Article 1:
? Three basic? Training is an important guarantee to improve the level of medical care in hospitals, and assessment to improve the overall quality of medical staff and methods. In order to better grasp the quality of basic medical care, standardize medical operation procedures, increase clinical, medical technology? Three basic and three strict? Theoretical and operational assessment efforts to promote learning and practice basic skills. To the medical clinical? Three basic and three strict? Training as the center of content, seriously grasp the medical staff graded training work, especially to strengthen the resident's on-the-job training, in order to improve the quality of medical care and the overall quality of the hospital's medical staff. In accordance with the requirements of the "evaluation standards for the assessment of second-level general hospitals in Yunnan Province", combined with the actual situation of our hospital, we have formulated the three basic training and assessment plan for 2017.
First, the training object:
The whole hospital medicine nursing nursing and technical personnel
Second, the purpose of training
? Three basic? Training is an important way to improve the overall quality of medical personnel and medical level. The purpose is to improve the level of medical quality of all medical staff, to put? Three strict? The style of implementation to the various medical activities. In accordance with the requirements of "Evaluation Standards for Second-level Comprehensive Hospitals in Yunnan Province", the medical and technical personnel are required to be trained in the "Three Fundamentals". Three Fundamentals The training rate is 95﹪, and the examination pass rate is 100﹪.
Third, the training method
(a) to take the principle of hierarchical classification training: primary title staff focus on strengthening basic knowledge, basic theory, basic skills training, intermediate and above title staff on this basis to strengthen the position, the specialty of the new technology, new progress training. The reference books are the new edition of Pharmacology, Physiology, Pathophysiology, Anatomy, as well as the textbooks of this discipline and the latest diagnosis and treatment guidelines of this specialty. The Law of Practicing Physicians, Regulations on the Handling of Medical Accidents, Tort Liability Law, Law on Prevention and Control of Infectious Diseases, and laws, regulations, and departmental rules of various specialties.
(ii) Individual self-study is the main focus, supplemented by training organized by the department and the hospital. Each department to develop? The three basic and three strict? Training plan and implementation program, and by the section director or deputy director is responsible for training and assessment. Learning once a month, the time is not less than 2 hours, training requirements have records (time, signature, presenter, content, etc.). This year focuses on the three basic training in the department.
(C) according to the Ministry of Health "National Antibacterial Drugs Joint Remediation Work Program" of the spirit of the document, antimicrobial drugs, rational use of medication theoretical knowledge training, and in each quarterly exams to join the assessment of relevant knowledge points.
(d) The Medical Department conducts training and examination once a quarter, the specific time will be announced. The section conducts a monthly assessment. Requirements for grades, papers, analysis and evaluation.
(e) Hands-only CPR takes the method of on-site training and assessment.
Part II:
In order to continuously improve the level of business and technical skills of our medical staff, and constantly improve the quality of basic medical care in our hospitals, and standardize the medical operation procedures, according to the development of the hospital's business and the requirements of the higher level of the health administrative departments, the medical staff to carry out? Basic Theory, Basic Knowledge, Basic Skills? The basic theory, basic knowledge and basic skills of the medical staff are trained and assessed according to the requirements of the hospital's business development and higher health administrative departments. Strict requirements, strict organization, rigorous attitude? Implemented into the work, the development of this training program and assessment system.
First, the training and assessment purposes
1, to improve the basic theory and basic knowledge of clinical clinicians (technicians)
2, standardize the basic operating procedures of clinical clinicians (technicians)
3, to strengthen the basic operating skills of clinical clinicians (technicians)
Second, training and assessment of the object
The registration of the hospital's practicing physicians and assistant physicians, including residents. Assistant physicians, including residents, attending physicians, deputy chief physicians and chief physicians within three years of promotion to the title of chief physician, auxiliary departments of medical technology.
Third, the form of training
1, in order to departmental centralized learning and hospital centralized counseling combination.
