially in the neonatal section is embodied in the most exquisite. In the neonatal intensive care unit, due to the special nature of its position, the first-line clinical doctors basically have no rest time, on duty is often more than thirty hours, almost non-stop transfer wards, check the child. The director of neonatology, Mr. Shi, once said, "It's not that we don't want to take a break, but the responsibility is ours and our lives depend on it. If the family puts the child in our hands, we must do our best to protect the child's well-being. In this high-intensity work pressure, every doctor in the neonatal department has a high sense of responsibility, once the ward children appear dangerous, always in the first time to the ward rescue, in the two months I went to the intensive care unit, every day in the hospital of critically ill newborns an average of more than 90 cases, but did not encounter a case of unfavorable treatment because of the deaths caused by the treatment, it is due to the kind of sense of responsibility as a physician, to make the admission of critically ill newborns to the hospital, and to make the hospital to the hospital. It is because of the sense of responsibility as a physician that the NICU, which mainly admits critically ill newborns, has a very high survival rate, which makes the doctors who are tired of running for their lives every day, highly stressed, physically and mentally exhausted, continue to silently stick to their posts. The ancient sage once said: military officials are not afraid of death, civil officials do not greedy for money, the world is very stable, we doctors are the same, I think a hospital really can develop and grow, not because of his hardware facilities how good, not because of his medical equipment how advanced, but because of a group of such a faith in the doctors.
Furthermore, I fully understand the importance of attention to detail. In the XXXXXX hospital can be encountered everywhere many of the rules, large to prescription, medical advice, diagnosis and treatment norms, small to dress, behavior, after the beginning of the training I experienced everywhere do not know the rules, everywhere, to start to understand the rules, to comply with the rules, and later highly agree with the process of these rules, in the process, I understand the importance of the details. There is an unwritten rule in the NICU, no matter what level of doctor, as long as the rules are violated, anyone can criticize and correct, so over time a lot of small parts of the rules have become a habit. For example, hand washing, in the training before, I never thought, a simple can not be more simple daily action, there are so many say, in addition to strictly in accordance with the provisions of the "seven steps to wash your hands" in addition to know what to do when to wash your hands, should be used in which kind of hand wash, should use which kind of disinfectant to eliminate the hand, just a simple action, in the I was tested three times within a week of joining the department. In daily life, there are clear rules about when to wear what kind of work clothes, where to put clothes and shoes, how to separate medical waste from household waste, how to sit when communicating with patients' families, the distance to be kept, and the occasions for some customary greetings. These various provisions of the measures to fundamentally eliminate some of the bad behavior habits of the breeding, but also for the benign development of the department laid the foundation, from which I associated with our grass-roots level of the actual situation, if we can be like the province of women's and children's departments, give full play to each other to supervise the role of the separation of powers and responsibilities, strict formulation and implementation of the rules and regulations, and how can there be errors and accidents happen.
A short six-month training time is over, in the six months, experienced pain, loss, but also experienced happy, full. After the grind of heavy work, I feel that the whole body and mind have had a huge metamorphosis, after seeing the outside world, only to know how high the sky, how wide the ground, after experiencing a lot, only to find that, not to say that to be an excellent physician, is to be a qualified physician have a gap, so I will be more efforts.