I was 20xx to 20xx in the Guangzhou Military Region Wuhan General Hospital Neurosurgery Department for one year of further study, in the teachers of the teaching and careful cultivation, through their own unremitting efforts, hard work, hard work and study, and the successful completion of the further study tasks, and achieved certain results, and reached the desired goal.
I have been able to make a good start in my career.
I feel very honored to be able to study in such a high-level hospital as Wuhan General Hospital of Guangzhou Military Region, to be in contact with the cutting-edge knowledge of neurosurgery, and to listen to the guidance of experts and professors in front of me. During the period of further study, I abide by the law, strictly abide by the rules and regulations, and take the lead in not being late, not leaving early, not absent from class, respect for teachers, solidarity with classmates. In order to overcome the low academic starting point, poor theoretical foundation, clinical work experience and other difficulties, I must spend more time to strengthen the theoretical learning by heart, to all teachers to ask for advice, from theoretical knowledge and clinical experience, surgical skills to improve.
My further study is neurosurgery, neurosurgery in the Wuhan General Hospital of Guangzhou Military Region in our province and our military to the country have a high academic standard, with a number of professional first-class experts, scholars. During the period of further study in neurosurgery, I had the honor to study and work under their guidance, and observe and participate in their surgeries. I was able to improve my knowledge of basic theory, endovascular intervention of cerebrovascular disease, craniocerebral injuries, craniocerebral tumors, neurosurgical function and other treatment specifications, and witnessed their exquisite surgical level and skills. This has enabled me to improve my understanding of neurosurgery and diagnosis and treatment, as well as to improve my surgical ability and skills.
In the course of my study, I also discussed with my colleagues and classmates the relationship between mastering learning methods and accumulating clinical work experience, cultivated my ability to think independently and solve problems independently, and made careful planning for the future application of what I learned to carry out practical work, so that my ability to analyze, understand, and solve problems by using the existing theories is constantly increasing.
My harvest and growth is inseparable from the teachers and students to guide and help, I will continue to meet the future with a positive attitude, and constantly improve their own personal qualities and business level. I hope that in the future there will be more opportunities for further study. In short, over the past year, through this rare opportunity to study, I work twice as hard, study hard, and ultimately benefit greatly. This is a valuable asset in my life, will play a huge role in my future work and study. I will continue to work hard, perseverance, and strive to achieve new results in the future work.
Part II: Physician training self-identificationThank you for the leadership of the hospital to give me the opportunity to study, through this training, to a large extent, to open up my horizons, enhance their business capacity, recognize the gap between the hospital and the domestic large high-level hospital professional and technical gaps that exist in the clear direction of their own future learning and development, for the future learning and business skills training laid the groundwork for the future.
The PLA General Hospital is the largest comprehensive hospital in the military, set medical, insurance ship teaching, scientific research in one, is one of the country's important health care base, responsible for the central government, the military commission and the headquarters of the health care work, bear the military districts, the military branch of the diagnosis and treatment of difficult illnesses, the hospital also accepts patients from the country's local. The hospital has more than 4,000 beds and more than 150 clinical and technical departments.
The hospital's annual outpatient volume of 2.5 million, more than 80,000 admissions, to carry out a variety of surgery nearly 40,000 cases. At the same time, the hospital every year to carry out a number of new businesses, new technologies, the formation of a clear technical characteristics and advantages, so that many difficult to get effective diagnosis and treatment of many complex surgeries and major rescue success, some diagnostic and therapeutic techniques to reach the international advanced level.
First, the advanced technology with
In the People's Liberation Army General Hospital for a period of seven months of further study, in the General Hospital of the majority of doctors and nurses under the care and assistance, the successful completion of the rotation of the work of the groups. Through the study, he has been able to independently complete the orthopedic limb internal fixation, cervical spine anterior and posterior approach internal fixation, thoracolumbar internal fixation, percutaneous low-temperature plasma ablation nucleus pulposus vaporization of surgical cooperation; general surgery of portacaval shunt, rectal
cancer radical treatment, total gastrectomy, retroperitoneal tumors; thoracic surgery of the esophagus, lung surgery as well as esophageal three-incision; neurosurgical cervical spine anterior and posterior approach internal fixation, stomatoprosthetic pituitary tumors, Meningioma, carotid aneurysm clamping, acoustic neuroma resection and other major surgical operations with surgical cooperation.
The advanced instruments and equipment
This time, we went to the General Hospital of the People's Liberation Army for further study, and we saw and operated a lot of advanced instruments with our own hands. 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, cryogenic disinfection kettle, instrument ultrasonic cleaning kettle, ethylene oxide disinfection kettle.
The 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 sterilization pot is also very complete, easy to operate and safe, which not only ensures that the sterilization requirements of the instruments, but also greatly saves the time to receive the table of surgery. Neurology group uses advanced navigation system to cooperate with surgery, through the navigation can accurately locate the advantage can judge the position of the occupying lesion, big filial piety operation resection is complete or not, greatly improve the quality of surgery. 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 nerves, etc., increasing the coefficient of surgical safety.