2, each department set up to section chiefs, head nurses as the main body of the ? Three basic and three strict? Training management team. Departments should be based on the characteristics of the specialty, clear the specialty? The three basic? Training content, especially for the weakness of the profession and the composition of the staff, the beginning of the year to develop a suitable annual implementation plan for the profession, organized by the department. At the end of the year by the Medical Department, the Department of Nursing for basic theory, basic knowledge examination and skills assessment; hospital infection management training program 3, the hospital twice a month to organize the whole hospital medical staff to carry out? Three basic? Knowledge learning, and operational training, learning and attendance to register.
Fourth, the content of training (at all levels, all specialties)
1, basic clinical skills, medical record writing and physical examination of the whole body, aseptic operation techniques, thoracic puncture, abdominal puncture, lumbar puncture, tracheal intubation, mechanical ventilation, cardiopulmonary resuscitation, electrocardiography, medical imaging reading, diagnostic ultrasonography, clinical nuclear medicine and so on.
2, basic clinical theory and basic knowledge, clinical diagnosis and treatment routines of various specialties, antibiotics and the rational use of drugs, rational use of blood indications, test-related basic knowledge.
3. Health-related laws and regulations.
4. Hospital rules and regulations.
5, the professional knowledge and skills training of medical and technical personnel in this specialty.
V. Assessment content
Clinical residents:
1, relevant health laws, regulations, rules and regulations;
2, basic clinical knowledge;
3, basic clinical skills, medical record writing and physical examination, aseptic operation techniques, clinical operation techniques, unarmed cardiopulmonary resuscitation, electrocardiograms, medical imaging, antibiotics and rational application of drugs are required every year. The rational application of antimicrobials and drugs is a mandatory test every year, and the rest of the items are sampled two times per assessment cycle.
Clinical attending physician:
1, relevant health laws and regulations;
2, basic clinical skills, medical record writing and physical examination, cardiopulmonary resuscitation, common clinical techniques, electrocardiograms, imaging, antimicrobials and the rational application of drugs is a mandatory test every year, and the rest of the items in each cycle of the assessment of the sampling of two items.
Clinical deputy director and chief physician within three years of promotion:
1, relevant health laws, regulations, rules and regulations;
2, clinical diagnostic and treatment routines and professional knowledge, diagnosis and treatment guidelines;
3, unarmed cardiopulmonary resuscitation skills.
Medical technicians of auxiliary departments:
1, professional knowledge and skills of the specialty;
2, unarmed cardiopulmonary resuscitation skills;
Six, the assessment results recognized
1. Clinical doctors professional knowledge and skills assessment of the full score of 100 points, Chinese medicine, rehabilitation, stomatology, the assessment of the doctor of 65 or more, and the rest of the disciplines of the doctor assessment of 75 points or more, then The physicians of the other disciplines will be deemed to have passed the examination if they have attained more than 75 points.
2. Physicians of the auxiliary departments' professional knowledge and skills assessment, Hands-only CPR skills assessment of more than 75 points, technologists of more than 65 points are considered to have passed the business assessment, and those who fail in one of them are considered to have failed in the business assessment;
3. Those who fail in the assessment are given an opportunity to make up for the examination in the assessment cycle, and those who pass the make-up examination are regarded as having passed the business assessment of the current assessment cycle, and those who still fail are considered to have passed the business assessment of the current assessment cycle. Those who still fail in the supplementary examination will be regarded as failing in the business assessment in the current assessment cycle.
4. Those who do not participate in the assessment without valid reasons are regarded as failing the business assessment in the current assessment cycle.
5. Clinical physicians at all levels and auxiliary medical technicians in professional knowledge and skills assessment, three consecutive years of special assessment of 90 points or more, the special can be exempted from the test for two years.
6. The three basic? The results of the assessment are directly linked to the regular assessment of physicians in the annual assessment, title promotion and post employment.
VII, assessment management
1, organized by the Medical Department to set up the hospital business assessment expert group, and the formation of the question bank, responsible for the clinical physician business level test.
2, after the end of each assessment, the Medical Department through the hospital weekly meeting form the results of the assessment will be publicized.
