Laxative 1. Learn the basics well before your internship, anatomy memorized? The first thing you need to do is to get a good understanding of the physiology and biochemistry of the body. How about internal medicine and external medicine? When you get to the clinic, every course that you guys think looks second nature is useful. If you have not even learned the knowledge of the books, then, every day, room visits, medical prescriptions, writing medical records, clinic, you can only be a face of confusion. 2. Learned the basics, then be sure to independently manage the bed, and follow the instructor is no value, at best, is to become a qualified medical assistants. 3. Apply for the night shift, the night shift will always be the most exercise, your knowledge, your ability to withstand stress, your The ability to communicate can be quickly practiced.4. Every department, if you are free in the afternoon, take a good look at all the patients' orders in your group and check them carefully with the book, where they are the same as in the tree, and where they are different.5. Don't complain when the instructor asks you to do chores, we all came this way, and you'll be able to do the same thing in the future. But you can also rest assured that few doctors will be difficult for the younger siblings, after all, the current medical environment is so bad, we ourselves will still be habitually embracing the group. 6. Posting the test list, be sure to think more about it, the reading of the test list is a technical work, usually to read more, think more. 7. With the Department of Science and Education (there are also called the Office of Clinical Affairs, may not be the same name is the administrative office of the management of internships) to mix familiar with the point of the study. The need for leave, this point has to be approved by the Department of Science and Education. Continue to write, think of which is written to which 8. Teachers are generally very busy, and many teachers are actually not good at teaching students, after all, is not a professional teacher, so you must remember to ask, you asked, many teachers actually like to talk about it, because the process of knowledge with you, it is very sense of accomplishment, and you can also review again. 9. Students who are ready to go to graduate school, do not hold on to the side of the search for work While studying both hands to grasp the idea of both hands to be hard, graduate school is a battle to break the boat, do not think of other things. If you have to empty a back road, you should let your family be responsible for finding a job.10. Whether you are an internist or a surgeon, internal medicine is the foundation, and you must be skilled.11. Pay attention to protect yourself from harm, especially in the emergency department.12. If you have strong willpower, it is recommended to study for the exams by yourself, and you will have a sense of pleasure in the crossroads of the world, and a one-man war is always very accomplished! The first thing you need to do is to get your hands dirty. If you are not so determined, you must find a partner.13. In the surgical internship must be more hands-on, although nowadays the operation basically to do the second assistant is good, but still want to fight. Changing drugs must be more practice, which is skilled labor. 14. many surgical history writing is not good, but really do not learn from them, writing medical records is the foundation, must put the foundation firmly, even if you are copy and paste, but also please read a few times. 15. to the nurses a little bit better, they are very hard, to the head nurse shouted teacher is also deserved. 16. must be courteous, to the age of older than you either shouted teacher, either Shouting elder sister, now many people can not do, in the unfamiliar before calling his name is actually quite rubbing. 17. in different departments internship in accordance with their habits, for example, go to the cardiology department, early in the morning to help patients in the department to measure a blood pressure will make the director and your teaching are very satisfied, if the director of the instructor is your favorite, that is more. ### Change "Teacher, what is this?" Change it to "Teacher, is this white thicker one next to the trachea the recurrent laryngeal nerve?" ### I'm not a clinician, but I've seen a lot. My clinical classmates are all honest people, but almost all of them have had white rags pulled on them by their families. Healing is only a very small part of clinical work, one might even say purely for the satisfaction of realizing one's self-worth. Most of the clinical work is about how to get yourself in front of the family with the right look on your face. Patients and families can't see how good you are, all they can visualize is your attitude. For self-preservation, don't show any fucking impatience in front of them, no matter how tired you are. If the prognosis is good, the problem is that no one is immortal and there are always diseases and accidents that can't be cured. The family can't do anything about the pathogenic