Do you know? Good at summarizing the talent will have room for progress, the doctor is to save lives and help the injured profession, I believe that after participating in a period of further training, you must have also gained a lot of work experience, the following is my compilation of the doctor's further training summary of the practical reference model three, come and take a look at it.
Doctor training summary 1
? I had the honor of going to the long admired Qilu Hospital obstetrics and gynecology department for one year of further study in xx. Qilu Hospital of Shandong University is a hospital directly under the Shandong University, is also the national Ministry of Health directly under the hospital, is a set of medical care, teaching, scientific research and preventive health care in one of the large-scale comprehensive three A-class hospitals. The hospital's Department of Obstetrics and Gynecology is a national key discipline and a key discipline in Shandong Province, which is divided into seven specialties: gynecologic oncology, minimally invasive gynecology, gynecologic urology, gynecologic endocrinology, perinatal medicine, family planning, and reproductive medicine, and is well-known in the national obstetrics and gynecology community.
? There is an endless stream of patients here, with extra beds in every corner, and quite a few cases are critical or difficult. After briefly familiarizing myself with the working environment, I took part in the admission of patients alone, and saw a lot of diseases that I had only read about in textbooks before, and asked my teachers for advice on difficult problems, and then consulted the books after work to consolidate my knowledge.
? The emergence of hysteroscopy is a major advance in medicine, hysteroscopy is the gold standard for modern diagnosis of intrauterine lesions, hysteroscopic surgery with its low trauma ratio and high efficiency ratio is known as a successful model of contemporary minimally invasive surgery. During the study period, under the careful guidance of the instructors, I tried my best to get the opportunity of practical hands-on operation, combined with the books, and kept on experiencing and figuring out. I mastered the hysteroscopic examinations, such as the diagnosis of abnormal uterine bleeding, the diagnosis of uterine adhesions, the localization and removal of iud, the diagnosis of abnormal uterine echoes and occupying lesions, the hysteroscopic tubal insertion examination, and the examination of intrauterine factors for unexplained infertility. She has a basic knowledge of hysteroscopic electrocision of endometrial polyps and o-type submucosal fibroids. She also had a thorough understanding of difficult procedures such as hysteroscopic electrosurgery for uterine mediastinum and uterine adhesions. During this period, he read the third edition of "Hysteroscopy" edited by Xia Enlan, the originator of Chinese hysteroscopy, and "Clinical Endoscopic Techniques in Obstetrics and Gynecology" edited by Dong Jianchun, so as to make a good combination of theory and practice.
? Through this further study to make their own theoretical knowledge of obstetrics and gynecological diseases, diagnosis and treatment and surgical skills have been significantly improved, more importantly, the vision of the development of the broadening of thinking, the theory of change is my biggest gain.
Doctor training summary 2? In the PLA General Hospital for a period of seven months of further study, in the General Hospital of the majority of doctors and nurses care to help, the successful completion of the rotation of the work of the groups. Through the study, he has been able to independently complete the orthopedic internal fixation of limbs, cervical spine anterior and posterior approach, thoracic and lumbar spine internal fixation, percutaneous low-temperature plasma ablation nucleus pulposus vaporization; general surgery of portacaval shunt, radical treatment of rectal cancer, total gastrectomy, retroperitoneal tumors; thoracic surgery of the esophagus, lung surgery, as well as esophageal three-incision; neurosurgery of the cervical vertebrae anterior and posterior approach to the internal fixation of the oronasal pituitary tumors, meningiomas, carotid artery aneurysm Clamping, auditory neuroma resection and other major surgery with surgical cooperation.
? Second, advanced equipment
? This time, we went to PLA General Hospital for further study, and saw and operated many advanced instruments. For example, ultrasonic knife, warm blanket machine, circuit electrodes, orthopedic and neurosurgery navigation system, neurosurgery craniotomy electric drill and pneumatic drill, nerve electrical stimulation instrument, rapid disinfection kettle, low temperature disinfection kettle, instrument ultrasonic cleaning kettle, ethylene oxide disinfection kettle.
? General Hospital operating room has eliminated glutaraldehyde immersion and formaldehyde re-steaming two chemical sterilization method, they usually choose autoclave sterilization, ethylene oxide sterilization method, low temperature sterilization method, so the disinfection pots are also complete, easy to operate and safe, which not only ensures the sterilization requirements of the instruments, but also greatly saves the time to receive the table surgery. The neurological group uses advanced navigation system to cooperate with the surgery, through the navigation can accurately locate the advantage can judge the position of the occupying lesion, the size, the intraoperative resection is complete or not, which greatly improves the quality of the surgery. Orthopedics in the spinal internal fixation surgery using navigation systems can help doctors determine whether the nail is in the cone, there is no damage to the nerve, etc., increasing the coefficient of surgical safety.
