To accelerate the pace of our basic public **** health service project, and further improve the quality of grassroots public **** health service project work, 20xx January 13 - June 6 I hospital organization of the clinical departments of the professional and technical backbone, through the organization of theoretical lectures and clinical practice in the form of a combination of the successive organization of the 17 training on the whole area of the 9 townships of the 610 Engaged in basic public **** health service project work of the rural doctors for special training, now the training of this stage of training work is summarized as follows:
Awareness-raising
From the ideological high importance of the basic public **** health service project work requirements of the rural doctors to change the "treatment of the light preventive Through the provision of high-quality basic public **** health services, reduce the prevalence of residents in the area, improve the quality of life of patients with hypertension, diabetes and psychiatric disorders, when the residents of the area of life and health of the gatekeeper.
Second, strengthen the learning
Strengthen the basic knowledge and basic skills of rural doctors themselves, and strive to improve the quality of service, is the core of the basic public **** health service program, but also the focus of this training. By strengthening their professional skills, they become proficient in the diagnosis and treatment of common, frequent and infectious diseases, so as to diagnose and treat the diseases of the residents under their jurisdiction in a timely and effective manner, scientifically guide the daily activities, diets and treatments of the key populations (the elderly, the weak, the sick and the disabled under their jurisdiction), control the symptoms of patients with high blood pressure, diabetes and mental illnesses at the desired level, and improve the quality of life of the key populations. By improving their own business knowledge, learning to communicate effectively with residents in the area, guiding residents to a healthy lifestyle and common sense, and improving the general public's adherence to health education for medical practitioners, so as to continually improve the people's healthy living habits, in order to reduce the incidence of many common and chronic diseases, and to further address the phenomenon of rural poverty due to illness, and return to poverty due to illness. This training, from the physical examination of healthy people to the diagnosis and treatment of diseases, to the follow-up health guidance, have done detailed training and guidance for the basic public **** health service program to provide a strong guarantee of the quality of service professionals.
Three, change of mind
for the residents of the area to get good service , after the health care reform, the state increased investment in primary health care institutions, grass-roots health workers to change their minds from "to do" transition to "I want to do". "I want to do". To take the initiative to serve, enthusiastic service, for the residents of the district to provide high-quality health services, to meet the people's growing health needs. For the smooth implementation of the basic public **** health service program to create a good atmosphere for the masses.
Fourth, there are problems
1, some rural doctors do not know enough about the training work, learning attitude is not serious.
2, rural doctors low level of business, in the training by the tight time, heavy task, rural doctors in a short period of time is difficult to comprehend part of the policy content.
The training work, in the Donggang District Health Bureau, Donggang District Health School, Donggang District Hospital leaders at all levels of support and the close cooperation of all participants, the successful completion of the training work, and the results are remarkable, so that the trainers:
1, appreciate the overall policy guidelines of the health care reform;
2, re-standardization of the diagnosis and treatment of common diseases and diseases;
3, to the training of the staff:
3, the general policy direction of health care reform;
2, re-standardized common diseases and diseases;
3, the diagnosis and treatment of common diseases and diseases. p>
3, a new understanding of the general knowledge of medical regulations;
4, the level of medical business knowledge has been significantly improved;
5, understanding and mastering the public *** health, maternal and child health, child health care and other related knowledge and requirements;
In order to ensure that the training work of the high-quality, high-standard completion of the training, the district hospital set up a training leadership group, do Attaches great importance to, carefully organized, sound attendance system, strict training discipline, and strive to make the training of rural doctors to reach 100%. Secondly, to ensure the quality of learning, each time the lecture is completed are assessed, the assessment results are recorded in the personal file. The guiding ideology and training purpose of this phase of rural doctor training is clear, the training content is practical, the assessment procedure is standardized, and the training process is arranged in an orderly manner. This training has been the township hospitals and township doctors and the strong support and active cooperation, the doctor's training was successfully completed.
doctor's work summary 2Internship life is coming to an end, review this period of time, although it can not say passionate, but after all, we have paid a lot of effort, the heart inevitably has the excitement. Now we have to leave the teachers who led us into the ranks of doctors, the heart does have a lot of reluctance, but there is no such thing as a banquet, the separation is for the next time a better get-together. The first experience of being a doctor is something we will remember for the rest of our lives. The internship means that I am no longer the baby in the cradle in school, but the toddler who is about to enter the society.