3, the medical office is responsible for the assessment results recorded in the physician's personal medical records, as the basis for title promotion, post employment.
4, the hospital put? The three basic and three strict? Training work into the basic medical quality management, and departmental quality control linked; on the ? The three basics? Training work done well to give recognition to the outstanding results of the department and individuals to reward; do not pay attention to the? Three basic? Training work, education and training management is chaotic, the lack of standardized original records,? Three basic? Examination assessment failed, given notice of criticism, rectification, according to the severity of the case, deductions and penalties section quality control points and personal performance pay.
Part III:
2017 is a key year for the development of the hospital after the disaster. And medical quality is its top priority. In order to better grasp the quality of basic medical care and standardize medical operation procedures. With medical clinical? Three basic and three strict? training as the central content, seriously grasp the training of medical personnel, especially to strengthen the on-the-job training of residents, in order to improve the quality of medical care and the overall quality of medical personnel in the hospital. Hereby formulate the three basic training program in 2017.
I. Strengthen the training of the three basic medical personnel.
The medical education department is specifically responsible for the training work of the whole hospital. Often use the morning meeting shift time and take a centralized learning approach to the whole hospital personnel for the three basic training, training coverage rate of 100%.
Second, the training and assessment content:
(1) basic theory: including the diagnosis and treatment of diseases related to the basic theory of medicine and nursing basic theory.
(2) basic knowledge: including diagnosis and treatment of disease directly provide a scientific basis for clinical medical knowledge. Such as: medical care diagnosis and treatment norms, positive signs of various diseases, a variety of tests and examinations of the specimen to take the method and clinical significance. The basic composition of various drugs, contraindications, methods of action, use and indications.
(3) basic skills: including medical personnel should have the diagnosis, treatment of the basic operating skills (such as a variety of injection, puncture technology, cardiopulmonary resuscitation techniques. The basic operation method of surgery: including hand washing, wearing and taking off the surgical gown, the correct use of surgical instruments, knotting, basic suturing methods, etc.) and can be based on the mastery of the theoretical knowledge and practical experience, combined with the patient's condition, to formulate a diagnosis and treatment plan and other thinking judgment (such as the medical record, doctor's orders, the ability to write prescriptions, physical examination, diagnosis and differential diagnosis ability, outpatient and emergency treatment ability, read auxiliary The ability to write medical records, prescriptions, physical examination, diagnosis and differential diagnosis, outpatient and emergency treatment, and reading auxiliary reports.)
(4) Medical and health-related laws and regulations: "Practicing Physician Law", "Blood Transfusion Law", "Law on Prevention and Control of Infectious Diseases", "Regulations on the Prevention and Handling of Medical Accidents", "Regulations on the Management of Medical Records", and so on.
(5) skills training and assessment content: unarmed cardiopulmonary resuscitation techniques; the use of cardiac monitor technology; the use of electric defibrillation equipment technology; the use of ventilators and maintenance technology;
Third, the training methods and methods:
The use of centralized learning and departmental training combined with the two ways and means. Requirements for medical staff to use their free time to learn the basics of emergency medical emergency and new technologies, new theoretical knowledge. The department uses the director of the department room, morning shift and monthly business learning to explain the new theoretical knowledge lectures, and the first aid commonly used technology using on-site operation exercises, first aid simulation exercises are held regularly.
Fourth, the centralized training program:
January: 2016 spring Jiangyou children with hand, foot and mouth disease patients, in order to improve the diagnosis and treatment of 2017, to arrange for the whole hospital medical staff hand, foot and mouth disease knowledge training.
March: Arranged for the whole hospital medical staff to learn functional endoscopic sinus surgery lecture.
May: Study of neonatal pathologic jaundice special learning.
July: medical disputes lecture.
October: the whole hospital medical staff for hands-only cardiopulmonary resuscitation operation intensive training and assessment.
December: clinical blood transfusion knowledge training.
December: clinical blood transfusion knowledge training.