2022 Medical Further Training Self-appraisal (Selected 5)
Self-appraisal is a self-summary of a person's performance at a certain stage of learning and working life and so on.Self-appraisal enables us to find out the mistakes in time and correct them, so it's time for us to write a self-appraisal. So what is the format of the self-assessment? The following is my 2022 medical training self-assessment (selected 5), welcome to read and collect.
Medical training self-assessment 1
Thank you for the hospital leadership to give me the opportunity to study and learn, through this training and learning, to a large extent, to open up my horizons, enhance their own business capacity, recognize the gap between our hospital and the domestic large-scale high-level hospitals in terms of professional and technical, and clear the direction of their own learning and development in the future, to lay a solid foundation for the future of learning and training of business skills.
The liberation of the army is a solid foundation for future learning and business skills training.
PLA General Hospital is the largest comprehensive hospital in the military, set medical, insurance ship teaching, scientific research in one, is one of the important national health care base, responsible for the central, the military commission and the headquarters of the health care work, bear the military regions, military types of difficult disease diagnosis and treatment, the hospital also accepts from the country's local patients. The hospital has more than 4,000 beds and more than 150 clinical and technical departments.
The hospital has an annual outpatient capacity of 2.5 million, more than 80,000 admissions, and nearly 40,000 surgeries. At the same time, the hospital carries out a number of new businesses and new technologies every year, forming a clear technical characteristics and advantages, so that many difficult diseases have been effectively diagnosed and treated, many complex surgeries and major salvage success, some diagnostic and treatment techniques to reach the international advanced level.
First, the technical cooperation of advanced surgery
In the People's Liberation Army General Hospital for a period of seven months of further study, in the General Hospital of the majority of doctors and nurses care to help, and successfully completed the rotation of the work of the groups. Through the study, he has been able to independently complete the orthopedic limb internal fixation, cervical anterior and posterior approach internal fixation, thoracic and lumbar internal fixation, percutaneous low-temperature plasma ablation nucleus pulposus vaporization of surgical cooperation; general surgery of portal shunt, rectal cancer radical treatment, total gastrectomy, retroperitoneal tumors; thoracic surgery of the esophagus, lung surgery, as well as esophageal three-incision; neurosurgery of cervical spine anterior and posterior approach internal fixation, oronasal pituitary tumors, meningiomas, cervical artery aneurysms The surgery of neurosurgery, such as cervical anterior and posterior approach to internal fixation, orofacial pituitary tumor, meningioma, carotid artery aneurysm, clip closure, auditory neuroma resection and other major surgery.
The advanced instruments and equipment
This time, we went to the General Hospital of the People's Liberation Army for further study, and we saw and operated a lot of advanced instruments with our own hands. For example, ultrasonic knife, warm blanket machine, circuit electrodes, orthopedic and neurosurgery navigation system, neurosurgery craniotomy drill and pneumatic drill, nerve electrical stimulation instrument, rapid disinfection kettle, cryogenic disinfection kettle, instrument ultrasonic cleaning kettle, ethylene oxide disinfection kettle.
The General Hospital operating room has eliminated the two chemical sterilization methods of glutaraldehyde immersion and formaldehyde re-steaming, and they usually choose autoclave sterilization, ethylene oxide sterilization, and low-temperature sterilization, so the disinfection pots are also very complete, easy and safe to operate, which not only ensures the requirements for sterilization of instruments, but also greatly saves the time to receive the table of surgery. Neurology group uses advanced navigation system to cooperate with surgery, through the navigation can accurately locate the advantage can judge the position of the occupying lesion, big filial piety operation resection is complete or not, greatly improve the quality of surgery. Orthopedics in the spinal internal fixation surgery using navigation systems can help doctors determine whether the nail is in the cone, there is no damage to the nerves, etc., increasing the coefficient of surgical safety.
