xxxx year is a busy year, the same is also a year of enrichment, maturity, for us 02 students is very important year, because in this year, we completed the internship of the clinical disciplines, and to their own hand over a satisfactory answer sheet.
If a year ago I was just a dumb medical student, buried in book knowledge, but little knowledge of clinical application, then after this year's clinical internship, I really feel my changes.
Specifically, this year, their main gains are as follows:
1. Combining theory and clinical practice. Four years have been studying medicine, but the first three years we learned purely theoretical knowledge in books, complicated terminology, really confuse us. Through the internship, in the department of personal experience, see the specific clinical manifestations of many diseases, and further get a perceptual understanding, and then combined with books, have a more in-depth understanding.
2. Improve medical skills. In the clinical department, through the daily checkups, medical prescriptions, etc., the flexibility to grasp the disease in different patients, under different circumstances of the specific diagnosis and treatment program, understand the individuality of the disease, specificity, variability of the differences, and no longer adhere to the theoretical outline of the books.
3. Enhance hands-on ability. A major feature of clinical practice is that there are many hands-on opportunities, such as obstetrics and gynecology gynecological examination, internal medicine bone penetration, thoracic penetration, pediatrics, lumbar penetration, surgical debridement suture and dressing, etc., can be played through their own subjective initiative, and actively strive to obtain first-hand experience.
4. Learning to care for patients. When I first entered medical school, I had studied the Medical Student Oath, and I believe that will be the oath that I will believe in for the rest of my life. In the clinic, see so many patients suffering expression, as well as after the recovery of the joy of pleasure, I believe you will feel that their own no matter how hard and tired also worth it. In the hospital, the doctor is a patient can be completely trusted, your every move are greatly concerned, so please do not begrudge your knitted brows smile, and even sometimes a simple greeting will help the patient's recovery, as for the usual protection of the patient's privacy is learned through the internship.
5. Learn to respect the teaching. Each of our students to a new department of internship will have a teacher, although, some departments because of staffing constraints can only be postgraduate students to teach, individual teaching may not be knowledgeable, some do not have the initiative to teach awareness, but in any case, they are your teacher, can give you help and guidance when necessary, so please respect them.
All in all, although the one-year clinical internship has come to an end, the gain from it may be a life-long experience. I would like to thank all the teachers for teaching us; the patients for enhancing our clinical knowledge; the fellow students for caring for each other when necessary; and myself for my perseverance in bringing the internship to a successful conclusion and gaining a lot of benefits from it.
Medical student internship summary (2):
It can be said that the clinical internship involves almost all the content of learning in school, while the internship is relatively short, to learn this knowledge in a relatively short period of time, if you do not take some effective methods to learn, rely solely on hard work, obviously does not work, in the previous chapters, has talked about the experience of getting a good internship. This chapter will further talk to students about the methods of good internship, I believe that these methods can also be good for students to play some enlightenment role in the internship.
One, very grasp the basic skills training
As a doctor first need to master some of the necessary basic skills, which is the basis of good doctors, as a clinical internship interns, the first thing you should do is to get these basic skills training, which is the basis for the further development of the foundation, if the foundation is not solid, the future improvement can only be an empty word. The content of this article can be related to the basic skills, such as contact with patients, medical history, physical examination, medical record writing, application form writing, prescription writing, medical history report, diagnosis and analysis, management of the patient's method and so on. These are the basic skills that a doctor must have, and these skills can not be mastered by reading books, or "apprenticeship", but must be mastered through continuous exercise. Therefore, students should work hard on practicing these skills.
Second, pay attention to the "method" of learning
What is the internship? Many most students think is to learn the disease, clinical many students to meet a rare disease, found a rare clinical signs and enjoy, and rarely think of this rare disease or signs is how to diagnose or find, this is actually students often appear in the internship misunderstanding, about the internship to learn what? The instructor's point of view is that the internship is mainly to learn the "method", not the disease.
The reason is very simple, familiar with and mastered a disease, after all, is only a disease, and mastered the method of understanding disease, you can find more diseases, so as to recognize and master more diseases. So it is more important to learn and master the method of recognizing diseases than recognizing one or several diseases. Therefore, students in the internship should learn or master the "method" on the effort.
Three, find *** the same point method
The so-called find *** the same point, that is, to find with *** the same law. For example, the understanding of the disease is always from its etiology, pathogenesis, clinical manifestations, diagnostic criteria, treatment methods and other aspects of the summary, and the content of the medical record, and the contents of the outpatient medical record, the contents of the history report, as well as the content of the special application form have many similarities, only the focus of each is different, if you have mastered the writing of the medical record, then the rest of the content of the writing up appears relatively easy. In short, there will be many similar **** the same point or **** the same law to follow, so students in the internship should consciously summarize these laws, master these laws, will make the clinical internship in the effective internship time to learn more knowledge.
