They also understand the gap between the theory and practice, only through the practice of the test of the knowledge learned, and only through practice to really learn useful knowledge.... I'm not sure what I'm talking about, but I'm sure that I've learned a lot...
In this 10-month internship in the hospital, I went through the urology, orthopedics, general radiology, CT room, MRI room, ultrasound room
all the way through, and saw a lot, and learned a lot...
In the hospital internship, although I am only a "college" graduates, but not willing to be mediocre, I am optimistic, confident, motivated, able to deal with interpersonal relationships, and have a strong
Strong sense of responsibility and sense of mission. Qujing Medical College two years of refinement for me to realize the dream of laying a solid foundation. The study of medical theory in the two years of college has enabled me to form a strict
study attitude, rigorous way of thinking, and cultivate good study habits, 10 months of clinical internship experience has improved my ability to analyze and solve problems, and to solve problems.
Particularly in the internship process, the internship hospital provided me with many hands-on practice opportunities, so that I have a deeper understanding of the aseptic operation of the surgical department and drug exchange and imaging CT, DR, CR, C-arm and bedside
Paraside X-ray machine and other imaging equipment and cultivate a solid independent operation ability, for common parts of the photo is not a problem, and can make a correct image of common manifestations
This is the first time in my life that I have had the opportunity to work in a hospital, but I have also had the opportunity to work in a hospital.
It is also possible to make a correct diagnosis of ultrasound, MRI and other imaging equipment. At the same time, I have also gained an in-depth understanding of ultrasound and MRI techniques and can make correct diagnoses of relevant imaging manifestations. Strong sense of responsibility, strong
interest in learning, strong hands-on ability, fast acceptance, and the ability to excel in the completion of various tasks, so that I have won the praise of the teachers.
From a medical student in school to a hospital "intern", before entering the hospital internship, I think we should solve the following problems:
One, understand the internship to learn what is the purpose of the internship
On the internship to learn what? My point of view is that internship is mainly a "method" rather than a disease. The reason is very simple, familiar with and mastered a disease, after all, is only a
disease, and mastered the method of understanding the disease, you can find more diseases, and thus know and master more diseases.
Second, understand the double identity of interns
"Interns", as the name suggests, interns that is, interns plus doctors, therefore, as an intern itself has a double identity, in the eyes of the teacher,
Interns are a student, in the eyes of the patients In the eyes of the teacher, the intern is a student, and in the eyes of the patient, the intern is a doctor, and the correct handling of this dual identity is one of the first problems that should be solved by the intern.
In the process of internship, "learning" should naturally be put in the main position, and this "learning" is very different from the "learning" in school. First of all, in the content of its different
Same, in the school "learning", focusing on the study of theoretical knowledge, and internship "learning" not only to learn the relevant theoretical knowledge, but also to learn as a doctor should
have The basic quality of clinical work, the basic methods, treatment methods, thinking methods, and even the social adaptability of the study, so that the internship learning content than
school learning content is much broader. Secondly, there is a difference in the way of learning, in the school is mainly the teacher's explanation, while the internship is from the theory to the practical experience
process, and therefore the internship learning mode should be independent thinking, and some even a kind of subtle infection, such as the teacher's work style, medical style and so on.
In the clinical internship of more than three months, it can be said that the clinical internship involves the content of almost all the content of the study in school, while the internship time is relatively short, I went to
a clinical department I will apply the method of contact to learn imaging expertise. Because imaging technology is an auxiliary inspection method that is indispensable to every clinical department, I can find X-ray, CT, MRI films and ultrasound report cards and other imaging information in
a clinical department. I am learning my professional knowledge at the same time as I am practicing clinical diseases
, which can be said to be a two-for-one solution. The most advantage of this is that you can systematically understand all the information about the disease, including clinical symptoms, personal history, pathology and imaging manifestations. The following is a summary of my
sense of the clinical departments in which I have interned:
I. Internship in Cardiovascular Medicine:
Internship in Cardiovascular Medicine is my first internship department. Cardiovascular medicine is also closely related to imaging, because one of its most important auxiliary examinations is the examination of imaging technology, such as echocardiography, chest X-ray examination and so on.
Diagnostic imaging is of great value in the diagnosis and treatment of cardiac and macrovascular diseases. In actual clinical practice, ultrasonography and conventional X-ray of the heart and great vessels are the most commonly used and
preferred imaging methods, which can clarify the diagnosis of many heart and great vessel diseases. The advantage of fluoroscopy is that it can observe the shape and pulsation of the heart and great vessels and their relationship with surrounding
structures from different angles, and it also facilitates the selection of the most appropriate angle for oblique photography. However, its image clarity is poor and short, and it needs to be combined with photography for diagnosis. During our internship at the Second People's Hospital of Qujing City,
we most commonly saw the photographic examination of cardiac two-position film, i.e., barium swallowing to take the posterior-anterior and right anterior oblique positions of the chest.
Recent advances in new imaging technologies and clinical applications such as echocardiography, CT, and MRI have greatly compensated for the shortcomings of traditional X-ray examinations, making the clinical diagnosis of cardiovascular disease
more accurate and reliable.
The internship in the third department (orthopedics):
Orthopedics is one of the key departments in the internship, and it is also a department that is closely related to our specialty.
Among all the auxiliary examinations in orthopedics, X-ray examination is the most closely related to orthopedics, especially for traumatized patients, which not only provides clinicians with accurate and effective clinical diagnosis, but also provides important reference materials for doctors to choose treatment methods.