? Third, the operating room management experience
? The PLA General Hospital's logistics management, human resources management, instrument management, high-value items in the custody of a lot of advantages worth learning from us, the department has printed a detailed list of charges, each surgery is completed by the charge collector unified checking, recording the account, the day of the cost of the same day to end, to put an end to the delinquency, leakage fee. The department is responsible for the next day's supply of routine and special instruments for all surgeries, as well as the supply of emergency surgical instruments, and is responsible for the cleaning and maintenance of the instruments after the surgery is completed and sent to the hospital for disinfection. The General Hospital is very strict and standardized on the teaching of new nurses and trainees, and the training is unified and managed by a teaching team leader. In order to avoid advanced trainees to eliminate blindness on the stage, first of all, the organization of advanced trainees to learn the rules and regulations of the hospital's operating room, workflow, for the advanced trainees in the later stages of smooth cooperation with the operation to lay a solid foundation for each operation are unified training, eliminating the personal habits in the operation. Adopting a one-on-one teaching method, in which the instructor teaches by word and example, so that all trainees can understand the process of cooperation in each operation, habits of the habitual operator, intraoperative precautions, etc., so that all trainees benefit a lot.
? Part III: doctor training Experience 20xx year is an important year, Liaocheng City Maternal and Child Health Hospital successfully purchased the Development Zone Hospital, and the preparation of Liaocheng City Central Hospital, 20xx year is also the end of my 5 years of college clinical and successful graduation of the year, the opportunity is so coincidental, through the application for the job, lucky to join the city of Women and Children's Hospital, to become a member of the city of Women and Children's Hospital. In order for us to better step into the brand new work, master the exquisite technical talent and better service for patients, our hospital organization arrangements for new clinical and nursing staff more than a hundred people to go to the Affiliated Hospital of Jining Medical College for further study, as a new employee this is a very rare opportunity. During the training period I was divided into the cardiology, theology, digestion, respiratory and other four internal medicine study, half a year's time to say long and short, but gained a lot of experience, experience is also a lot of experience, and now pick a few points in the cardiology and respiratory learning process to talk about the deeper feelings.
? Cardiology is one of the most important windows of the hospital, my hospital cardiology has five wards plus a CCU ward, not only to receive the normal elderly chronic patients, but also to treat the transfer of acute and critical patients from the local county, there is an urgent, busy, miscellaneous characteristics. In the face of the first diagnosis and rescue of critically ill patients, cardiology patients are often diagnosed unclear, unclear condition, rapid changes, if not handled properly, it is prone to medical disputes. And patients and their families are prone to impatience, anxiety, fear, cardiology is different from the wards, medical staff have enough time to communicate with patients and their families, timely understanding of the needs of patients, and the establishment of a good nurse-patient relationship. In the cardiology, patients and their families in the shorter contact time with health care personnel, has not yet established a good sense of trust, every subtle link of health care personnel are very sensitive, health care personnel's speech and behavior of the patient's psyche will have a great impact. The result is that the medical staff's treatment behavior is not understood, and patients and their families are left with the illusion of "not being taken seriously" and "emergency treatment is not urgent". Therefore, I feel more and more that "communication" is a very important part of cardiology. At the same time, it is important to learn how to observe in order to recognize the existence of problems, including the patient's condition, psychology, needs, and the observation of the family. Through observation and communication to learn to judge the patient's condition and needs to have an accurate understanding and judgment, which is conducive to the development of medical staff to save the work, but also for the patient to buy time. For example: patients with acute heart attack can be observed and roughly asked to understand the onset of time and triggers and precordial area and severity, past history, etc., the first time the initial diagnosis of its disease because of its rescue, to fight for time for the patient's rescue.
? In the cardiology department everyone is my teacher, everything is my experience, teach me a lot of things, whether it is to do people or do things. Of course, to do a good job as an internist, only communication is far from enough, but also need a solid theoretical foundation, rich clinical experience, quick reaction, sharp action, which is in the encounter with the emergency can stand the test of assurance.
? In the respiratory department to other departments to compare, the complexity of the onset of respiratory diseases in clinical medicine is more prominent. And respiratory disease in the etiology and pathogenesis of many diseases and living environment, smoking history and genetic factors are closely related, such as COPD, pulmonary heart disease, pulmonary embolism, asthma and respiratory system tumors, etc.; the etiology and pathogenesis of many diseases is also closely related to the epidemiology of the disease, such as community-acquired pneumonia, the weather changes in the common cold caused by an acute exacerbation of chronic obstructive pulmonary disease, etc., there are epidemiological problems exist.
