Summary is a time period of study, work or its completion of a comprehensive and systematic summary, he can improve our written expression ability, let's write a summary for themselves. But what are the requirements for a summary? The following is my annual summary of residency training, for your reference and reference, I hope to help friends in need.
Resident training annual summary 1My department under the leadership of President XXX, combined with the actual situation of the department, the residents in the department to carry out a relatively standardized series of training.
1, noble medical ethics and responsibility awareness training:
The concept of medical ethics fuzzy impact on the progress of doctors and the development of the industry, that is, the damage to the image of the health industry, but also caused the problem of poor social impact. The technical level of the doctor is positively proportional to his sense of responsibility, and without a sense of responsibility, the doctor can not observe the patient and deal with the patient, so his technical level will not be very high, and even lead to medical disputes. In the residency training to strengthen the professional ethics and sense of responsibility of the cultivation, supervise the teacher to set an example to set an example, implicitly infected the standardized training physicians, at the same time teaching teachers need to be combined with the work of the specific situation encountered in the targeted analysis, discussion, seize the typical, in-depth analysis, the cultivation of standardized training of physicians to resist non-ethical behavior of the resolute and long-term.
2, strengthen the training of doctor-patient communication skills:
A harmonious doctor-patient relationship can effectively prevent and reduce the occurrence of medical disputes, and communication barriers is an important factor leading to the decline in the trust of patients and their families on the hospital and medical staff, and is also a potential risk factor for medical disputes. Therefore, we advocate "thinking differently and sincerely caring for patients" in the training process. Some seemingly insignificant actions can be exchanged for a high degree of patient trust, such as shaking hands with the patient during the checkup, and helping the patient to tuck in the corner of the quilt during the night checkup. The standardized training of physicians to reflect the "people-oriented" service concept, which is to improve the ability to communicate with doctors and patients has a huge role in promoting.
3, participate in clinical research, open up the scientific research thinking:
The Department of Residents in the overall quality of training in clinical research capacity training and professional reading program in foreign languages, requiring the training staff to participate in the training of scientific research in the Department of the training period, to cultivate the research ideas and rigorous scientific attitude. The goal is to make them aware of the development of the discipline as well as new knowledge and skills to keep up with the times.
4. Basic theoretical training is based on centralized lectures:
Regular meetings of residents are held every month, and hospitals are invited to return from further training to give lectures to doctors and technicians.
5, strengthen the evaluation and assessment:
The establishment and implementation of quality assessment and appraisal system, including the quality of training and organization and management level of assessment, inspection, seriously organize the discharge assessment. The purpose of the evaluation and assessment is to test the situation of clinicians participating in training, but also to find the deficiencies in the training, so that it will continue to improve in the future work.
At the same time, we also found that there are problems: resident rotation can not meet the requirements, the quality and quantity of instructors can not meet the training requirements. Clinical skills assessment is generally agreed to try to use real patients or standardized patients, simulated patients or virtual patients, try to objectively design the assessment program, content, process and time, and should increase the humanities, ethics, law and other aspects of the content.
Residency training is from scratch towards the process of gradual standardization, teaching teachers should attach great importance to the training of residents, this is our responsibility is more our mission, we have to use twelve points of enthusiasm for the community to cultivate excellent medical talents and efforts!
Annual Summary of Residency Training2Strengthening the training and management of residents is extremely important for the cultivation of high-level clinical physicians and improving the quality of medical services. Combined with the actual situation of our hospital, the residents of the more standardized some of the training.
1, the cultivation of medical ethics: the concept of medical ethics fuzzy impact on the progress of doctors and the development of the industry, that is, the damage to the image of the health industry, but also caused the problem of poor social impact. The technical level of doctors and their sense of responsibility is proportional to the lack of responsibility of the doctor may not be able to observe the patient, dealing with patients, and may even lead to medical disputes. Our hospital in the training of residents to strengthen the professional ethics and sense of responsibility training, through watching the CD-ROM and supervise the instructor to set an example of the training mode of standardized training, while the instructor is also combined with the work encountered in the specific situation of targeted analysis, discussion, and in-depth analysis, to cultivate residents to resist the non-ethical behavior of the resolute nature of the.
2, strengthen the training of doctor-patient communication ability: harmonious doctor-patient relationship can effectively prevent and reduce the occurrence of medical disputes, and communication barriers is to lead to the patients and their families to hospitals and medical personnel trust in the decline of important factors, but also triggered the potential risk factors of medical disputes. The training emphasizes the service concept of "people-oriented" from the smallest detail, which has a great impetus to improve the communication ability of doctors and patients.