In the process of orthopaedic internship, I summarized the basic knowledge about fracture, such as the clinical manifestations of fracture, imaging methods such as X-ray examination of fracture, the principle of fracture treatment (there are three major principles of fracture treatment, i.e., reduction, immobilization, and rehabilitation), and the standard of fracture reduction, which is also the basic knowledge that every intern should have when he/she enters the orthopaedic internship. These are also the basic knowledge that every intern should have when entering the orthopedic internship. In the process of orthopedic internship, mastering these basic fundamental knowledge will make the internship very easy and can learn more about orthopedics, in addition to learning the basic
surgical and medication exchange knowledge of orthopedics.
Third, the second internal medicine (respiratory medicine) internship
In the respiratory medicine internship, it is an excellent opportunity to learn and grasp the signs of respiratory diseases. Using the internship time is a good way to figure out the distinction between clear, over-clear, turbid, and solid sounds, dry
Roan, wet roan, coarse wet roan, fine wet roan, rales, phlegm sounds, etc., to figure out the signs of these diseases will help in the diagnosis and treatment of the basic respiratory diseases. In the department of respiratory medicine, the close connection with our imaging specialty is also its related auxiliary examination. In terms of auxiliary examination, I will combine with actual patients to understand the characteristics and clinical manifestations of pneumonia, tuberculosis, lung cancer patients X. At the same time, the knowledge of these diseases is also the basic knowledge of our imaging specialty, a systematic understanding of the imaging manifestations and their treatments will help you to comprehensively develop and enhance your own medical knowledge and ability, and the effect of this combined with the learning of the actual patient is much better than the effect of reading books.
Four.
Four, the four departments (urology) internship:
Urology and our imaging studies are also very closely linked.
In the process of internship I learned in advance to grasp the scope and conditions of abdominal radiographs, the preparation for the examination, the position during the examination and the X-ray performance of the stones (including kidney stone X-ray performance, ureteral stone X-ray performance, bladder stone X-ray performance, pelvic vein stone X-ray performance) and its intravenous urography (KUB IVP) examination method and its clinical significance.
At the same time, clinical information was applied to learn about the purpose of ultrasonography for urinary stones. To clarify the definition and clinical significance of common clinical symptoms in urology, as well as the relevant differential diagnosis and auxiliary examination, it is very useful for the diagnosis and differential diagnosis of common urologic diseases. After the previous several clinical departments of serious internship, strict compliance with the rules and regulations of the hospital, all operations are strictly follow the principle of asepsis, in the various departments interned, are serious and careful to do a good job of all the work, I have a deep understanding of the writing of basic clinical medical instruments, but also on the basic operations such as electrocardiogram printing, blood glucose value determination and surgical procedures and dressing changes, the concept of asepsis has a Deep understanding and application, in the process of internship I also fully applied clinical cases to learn professional imaging knowledge, for the future internship laid a solid foundation.
Fifth, the end of the clinical departments of the internship, I began the imaging professional departments of the internship.
The internship in the imaging department is much simpler than the clinical department, because I have already learned some things in school, and with my study in the clinical department, I have a deeper understanding of the significance and role of imaging for the clinic. Through more than seven months of internship in the imaging department (general radiography, CT examination technology, MRI examination technology and ultrasound examination technology), I have initially mastered the basic knowledge of the specialty and the performance of imaging, and I am able to independently operate the imaging examination equipment, such as DR, CT, etc., and make accurate diagnostic opinions of the basic lesions. Through the internship, I understand that X-ray film, CT, magnetic **** vibration imaging and ultrasound technology can be called the four carriages, the four organic combination, so that the current imaging examination not only to expand the scope of the examination, but also improve the diagnostic level.
The biggest and ultimate goal of the internship is to develop good operating skills and improve various diagnostic and treatment skills. Therefore, under the principle of "letting go without letting go, letting go without letting go" of the instructor, we actively strive for every opportunity to exercise, and at the same time, we also continue to enrich our clinical theoretical knowledge, actively think about all kinds of problems, and humbly ask for advice from the instructor or other teachers for the problems we don't understand, and make good notes of our knowledge; together with a lecture in the imaging department every week, we will have a lecture in the imaging department, which will be held at the end of the week. In addition, every week there is a lecture in the Department of Imaging, and Director Liang and Director Gong patiently and meticulously explained and analyzed cases for us. For example, when encountering osteogenesis imperfecta, Mr. Gong led us to collect clinical data and analyze the films, teaching us how to systematically collect and analyze a case, from which we benefited a lot. If you want to do a good job, you have to make good use of your tools". In the endless sea of learning, I keep challenging myself and enriching myself. I think there is still a lot we should do to become a qualified imaging technician. Imaging profession is different from clinical medical profession, in mastering the basic theoretical knowledge, after getting started need to see more, look at the picture, look at the case, as long as willing to work hard, there are a lot of examples of resources, which determines the image of the professional level of business to enhance the speed of the speed can be very fast; learn to image must learn anatomy, pathology, diagnostic imaging courses and clinical; primary level workers, in mastering the basis of good basic disciplines, to enhance the very high level. On the basis of good mastery of basic subjects, workers at the junior level have to improve their clinical knowledge in order to enhance their high level. Through the 10-month internship in Qujing Second People's Hospital, I benefited a lot, I have a more detailed and deep understanding of their own profession, and recognized many things that can not be learned in school, is no longer limited to books, but has a more comprehensive understanding. Summarize the past, only to better harvest the future, I believe that as long as the heart, my future is not a dream!
Instructor's comments
The students in our hospital internship, strictly abide by the hospital and departmental rules and regulations, a positive attitude, hardworking, respect for teachers. Focusing on the combination of theory and practice, can flexibly
actively use their knowledge to solve practical difficulties encountered in the work; can bear hardships and stand hard work; creative and constructive thinking to carry out the work independently; accepting new things faster, professional
knowledge and skills are solid, and can independently complete the operation of the DR, CR, CT inspection technology, and can make accurate diagnostic comments on the relevant imaging manifestations; Internship work seriously, responsibility, successful