Third, the management of the operating room
PLA General Hospital's logistics management, human resources management, instrument management, high-value items in the custody of a lot of advantages worthy of our learning and reference, the department has printed a detailed list of charges, each surgery is completed by the charge collector unified checking, recording accounts, the day the cost of the day, to eliminate the arrears, 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 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 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. 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.
Fourth, the personal talk
Through the training period of the 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 to do very carefully, for the maintenance of the instrument we have done very well, basically eliminated 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, I will strive to further improve my work by combining the benefits of further training, and at the same time, I will implement the advanced management concepts and practices of the foreign hospitals in our hospitals.
Part III: Self-identification of physician trainingFirst of all, I would like to thank the leadership of the hospital to give me such a good opportunity for training, I know that this opportunity is rare, thank you for the trust and expectations of the leadership. During the training period, I always remember the hospital leadership's instructions, more questions, more hands, more communication with the teachers, and strive to grasp the opportunity to further training, and strive to improve self-improvement. After three months of rehabilitation physician training, mastered the rehabilitation medicine department of Shandong province traffic hospital rehabilitation therapist treatment technology, rehabilitation physician diagnosis and treatment technology and department management mode, rehabilitation ward management and other knowledge. The details are reported as follows:
1, learning: I in the Department of Rehabilitation PT room, OT room, ST room and wards during the training strictly abide by the rules and regulations of the hospital and the department, proficient in "three paralyzed and one amputation," i.e., hemiplegia, paraplegia, cerebral palsy, amputation, functional assessment, development of training programs and amputation of limbs, and the development of a training program. I was skilled in the functional assessment, training program development and clinical application of rehabilitation therapy techniques. This time, I mainly focused on the rehabilitation of patients with stroke, traumatic brain injury and paraplegia, that is to say, I adopted all measures to prevent the occurrence of disability and reduce the impact of disability, so that the patients could maximize their return to normal social life. The best time for rehabilitation of limb function of patients with stroke and traumatic brain injury is within three months after the onset of the disease, and rehabilitation during this period can speed up the progress of recovery of limb function of patients. The earlier the rehabilitation treatment, the better, as long as the patient is conscious and vital signs are stable, it can be started. In short, up to 6 months after the onset of the disease is an effective rehabilitation period; if the disease duration is more than 1 year, the rehabilitation effect and the speed of limb function recovery will be reduced. Therefore, it is necessary for the medical staff of each department to cooperate with each other to do a good job in the early intervention of stroke and traumatic brain injury patients. In addition, it is necessary to do a good job of publicity so that patients, their families and medical staff cooperate with each other and actively participate in the rehabilitation training so that their early recovery, return to their families and return to society.
In addition, I actively participated in the lectures of the department, and was lucky enough to participate in a two-week national training course on rehabilitation therapy in Jinan, where I carefully studied and photographed the advanced rehabilitation therapy techniques of renowned experts in the field of rehabilitation at home and abroad. The famous experts included Dr. ABBIE NAJJARINE from Australia, Prof. HU Haiying from Fuxing Hospital of Capital Medical University, Prof. WANG Xinglin from China Rehabilitation Research Institute, Prof. WANG Tong from Jiangsu Provincial People's Hospital, Prof. WANG Xiaohua from Shandong Provincial Hospital, Prof. YUE Shouwei from Qilu Hospital, Prof. LI Tieshan from Affiliated Hospital of Qingdao Medical College and Prof. GU Ying from Shandong Province Jiaotong Hospital. The study has broadened the horizons and increased the knowledge, so that my understanding of rehabilitation medicine to a new height.
2, the importance of rehabilitation social benefits:
In the "three paralyzed and a cut" patients, some patients although the life of the patients can not take care of their own life, the patients not only can not participate in the social labor, but also need to be accompanied by someone. If we can timely application of rehabilitation medicine for the treatment of patients, can greatly reduce the disabled, the elderly, a variety of chronic disease patients in the acute stage and recovery of early pain, so that their life care, as soon as possible to return to the family and even return to society, to relieve patients and their families of the worries.
Through the study let me more clear about the necessity of rehabilitation medicine, it is the patient's needs, the more progress in medicine, the more economically developed the demand for rehabilitation, is a major trend in the development of medicine, many tertiary hospitals have set up their own hospital rehabilitation branch. For example, Qilu Hospital. Our hospital patients (neurology, neurosurgery, orthopedic surgery, etc.) need a lot of rehabilitation, not worry about the source of the disease, can increase the hospital's economic income, the next step to improve the visibility of our hospital.
3, rehabilitation department set : The department was established in 1998, is the province's first set of hemiplegia paraplegia, cerebral palsy treatment, rehabilitation, training, consulting, research, prevention in one of the clinical rehabilitation
organization, is the China Rehabilitation Center in the country's capital city is the only one of the collaborative unit, the Jinan Municipal Bureau of Health, the A key disciplines.