microorganisms, genes, or luck, but they can't do anything about a powerless lab coat. #### Clinicians need to learn to control their emotions earlier than the general population The average person can hide their emotions until after middle age, and some people can't even do it for the rest of their lives. But clinicians need to do this earlier, preferably within three to five years of working independently When you're nervous about surgery, you need to be rational When you're dealing with unreasonable people, you need to be rational When you're failing at treatment and in self-denial, you need to be rational When the patient is thankful for you and a bit complacent, you need to be rational ...... countless clinical scenarios as a Doctors, in fact, do not want too much emotion Further, clinicians can do to use their emotions to do something rational action, but this is a little difficult. #### Many people are in the rotation of the department to find the other half of the #### The following content, personal views, there are feelings can be more exchanges, the full text did not say that you can do, please say that you can do it is a god, do not re-BB, do not like do not spray. Two days ago to work depressed mood to the extreme, looking at the Internet, I think it is very to the point, and now every two days to review, the following is the original text: What do you rely on in the section based on? If you want to get a foothold in the section and maintain harmonious interpersonal relationships, please familiarize yourself with the following eleven points! One: Loyalty? The unit may fire capable employees, but for a dedicated, loyal to the medical cause of the doctor, there will be no department is willing to let him go, he will become the department of this iron camp in the most long-lasting warriors, and is the most promising doctors. ?1, stand in the position of the patient to think about the problem; 2, share your ideas with your superiors; 3, always maintain the interests of patients; 4, in the outside world in front of the temptation to withstand the test. Second: dedication? Many hospitals examine the first condition of the doctor is dedicated. 1, the purpose of the work is not only in the pay; 2, to provide more than pay for services and efforts; 3, willing to make personal sacrifices for the work; 4, blur the concept of commuting to and from work, to complete the work and then talk about the rest (which no doctor can't do it ...); 5, pay attention to every detail of the work. Third: active? Do not wait for people to explain everything, a person can do everything automatically and spontaneously, even if the starting point is lower than others, there will be great development, positive people are always welcome. 1, from "to do" to "I want to do"; 2, take the initiative to share some of the "Extra" things; 3, do first and then say; 4, high standard requirements: require one step, do three steps; 5, take the initiative to pinpoint the scale, do not rush to show, show off or even steal other people's work. Fourth: responsible? Courage to take responsibility for the doctor, the hospital has an important significance, a person's ability to work can be worse than others, but must not be a lack of responsibility, everything to push back, looking for objective reasons, without reflecting on their own, will certainly lose the trust of superiors. 1, the core of responsibility lies in the sense of responsibility; 2, every little thing is done well; 3, words must be believed, actions must be fruitful; 4, wrong is wrong, absolutely do not make excuses; 5, Let the problem of the ball stop at you; 6, not because of a little negligence and make a big mistake. Five: efficiency? Efficient work habits are essential for every good doctor, but also every department is very important. 1, say "goodbye" to busy hands and feet; 2, without distractions, focus; 3, quantification, refinement of the work every day; 4, procrastination is the most vicious professional killers (treating the sick to save lives, no doctor will procrastinate); 5, keep in mind that the priority of the first, the first; 6, to prevent perfectionism as the First; 6, to prevent perfectionism as the enemy of efficiency. Sixth: communication will not communicate with the doctor, even if they are talented, it is difficult to get the department's recognition. 1, communication and gossip are two different things; 2, do not say and say too much is a kind of fault; 3, with the program to raise the issue, face to face communication, on the spot solution; 4, to cultivate the acceptance of criticism of the emotional quotient; 5, heart, both the report of the good news and also report the bad news; 6, the internal can be a contradiction, the external must be consistent. Seven: team? Team ahead, self back. No matter how strong the individual ability, as long as it hurts the team, the unit will never 5 will not let you stay for a long time - do not think that the lack of you one, the team can not run! 1, the drop into the sea, the individual into the team; 2, obedience to the overall arrangements; 3, discipline in order to ensure that the fighting force; 4, do not do the team's "! Short board", if it is now, we must give ourselves "height"; 5, more for others, for the team to consider. Eight: aggressive? Individuals should always keep pace with the hospital, the hospital should always keep pace with the pace of science and technology; whether it is an individual or a hospital, participants do not want to be eliminated. To this end, we must move forward, stop means give up, means backward! 