Self-assessment of medical training 2I was in September 1, 20xx to February 25, 20xx in Qujing First People's Hospital Laboratory Department for further training, this six-month period of time, I successfully completed the training program. I not only enriched the knowledge of testing, but also improve the testing skills, my overall feeling of training is "busy" and "tired". We do things very seriously, and pay close attention to quality. I am in the six months of training time training experience and insights are as follows:
First, I have enriched the knowledge of the test, improve the test skills. Especially microscopic examination techniques, such as peripheral blood cell morphology, bone marrow blood cell morphology, urinary sediment analysis, prostate fluid analysis, xx analysis. Other aspects of skills include bacteriologic colony observation and identification, immunologic manual techniques, biochemical maintenance and calibration, and transfusion antibody screening.
Secondly, I learned a lot of ways and means to acquire new knowledge (internet, digital camera, library, magazines, etc.), and when I saw their better books I went home and searched on the internet, and got a lot of them without spending any money, such as National Clinical Laboratory Practice (worth more than 300 yuan), bacterial identification atlas, bacterial identification manual, hematology atlas, hematology lectures, etc. At the same time, I took a lot of photographs of bacterial colonies and identification of bacterial colonies. At the same time I photographed a large number of bacterial colony morphology and bone marrow slice morphology.
Thirdly, I learned how to deal with various complex test problems and successful test quality management mode. Learning them to treat the work of extreme responsibility, always with a cautious attitude to deal with every specimen to be examined, and seriously deal with the difficult problems encountered in the work. For example, there is a blood type test patient, A side of the agglutination is very weak, slide method and test tube method, positive and negative stereotypes are done, there is no conclusion, and finally sent to the blood transfusion unit, the use of microcentrifugation method, there is no conclusion. Finally, the report of this patient was stopped and he had to go to the blood station for blood typing. There is another patient, the beginning of the peripheral blood has a large number of na?ve cells, the bone marrow image is also abnormal, began to suspect that the blood disease, after a few days to collect blood again, found that the patient is obviously different from the last time. This patient is a typical toxic granulocyte changes.
Fourth, work hard, quality and quantity to complete the tasks assigned by the teacher. Continuously summarize the work, attach great importance to practical and theoretical learning, learning, summarizing, improving, solving practical problems in the work, see their own shortcomings everywhere, high standards, strict requirements, and take people's strengths to make up for their shortcomings.
Fifth, Director Zhang Ping is very good at management, focusing on more details, cost issues. Clinical problems once found, timely treatment programs and make improvements. Director Zhang told me the layout of the laboratory, give me the design ideas. Speaking of the principles of dealing with departmental problems, the work should pay attention to the problem. Said his many years of management experience, he said that the development of the test department, the key to four aspects, "First, the management of the director of the department; second, the director of the test equipment and reagents for the level of positioning; third, the department staff business training and further training; fourth, to participate in the indoor and inter-room quality control situation.
In short, I learned a lot of knowledge from the textbooks can not be learned, I will be the future of these experiences into my teaching, will be able to stimulate students' interest in learning, to achieve better teaching results.
