A doctor's self-assessment summary
Looking back at xx orthopaedic one year training, there are careful to ask the history of the time, there are serious checkups, there are quiet listening to the class, do not busy with the patient to add the checkups, there are honestly stand a day of the operating table, there are books and literature, and so on a scene, in my writing! The scene, when I write a review of the summary presented in my mind. Although some of the work is already very familiar, but every day and Dr. XX's clinical practice, such as room visits, medical history, physical examination and other basic things can be re-discovered their own shortcomings. From the point of view of standardization there is a big difference, so this year has not been in vain, from the most basic learning, not only learn their profound spinal joint set, but also from the point of view of clinicians to regulate their own behavior.The tireless pursuit of professionalism. xx as a national center for the diagnosis and treatment of difficult diseases, so in the field of orthopedics can often come across a lot of rare diseases, rare diseases. When they come across a disease they have never seen before, they will consult a large amount of literature and organize the whole department to study the literature and discuss the treatment plan. Although medicine is an empirical science, it is important to accumulate experience. Accumulation is important, but respecting evidence-based medicine is even more important. They will keep all the data of the cases they have treated intact to help summarize the treatment experience.
Clarify the concept of the managing physician. In fact, it is the clarity of the concept of the bedside doctor is the interpretation of the clinician. Bedside doctors on the first line of hospitalization, to do their own bedside patients in charge of writing medical records and other paperwork, to complete the relevant examination and pre-operative, post-operative consultation, dealing with patients with common perioperative complications, there is a problem with timely reporting to the higher level of medical. Therefore, it is common for residents to stay behind and work overtime, because their things are tedious and heavy workload, and they will not leave today's things for tomorrow. Only every day down-to-earth to their bed management, is a real sense of clinician.
It is difficult to be a technically excellent doctor, and even more difficult to be a virtuoso doctor. Orthopedic surgeons to treat disease is the main means of surgery, so the improvement of surgical techniques and surgical ability will be very important, but a good doctor not only to have the basic level of professional and technical, but also need to have a sincere and responsible for the patient's heart. Although these axioms can be understood, but how many doctors can really do it? At least I have contacted xx orthopedic professor did. Therefore, I feel that the environment is very important, xx spirit, xx culture has made them. The discipline leader is very important, an excellent leader can bring out a piece of excellent people.
A year of further study is short, but the spirit of rigorous study and dedication to the work style of XX will make me useful for a lifetime.
Part two doctor training self-identification summary
Thank you for the leadership of the hospital to give me the opportunity to study, thank you Shaanxi Third People's Hospital (Shaanxi Provincial Tumor Hospital) leaders to provide us with a good platform for learning, thank you for the teachers so that we have gained more knowledge. Through this further study, I have to a large extent opened up my horizons, strengthened my business ability, recognized the gap between our hospital and the domestic large-scale high-level hospitals in terms of professional and technical skills, and clearly defined the direction of my own future learning and development, laying a solid foundation for future learning and business skills training.Shaanxi Third People's Hospital (Shaanxi Provincial Cancer Hospital) is the third grade A-class specialized hospital for tumor diagnosis and treatment, scientific research, prevention and control, and is also the center of tumor prevention and treatment in the province, undertaking the government's directive work related to tumor prevention and treatment and playing an important central role in the province's tumor prevention and treatment work. The service scope covers the whole province and radiates to neighboring provinces and regions such as Gansu, Shanxi and Inner Mongolia.
During the 3-month training period in Shaanxi Third People's Hospital (Shaanxi Provincial Tumor Hospital), I successfully completed my training under the warm care and help of many teachers. Through the study, I further consolidated the nursing routine knowledge of common diseases in medical oncology, focused on the maintenance of PICC tube and drug exchange technique, further learned the importance of aseptic technique, and improved my knowledge of emergency cases by working 24-hour emergency shifts, and increased my diagnostic confidence in the future when I encountered the same emergency cases, and hoped to carry out more work in these aspects when I returned to my original unit. I hope that I can do more work in these areas when I return to my home organization and provide more and more accurate supporting information for clinical work. It is very worth mentioning that in such a busy work every week still regularly carry out a week of difficult cases of discussion, but also for our students to study the chapter of knowledge, so that all students and their own benefit a lot, this is a good atmosphere of mutual learning is very worthwhile to learn from the University of Learning.
Part III of the doctor training self-identification summary
Since 20xx xx months xx to 20xx xx months xx, in response to the provincial Department of Health initiated the "province's backbone of maternal and child physician training" activities, to the XX hospital children's health department for a period of six months, the training is now the children's health section of the XX hospital.I rotated in the children's health department for two months, and went through the health clinic, bone density room, pediatric diet and nutritional analysis and guidance, pediatric motor neural development intervention therapy, pediatric intelligence measurement and other related health departments. Her daily work includes: following the chief physician's outpatient duty, general pediatric outpatient checkup, assisting the instructor to conduct physical examination of the patients, independently doing the motor function exercise of young children, assisting the instructor to conduct dietary and nutritional analysis of young children, assisting the instructor to conduct the bone density examination of young children, and providing health care guidance to the children.
