Self-appraisal of further training doctors
Self-appraisal is a summary report of a stage of their own learning or work. Here is a self-appraisal about the doctor's further training, let's see it together!
Self-identification of doctors 1
The three-month training life has come to an end, a lot of harvest, so I feel that time flies. During the harvest I benefited a lot and will benefit for life. After coming to Tianjin People's Hospital, I entered the endoscopy center to study ERCP and its related diagnosis and treatment technology, during which I strictly abide by the rules and regulations of the hospital and department, respect for teachers, solidarity with colleagues, strict self-discipline, and care for the patient's requirements and pain. I tried my best to combine theoretical knowledge with practical experience, summarized my learning method and clinical experience, and cultivated my ability to think and solve problems independently. The following points are my deepest and most rewarding experience during my training period:
First, humanized management mode:
All the medical and nursing staff of the Endoscopy Center is a good collaborative team under the leadership of Director Li Wen, and the relationship between colleagues is harmonious and cordial, and even if the new trainee physician enters into the team, he also feels warm. Director Li's most common saying is that the trainee doctors do not treat themselves as outsiders, we are treating you as our own people. He often reminds the trainees to pay attention to the concept of asepsis, radiation protection and other details, so the surgeon, assistants, surgical nurses, anesthesiologists, imaging physicians and trainees in their respective roles during the operation, but also to assist each other, from the pre-operative preparation to the post-operative anesthesia of the patient resuscitation in a well-organized manner, to ensure the quality of the operation and the safety of the patient is of paramount importance.
Second, advanced equipment and high technical level:
The endoscopy center ERCP operating room is well-equipped, equipped with very reasonable. Endoscopes, a variety of monitoring equipment, suction, oxygen equipment placed in a reasonable, accessories such as catheters, guide wires, incision knife, stone basket, lithotripter, stone balloon, nasal bile ducts, stents, biopsy forceps, etc. are fully equipped and placed in a fixed position, the use of a comfortable. In addition, more importantly, the surgical team under the leadership of Director Li Wen is highly skilled in handling cases of obstructive jaundice with unknown cause and suspected extrahepatic biliary obstruction, suspected biliary diseases such as stones, tumors, sclerosing cholangitis, etc., suspected congenital biliary anomalies or recurrence of postoperative symptoms of gallbladder surgery, and pancreatic diseases such as pancreatic tumors, chronic pancreatitis, pancreatic cysts and so on. We have a unique ability to prevent postoperative complications.
Three, rigorous work style:
For the new trainee doctor by the teacher to teach, to understand the environment of the endoscopy center and all kinds of items in the storage place, to master the use of equipment and precautions, and communication with the patient's skills and precautions, the concept of strict asepsis, through the surgical demonstration, lectures, etc. to improve the technical level of the subordinate doctors.
After three months of training, we have mastered the intubation techniques and precautions of ERCP, and familiarized ourselves with the indications and contraindications of ERCP and the treatment of postoperative complications. I have accomplished the study tasks of further training without any medical errors or medical accidents. After the end of training, I will continue to work hard, keep learning, and put what I have learned into the work of serving patients wholeheartedly.
Self-identification doctor 2The three-month study life has ended. In this short three months, I learned a lot of knowledge, a lot of feelings.
I remember, when I received the notice of training, I was very excited, very grateful to the hospital and the department gave me this rare opportunity for training. And to plan and envision for this refresher study.
Perhaps their own requirements and expectations are too high, the first three weeks of training, the heart is very lost, the reason is: these three weeks every day in addition to the completion of the orthopedic nursing than our hospital much heavier than the work of the teachers rarely give us trainees lectures, less for us to carry out a very formal nursing checkups. Of course, there are objective reasons: work is too busy, every day if you can hand over on time - shift is a very remarkable thing.