Self-identification of medical training 3I was in the hemodialysis unit of the Oilfield General Hospital from December 3, 20xx to June 3, 20xx for further training and study. First of all, I would like to thank the leadership of the hospital and the leadership of the nursing department for giving me the opportunity to go out for further training and study. Through this study in the hemodialysis department of Oilfield General Hospital to a large extent opened up my horizons, enriched my knowledge, strengthened my business ability, clarified the direction of my future learning and development, and laid a solid foundation for future learning and business skills improvement. I have learned a lot of knowledge and skills about hemodialysis during the six months of further study. I am like an internship student to humbly ask teachers for advice, learning, and their own practice, in the teacher's patient guidance, under the education of the head nurse, I have mastered the hemodialysis of common diseases of nursing care as well as operation. Such as puncture and care of arteriovenous endovascular fistula, care of temporary central venous catheter, hemoperfusion care, hemodialysis care, permanent deep venous catheterization care and so on. I familiarized myself with the work of hemodialysis, clarified the procedure and direction of the work, and improved my working ability. The following will be my learning and further training of a few points of harvest and experience for the following report:
Oilfield General Hospital has advanced instruments and equipment, a large health care team, independent and unique ward structure, to the patient to create a quiet and comfortable therapeutic environment, all the nursing appliances marked conspicuously, placed in a standardized and orderly, convenient and quick, beds are equipped with induction hand-washing sinks, to prevent cross-infection. Due to the complexity of the condition of hemodialysis patients, rapid changes, complications, they nurses have exquisite technology, a high degree of responsibility and keen insight, with a high nursing theory foundation and skilled operating skills, all have a more rigorous, agile and decisive style of work. Each of them is responsible for 5 patients, closely observing the changes of patients' vital signs, not neglecting any symptom, not relaxing any hemodialysis link, not missing any opportunity for resuscitation, operating quickly and ably, eliminating the occurrence of errors and accidents. They did the nurse operation, focusing on strengthening the self-checking and two-person checking system, self-checking is on the machine after their first check, two-person checking is the team leader and bed (according to the doctor's orders) carefully check the parameters of the treatment. Every shift nurse must master the condition of dialysis patients under her control, so as to avoid the delay of patients' condition due to the change of condition of other diseases in the process of dialysis which cannot be judged correctly. Strict implementation of the notification system, the first use of arteriovenous endovascular fistula patients, to teach. Strict aseptic technical operation and sterilization and isolation system. Dialysis machine to do person times disinfection, operation person times change gloves, strict engineers on the maintenance of the machine and the disinfection of water treatment, to ensure that the dialysis fluid in the safe range, to ensure the safety of patient dialysis. The dialysis fluid and water used for dialysis are regularly monitored for bacterial culture and ph value every month. Daqing CDC provincial CDC sampling pass rate 100%.
Hemodialysis is the main treatment for uremic patients. Dialysis patients actually live a very abnormal life, they are largely "tied" to the dialysis machine, life-long dependence on medical equipment, dependent on health care personnel to survive, patients and their families have a heavy economic burden, the impact of long-term pathological factors also make the patient is not easy to stabilize the mood, easy to provoke and other characteristics. With the transformation of the medical model, hemodialysis patients should not only be given psychological appeasement, but also humanized care and advocate the concept of people-oriented nursing services to improve the quality of survival of dialysis patients. The so-called "small hemodialysis room" actually carries all the hope of survival for dialysis patients, and is also an indispensable means of treatment for patients with acute renal failure and various kinds of poisoning.
As the saying goes, "Take the stone of the other mountain and attack your own jade". The leadership of the hospital and the nursing department sent me to the Oilfield General Hospital to further study hemodialysis, in order to strengthen the dialysis treatment in our hospital, and now I will report my thoughts for the leadership's reference.
(a) to strengthen the quality control of nursing
Clearly define the position responsibilities of the dialysis center, workflow, operation norms, and the development of dialysis risk plan and emergency contingency plan. Study carefully, so that the hemodialysis nurses are skilled. When encountering problems in the work, they have evidence to check and can solve them in time. The rules and regulations are constantly added and improved in the work. Work in strict accordance with the rules and regulations and workflow, strict checking system, including the patient`s `pre-flush line, vascular puncture, dialysis treatment and the setting of treatment parameters, to ensure that each shift must have more than 2 nurses on duty, checking with each other, including whether there is any blood seepage from the puncture site, whether the treatment parameters set by the machine are accurate or not, the dosage of anticoagulants and other drugs, as well as the vital signs of the patient, etc.. Nurses did strictly follow the operating procedures during the operation, and the blood flow of the blood drawn on and off the machine did not exceed 100 ml/min, which was supervised and checked at any time. Semi-permanent intubation and temporary intubation of patients, pure heparin sealing solution and down the machine with drugs can not be pumped at the same time, sealing the tube is prone to error, timely inform the nurse now with the current distribution.