Just entering the ward, there is always a sense of bewilderment, for the clinical work in a relatively unfamiliar state, but also for their own in such a new environment can do things still do not have a molding concept. Fortunately, we have teachers to introduce us to the situation of each department, introduce some rules and regulations, the duties of doctors at all levels, etc., on behalf of the rich experience of teachers, so that we can adapt to the clinical work of the department faster. According to the requirements of the school and the hospital, we actively completed the writing of medical records, teaching room visits, case discussions, which cultivated our writing, organization, expression and other aspects of the ability. In this short period of internship time, we have gained a lot of harvest, the harvest during the internship will lay a good foundation for our future work and study.
At the beginning of the week of training, I had a preliminary understanding of the hospital and learned a lot of new knowledge. First of all, the assistant of the medical department gave us a history of the development of the hospital and the scale of the hospital, so that I understand that our hospital is a long history and glorious background, as well as the potential for development. At the same time, the substitute teachers of each department also made strict management rules for us in terms of teaching management, so that we could set up a rigorous style and serious working attitude from the beginning, and form a fixed way of thinking for us to lay a good foundation for our future participation in the work. Medical ethics and medical style education let me really feel as a doctor's sacred and pragmatic, we must set up a good image of their own, do things adhere to the principle, in order to better safeguard the "white angel" sacred authority, in order to get the respect of patients and colleagues. Secondly, the lectures on specific clinical work, such as writing medical documents, medical knowledge and clinical operation, let us who originally only have theoretical knowledge realize that it is not easy to do a good job in clinical work, and it is not possible to rely only on mastering theoretical knowledge. At the same time, the correct treatment of the doctor-patient relationship on the issue we have a perceptual understanding.
My first full exposure to how to write a patient's medical record.
The writing of the medical record should reflect the following parts:
1 patient's general condition. Name, age, occupation, place of origin, residence, and so on.
2 Complaints: that is, the patient's family members to provide information about the patient.
3 Patient's present medical history: the patient's information about his present illness.
4 The patient's past history: information provided by the patient or family members about the patient's previous illnesses. Special attention should be paid to determining whether the patient has had an organic traumatic brain injury, and special consideration should be given to whether the patient is alcohol dependent.
5 personal history of the patient: including the birth or not, parents' personality, living environment, work, study, smoking and alcohol history, marriage and love history, family history, and so on.
6 psychiatric examination: consciousness disorder examination, perceptual disorder examination, thinking activity disorder examination, attention disorder examination, memory disorder examination, intellectual activity disorder examination, with or without self-control examination, emotional activity disorder examination, volitional behavioral activity disorder examination and so on.
7 scales of assessment, ultra test report, X-ray report, etc.
All the reports.
All of these reports should be completed within 72 hours, and if any of them are not completed, they should be called back and redone, and the patient cannot be diagnosed.
This part of the medical record transcription requirements introduction, only a small part of the content of all internship teaching, probably less than 30 minutes of time, but I feel it is particularly important for us. It is the main idea of the diagnosis, in other words, it is the question of how far you have gone in your thinking in order to characterize the case in front of you. The rigor of the medical record can reflect the level of medical skills of a hospital and a physician. It also has a serious relationship with the accuracy of the diagnosis, which directly involves the patient's consultation and treatment, and is of great importance.
In the previous textbooks, it is only a simple matter of understanding the general situation of the patient, physical symptoms, psychological symptoms, the structure of the family support system, and the auxiliary scale assessment. However, the introduction in the books is not as comprehensive as the introduction by the teacher. The substitute teacher clearly emphasized the following points in class.
1 to highlight the past history, especially pay attention to exclude the effect of organic encephalopathy on neurological disorders, such as pulmonary encephalopathy, hepatic encephalopathy and mumps, and do not forget to consider alcohol and drug dependence.