? In terms of diagnosis, the complete diagnosis of respiratory diseases should include three aspects: ① functional diagnosis; ② pathological diagnosis, including the nature and location; ③ etiologic diagnosis, in the etiology, pathology and so on is difficult to be clear, then only clinical diagnosis can be obtained. Diagnosis is based on medical history, symptoms, signs, laboratory data, X-ray, CT and other general information, as well as bronchoscopy, sputum culture and other special tests. For some clinical manifestations of very obvious respiratory diseases can be diagnosed only based on clinical symptoms and signs, such as COPD barrel chest, cardiogenic asthma, etc. For those who have mild early disease, symptoms are not obvious and no typical history, a detailed examination is required to determine the diagnosis.
? Internal medicine disease is relatively complex, not good to understand, encountered the patient in this area, should also be on these symptoms and signs of high attention, familiar with the clinical significance of their reconciliation in the internal medicine disease, but also to identify these symptoms, signs because of internal medicine disease, or other systemic diseases caused by. The common clinical thinking method in internal medicine is: firstly, to find out the problem from the clinical manifestation and get the hint from it, then to carry out the relevant laboratory examination and get the corresponding diagnosis, and then to get the pathological diagnosis after further examination, to make clear the site and nature of the disease (whether it is primary or secondary, whether it is organic or functional, whether it is a tumor, whether it is benign or malignant), and then to take the corresponding therapeutic measures. It is not like other departments that often adopt the thinking of "casting the net comprehensively and focusing on catching fish".
? Hippocrates said: work not only need exquisite technology, more need art, in fact, the doctor's work is also the same need art. In this period of training, I have gained a lot of harvest, if you use simple words to summarize the words seem pale, at least can not be very accurate and clear to express that we benefit a lot. In short, I would like to thank the hospital for the training and careful service to our life. After the training, we will take a more proactive attitude, more solid operational skills, more rich and deep theoretical knowledge, and embark on the clinical post to improve the clinical diagnosis and treatment ability, and do our best for the cause of human health! I hope I can become a qualified and excellent doctor.
? Summary of the doctor's training 3
? Time flies, unknowingly in the third people's hospital further training completed. In just two months, the nursing department of the hospital can rationalize the arrangement of departmental rotations, arranged for experienced instructors to teach, I learned the usual work did not encounter valuable knowledge and clinical operations, the three hospitals management standardization, clean wards, nurses are diligent, unity and cooperation, nursing services to the point, so I benefited greatly.
? I learned a lot of knowledge about psychiatry during my one-month training in Essence III. For example: how to observe the change of condition and nursing care, how to communicate with the patient's skills, substantial care and consideration for them. I instructed patients to participate in some handicrafts, painting, making glue flowers and other labor courses. At the same time, psychological counseling is provided to stabilize the patient's mood and distraction, and to control the patient's condition. Do a good job of daily life care, to prevent false medication, standardized nursing paper writing.
? The second month in the geriatric one for further training, hospitalized geriatric patients, beds are almost full, nursing operation more, heavy workload, more than the psychiatric hard. Through the class study, I am basically familiar with the care of the elderly common diseases, arterial artery catheterization care, pressure ulcer prevention and care, oxygen method, nasal feeding method, catheterization, enema, sputum suction, etc., how to observe the condition of critically ill patients change and rescue work of terminally ill patients. At the same time, the Nursing Department specially invited nursing experts and operation experts from downtown hospitals to our three hospitals to give lectures on cardiopulmonary resuscitation (CPR) and nursing operation demonstrations, which I have not encountered in my usual work. Because the hospital I work in does not open the geriatrics program, the nursing knowledge of the elderly is relatively reduced, especially the elderly sudden illnesses are still inexperienced, during the period of geriatrics, nurses in the first section of the use of time off to spare no effort, waste their sleep and forget to eat to practice the operation of the technology, medical teaching. The collection of the network for the creation of three psychiatric hospitals to lay the foundation for their conscientiousness is worth learning.
? In the work of the city three hospitals at all levels of leadership and nursing peers to help and guidance, we treat me as if they treat their own brothers and sisters, so that I do not feel the slightest sense of strangeness out of the house, the three hospitals of peers, I thank you!
? In the future, I will continue to strive to learn more knowledge and skills, in the nursing position to better serve patients.