Lost, can only take the initiative to the head of nursing requirements - one to two times a week with the professor room, and after three o'clock in the afternoon to participate in the "clinical pathway in the application of quality nursing services," the study of the learning class. After the head nurse agreed, I changed my gown and came out at less than 7:30 every day, and did the bed bath for one or two postoperative patients before going to attend the handover and room check. After the study class of "Application of Clinical Pathway in Quality Nursing Service", I often went to some study lectures held by the university or the hospital after work. In Annex I, one outstanding aspect is that there are a lot of learning opportunities, as long as you are not afraid of hard work and tiredness, there are classes and learning opportunities every day. I have attended many study courses held by the University and Attachment I during these three months, such as the study class of "Application of Clinical Path in Quality Nursing Service", "Recognition of pressure ulcers in the hospital", "Analysis of the causes and treatment of PICC tube infection", New Progress in Surgical Wound Management" and "New Theory and Practical Skills in Clinical Nursing Teaching", etc. Moreover, we were honored to participate in the "2011 Multidisciplinary Symposium on Diagnosis and Treatment of Bone and Soft Tissue Tumors". These courses, workshops or seminars have not only enriched my professional knowledge and allowed me to learn more, newer and more advanced techniques, but more importantly, have allowed me to see the bright future of nursing.
In addition, what struck me y is that the learning method of further training is different from other learning. If we use the attitude and method of internship ten years ago into the territory of further training, that may not gain much, like my experience in the first three weeks of further training, always thinking "teachers will take the initiative to teach me", "the head of the nursing staff will be properly arranged for their own further training and learning", and finally can only be I was disappointed. Further study is a kind of "self-seeking, self-thinking" learning. In the process of further study, we must learn to "steal". Self-learning and stealing are very important for every student. Most of the teachers in Annex I have a strong sense of protection of intellectual property. When you want to take some valuable materials for copying, you should ask on the pretext of "Can I take it back to the dormitory to read it? I'll return it in two or three days." They will always tell you politely, "Sorry, these things are our own section, you just sit here and read it." In this case, you have to go back and "study". As a trainee, you should pay attention to what you see and hear in your work. If you find a senior nurse mentor for junior nurses in some specialty demonstration or small class, to learn to seize this learning opportunity. Sometimes when you learn that the head nurse or the nurse specialist is going out for consultation or attending a meeting, you should first try to get a chance to follow along and not let yourself be listened to before it's too late.......
The perfection and implementation of all the systems in the First Affiliated Hospital has also left a deep impression on me. In the first annexed, both doctors and nurses attach great importance to the two-person checking system. Hanging bottles, medication and other nursing operations are two people together to implement, even if it is a bottle of glucose or a bottle of Ringer's solution are two people together to implement; in the joint microsurgery, the doctor in the manipulation of plaster cast external fixation, the use of lidocaine for local anesthesia before the use of other people to help check, the other party to confirm the use of.
In Annex I, the practice of knowing the wise and appointing the wise, let me feel very y. Such as in the orthopedic department, there are 23 years of service of the old nurses are still working with 1 to 3 years of young nurses on the same morning shift (7 to 14 shifts); there are only four or five years of service has done the total lead, six or seven years of service as a specialist nurse, in nursing, they attach importance to competence, far greater than the length of service. And their chief nursing officer can arrange the nursing management QC work in the ward according to the character traits and abilities of the nurses.
Further training life is hard, further study is full of hope and excitement. Only in the process of further training to taste the hardships, in order to cultivate the sweet fruit. Today, I think it is full of return, I hope to learn to better serve patients, for the hospital and department of nursing development to make their own due diligence!
Nursing Department: a period of time for further study, in fact, also seems to be a person's career in miniature. A person's career, but also need to have a positive mindset, the spirit of active learning, to "self-seeking, self-thinking, self-creative", in order to make faster progress and growth, rather than waiting for "to be taught by others". Being properly organized by others for their own learning and growth". A period of further study experience, take the initiative to make their own situation change, which brings a full harvest, and a person's career and even a person's life is not so?
Self-identification doctor 3Through a six-month training in the First Affiliated Hospital, in their vast number of doctors and nurses to help, the successful completion of the general surgery, thoracic surgery, cerebral surgery, orthopedic surgery group rotation. Even though this was a refresher course in general surgery specialties, I only stayed in the general surgery group for more than 2 months and spent most of the rest of my time in the orthopedic group. Surgery in general surgery is the most common, done more often, and the most basic surgery in our operating room, however, as one of the nurses in the operating room, we should all be skillful in it. This refresher study has made me feel y and benefited a lot, and at the same time, I also recognize the shortcomings in my past work. Now my learning experience is reported as follows.