1, to the empty cup mentality to learn, to learn; 2, do not always angry, but to fight; 3, do not repeat a year of experience with ten years; 4, squeeze time to give themselves "higher", "charge"! (doctors of all kinds of learning all kinds of exams ...); 5, the development of their own "comparative advantage"; 6, the challenge of self, save for a rainy day. Nine: low profile? Talent high need not be proud, do not think that they do not say, do not proclaim, others can not see your ability and medical skills, so do not show off in front of colleagues. 1, do not ask for rewards; 2, to overcome the "too big for the job" mentality; 3, do not put on airs to play the qualifications; 4, all the people, all have to be respected; 5, efforts to do the name of the real, be worthy of their own position; 6, achievements are only the beginning of the end, but also the beginning of the end of the end of the end of the end of the end of the end of the day. Achievements are only the beginning, and honor is the driving force. Ten: cost? Saving is not stingy, but virtue. Do not put the unit of money is not money, unit "pot" there, the staff "bowl" there; the same, "pot" more, "bowl" also naturally more The same, "pot" more, "bowl" is naturally more. And the spoon in charge, precisely is your own. 1, reimbursement accounts, must be honest; 2, do not play smart, not greedy for small advantages; 3, do not waste the unit's resources, even if it is a piece of paper; eleven: thanksgiving? Why can we allow our own faults, but have so many complaints about others and the unit? Any more talented people, but also need others to give you the opportunity to do things, but also need others to help you in a big or small way. Your present happiness is not achieved by you alone.1. The work gives you not only the pay, but also the opportunity to learn and grow; 2. Colleagues give you the cooperation in the work; 3. Peers let you see the distance and the space for development; 4. Critics let you continue to improve yourself. ### Currently, I am in my second year of graduate school. Learning professional knowledge was the most important thing at that time because it is the foundation of clinical. However, there are other aspects of competence that I believe differentiate me from other doctors. 1. Kindness and reverence for life. You are always dealing with disease and life in the clinic, no matter what department you are in. No matter what level of doctor you are, the first thing to remember is that medicine is the art of kindness. Can not treat the patient as a relative, but also at least in the usual operation and other contact with the patient, serious, clean, and regardless of language communication or operation processing, try not to cause unnecessary harm to the patient. 2, serious, responsible. At the beginning, we are small doctors, first from the look, and then began to simple operation, independent patients, and finally the important operation, such as surgery. But no matter where one is in the stage, as long as the contact with the patient, the first thing to remind yourself to be serious. Many insignificant mistakes can be avoided by being conscientious. And to realize that we doctors because of very small mistakes, may bring a great burden to the patient's financial and even physical. 3, and the patient effective communication. Let patients and families understand what you communicate and trust you and your team. You will find that you will avoid a lot of trouble in the future.4. Work more, run more wards. These are the skills I feel I need to master after spending two years in the clinic. #### Leave the clinic for many years ...... First, you must be familiar with the condition after the patient's family in the chat, of course, but also know that this is and colleagues **** knowledge. Secondly, the attitude towards the patient must be better, don't learn the attitude of some old man. Third, it is best not to covet the immediate benefits and some doctors learn bad, or you will never realize the four words of saving lives. Fourth, we must have a good relationship with the nurses in the department, and respect the nurses. Fifth, nothing to see the psychology of communication and so on, good communication generally will not let others complain. ### After you read the advice of these seniors and elders, is it a bit blind? These experiences are the insights of people who have been here for many years, and they are extremely valuable. For them, these are practical experiences, for you, these are theories. Therefore, put these theories into practice together with the theories of specialized courses to gradually verify it.
