Further education generally refers to further study by those who are already working in order to improve their political and professional standards. Let’s take a look at the self-appraisal of respiratory doctors for further training, for your reference only! Thanks! Self-assessment of further training for respiratory doctors
First of all, I would like to thank the hospital and leaders for giving me this precious opportunity. I would also like to thank my colleagues for their hard work, which allowed me to complete my studies with peace of mind.
The unit where I study is the Department of Respiratory Medicine, Xxxx Hospital. It is one of the first master's degree-granting disciplines in my country, a dominant medical discipline in Shaanxi Province, a national drug clinical trial institution, and a model department for grassroots construction of the Fourth Military Medical University. Regional bronchoscopy diagnosis and treatment training center and ventilator training base. The chairman unit of the Respiratory Tuberculosis Branch of the Shaanxi Provincial Medical Association and the deputy director unit of the Respiratory Science Department of the PLA. The Department of Respiratory Medicine has two wards with 80 beds, as well as an allergic reaction disease research room, a pulmonary function blood gas room, a bronchoscopy room, a respiratory medicine intensive care unit and a respiratory medicine laboratory. It is an advanced unit with the most sophisticated respiratory medicine technology and equipment in Shaanxi Province and the northwest region. The teachers here have high medical ethics, profound knowledge and approachability. Not only are their diagnosis and treatment levels among the best in the country, but they also attach great importance to the cultivation of younger generations and maintain a strong talent echelon, with students all over the world.
To develop the department, we must pay attention to re-education, re-learning and the cultivation of reserve talents. The academic activities I participate in mainly include: theoretical study and new treatment progress twice a week; academic discussions within the department once a week; irregular external academic exchanges, including lectures by famous domestic and foreign experts and academic conferences at home and abroad. Long-term high-intensity and conscious learning and communication are also important factors for their longevity.
I also gained a little. First of all, I have systematically learned relevant basic knowledge and the latest diagnosis and treatment technology, fully mastered the diagnosis and treatment of common diseases and frequently-occurring diseases in the respiratory department and related departments, and mastered the routine operations of the respiratory department such as pleural cavity closed drainage, pleural biopsy, and transultrasonic ultrasound. , percutaneous lung puncture under CT guidance, and basically master the operating essentials of bronchoscopy and thoracoscopy.
Thirdly, the full cooperation of personnel from various disciplines is the guarantee for improving the level of diagnosis and treatment. Each department has technical expertise, and every doctor also has technical expertise, so that the level of diagnosis and treatment in the department can be guaranteed. It is not enough to have good clinicians, you must have advanced equipment and complete auxiliary examinations to design an ideal treatment plan. At the same time, collaboration between various departments in the hospital is also very important, such as surgical departments, pathology departments, diagnostic departments, etc. Only with outstanding comprehensive strength can we achieve a high level of diagnosis and treatment.
The advanced equipment and technology also left a deep impression on me. There are many problems that trouble us in our grassroots hospitals. With advanced medical equipment and technology, we will be able to solve them and become enlightened. Despite this, conventional treatment remains the most commonly used treatment modality. I feel that relying on the current technology and equipment of our hospital, as long as we can standardize and rationally use conventional techniques and develop new businesses and new technologies within our capabilities, most patients can achieve satisfactory results.
Experience and suggestions for further study:
1. To develop the department, the hospital must be strong and remain invincible in the competitive medical market. It must take the road of specialized construction and disciplines There are complete categories, science is developing, academic specializations are available, and the subject categories become more and more detailed. We must strengthen the training of talents in each discipline, and we must pay attention to re-education, re-learning and the cultivation of reserve talents.
2. To develop the hospital, it is necessary to strengthen the cooperation between internal medicine sub-departments, surgical sub-departments, pediatrics, obstetrics and gynecology, radiology, CT room, ultrasound room, electrocardiogram, pulmonary function room and other departments. It is not enough to have good clinicians, but also to have advanced equipment and complete auxiliary examinations to design an ideal treatment plan. Only in this way can we have a high level of diagnosis and treatment, benefit more patients, better improve the social and economic benefits of the hospital, and increase the hospital's popularity.
3. Advance equipment, accelerate the training of personnel in this field, and develop new businesses and new technologies. Thoracic surgery and respiratory departments cannot survive without bronchoscopy, let alone development. Increasing and strictly controlling the indications for using ventilators to assist breathing to treat critically ill patients can save the lives of most respiratory patients, prolong their lives and improve their quality of life. It is recommended that critically ill patients (especially patients in the respiratory department) routinely check arterial blood gas analysis, which can better judge the prognosis of the patient's condition and also increase the utilization rate of equipment.
For the time being, new services such as pleural biopsy and percutaneous lung puncture can be carried out, and comprehensive treatments such as pleural perfusion therapy for tumors can be carried out. Ventilator treatment can be carried out.