First Affiliated Hospital of Nanda University is a first-class comprehensive teaching hospital in Jiangxi Province. When I first went there, I was a little bit uncomfortable and under a lot of pressure because their daily operation volume is 3 to 4 times more than that of our hospital, but their nurses have the perseverance and meticulous spirit of continuous work, which I admire very much. During the operation, they implement the operation strictly according to the technical specifications, effectively preventing the occurrence of various nursing errors. Hand-washing nurses in familiar with the surgical process on the basis of active preparation for the operation of a variety of instruments required to do consciously active, rapid delivery of instruments, with the operation to do busy but not chaotic, organized, to ensure the smooth progress of the operation. Their doctors and nurses on the operating table, not a word of gossip, the entire operating room quietly, traveling nurses are very careful, posing position of the patient in every exposed place with gel pads or water bags for protection, effectively preventing the formation of pressure sores on surgical patients, especially long-time surgery patients. And every time with the ward nurses to carry out all the handover should also do a good skin handover. During the operation, any request of the doctor's itinerant nurse will be the first time to get a response, the attitude towards the patient is also very good, each operating room is equipped with small blankets, very humanized, which is something we should learn. The visiting nurses also have to cooperate with the anesthesiologist to anesthetize the patients. While the operation is completed successfully, they record the operation cost into the computer and record the operation expenses on the operation bill for verification. The garbage in the operating room is clearly categorized, and the sharps produced in the operation are put into the sharps box, and then poured into the big sharps box in the whole operating room by the roving nurse after the operation, and then destroyed and disposed of in a unified way.
The operating room is very strict on all the basic operational requirements, first of all, the second shoe change is very serious. I remember just went to the first week, a teacher took me to the instrument cleaning group to put instruments, is because there is no replacement of shoe covers, was seen by the head nurse, then a month's bonus all deducted. Therefore, the nurses there are very careful and conscientious in everything they do, and if they are not careful, their bonuses may be deducted again. Their surgical gowns have now been replaced by all-inclusive ones, with the hand-washing nurse being the first to wash her hands, assisted by the visiting nurse to put on the gown, and the rest of the surgical patients being assisted by the hand-washing nurse, who has brought along good gloves, in tying the belts around their waists. Although we also have all-inclusive gowns in our hospital, we are not really doing this, and this is something we need to correct. For all kinds of surgical instruments gauze count throughout the operation, by the instrument traveling nurse *** with the count 3 times (preoperative, before the closure of the body cavity, after the closure of the body cavity), instrument check carefully, including the teeth of the teeth forceps, instruments are loose, joint screws are missing, with gauze with or without should be examined one by one, to prevent errors caused by the instrumentation. At the end of the operation, the instruments are received by the nurses of the instrument group, and the number of instruments is checked again when they receive them, and then they are pushed to the instrument group for categorization.
The operating room adhere to the daily 7:45 punctual shift handover, shift handover procedures standardized and clear, large to the instrument small to the needle and thread are handed over. Very clear. The medical department at 9 o'clock every day punctually check whether the surgery is open and whether the surgery has been marked. Nurse manager in the scheduling of new and old with the division of each specialty group and set up a specialty group leader to manage the group, so that the surgical nurses to understand the habits of the doctor, and the doctor can work together, effectively shorten the operating time, improve the efficiency of the operation. The operating room will arrange regular lectures every week. Friday morning is the time for each specialty group to study, with senior nurses from the specialty explaining the surgery and specialty knowledge of the specialty. One week is for general nurses to learn, and one week is for young, new nurses and trainees to learn. This rotation is done. Different surgical position protection and the use of advanced medical equipment, as well as management learning, but also regularly invited specialists to give lectures, y feel their strong learning atmosphere.
The flexible scheduling of the operating room, according to the daily volume of surgery for scheduling, the operation list must be opened before 12:00, the head nurse 14:00 before the next day scheduled for surgery shift. Nurses daily 7:45 on to 15:00 p.m. 15:00 before the end of the surgery, according to the regulations to notify the head nurse, deployment of surgery, such as no other arrangements by the individual truthfully fill in the hours of time. Surgery time is too long to lead to the nursery class, according to the routine are completed by the staff of the group, not allowed to carry out the handover, except in special circumstances.