Four, find the characteristics of the law
The world of things, have their own particularity, it is because of its particularity to make things different from each other, this particularity, that is, we often say that the characteristics, grasp the characteristics of things, can help us better understand the world of things. The same is true clinically, each disease has its own characteristics, each discipline has its own characteristics, each patient has its own characteristics. If we can grasp these characteristics, it will play a great role in promoting the correct understanding of the disease and the internship. Therefore, students should learn to find the characteristics of the internship.
One, find the characteristics of the disease, recognize the nature of the disease
Students of medical students have such an experience, medical need to memorize and understand too much, not to mention the basic medical concepts, nomenclature, physiology and biochemistry of the human body as well as the content of the pathology, disease, and so on, only the textbook on the causes of many diseases, pathogenesis, clinical manifestations, diagnosis and treatment methods will have to spend considerable energy to memorize and learn. It will take a lot of energy to memorize and study the many diseases, pathogenesis, clinical manifestations, diagnosis and treatment methods in the textbook. It is true that much of the medical knowledge needs to be memorized, but this does not mean that the medical knowledge needs to be memorized, using the correct method will bring great benefits to learning.
A better way to learn and recognize diseases is to grasp the characteristics of the disease. For example, primary nephrotic syndrome, the textbook introduces the nephrotic syndrome is described as: nephrotic syndrome, the main clinical manifestations of edema, may appear pale, loss of appetite, there may be urinary oliguria, physical examination can be seen in generalized edema, ascites, pleural fluid, scrotal edema, auxiliary examination, the urinary protein is + + + ~ ++++, total plasma protein is lowered, cholesterol is increased, may be infected, electrolyte disorders of the complications and so on. In fact, the characteristics of the disease is often referred to as "three highs and one low", that is, a high degree of edema, a high degree of proteinuria, hypercholesterolemia and hypoproteinemia, and the key point of these characteristics is that "a large amount of protein from the loss of urine". If you grasp the disease's "large amount of protein loss" as the root cause, then to understand the disease's "three highs and one low" features, as well as other clinical manifestations such as edema, ascites, pleural fluid and so on have become very easy to understand. From this we can see the importance of grasping the essence and characteristics of the disease.
So students in the understanding of disease, learning disease, each disease should pay attention to summarize, summarize the characteristics of the disease, to find out the key links in the development of the disease or the essence of the disease, which is not only able to better grasp and understanding of the disease, but also to make learning to understand the disease seems to be very easy and easy.
Two find the characteristics of the discipline, grasp the direction of learning
In the internship, the frequent rotation of internship is one of the characteristics of the internship, due to the content of the research of each discipline as well as the different methods of research, for the internship students, each rotation of the department needs a process of adaptation, some departments internship time is shorter, some students have not been or have just adapted to the department's environment, the transfer of the section time again, this frequent rotation of the department is the time. The time has come again, this frequent rotation, students need to constantly adapt to the new environment, to the students of the effect of internship has caused a certain impact, how to adapt to the environment as soon as possible in a shorter period of time, to learn more knowledge?
To solve this problem, we can also use the "find the characteristics of the method". Students to a new department internship, you should pay attention to find the characteristics of the discipline, which includes the characteristics of the content of the study, the work method and clinical thinking method of the characteristics. For example, in the surgical process of patients needing surgery is generally divided into preoperative, intraoperative and postoperative three stages, in the preoperative period, special attention to the indications for surgery and the timing of the operation, intraoperative emphasis on the doctor's ability to operate, and postoperative emphasis on observation and nursing care, and in the Department of Internal Medicine, the diagnosis of the patient focuses on logical reasoning, the diagnosis of neurology emphasizes the localization and qualitative diagnosis, etc. These are the characteristics of the disciplines. These are the characteristics of each discipline. If students can summarize and summarize the characteristics of each discipline of internship and have a better grasp of these characteristics, they will be able to adapt to the environment faster, understand and know the content of the discipline study, clarify the focus of study, grasp the direction of internship, and learn more knowledge in the limited time of internship. In the guide chapter, this book helps students to summarize the characteristics of each clinical department as well as the learning methods, with the aim of helping students to grasp the characteristics of the discipline and learn more within the limited time.
Three, to find the characteristics of the patient to determine the diagnosis and treatment measures
In the process of clinical diagnosis and treatment of patients, the same can be used to find the characteristics of the method, to find out the characteristics of the patient which is conducive to the diagnosis and treatment of patients.