Understanding of the new technology are: infant and young children intellectual development assessment, infant and young children dietary nutrition analysis, infant and young children temperament type analysis, children's mental health counseling, electroencephalography in children's epilepsy early diagnosis of the application of infant and young children's ophthalmology examination and eye health care in children's health care, infant and young children's oral health care in children's health care should be transported. The technologies that may be applied in our children's health care work are: widely promoting the application of bone density in children's physical examination, vigorously advocating the application of micronutrients in children's health care, strengthening the management of early neonatal health care, strengthening the evaluation of infants and children's development at all stages, realizing one-stop service from the birth of the child to the health care of the various stages of the age, and giving full play to the application of children's health care manuals in infants' and children's growth and development.
At the end of the study, I think I felt the importance of the medical profession. After entering the department, I found a strong learning atmosphere within the department, and I feel that I have returned to my student days. Every day after dealing with the doctor's orders, the department will start a collective discussion on difficult cases or special cases, and even the director will personally lead us to the patient's bedside to repeat the detailed checkups in the process of discussing the doubts found during the discussion. Every week, the department will carry out internal teaching, organized by the leader of each group to speak, explain some personal experience in diagnosis and treatment and some of the latest domestic and foreign treatment options and research results.
The department has its own library, and all books are open to the public and can be accessed at any time. All the books are open to the public and can be accessed at any time. Anyone who has questions can ask them at any time, from the head of the department down to the internship students, and they can get satisfactory answers. What I feel most y is the teachers' thirst for knowledge, compared to the `attitude' of learning, our learning is only passive knowledge acceptance, and we only think of learning when we need it, but the teachers in the higher hospitals have accumulated their learning for years and years, and it has already formed a kind of habit that can be found in their bones and blood, just as we must eat and drink water every day. In such a learning atmosphere, the entire department staff will form a benign competition mode, in mutual supervision, mutual encouragement in the business level to get the overall improvement.
At the same time in the XX Hospital for further study in this period of time, really feel the real sense of responsibility as a doctor shoulder, this sense of responsibility is especially in the neonatal section is embodied in the most exquisite. In the neonatal intensive care unit, due to the special nature of its position, the first-line clinical doctors basically have no rest time, duty is often on for more than 30 hours, almost non-stop transfer wards, checking children. The NFL's director of the NCAA once said, "It's not that we don't want to take a break, but we're responsible for it, and we're trusting each other with our lives, and if the family puts the baby in our hands, then we have to do everything we can to make sure that he or she is okay.
In this high-intensity work pressure, every doctor in the neonatal department has a high sense of responsibility, once the ward children appear dangerous, always in the first time to the ward rescue, in my two months to the intensive care unit, every day in the hospital of the critically ill newborns an average of more than 90 cases, but did not encounter a case of unfavorable treatment because of the deaths caused by the treatment, it is because of a physician's sense of responsibility, which makes the admission to the hospital to the hospital, the hospital is the most important thing. It is because of the sense of responsibility as a physician that the NICU, which mainly admits critically ill newborns, has a very high survival rate, which makes the doctors, who are tired of running around every day, highly stressed, physically and mentally exhausted, continue to quietly hold on to their posts. The ancient sage once said: military officials are not afraid of death, civil officials do not greed for money, the world is very stable, we doctors are the same, I think a hospital really can develop and grow, not because of his hardware facilities how good, not because of his medical equipment how advanced, but because of a group of such a faith in the doctors.
Furthermore, I fully understand the importance of attention to detail. In the XX hospital can be encountered everywhere many of the rules, large prescription, medical advice, diagnosis and treatment norms, small dress, behavior, after the beginning of the training I experienced everywhere do not know the rules, everywhere, to start to understand the rules, abide by the rules, and later highly agree with the process of these rules, in the process, I understand the importance of the details. There is an unwritten rule in the NICU, no matter what level of doctor, as long as the rules are violated, anyone can criticize and correct, so over time a lot of small parts of the rules have become a habit. For example, hand washing, in the training before, I never thought, a simple can not be more simple daily action, there are so many say, in addition to strictly in accordance with the provisions of the "seven steps to wash your hands" in addition to know what to do when to wash your hands, which hand sanitizer, which disinfectant to eliminate the hands, just such a simple action, in the I'm not sure if I'm going to be able to do this, but I'm going to be able to do it.
In daily life, when to wear which kind of work clothes, clothes, shoes to visit the bit, the classification of medical waste and domestic waste, as well as in the exchange of communication with the patient's family members to sit, keep the distance, some habitual greetings on the occasion, there are clear provisions. These various provisions of the measures to fundamentally eliminate some of the bad behavior habits of the breeding, but also for the benign development of the department laid the foundation, from which I associated with our grass-roots level of the actual situation, if we can be like the province of women's and children's departments, give full play to each other to supervise the role of the separation of powers and responsibilities, strict formulation and implementation of the rules and regulations, and how can there be errors and accidents happen.