2 in the personal history part (first of all, the teacher's level of division is very detailed, more thoughtful than the book, in addition to the teacher especially emphasized) from elementary school to the university part of the academic life to ask to be fine, almost as long as the patient has a frustration to ask why, in the family history, to ask the parents of two lines of three generations of members of the inbred marriage situation.
3 Psychiatric examination part to pay full attention to check the patient's self-control.
There are also ultrasound and X-ray reports in the medical records.
The above points are not part of the textbook or do not emphasize the part, and those parts are very important in clinical practice, according to the teacher to introduce the idea of transcription of the medical record, giving a person a serious, serious, scientific, rigorous feeling. It reflects the humanistic scientific spirit and the responsible attitude of trusting the patients.
The internship has been a few months, the whole operation of the hospital and the department have a certain understanding. Now I am learning the basic clinical operations, such as chest penetration, drug exchange, removal of stitches, etc., while learning from the substitute teacher of the treatment of diseases and the use of commonly used drugs. In the past, diagnostics and internal medicine were basic, but there was still some disconnect with the clinic. For example, the use of antibiotics, books and practice are really very different, and different teachers have different habits and experience, before there is no exact pathogenic evidence, are empirical use of drugs. The most basic pharmacological mechanisms of drugs were all learned in my junior year pharmacology class, but since I never used the drugs myself I spent a lot of time memorizing things that I used to, and now almost all of them are back to the teacher. However, I think if you use it a lot, it should be
easy to memorize. Anyway, I'm never ashamed of my incessant questioning, and the teacher leading the group is very busy, so it's usually not that easy to ask for advice anytime. It doesn't matter if you're a little late to help write a medical record, you're young, and you'll be exercising if you have to run more errands. The first thing I'd like to say is that I don't know what to do, but I'd like to know what to do, and I'd like to know what to do, and I'd like to know what to do.
Our boss gave a small lecture to all the interns of internal medicine. The main thing was to teach us to read CT films. I've studied imaging before, so it's not that hard to listen. Usually, there are often difficult case discussions in the department, and our group will also have some small topics. There are a lot of opportunities to read films, but most of the films of real patients are not as typical as the ones in the lectures. For a trainee with little or no clinical experience, it's really not an overnight exercise to be able to read a good film.
As my knowledge of medicine gradually deepens. My internship is also coming to an end. In my internship career, I y feel that it is not easy to be a doctor, want to be a good doctor is a very difficult thing. Practice produces true knowledge, practice grows talent! In my first clinical practice, I realized the importance of combining theory and practice, and the importance of a good doctor-patient relationship. Without the test of practice, all the theory is only on paper.
Just one year with the teacher to establish a good relationship, let me leave really a little reluctant to part with the feeling. Into the office of each section, less a stranger, more a kind; less a lonely, more a comfort; less a worry, more a sincere! Here, I not only really learned knowledge, but also understand some of the truth: down-to-earth people, serious work!
Finally, I would like to thank Haikou Fucheng Hospital for giving me the opportunity to do my internship, and I would like to thank all the substitute teachers for leading the interns and teaching us the right direction in the midst of their busy schedules; and I am very happy to be able to learn from each other as well as to be good friends with the other interns in the compact internship life. Although the internship time is short, but this period of time has given me an immense harvest, in addition to practical work on the learning, interpersonal relationship development, workplace culture, and some activities to participate in all let me benefit a lot, such a full life, I think it will be a memorable time in my life.
In short, in Haikou Fucheng Hospital to cultivate my little by little harvest when I will be more proactive work attitude, more solid and solid operational skills, more rich and deep theoretical knowledge, on their own work positions, improve clinical work capacity, health care dedicated to their duties!
Doctor's work summary 3
Pediatrics, encompassing children from the fetus to adolescence, the fetus is still more in the obstetrics and gynecology narrative, newborns, infants, pre-school, school-age children, to the end of puberty, are the scope of pediatrics.