Every patient encountered in the clinic has its clinical characteristics, in the discussion of medical records and diagnostic analysis should first summarize the clinical characteristics of the patient, this is because, grasp the clinical characteristics of the patient, the patient can be more accurately analyze the disease, to seize the main contradiction of the patient's disease, is conducive to a correct diagnosis and appropriate treatment. Therefore, the students in the management of patients to seize the characteristics of the patient, around the characteristics of the patient to take appropriate diagnostic and therapeutic measures.
Four, write a good internship diary
Writing an internship diary is to write a diary to record their internship experience. The content of the internship diary is broad, it can remember your daily learning gains and shortcomings, but also can be remembered to a patient's understanding of a symptom, understanding of a symptom, in the clinical encountered in the difficult to solve the problem, but also can be happened in the clinical every thing, in short, the experience of internship can be the content of the internship diary.
There are not many students who keep a diary in their clinical practice, and even fewer who do so consistently. Perhaps they have not yet realized the benefits of keeping a diary. The first is to write a diary, so that students have time to think about their own practice gains or shortcomings every day, which is conducive to their own continuous improvement of practice methods, good practice; secondly, writing a diary is a good way to accumulate clinical experience; thirdly, often write a diary, is conducive to the development of their own good habits of thinking, is conducive to the improvement of things to observe and analyze the ability of the clinician, this ability is not only for the clinician, but also for the patient, the doctor, the doctor, the doctor, the doctor, the doctor, the doctor, the doctor. This ability for clinicians, medical teaching, education network will be very important; Fourth, through the internship diary, you can see their own growth process; Fifth, some of the contents of the diary, such as the internship encountered in the difficult to solve the problem, which may become a breakthrough in their own success, many scientists manuscripts become important clues to the major scientific discoveries and so on is a very good example of the story. This is a good example. Therefore, for internship students, should develop a good habit of writing an internship diary, I believe that this will benefit themselves greatly.
Fifth, write the diagnosis and treatment summary
Write the diagnosis and treatment summary, that is, their management of each patient, especially the typical cases, are summarized, the summary of the contents include: the patient's clinical characteristics, diagnosis and treatment of experience, lessons learned and other aspects of the content. Detailed content and method of management of patients in the chapter, through this summary, is conducive to deepen the understanding of the disease, is conducive to improve the students' ability to understand the disease, is conducive to learning and mastering the clinical thinking method, these abilities and methods are the internship of the difficulty and focus, so students should do a good job of this work.
Sixth, write a good department internship summary
Each department internship end, the school is required to write a summary of internship, many students take this as a kind of cope with the task, the results of this summary actually became a form, and did not play its real role, in fact, summarize the stage of internship harvest, check to find the problems, clear the direction of future efforts. This is an important significance for a good internship. To write a good departmental stage of internship summary, should focus on through learning, what degree of understanding of those diseases, learned that knowledge, clinical thinking ability and basic skills have that write to improve and progress in the internship deficiencies and problems, in the face of these problems should be how to solve.
Seven, thematic learning method
The so-called thematic learning method is to focus on a certain type of disease or certain symptoms for learning. In the internship, students should be combined with clinical, timely study of the topic, for example, encountered patients with central nervous system infections, central nervous system infections diagnosis and differential diagnosis of learning; encountered patients with fever, fever to be investigated on the topic of learning; encountered patients with anemia, anemia diagnosis of differential diagnosis of learning. In the process of studying the topic, not only can not meet the content of the disease introduced in the textbook, should go to the library to check the relevant information. Medical teaching, education network | collect and organize through the study of these topics, can expand the knowledge, conducive to the horizontal understanding of a certain type of disease, is conducive to the diagnosis of disease and differential diagnosis ability to improve. If you are interested in a certain topic, access to more comprehensive information, you can write a clinical review published or for the preparation of future clinical research.
Eight, basic and clinical combined method
Clinical medicine can not be separated from the guidance of basic medicine, therefore, students in the clinical internship don't forget to combine clinical and basic learning in a timely manner, this combination of learning, not only consolidate the knowledge previously learned, but also conducive to the understanding of the disease and understanding. Clinical and basic combined learning content, mainly in the following areas: ① with the basic theory to explain the pathogenesis of disease, to deepen the understanding of the nature of the disease; ② with the basic theory of analysis and interpretation of clinical symptoms, signs; ③ with the basic theory of interpretation of the results of the auxiliary examination.
In short, there are many methods of internship, and I hope that students will continue to summarize the internship, with the sole purpose of improving the internship and laying a good foundation for future clinical work.