A short six-month training time is over, in the six months, experienced pain, loss, but also experienced happy, full. After the grind of heavy work, I feel that the whole body and mind have had a huge metamorphosis, after seeing the outside world, only to know how high the sky, how wide the ground, after experiencing a lot, only to find that, not to say that to be an excellent physician, is to be a qualified physician have gap, so I will be more efforts.
Part IV of the doctor's self-identification summary
1 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 thank you colleagues, because of their hard work, so that I can complete my studies at ease.The unit of my training is the respiratory department of Tangdu Hospital of the Fourth Military Medical University of the Chinese People's Liberation Army, which is one of the first master's degree-granting disciplines in China, an advantageous medical discipline in Shaanxi Province, a national drug clinical trial institution, a benchmark department for grass-roots construction of the Fourth Military Medical University, and a training center of bronchoscopy diagnosis and treatment and a training base of respiratory machine in the northwest region. Shaanxi Provincial Medical Association respiratory tuberculosis branch chairman unit and the whole army respiratory discipline vice chairman unit. Respiratory medicine *** two wards, with 80 beds, another allergic reaction disease research laboratory, pulmonary function blood gas room, bronchoscopy room, respiratory medicine intensive care strengthening ward and respiratory medicine laboratory. It is an advanced unit with the best technology and equipment in respiratory medicine in Shaanxi Province and Northwest China. The teachers here are highly ethical, knowledgeable and approachable, not only the level of diagnosis and treatment is among the best in China, but also attach great importance to the cultivation of the younger generation, maintaining a strong talent echelon, and the peaches and plums are all over the world.
They are the director of the department weekly room 1, three line weekly room 2 times. The checkups feel the atmosphere and - harmonious, pragmatic, and emphasize evidence-based medicine, many principle issues have reached **** knowledge, but allows differences that do not violate the principle. Tang Du Hospital has always emphasized comprehensive treatment, and the whole department organizes from time to time a multidisciplinary joint examination room with the participation of diagnostic radiology, pathology, surgery, internal medicine, radiotherapy and other disciplines. During the checkup, the first-line or advanced doctors will report the history of the disease; the superior doctors will carefully read the films, analyze the possible diagnosis, further examination and treatment plan. In this way, patients can be treated rationally in a systematic and planned way, and at the same time, young doctors can learn a lot of related knowledge. Reasonable and comprehensive treatment is one of the important factors for the high level of diagnosis and treatment in Tang Du Hospital.
To develop the department, we must emphasize re-education, re-learning and the training of reserve personnel. I participate in academic activities mainly include: 2 times a week theoretical learning, new advances in treatment; 1 time a week intra-departmental academic discussion; occasional external academic exchanges, including lectures by experts at home and abroad, domestic and international academic conferences. Long-term high-intensity, self-conscious learning, communication is also an important factor in their longevity.
I also have a small gain. First of all, the systematic study of the relevant basic knowledge, the latest diagnostic and treatment technology, a comprehensive mastery of respiratory and related departments of the diagnosis and treatment of common and frequent diseases, proficiency in respiratory routine operations, such as closed drainage of the pleural cavity, pleural biopsy, by ultrasound, CT-guided percutaneous lung penetration, basic mastery of the operation of bronchoscopy, thoracoscopy, and other operating principles.
Again, the collaboration of 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 face, but with the advanced medical equipment and technology, we will be able to solve them and make them clear. Nonetheless, conventional treatment is still the most commonly used means of treatment. I think, relying on our hospital's current technology and equipment, as long as we can standardize and rationalize the use of conventional technology, to carry out the new business, new technology, can also make most of the patients to obtain satisfactory results.
Part V Doctor Training Self-identification Summary
After a year of general practitioner 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 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 medicine. A general practitioner is a doctor who provides quality, convenient, cost-effective, and integrated primary health care services to individuals, families, and the community, and who is responsible for the management of the whole process of life, health, and disease.
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 touches me most y is that the clinical departments **** the same characteristics, is fully embodied on the majority of residents to solve the problem of difficult to see a doctor, expensive to see a 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 sequelae of many diseases, chronic disease 'rehabilitation treatment plays a positive role. During the 1-month grassroots practice training in Heishi Township Health Center, I was able to independently deal with common and frequent diseases in rural areas, and was able to combine the problems found in the work and solve them in a timely manner, and mastered the skills of general medical services, community chronic disease management, and health care for key populations.
Through the practice of further awareness of the importance of doing general practitioners, health center doctors in the rural health center duties. The hospital doctors can understand the health status of the whole township residents through various forms (outpatient clinics, home visits, health records, etc.), 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 connections between general medicine and specialized medicine, fully demonstrating the importance of general medicine 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 it is necessary to 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.