First from the newborn nutrition, from the six advantages of breastfeeding, of course, one of the most important is still the nutrients in breast milk, protein content is low, reducing the formation of protein clots in the baby's stomach, fat content is high, the energy provided is also much more, lactose is also an indispensable ingredient, the most important of the protein is the whey and casein proteins, the content of higher than cow's milk, milk components of the protein content, the baby's digestive system is not well developed, the baby's digestive system is not well developed, and the baby's digestive system is not well developed. The first thing you need to do is to make sure that you have a good understanding of what you're doing and how you're doing it, and how you're doing it.
After talking about nutrition, enter the theme, is pediatric diseases, the first thing to say is rickets, vitamin D deficiency caused by rickets, divided into three phases, to the active phase of the performance of the most obvious, ping-pong cranial, square cranial, hand and foot bracelets, beads chest, chest rib groove, chicken chest, performance and abnormal, to the late stage often have sequelae, CT shows metaphyseal bone deposition, obvious brush-like edge. Vitamin D plays a regulatory role in the `absorption and metabolic transformation of calcium, and can be treated with calcium in the acute stage, and the rest can be treated with vitamin D.
Children's respiratory diseases, common is pneumonia and asthma, asthma has a large part of the genetic factors, characterized by airway hyperresponsiveness, chronic inflammation of the airway as the essence of anti-inflammatory treatment with hormones and theophylline, can be diagnosed with the airway diastolic test as an indicator, croup is also a common symptom. Pneumonia is caused by Streptococcus pneumoniae and is treated with antibiotic drugs.
The diagnosis of tuberculosis in children is based on the tuberculin test, and the principles of treatment are the same as for adults: early, adequate, regular, full, and combined chemotherapy.
The cause of children's diarrhea needs to be clearly identified, is infectious or non-infectious, infectious need to use antibacterial, antiviral or parasitic drugs, non-infectious may be improper feeding, lactase deficiency, allergies caused by the need for differential diagnosis, diarrhea is divided into light and heavy, the heavy from the dilute watery stools, with the color of the stools to be diagnosed, whether or not there is blood in the stools, the heavy diarrhea is usually electrolyte disorders and Acid-base imbalance, need to rehydrate and replenish electrolytes, before replenishment, need to find out whether it is hypotonic, isotonic or hypertonic water loss, the most important thing is to replenish potassium, the four-word principle, see the urine to replenish potassium, replenish potassium orally as much as possible, to avoid acute hyperkalemic reaction.
Cerebral palsy in children is characterized by non-progressive central system injury from prenatal to one month postnatal period, characterized by central motor disorders and postural abnormalities, and classified into total paralysis, quadriplegia, hemiplegia, paraplegia and so on according to the severity of the disease.
The most serious cardiovascular disease in children is tetralogy of Fallot, right ventricular outflow tract obstruction, right ventricular hypertrophy, aortic ride, ventricular septal defect, and the treatment of which also belongs to the heavy congenital heart disease in surgery. Heart disease is divided by the direction of blood flow in the heart, left to right shunt type, because the arterial blood flow into the right ventricle venous blood, so no cyanosis occurs, right to left shunt type that the right cyanosis occurs, is the manifestation of circulatory hypoxia, the lightest is no shunt type.
The most important thing to say here is that the diagnosis of pneumonia combined with heart failure, with respiration suddenly greater than 60 beats per minute, heartbeat suddenly greater than 180 beats per minute, restlessness, gallop rhythm, the situation is serious.
I don't know how much to write, pediatric disease has its own particularity, whether it is the amount of drugs on the drug, have to weigh the consideration, and children in the growth and development of the period, the physiological function has not reached the level of adults, the need to observe its physiological and psychological changes, in order to help its healthy growth.
Slowly, I found myself growing up, began to study children, huh, may all the children in the world are thriving, become a pillar of the motherland!