3, basic theory training to centralized lectures: every Wednesday afternoon, the Medical Department to organize the hospital training, every Thursday afternoon by the director of each department to organize training within the department, each training to have a detailed record. Clinical practice training by the director of each department to designate the attending physician or associate title physician is responsible for. The training content is mainly needle history collection, physical examination, medical record writing and basic skills operation and other basic clinical skills training.
4, strengthen the assessment and evaluation: the establishment and implementation of quality assessment and evaluation system, including the assessment of the quality of training, inspection, carefully organized discharge assessment. The purpose of evaluation and assessment is to test the situation of clinicians participating in training, and at the same time can also find deficiencies in the training, so that it will continue to improve in the future work.
At the same time, we have also found that there are some existing problems, such as resident rotation can not meet the requirements, the quality of teaching physicians can not meet the training requirements. Clinical skills assessment generally agreed that the use of simulated patients or virtual patients as far as possible, as far as possible to objectively design the assessment program, content, process and time, and should increase the humanities, ethics, law and other aspects of the content. The training of residents needs to have a suitable `soil, and as residents' seniority rises, they themselves urgently need to improve all aspects of competence other than clinical skills.
Our hospital resident training is in the process of gradual standardization, how to better protect and achieve the mechanism of standardized training of residents need to teach physicians to the resident training work to attach great importance to this is our responsibility is more our mission, we have to use twelve percent of the enthusiasm for the community to train excellent medical talent and efforts!
Annual Summary of Residency Training3Over the past three years, the standardized training of residents in the department has achieved rapid development, and various medical operation indicators have climbed, especially the number of outpatient and emergency room visits, and at the same time, it also means that the clinical workload of residents participating in standardized training has increased significantly. The increase in clinical workload can largely increase the opportunity for clinical practice, which is consistent with the overall idea of residency training from the perspective of clinical competency training.
(A) training base construction and management
(1) three years in the residents to implement the transfer of learning, including oral medicine, oral and maxillofacial surgery, prosthodontics, orthodontics, emergency medicine, medical imaging, general surgery, cardiovascular medicine, pathology and other specialties of the Department and related professional departments. Transferring to other departments enables doctors who have just joined the work to open up their horizons and lays a good foundation for their future work. At the same time, other departments also sent to our department to rotate residents, we also taught them the knowledge of dentistry.
(2) annual arrangement of professional knowledge within the department of business lectures 12 times, which invited the deputy director of the doctor above the lecture 2 times, focusing on the arrangement of the department's various sensory control system, diagnosis and treatment of common diseases and diseases in stomatology, clinical thinking training, scientific research ability to improve the aspects of the resident doctor just stepped into the hospital on the hospital, the patient, a variety of diseases and diseases to get to know, and to strengthen the standardization of the management.
(3) in accordance with the requirements of Zhejiang Province, the standardized training of residents, standardized training of residents, strict "three basics" training and discharge assessment, to participate in the annual examination, have passed the examination.
(4) resident attendance to be registered, to carry out difficult case discussions, dental new instruments and new materials operation demonstration of learning classes. At the same time, anonymous evaluation of teaching activities were carried out, and residents were invited to evaluate the teaching teachers on the implementation of the rotation plan, the transfer of professional knowledge and skills, and the discharge assessment.
(II) Problems and Countermeasures
The establishment and implementation of quality assessment and improvement of the assessment system, including the assessment and inspection of the quality of training and the level of organization and management, and the careful organization of discharge assessment. The purpose of the evaluation and assessment is to test the situation of clinicians participating in training, but also to find the shortcomings of the training, so that it will continue to improve in the future work. Achievements, we also found that there are problems: ① resident rotation can not meet the requirements, the quality and quantity of instructors can not meet the training requirements. ② clinical skills assessment is generally believed to try to use real patients or standardized patients, try to objectively and rationally designed assessment program, content, process and time, and should increase the humanities, ethics, law and other aspects of the content.
(C) work plan
Teachers also have a deep sense of standardized residency training, and feel that teaching is a responsibility and honor. Put forward the next stage of work plan: ① strictly in accordance with the implementation of the rotation plan, no arbitrary replacement, ② students are highly motivated and inquisitive. The high intensity of training is best demonstrated during residency training, including clinical operations led by the instructor, such as tooth extraction, minor oral and maxillofacial outpatient surgery, and full denture impression taking. To be successfully skilled in these skills, organizing intensive study and training for residents is an effective way. ③Teachers should be strict in teaching, and in addition to professional knowledge, residents should be trained well, and strict requirements should be made in medical ethics and clinical skills. (iv) Tiered teaching: Different forms and contents of teaching should be adopted to meet the different rotation requirements of clinicians. They are instructed how to walk to the treatment chair with book knowledge, learn the typical clinical manifestations of typical cases, establish correct clinical thinking, and supervise them to gradually carry out invasive operations that are difficult and risky. ⑤ Diversified teaching: Instead of "you talk and I listen", the teaching content is presented in a flexible way. There are traditional teaching methods, such as lectures, clinical case discussions, literature reports, etc.; there are also innovative teaching methods, end-of-month review, patient education, etc.