There is also a point worth learning is that they have a set of strict management system. If the instruments disinfection special management, including small pressure steam sterilizer. Laparoscopic instruments and valuables are taken over by a special person, carefully verified with the surgical nurse and recorded. All items used in surgery, such as "indwelling needles, tees, absorbable sutures, electrosurgical knives, anastomoses..." are issued and registered by a nurse. A nurse is responsible for issuing and registering the items.
These are just some of the insights that I summarized after my study, which is not very comprehensive. But I will apply the good technology and methods I have learned to my future work, improve my motivation and enthusiasm for work, and constantly summarize my experience and study hard. Finally, I hope that the nursing work of our hospital will flourish and our hospital will have a better tomorrow.
further training self-identification doctor 4After a year of general practitioner's transfer training course, I have a certain knowledge and understanding of the knowledge of general medicine. I know the meaning of general medicine: it is a social and family-oriented, integrated clinical medicine, preventive medicine, rehabilitation medicine and humanities and social disciplines related to the content and integration of a comprehensive medical academic specialties. Organic integration of the relevant knowledge and functions of various disciplines into one, so as to serve the community and the family to maintain and promote health needs. At the same time familiar with and understand the general medical care is a personal and family to provide continuous and comprehensive health care medical specialty, but also integrated biomedical, clinical medicine in the behavioral medicine of the wide range of specialties.
As a general practitioner, you will play an important role in general practice, which is the provision of high-quality, convenient, cost-effective and integrated primary health care services to individuals, families and communities, and the management of the whole process of life, health and disease, all-round responsibility.
In the one-year study time, the teacher taught us community medicine, general medicine, community prevention and health care, common health problems in the community, rehabilitation medicine, health education and health promotion, traditional Chinese medicine care of common diseases in the community, emergency and first aid, physical diagnosis, psychological disorders and mental health and other disciplines, from which we understand the characteristics of the community health services, in order to implement the six integrated service system of the wide range of knowledge needed to master.
In Gaolan County Hospital during the 10-month clinical skills practice, I internal medicine, emergency medicine, surgery, pediatrics, common diseases, multiple diseases, clinical features, diagnosis, differential diagnosis, treatment principles and methods, referral indications and prevention have a certain mastery, seriously completed the clinical training requirements. What touched me most is that the clinical departments **** the same characteristics, is fully embodied in the majority of residents to solve the problem of difficult to see the doctor, the problem of expensive to see the doctor. Convenient, fast, thoughtful, cheap and informed. Receive a full range of services. County hospitals have complete basic facilities, rich and cheap drugs, laboratory (routine laboratory, biochemical laboratory basically meet the needs of common diseases), ultrasound, electrocardiogram and so on. Also carried out acupuncture, massage, cupping, closed and other diversified services, the after-effects of many diseases, chronic disease rehabilitation and treatment play a positive role. During the 1-month grassroots practice training in Heishi Township Health Center, I was able to independently deal with common rural diseases, multiple diseases, and was able to combine the problems found in the work and solve them in a timely manner, mastering the skills of general medical services, community chronic disease management, and health care for key populations.
Through the practice of further recognizing the importance of doing general practitioners, health center doctors in the rural health center duties. Health center doctors can through various forms (outpatient, home visits, health records, etc.) to understand the health status of the residents of the township, often through various forms of publicity health knowledge to achieve the purpose of health education and health promotion. Through practice, we have a deeper understanding of the differences and links between general medical care and specialized medical care, fully demonstrating the importance of general medical care in today's society in the needs of community residents.
Because of the township health care work time is not long, the work is not deep enough, the understanding of general medicine and community medicine is not comprehensive, many concepts are still stuck in the mode of specialized medical care, in the process of coping with the patient is still the existence of a medical-centered, disease-centered, doctor-centered mode of treatment, the community's common health problems, rehabilitative medicine, traditional Chinese medicine, care of the general medical knowledge is still a lack of comprehensive understanding and knowledge of the community's common health problems, rehabilitative medicine, traditional Chinese medicine care. Medical knowledge also lacks a comprehensive understanding and mastery, so we must take full advantage of the favorable conditions to update the concept, improve the quality of service and improve the efficiency of medical services, and better health services for the majority of residents in the community.
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