Doctor's work summary 4
I have been working since June has been more than five months, in the hospital, departmental leadership of the concern and the help of colleagues, better to complete the work of the task, so that they are more quickly familiar with the new working environment, in the work attitude, professional and technical level and other aspects of the work of the greater progress, mainly in the following areas:
First, correct work The first is to correct the attitude of work, enthusiasm for patient service. As a doctor, for the patient service, both responsibility and obligation. Our hospital for inland residents is still a new thing, to be strong and big in the shortest possible time, I think the first thing to improve the quality of service, so that every patient satisfaction, and in this way to expand the popularity of our hospital. After joining the work, I strive to improve their own quality of thought and business ethics, correct the mentality of the master, anxious patients, think of the patient, and do their best to serve the patients; patience with every patient, no matter how tired they are, they are not tired of doing a good job of explaining and communicating with each other, and strive to implement the two good work to the realization of a satisfaction.
Second, conscientiously and responsibly to do a good job of medical work, improve the level of professional and technical. 1, adhere to the business study does not relax. After joining the work I still adhere to the daily study, every day to master a disease; at the same time do not forget to learn the new results of the professional research, and constantly draw new nutrients, the exercise of scientific research thinking; 2, adhere to the principle of "excellence, meticulous" principle, the process of work strictly in accordance with the medical operation routines, to avoid the occurrence of medical accidents and errors; in the work constantly enrich their own clinical work, the work of the medical profession and the medical profession, to avoid the occurrence of medical accidents and mistakes. In the work of continuous enrichment of their own clinical experience, always remain modest and cautious, encountered problems do not understand the courage to superior physicians,
Efforts to improve their comprehensive analysis of the problem and problem-solving ability; close observation of the condition, timely and accurate record of the condition, the patient's proper handling; as a new doctor, guard against arrogance and impatience, full of energy, and continue to learn.
Third, strict requirements for themselves, and actively contribute to the development of the hospital. As a member of the hospital, "I am honored that the hospital is emerging, I am ashamed that the hospital is failing," and to make a contribution to the hospital's greater development is the responsibility of the righteous and honorable. On the basis of doing their jobs, and actively contribute to the development of the department, I hope that next year's workload will be able to reach a new high.
Summarizing, in the hospital leadership and the help of colleagues, my work has been completed more successfully, but I can not have the slightest slack, because the future work will face greater challenges and opportunities. At the same time compared with other advanced colleagues there are gaps in the future work, I want to continue to work hard to overcome the shortcomings, to create a more excellent work results.
Doctor's work summary 5
First, the technical cooperation of advanced surgery
In the People's Liberation Army General Hospital for a period of seven months of training and learning, in the General Hospital of the majority of doctors and nurses caring to help, and the successful completion of the rotational work of the groups. Through the study, he has been able to independently complete the orthopedic internal fixation of limbs, cervical anterior and posterior approach internal fixation, thoracolumbar internal fixation, percutaneous low-temperature plasma ablation nucleus pulposus vaporization surgery; general surgery of portacaval shunt, radical treatment of rectal cancer, total gastrectomy, retroperitoneal tumors; thoracic surgery of esophagus, lung surgery, and esophageal triple incision; neurosurgery of the cervical spine, anterior and posterior approach internal fixation, orofacial pituitary tumors, meningiomas, cervical artery aneurysms, clipping, and auditory neuroma excision. Clamping, auditory neuroma resection and other major surgery of surgical cooperation. Hot Read: Scientific Outlook on Development Personal Analysis Materials
Second, advanced instruments and equipment
This time to the General Hospital of the People's Liberation Army for further study, to see and personally operate a lot of advanced instruments. For example, ultrasonic knife, warm blanket machine, circuit electrodes, orthopedic and neurosurgery navigation system, neurosurgery craniotomy drill and pneumatic drill, nerve electrical stimulation instrument, rapid disinfection kettle, cryogenic disinfection kettle, instrument ultrasonic cleaning kettle, ethylene oxide disinfection kettle.
General Hospital operating rooms have eliminated the two chemical sterilization methods of glutaraldehyde immersion and formaldehyde re-steaming, and they usually choose autoclave sterilization, ethylene oxide sterilization, and low-temperature sterilization, so the disinfection kettle is also very complete, easy and safe to operate, which not only ensures the sterilization requirements of instruments, but also greatly saves the time to receive the table of 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 and size of the occupying lesion, whether the resection is complete or not during the operation, which greatly improves the quality of the operation. Orthopedics in the spinal internal fixation surgery using navigation systems can help doctors determine whether the nail in the cone, there is no damage to the nerve and so on, increasing the coefficient of surgical safety.