In recent years, the number of patients with chronic illnesses has been increasing.
In the last two years, the initiative of residents participating in standardized training has been higher than the initial one, and the business lectures and case discussions in the department have begun to bear fruit. As a key link in lifelong medical education, standardized training for residents is a necessary stage in the development of specialists, a necessary path for the formation of clinical experts in medicine, and an effective means to improve the level of medical care and to ensure medical safety, we hope to persist in this process. It is also an effective means to improve the level of medical services and ensure medical safety.
As a medical student who has just stepped out of school and into the hospital, the standardized training of residents is a step we must experience and is indispensable. Although I am only a "newcomer", but as a doctor, I y appreciate that my job responsibility is to "make every effort to remove the human disease, to help the health of the perfect, to maintain the sanctity and honor of the medical profession, to save lives and help the wounded. After this year's study, I have a lot of thoughts and feelings about their own work, here I briefly summarize:
First, ideological and political performance and professional ethics
I basically able to conscientiously carry out the party's basic principles and policies, through the newspaper, magazines, books and actively study political theory; abide by the law, seriously study the legal knowledge; love and dedication, love and dedication to the work, through the newspapers, magazines and books to learn political theory. Legal knowledge; love of duty, a strong sense of responsibility and dedication, proactive and serious study of professional knowledge, work attitude is correct, serious and responsible. In the process of medical practice, strictly abide by the norms of medical ethics, do not issue false certificates, do not prescribe large prescriptions, do not prescribe humane prescription medical `study education network collection.
Second, daily work and business learning
Under the leadership of the director of the department, the business adheres to the good tradition and style of the past, earnestly study, diligently summarize, the past experience "rough to extract the essence of, to remove the false and save the true, from the table to the inside, to remove the dross, take the essence ". More perfect, skillful application of a variety of anesthesia commonly used methods and techniques, such as: various parts of the nerve block, regional block, a variety of general anesthesia methods and a variety of puncture techniques, as well as a variety of instrumentation and equipment maintenance and use.
One year is a short and busy time, and I have grown a lot under the guidance of my seniors in the department. In the new year, I want to continue to strengthen the political learning efforts to improve the quality of work, and strive to learn business knowledge, high standards and strict requirements to complete all the work and tasks assigned by the leadership, should carry forward their own strengths and weaknesses, to overcome the shortcomings, and strive to contribute their own strengths for the department!
Annual Summary of Residency Training 5On May 1, 20xx, I began my 3-year general practice residency training study in Yuncheng City Central Hospital, general practice includes internal medicine, surgery, obstetrics and gynecology, pediatrics, emergency medicine, infectious diseases, psychiatry, geriatrics, orthopedics, etc. The first day of the first day of the first day of the first day of the first day of the first day of the first day of the first day of the first day of the first day of the first day of the first day of the first day of the first day of the first day of the first day of the first day of the first day of the first year of training and study time for 2 months, here pediatrics are divided into general pediatrics The substitute teacher was Dr. Chang Sufang, who majored in neonatology. Every day, she had to teach me neonatal diseases according to the conditions of the hospitalized newborns, so that I could better remember many neonatal diseases, such as preterm low birth weight babies, low birth weight babies for gestational age babies, high birth weight babies, which are the most common neonatal diseases, and at the same time, preterm babies may be accompanied by idiopathic neonatal diseases: neonatal respiratory distress syndrome (neonatal respiratory distress syndrome). Neonatal respiratory distress syndrome (NRDS), neonatal infections, neonatal necrotizing enterocolitis (AEC), neonatal apnea, neonatal jaundice, neonatal sepsis, and other neonatal disorders. For preterm infants, the comprehensive treatment includes warmth in the incubator, oxygenation in the incubator, antibiotics for prevention of infections, and creatine phosphate and ganglioside for cardio-cerebral nutrition, and feeding glucose water according to the 1 ml/Kg test first, and then every three hours if there is no vomiting, indicating that the neonate is aspirating. No vomiting, indicating that the newborn sucking good, swallowing coordination, and then can feed preterm infant formula, if no vomiting, gradually increase the amount of milk; for each disease and have different treatment programs, such as neonatal respiratory distress syndrome is the most common, preterm