? Hospital doctor training insights
? Autumn and winter, the cold is deepening, homesickness is more and more intense, especially when you look at the end of the year is approaching, the end of the study is also close to the end of the family, thinking of friends, can not help but sigh with emotion on the study. Residence in Hangzhou for more than two months of further study, blogs are rarely updated, lifting the finger keyword actually feel a sense of blunt rust in the hands and brain. Today, I have a moment of leisure, leaving words, temporarily comfort this lost years.
? I've long admired the Zhenyi Hospital is one of the top ten hospitals in the country, and I'm fortunate enough to be able to study respiratory therapy in its comprehensive critical care ICU, which is a great honor, and I treasure every inch of my time studying here. Every day, I insist on waking up at 6:30 a.m. and walking between the hospital and the dormitory with a monotonous pace. The 24 hours a day were divided by working, studying, eating, reading, and sleeping, because even though I was grasping for time like this, I was still already far, far away from others in my specialty. Therefore, during the period of further study in Zhejiang I, my heart often welled up in the bottom of the frog in the well of self-shame.
? Zhejiang First Hospital carries out a lot of advanced medical technology in the country's leading, such as organ transplants (especially liver transplants, heart and lung transplants, etc.), cardiac surgery and ICU intensive care, etc., has long been famous outside, attracting a number of medical personnel from all over the country have opted to come here for further training and learning, and even nurses from the United Kingdom to internships here, Southeast Asian countries of the master of medicine students, and so on. Zhejiang First Hospital can have such an important influence in the domestic medical community, I think this is inextricably linked with each and every medical staff working here, a rich learning atmosphere, open academic thinking, practical medical practice, diligent research and analysis, intense debate and discussion ...... these factors related to the progress of all around me all the time stirring! I am always stimulated by these factors that are closely related to progress. The creation of a famous hospital is not only related to advanced medical equipment, but also to advanced medical concepts and diligent and persistent study and practice. Learning, learning, learning again; thinking, thinking, reflecting again; practicing, practicing, practicing again; discussing, discussing, discussing again; in-depth, in-depth, in-depth, in-depth again; innovation, innovation, innovation, this is the ZJI in my eyes.
? When I chose to go out for further study, many people around me do not understand, because in their eyes, to my thirty-two years of age, my son has been reading the second grade of elementary school, this stage of the woman should be at home to raise their children and enjoy the life of the age of time, progress should be more young people's business, not to mention the hard work of further study, and further study and learning without bonuses, the income will be a lot less, further study is simply a loss of money business, not worth it. It's not worth it. Further study is nearly over, when the unrepentant persistence of choice is still my pride at this time, Mr. son's firm support to help is also my pride at this moment. A word: value, has been far from enough to express it in my life years left a valuable asset.
? Here I feel the hard work of learning, the life of the light, not as much as I feel the barrenness of knowledge, the backwardness of the concept is more. Here I met a lot of mentors such as comprehensive ICU respiratory director Pu Qibin director, has long been admired, so I studied under him, for his profound respiratory medical knowledge and profound and comprehensive medical skills, especially in the respiratory profession so much to our admiration of him, still all day long buried in the study, no matter what, down-to-earth work, full of enthusiasm, fine academic style, more admirable to me. There is also Dr. Shi Heng here, his thorough and unique understanding of the cycle, often in the examination room when the wonderful speech analysis attracted a lot of fans, including me, gathered around him, quotes according to the example, laughing and combing, precise pointing, humble and easy-going, are all the reasons to follow it. Of course, there are also beneficial friends, such as a few years older than me, the child has already been in junior high school is still studying nursing here sister Huang Xiaoling, often warm to me, living in Hangzhou, she also let me taste her own steak, so I feel a trace of warmth at home; and once and I studied respiratory therapy for a month with the Shandong sister Sun Yongfang, graduated from the undergraduate nursing program, ready to apply for the International Nursing License, intelligent and diligent, she gave me a lot of help in the basic aspects of medical specialties, and I have to do a lot of things to help. She has given me a lot of help and guidance on the basics of medical specialties. They are all excellent nurse leaders in their units, and here they are all new modern women who are eager to learn and advance, and they are the role models for me to learn from. There are many more mentors and friends, I won't go into detail.
? Let's end with a sentence. As a woman, the only way to learn is to learn to get ahead, the only way to learn to set up, the only way to learn to settle down, learning to make each of us better to meet the life, so that I have a calm and relaxed mood to teach their husbands and mothers.
Hospital doctor training insights?
? A year of further study has just ended, I returned to the workplace I am 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.