Third, the operating room management experience
PLA General Hospital logistics management, human resources management, instrument management, high-value items in the custody of the advantages of a lot of worthy of our learning and reference, the Department of the printed charges for the detailed list of items, the completion of each operation by the charge collector to unify the checking, recording account, the same day the day of the cost of the closure to put an end to delinquent, leakage of fees. The department has printed a detailed list of charges, and the charge collector will check and record the account after each operation. The department is responsible for the supply of routine and special instruments for all surgeries on the next day, as well as the supply of emergency surgical instruments, and is responsible for the cleaning and maintenance of instruments after the surgery is completed, and for packing and sending them to be sterilized. The General Hospital is very strict and standardized on the teaching of new nurses and trainees, and the training is unified 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 of the later smooth cooperation with the operation to lay a solid foundation for each operation are unified training, to eliminate the personal habits in the operation. The training is based on a one-on-one approach, in which the instructor teaches all the trainees by example, so that they can understand the process of each operation, the habits of the operator, and the precautions to be taken during the operation, so that all the trainees can benefit from the process.
Four, learning summary
Through the period of training comparison, found that we and the People's Liberation Army General Hospital, that is, there are gaps also have our advantages. For example, the hospital in the surgical notification form will indicate the intraoperative surgical position, special supplies, whether the need for autologous blood recovery instrumentation, the patient has a special infection in order to facilitate the head nurse to arrange the operation; our hospital in the instrument cleaning, maintenance and disinfection of this link in a very detailed, for the maintenance of the instrument is also very much in place in the hospital, basically eliminating the phenomenon of the strike of the instrument during the operation.
7 months of further study, in the PLA General Hospital operating room of the majority of doctors and nurses to help teach and personal initiative to learn, is my theoretical knowledge as well as professional skills have improved greatly, to achieve the established internship goals, the successful completion of the training task, won the praise of the teacher. In the future work of the combination of further training to further improve my work, and at the same time will be outside the hospital's advanced management concepts and practices in the implementation of our hospital to carry forward.
The doctor's work summary 6
In the years of work, I am in the unit under the leadership of the leadership of the leadership, in the strong support of colleagues, to be able to successfully complete the work of their own tasks, in the political and ideological awareness and business ability to work and other aspects of a certain progress, now on the 20xx personal learning, work summarized as follows:
First, to strengthen their own construction, and constantly improve the ideological awareness of the work, and the ability to work and other aspects of a certain progress. Can actively participate in the unit organized by the various political theory learning, a deep understanding of the spirit of the party, through learning, writing tips and other forms, constantly make their own thinking a greater improvement, while strengthening business knowledge learning, and strive to improve the quality of business. Actively carry out medical quality management efficiency activities, adhere to the patient-centered, quality-centered nursing service concept, to adapt to the health reform, social development of the new situation, and actively participate in all political activities to serve the people and dedication to the community for the purpose of patient satisfaction as the standard, wholeheartedly for the people's service.
Second, hard work, conscientiously do their jobs
In the work, I always adhere to strict requirements for their own, hard work, in their ordinary and ordinary jobs, and strive to do their jobs.
Three, learn from others, and strive to improve the level of work
In the work, I am open-minded to others, and actively improve the work of the ways and means to enhance the ability to work, so that they can be better able to do their jobs.
Fourth, the future goals
I am determined to further invigorate the spirit, strengthen the transformation of the personal worldview, and strive to overcome their own problems, to do:
1, a solid grasp of theoretical learning, to maintain political firmness.
2, in the hospital leadership, department director, nurse care and guidance, the successful completion of medical care work tasks, conscientiously fulfill their duties, love and dedication.
3, the department as a home, work actively, treat patients with enthusiasm, patience, to meet the needs of patients.