infants will appear lips and skin bruising, primitive reflexes lead to difference, convulsions, etc., oxygen saturation is reduced, the first line of CPAP respiratory machine-assisted ventilation, oxygen flow of 2-3 ML/min, oxygen flow of 2-3 ML/min, the first time, the first line of CPAP ventilator-assisted ventilation, oxygen flow of 2-3 ML/min, oxygen flow of 2-3 ML/min. 3ML/min, according to the blood oxygen saturation adjustment of oxygen concentration (the lowest oxygen concentration of 21%, for air oxygen, the highest 90%), if the oxygen concentration adjustment to more than 60%, oxygen saturation is still low, then CPAP ventilator-assisted ventilation is ineffective, and need to be injected with porcine lung phospholipids under the tracheal intubation, the condition of the child can only be reversed. Neonatal apnea is the most common, but also I learned to remember and master the most, the reason is that premature infants with incomplete development of the central system of the brainstem, the emergence of transient respiratory arrest, generalized skin bruising, poor primitive reflexes, and soon recovered after stimulation, at the same time, we must closely record the number of apneas per day, if recurrent episodes, CPAP ventilator-assisted ventilation was given, and human immunoglobulin was used for treatment, further available Potassium citrate treatment, which is one of the most novel drugs I have ever seen, the above neonatal diseases I would love to summarize some of them one by one, but a lot, here I summarize the knowledge points I can grasp from these two diseases. In the pediatrics study time just in the summer, during this period of viral encephalitis is general pediatrics (age greater than 28 days after birth) the highest incidence of disease, manifested as fever, headache, vomiting, lumbar puncture cerebrospinal fluid examination for the diagnosis of the gold standard, so there are a lot of opportunities to be involved in the lumbar puncture operation process, and at the same time feasible cranial CT, routine electroencephalography, the treatment of mannitol (5 ml / Kg) three times a day to lower the cranial pressure, anti-infective, anti-infectious, and the treatment of the cranium. Cranial pressure, anti-infection, anti-virus, myosin glycoside nutritional brain cell treatment, the course of treatment 7 to 15 days, pay attention to mannitol gradually reduce the amount, the condition completely improved. Kawasaki disease, upper respiratory tract infection, anaphylactic purpura, motor intellectual development backwardness, epilepsy in pediatrics have encountered, pediatrics is a separate discipline, involving the whole body of all systems, 2 months of study time is very short, so to really learn and can master a lot of things are still a lot of things, I as an internist, in order to be able to integrate all the diseases of the pediatrics, and apply to the clinical need more time to learn.
July 3, 20xx I rotated to the gastroenterology study, before the county hospital in the gastroenterology study and work for a period of time, thought to learn should be very easy, but really here in the gastroenterology to realize that some diseases have seen, but have not seen the new means of treatment. The teacher who taught me was Dr. Wang Weimin, who majored in biliary tract diseases, so I saw the most biliary tract diseases, such as multiple gallbladder stones, gallbladder neck stones, bile duct stones, of which there is a new treatment for bile duct stones called ERCP (duodenal rectoscopic choledocholithotripsy), which is not to take out all the bile duct stones, but only to alleviate the blockage of the pancreatic ducts by the bile duct stones, so as to prevent pancreatitis from occurring. The procedure is not to remove all the bile duct stones, but only to reduce the blockage of the pancreatic duct to avoid pancreatitis. We have seen a middle-aged male patient with gallbladder neck stones, causing acute cholecystitis, gallbladder enlargement, for giant gallbladder, they will perform cholecystocentesis under abdominal ultrasound, drain out the infected bile, remove the infection, rather than immediately perform cholecystectomy, receive drainage bags for continuous drainage for 3 months, at the same time, continuous anti-infective treatment for 10-15 days, and then elective surgical treatment after 3 months. Polyps are also very common, such as gastric polyps, colorectal polyps, can cause corresponding clinical symptoms, the simplest is to perform microscopic polypectomy, and at the same time, pathological examination, the results of pathological examination is mostly polyp formation. Gastric elevated lesions is a new term I learned in gastroenterology, unlike polyps, mostly ectopic pancreas, can be microscopically resected and pathologically examined, during this period of gastroenterology is not a lot of patients, so I summarize the above I've seen the most diseases, peptic ulcers, peptic hemorrhage, intestinal obstruction and other diseases are rare, and the real mono-species of peptic diseases are rare, gastroenterology is almost the end of the study to be able to truly master and apply the knowledge in the clinic. The first thing I want to do is to get a good grasp of the knowledge and apply it in the clinic, so I need to work hard to learn more.
To be a really good doctor, not only a separate discipline, but to master the knowledge of the whole family, better service for every patient.