(2) Provide high-quality service
Establish a people-oriented nursing management mode, strengthen the sense of service. After the patient began dialysis, there is often a great deal of pressure, such as the risk of dialysis, pain, freedom of restriction, the disease itself on the body's impact, the cost of dialysis, the change of affection, etc., the psychological problems manifested in depression, anxiety, despair, and in some cases even hatred of the community hate health care workers. Kind and patient language communication can make patients have a sense of security, carefully explain the knowledge of dialysis, eliminate the patient's fear, explain the effect of dialysis of other patients, enhance their confidence in treatment. Try to reduce the burden of patients, set dialysis plan for them, as far as possible, so that they are not entangled in the pain of the disease, the length of life, but focus on the quality of survival, laugh at life. Dialysis patients have a strong dependence on the healthcare staff as they have long-term contact with them. At the same time, they are more familiar with the staff, treatment environment and dialysis procedures and methods, and even regard the hemodialysis room as their second home, and have an obvious sense of participation in management. In this regard, we communicate with patients at any time, explain and illustrate the new progress in hemodialysis treatment, and take the initiative to solicit opinions. In the event of other diseases, we take the initiative to contact patients for treatment and establish a smooth channel for consultation. We provide contact information, so that patients can contact us in time when they encounter problems. For patients with serious conditions, we allow a family member to accompany them, so that they can feel affection, increase their sense of security, reduce their psychological pressure, and better cooperate with the treatment. In the absence of family members, we also assume the responsibility of family members, handing water, feeding, assisting.
(3) Strengthen the management of work details
Strive to work seriously and carefully. Hemodialysis has a high risk, as a nursing operator, not only to establish a correct and positive nursing risk awareness, enhance the concept of the rule of law, but also to play the subjective initiative, to do the maximum control and avoid risk, so as to improve the quality of care, better service for the patient. During the dialysis process, it is necessary to routinely measure and record blood pressure every hour, and measure and monitor vital signs at any time when the condition changes. Some patients, especially those prone to hypotension during dialysis, need to be closely observed and their blood pressure measured every 5 minutes. Parameters of dialysis equipment should be adjusted in time, such as temperature, conductivity, ultrafiltration rate, blood flow rate and so on. Concentrate your mind and energy when working, a little negligence can cause patient's loss and accidents. Diabetic patients are prone to hypoglycemia because of sugar-free dialysis, so they should pay attention to the changes of their mental state, especially when the patients are sleeping, and they should be called frequently. Due to the dialysis drainage after edema reduction, puncture site skin relaxation, easy to occur needle eye bleeding or off the needle phenomenon, especially in winter, the patient's arm inside the quilt, and bleeding often occurs in a flash, and the amount is very large. In addition to diligent observation, it is also necessary to hand over the patient and call in time if there is any abnormality. In diabetic hemodialysis how to observe blood glucose, to prevent the analysis of hypotension in dialysis, take precautions to ensure the adequacy of dialysis.
Medical training self-assessment 4Three months of rehabilitation training is coming to an end, will soon be involved in our hospital's new rehabilitation business, service our county patients. I am honored that I can participate in this valuable refresher course.
My training unit is the Department of Rehabilitation of Qinhuangdao First Hospital, which is the most advanced unit of rehabilitation medicine in Qinhuangdao City. The average daily volume of more than 100 visits. The department is equipped with advanced rehabilitation equipment, 11 physicians, 18 technicians, the proportion of postgraduate students as high as 64.5%, mature clinical technology, they are knowledgeable and experienced, so I benefited greatly. Every day at noon, the department has a case consultation, in which the physician who presides over the discussion first reports the history of the case, and then the interns, trainees, residents, attending physicians, and technologists express their opinions in turn, and then the deputy director or chief physician in charge of the system to which the case belongs summarizes the case and makes the final diagnostic and therapeutic opinions. The atmosphere during the discussion was harmonious, pragmatic and evidence-based, and the views expressed were all based on evidence, which opened my eyes and taught me how to conduct a comprehensive analysis of a case, the rehabilitation program, the clinical inquiry, and ultimately make the best diagnosis and treatment method.