? I further study unit is xx medical university xx hospital respiratory department, it is China's first batch of master's degree-granting disciplines, shaanxi province advantage of medical disciplines, the national drug clinical trial institutions, the fourth military medical university grass-roots construction of the standard department, is the northwest region of the training center for diagnosis and treatment of bronchoscopy, respiratory machine training base. 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 attaches great importance to the training of the younger generation, maintains a strong talent echelon, the peach and plum all over the world.
? They are the director of the department weekly room check 1 time, three line weekly room check 2 times. The checkups feel like a harmonious atmosphere, seeking facts, emphasizing evidence-based medicine, and many principle issues have reached **** knowledge, but allow differences that do not violate the principle. Tang Du Hospital has always emphasized comprehensive treatment, the whole department from time to time to organize a joint examination room with the participation of diagnostic radiology, pathology, surgery, internal medicine, radiotherapy and other multidisciplinary departments. During the checkup, the first-line or advanced doctors will report the history of the disease; the superior doctors will carefully read the films and 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, it is necessary to emphasize 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 famous experts at home and abroad, and domestic and international academic conferences. Long-term high-intensity, self-conscious learning and exchange 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, comprehensive proficiency in respiratory and related departments of common diseases, the diagnosis and treatment of multiple 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 bronchoscopy, thoracoscopy, and other operational essentials.
? Once again, the collaboration of personnel from various 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, but 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 are plagued with, and with 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 feel that, relying on our hospital's current technology and equipment, as long as we can standardize and rationalize the use of conventional technology, and carry out new business and new technology within our capacity, we 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 specialized construction, a full range of disciplines, science in the development of academic specialization, disciplines, the more subdivided into finer and finer, it is necessary to strengthen the cultivation of talents in various disciplines, we must pay attention to the re-education, re-study and the training of the reserve personnel.
?2, the development of the hospital, it is necessary to strengthen the internal medicine subspecialties, surgical subspecialties, pediatrics, obstetrics and gynecology, radiology, ct, ultrasound, electrocardiography, pulmonary function room and other departments of the cooperation between the rooms, it is not enough to have good clinicians, 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 cancer by 20%, according to the disease spectrum and the current situation of our hospital, lung cancer has become the cause of death of 20%. According to the disease spectrum and the current situation of our hospital, in order to strive for this part of the patients, to create better social and economic benefits for the hospital, it is recommended to add bronchoscopy, thoracoscopy and other advanced equipment as soon as possible, and accelerate the training of personnel in this area, to carry out new business, new technology, thoracic surgery, respiratory surgery without bronchoscopy is not able to survive, let alone talk about 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 room, combined with the abolition of the infusion room, which is also conducive to the management of patients in the room and get better treatment, in line with the hospitalization conditions of the proposed patients should be admitted to hospitalization, and at the same time, also to the hospital to create a better economic income. All departments of the hospital medical staff rotation, emergency department doctors are not fixed, so that the emergency department doctors also learn to specialize in learning and use, so that the whole hospital medical staff to get the overall development of the hospital doctors to get emergency training, master emergency knowledge and technology.
? Hospital doctor training insights
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? First of all, I would like to thank the leadership of the hospital, the director of the department, the head nurse gave me this opportunity to further study. In a short period of time, I y feel that the people's hospital advanced hospital management mode, thoughtful occupational safety protection and many other places worth learning. Secondly, through this training, I have a deeper understanding of how to become a qualified and excellent nursing staff.
? The main ideas of this training are humanization, modernization, institutionalization and standardization. Humanization is to be people-oriented, words and deeds to fully reflect the patient's care, care, all patient-centered, put themselves in the shoes of people, pay attention to communication with patients and their families. Institutionalization is based on the actual situation of the hospital, combined with the needs of the times to develop suitable rules and regulations of the hospital and strictly enforced. Modernization is to continuously learn advanced nursing ideas at home and abroad to adapt to the needs of social development, to provide patients with better quality services. These are not only the new ideas of training and learning, but also the new requirements of the times for nursing.
? With the development of the times, the requirements of nursing are getting higher and higher. The nursing knowledge I learned in the past has not been able to keep up with the needs of social development. Through this training, I have learned a lot of new knowledge.
? First of all: 1. Nursing services have been not only limited to injections, infusions, medication and other simple nursing work, but more and more focus on providing patients with a whole body, a full range of quality nursing services, nurses of all kinds of services in addition to the industry technology, words and deeds are also fully embodied in the patient's care, care, therefore, in the face of the future of the health care competition and social needs, the nurse etiquette can express the image of the nursing staff, to win the Social and economic benefits.