4. It is recommended that the hospital establish a comprehensive emergency center, establish an emergency observation room, and merge and cancel the infusion room. This will also facilitate the management of patients in the observation room and get better treatment, and is consistent with the recommendations for hospitalization. Patients should be admitted to hospital for treatment, which also creates better economic income for the hospital. The medical staff of various departments in the hospital are rotated, and the emergency doctors are not fixed. This allows the emergency doctors to also learn their expertise and apply what they have learned, so that the medical staff of the whole hospital can develop in an all-round way, and the doctors in the inpatient department can receive emergency training and master first aid. Knowledge and technology.
The above are my little suggestions for the hospital. If there are any inaccuracies, I hope all the leaders will understand, because I am a member of a traditional Chinese medicine hospital. I am proud of the success of the hospital and I love the hospital. Self-appraisal of orthopedic training physicians
Looking back on my one-year training at xx Orthopedics, there were times when I asked about the medical history carefully, there were times when I conducted careful physical examinations, there were times when I listened quietly to lectures, and there were times when I did not rush to take patients for additional examinations. Sometimes, there are times when I stand on the operating table for a day, when there are times when I read books and documents, etc. Scenes are presented in my mind when I write a review summary. Although some of the work is already very familiar, I can rediscover my shortcomings in the most basic things such as ward rounds, medical history, and physical examinations with Dr. XX every day. From a standard point of view, there is a huge difference, so this year was not in vain. I started from the most basic basics. Not only did I learn their advanced spinal joint routines, but I also standardized my own behavior from the perspective of a clinician.
The habit of doing ward rounds twice a day left a deep impression on me. They have made it a habit to conduct ward rounds in the morning and evening every day, and truly observe the patient's condition carefully. Ward rounds mainly focus on understanding changes in condition and examination results; listening to patients’ feelings and opinions of family members. Find problems promptly and deal with them promptly.
Clear the concept of bedside doctor. In fact, clarifying the concept of bedside doctor is the best interpretation for clinicians. Doctors in charge of beds are front-line residents and are responsible for writing medical records and other paperwork for patients in their own beds, completing relevant examinations and preoperative and postoperative consultations, handling common perioperative complications of patients, and reporting any problems to superior doctors in a timely manner. Therefore, it is common for residents to stay and work overtime, because their affairs are cumbersome and their workload is heavy, and they will not leave today's work until tomorrow. Only by managing your own bed in a down-to-earth manner every day can you be a clinician in the true sense. Only by doing a good job as a resident doctor can you lay a solid foundation for your future career.
The tireless pursuit of professionalism. As a national center for the diagnosis and treatment of difficult diseases, xx often encounters many rare and rare diseases in the field of orthopedics. When they encounter a disease they have never seen before, they will consult a large amount of literature and organize the whole family to study the literature and discuss treatment options. Although medicine is an empirical science and the accumulation of experience is important, it is more important to respect the evidence of evidence-based medicine. They will keep all the case data that have been treated intact to facilitate the summary of treatment experience.
Morning reading meetings and ward rounds every Thursday are opportunities for general communication. The morning reading meeting every Thursday morning at xx Orthopedics is actually a small lecture, taught by associate professors or above, who use their expertise to explain a topic. After the lecture, you can ask questions and communicate. It has become famous in the xx hospital and has been praised by the leaders of the hospital. Grand rounds are a summary of the surgical patients from the past week, and a general preoperative discussion of the surgical plan for the preoperative patients next week. For those who are studying further, it is like learning a huge amount of professional knowledge.
Strict sterility concept on the operating table. The advanced laminar flow equipment and modern sterilization instruments in the operating room can provide a more sterile environment and tools for surgery. However, if the surgeons and operating room nurses do not have enough understanding of the concept of sterility, the most advanced and modern ones will be in vain. From the sterility in the first lesson to the professors’ understanding of sterility every time they take the stage, it shows that sterility has become a habit for them. The most successful surgery will be a disaster if it is caused by infection, especially when implants are placed in orthopedics. Infection will definitely lead to failure of the surgery.
Doctors and patients communicate more. We all know that the establishment of a good relationship between doctors and patients requires good communication between doctors and patients and their families, but to achieve good communication, it is definitely not just about performing surgery on the patient. Of course this may be a necessary prerequisite.
When a new xx orthopedic patient is admitted to the hospital, the doctor will first introduce himself to let the patient know that you are his bedside doctor and that he can come to him if he has any questions during his hospitalization. I think this is really important. Listening patiently to patients, carefully explaining the condition, handling the condition in a timely manner, and even caring for the patient in daily life, personally accompanying the patient for examinations, and often guiding pre- and post-operative training and rehabilitation and other details are all good ways to communicate with patients. Doctors must gain the trust of patients in medical practice. This is the most effective way of communication.