In the process of daily study, I systematically learned the nervous system, trauma, peripheral nervous system, five senses examination methods, as well as the diagnosis and rehabilitation treatment of related diseases. Due to previous little contact with rehabilitation knowledge, at first it is really not easy to understand, because of the previous focus on traditional physiotherapy, so always take the principles of Chinese medicine to explain the rehabilitation, resulting in the wrong entry point, the director of the department specifically for this to do a great deal of work, to me carefully and carefully, explaining in layman's terms, so that we understand the principles of rehabilitation medicine, and the use of the principles of explaining the phenomenon of disease. And I used to be more familiar with the Chinese medicine examination methods of common diseases and diseases for comparison, so that I have a more profound knowledge and understanding, and viewed numerous typical cases. I have written more than 30 diagnosis and treatment plans and examined more than 160 patients. For some of the more difficult and rare diseases, there is a preliminary understanding, for further study and research laid a solid foundation.
During the training period, I focused on the study of neurological and orthopedic system of rehabilitation diagnosis and treatment program, systematic study of rehabilitation medicine in a variety of assessment, physical therapy, occupational therapy, speech therapy, etc., which has a more comprehensive understanding. Although the current introduction of equipment in our hospitals may not be able to carry out this in-depth technology, but with the development of hospitals, medical equipment, there will be a relatively large breakthrough in this area, I focus on learning the purpose of this area is to prepare for the near future, and at the same time familiarize themselves with more knowledge, expand their own knowledge of the future work is very beneficial.
The department has implemented a three-trial system to minimize the chance of misdiagnosis and omission. First of all, the doctor on duty on that day to write the initial report, and then the director, deputy director of the doctor's initial review, and finally senior director of the final review, for the difficult cases, we discuss together, each expressed their views, and finally united views, such a report program is very reasonable, but also to the patient's absolute responsibility, as well as the work of the rigorous, and it is also very worthwhile for me to learn from the study.
During the training period, in addition to the daily noon case consultation discussion, I also participated in each postgraduate lectures, although not in graduate school, but here and postgraduate students to listen to the teachers, very happy, learned a lot of knowledge, as well as teachers summarized the work of the experience, but also learned from their attitude of medical rigor. In my daily study, I learn the principle theory while combining the practical operation, so that I have a basic understanding of the principle of rehabilitation. At the same time, to participate in the daily report writing, after the report writing, so that I have a deeper understanding of the disease familiar with the daily disease and the norms of report writing.
In addition to professional learning, I also experienced the teachers' serious and responsible attitude towards patients, their patient volume is very large, each teacher has a large number of patients every day, but every time they encountered the patients who came to seek medical treatment, they are always very patient to explain to them. In the diagnosis is not simply to complete the task, but to take into account the patient's further treatment, to answer the clinical doctor's questions, etc., after careful consideration to make a reasonable diagnosis and recommendations, these are what I need to learn more.
Three months is a short time, but a lot of harvest, but time is limited, the sea of learning, I realize that to become a good rehabilitation doctor there are many many need to learn knowledge, in the future work life, I will continue to take advantage of all the opportunities to learn, and strive for a better service for the patient, for the development of the hospital to make contributions. At the time of coming to an end, I firstly sincerely thank the hospital for giving me this opportunity to study, and secondly, I would like to thank very much all the teachers of the Department of Rehabilitation of the First Hospital of Qinhuangdao City, thank you!