?2. This training also improves the quality of our practice, and lays a good foundation for us to be able to grow quickly into a cultivated, qualified, competent and leveled nurse, and helps us to discover the value of our profession and our own value in our ordinary work. As the saying goes: three parts treatment, seven parts nursing. As a clinical nurse, we have the closest contact with patients, we should give patients the care of a loved one, always understand their needs, to meet their needs, to use our love to help each patient. This will not only improve the quality of care in the hospital, but also increase the confidence of patients to overcome the disease.
?3. Pay attention to nursing safety and avoid medical disputes. People's Hospital is complete with a variety of safety signs, pay attention to safety, carefully remove the needle and then press along the direction of the blood vessels for 5 minutes, prevention of pressure ulcers and so on. Secondly, nursing staff remind patients and their families of relevant precautions at all times as a way to avoid disputes. Although they communicate with patients from time to time but have a strong sense of self-protection. They focus on improving the quality of service and avoiding medical disputes, which is also worthy of our learning and reference.
?4. Through the undergraduate stage of nursing theory, I realize that with the transformation of the modern medical model, China's nursing model has gradually shifted from disease-centered to patient-centered, replacing the traditional functional nursing model with a holistic model of care, and communicating with the patient at all times is the key to a good holistic care.
?5. The People's Hospital has a set of its own unique and strict management system. For example, the day shift for the night shift to make all the supplies ready, rescue items complete; patient profile and shift report should be evaluated and recorded by the nursing staff on duty, the requirements of neat handwriting, clear, concise, coherent, the use of medical terminology; advanced training nurses or internship nurses to fill out the shift report, the teaching nursing staff or the head of the nurses are responsible for the modification and signature. Compared to the People's Hospital, our Jiqing Hospital management system is a little loose, the future of our hospital's actual situation, learn from the management of the People's Hospital, to develop a set of management systems suitable for our hospitals and strictly enforced.
? Through learning and comparison, I realize that there are still some problems in our hospital care. For example
?1. The service attitude is not good enough, our nursing service is still limited to injections, infusions, medication and other simple nursing work, and did not pay attention to provide patients with a whole body, a full range of high-quality nursing services, words and deeds do not fully reflect the care of the patient's care, care.
?2. Nursing concepts backward and out of step with the times, our nursing is still using the traditional functional nursing model, not with the development of the times to adapt to the requirements.
?3. The management system is relatively loose, not as strict and formal as the management of the People's Hospital
? In view of the above problems, I think we should learn from the people's hospital excellent local disease to do the following rectification: first of all, we need to change the concept of strengthening the overall nursing theory of learning. In the ordinary position, we have to adhere to the belief in serving patients at the same time, but also strictly in the study of their own requirements, constantly update their knowledge, improve their technical skills, clinical and practical combination, in the work of continuous enrichment and self-improvement. The change of concept is first of all a change of understanding, through the study of the overall nursing theory, learning the nursing procedures related to it, nursing philosophy and the code of conduct for nurses, to understand the dynamics of the development of nursing at home and abroad, and to make clear the significance of carrying out overall nursing. At the same time, according to the characteristics of the patient, learning the relevant psychological characteristics, nutritional knowledge, preventive health care knowledge, disease care and other relevant specialties theory of the new progress, so that we get a fundamental change in the concept of broadening the horizons and ideas, and then to do to the point to bring the surface, for the development of the overall nursing care to lay the ideological foundation.
? Secondly, as a medical staff to do a smile is the most basic, a smile can bring warmth to the patient, comfort and hope; at the same time, medical staff should also be patients to be tolerant, to do the heart than the heart, put themselves in the shoes of people, to be good with what they have learned to practice, sincere concern for others, and pay attention to the communication with patients and their families, to take targeted holistic care.
? Third, in the current doctor-patient relationship is very tense situation, we not only have to strictly abide by the technical specifications, but also advocate learning, enhance the concept of law, strengthen the legal awareness, improve the quality of service, improve the quality of humanity, to avoid medical disputes;
? Fourth, for the management system is somewhat loose problem in the future to the actual situation of our hospital, learning from the study of the management of the people's hospitals, to develop a set of management system suitable for our hospitals and strictly enforced.
? In the People's Hospital for further study in a hurry, but I will be in the future work to abandon laziness and bad attitude! Put what they have learned into practice. After learning, I understand the hospital to adapt to the development of medical science, not only make to keep pace with the development of modern medicine, but also more importantly, to improve our moral level, professional skills and quality of clinical care. Finally, I will work in the future, under the leadership of the hospital leadership based on their own work, to comply with the various rules and regulations of the hospital, down-to-earth work, and never let down the hospital's expectations of me.