Medical training self-identification 5First of all, I would like to thank the hospital leadership for giving me such a good opportunity for further training, I know that this opportunity is rare, and I thank you for your trust and expectations. During the training period, I always forget the hospital leadership's instructions, more questions, more hands, more communication with the teacher, and strive to grasp the opportunity to further training, and strive to improve self. After three months of rehabilitation physician training, mastered the rehabilitation medicine department of Shandong province transportation hospital rehabilitation therapist treatment technology, rehabilitation physician diagnosis and treatment technology and department management mode, rehabilitation ward management and other knowledge. Now the specific situation is reported as follows:
1, learning: I am in the Department of Rehabilitation PT room, OT room, ST room and wards during the training strictly abide by the rules and regulations of the hospital and the department, proficient in "three paralysis and one amputation" that is, hemiplegia, paraplegia, cerebral palsy, amputation of the functional assessment, the development of training programs and rehabilitation therapy techniques. Clinical application of rehabilitation techniques. I mainly focused on the rehabilitation of patients with stroke, traumatic brain injury and paraplegia, that is to say, I adopted all measures to prevent the occurrence of disability and reduce the impact of disability, so that the patients could maximize their return to normal social life. The best time for rehabilitation of limb function of patients with stroke and traumatic brain injury is within three months after the onset of the disease, and rehabilitation during this period can speed up the progress of recovery of limb function of patients. The earlier the rehabilitation treatment, the better, as long as the patient is conscious and vital signs are stable, it can be started. In short, up to 6 months after the onset of the disease is an effective rehabilitation period; if the disease duration is more than 1 year, the rehabilitation effect and the speed of limb function recovery will be reduced. Therefore, it is necessary for the medical staff of each department to cooperate with each other to do a good job in the early intervention of stroke and traumatic brain injury patients. In addition, it is necessary to do a good job of publicity so that patients, their families and medical staff cooperate with each other and actively participate in the rehabilitation training so that their early recovery, return to their families and return to society.
In addition, I actively participated in the lectures of the department, and was lucky enough to participate in a two-week national training course on rehabilitation therapy in Jinan, where I carefully studied and photographed the advanced rehabilitation therapy techniques of well-known experts in the field of rehabilitation at home and abroad. Famous experts include Prof. Hu Haiying from Fuxing Hospital of Capital Medical University, Prof. Wang Xinglin from China Rehabilitation Research Institute, Prof. Wang Tong from Jiangsu Provincial People's Hospital, Prof. Wang Xiaohua from Shandong Provincial Hospital, Prof. Yue Shouwei from Qilu Hospital, Prof. Li Tieshan from Qingdao Medical College Hospital, and Prof. Gu Ying from Shandong Province Jiaotong Hospital, etc. The study has broadened my horizons and increased my knowledge, and raised my knowledge of rehabilitation medicine to a new level.
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2, the importance of the rehabilitation department of social benefits: in the "three paralyzed and a cut" patients, some patients although life preservation, but life can not take care of themselves, the patient not only can not participate in social labor, but also need to be accompanied by someone. If we can timely application of rehabilitation medicine for the treatment of patients, can greatly reduce the disabled, the elderly, all kinds of chronic disease patients in the acute stage and recovery of early pain, so that their life care, as soon as possible to return to the family and even return to society, to relieve patients and their families of their worries.
Through the study let me more clear about the necessity of rehabilitation medicine, it is the patient's needs, the more progress in medicine, the more economically developed the demand for rehabilitation, is a major trend in the development of medicine, many tertiary hospitals have set up their own hospital rehabilitation branch. For example, Qilu Hospital. Our hospital patients (neurology, neurosurgery, orthopedic surgery, etc.) need to rehabilitate a lot, do not worry about the source of the disease, you can increase the hospital's economic income, and nearly increase the popularity of our hospital.
3, the rehabilitation department set up: the department was established in 1998, is the province's first set of hemiplegia paraplegia, cerebral palsy treatment, rehabilitation, training, consulting, research, prevention in one of the clinical rehabilitation institutions, is the China Rehabilitation Research Center in the country's capital city is the only one of the collaborative unit, Jinan City Health Bureau A-level key disciplines. Institutions under the Department: Neurological Rehabilitation Ward, Rehabilitation Training Hall, Rehabilitation Assessment Room, Exercise Therapy Room (PT), Occupational Therapy Room (OT), Speech Therapy Room (ST), Cognitive Therapy Room, Swallowing Disorder Treatment Room, Rehabilitation Outpatient Clinic, Acupuncture, Tui-Na and Physiotherapy Room, Hyperbaric Oxygen Section, and Fumigation Treatment Room. This department is a key discipline of the hospital, which is constructing a rehabilitation building. Finally, I would like to thank the hospital leadership again to give me this opportunity to learn, I think through my efforts and the help and support of all the leaders and colleagues, I can certainly learn to make a contribution to the cause of rehabilitation in our hospital.
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