Theoretical knowledge is the skeleton, the internship needs to do is to fill the skeleton with flesh and blood (practical experience), so that the skeleton becomes a living person, which is your own experience. The way to fill in the flesh and blood? There is a shortcut: the upstairs upstairs of these experiences are categorized and organized into a brief manual (one day is enough time, but also exercise your integration ability), nothing to turn out to look at, encountered problems when turning out to look at, this is called the theory and practice, you will progress faster.
Adding one point, do not discuss with clinicians the international cutting-edge basic theory that you have just learned, this is a lot of students should pay attention to, these paper problems you go to discuss with the basic course teacher. Clinicians are concerned with theories and methods that are directly related to diagnosis and treatment. I remember years ago an intern asked me about all the stages of sperm development and the mechanism of action of the enzymes in each stage (I think there are more than 50 stages, I can't remember), do you think it's appropriate to discuss this kind of problem with clinical teachers? Luckily, I had read about it by chance.
What you should do during the internship:
Diligent learning: your learning object is the patient's symptoms, signs, test results, is the doctor's diagnosis and treatment of the ideas and methods, including reception, consultation, physical examination, test orders, medication, surgery and so on. Each of his questioning and physical examination runs through the differential diagnosis or treatment. What is the question asked to try to prove to rule out? What is the test prescribed trying to prove to rule out? Why use Roaccutane instead of a cephalosporin? It's all worth asking. The same abdominal palpation, different specialists palpate for different purposes, but also reflect the level of the doctor. For example, a 3-year-old child with abdominal pain and vomiting for 1 day, the pediatrician said that the liver and spleen are not big, the surgeon touched for a while, the pediatrician laughed at the surgeon and said, touching the liver takes so long. The pediatrician laughed at the surgeon and said it took so long to feel the liver. The surgeon said that the liver and spleen were not big, and there was an active and painful mass in the lower abdomen, which was considered to be intussusception in combination with the age of the symptoms. Was the surgeon struggling to feel the liver? Why didn't the pediatrician think of intussusception?
Diligent questioning: ask the patient's history, symptoms, etc., listen to the main, and then try to compare the book of diagnosis and differential diagnosis targeted questions. The book is so few, and each patient's symptoms and signs are not exactly the same. Ask the doctor, for the specific patient's condition and diagnosis and treatment questions. The breadth and depth of your questions will also reflect your level.
Look hard: Especially for rare diseases, you may not be able to touch them in your life. Look at the doctor's and nurse's maneuvers, diagnostic procedures, equipment operation, surgical operations. The first thing you need to do is to ask questions while you are watching.
Do it yourself: if you know the basics, do it yourself. Checking, changing, injecting, inserting a urinary catheter, etc., first see how the teacher operates, and then draw a picture of the cat. The first thing you need to do is to get a hold of a basic principle: no hands, the eyes can not see the deep operation must be present in the presence of the teacher, never unauthorized hands (for example, lumbar anesthesia, etc.), the routine work of the initiative to do, the office cleaning, running errands, and so on.
Diligent thinking: the patient's symptoms and signs and test results and diagnostic rules and regulations to do a comparison, which is consistent with which does not match? Why? Are there other diseases that mask or increase the symptoms? And so on, the trail leads to the melon, to learn from one to three, through the convergence and coherence.
Diligent summary: every day or every week to learn the practice of knowledge combined with books, summarized in their own words. This is your professional experience. Summarize the non-professional knowledge and experience (e.g. how to deal with people, etc.) that you have learned, and it will pave the way for you in the future.
Additionally, there are non-professional aspects to be learned, such as dealing with people, teamwork, professionalism, handling style, self-protection, and so on. As a doctor, you will come into contact with a variety of people, including rich executives, poor people, and unreasonable people, so learning how to cope with them is essential for the smooth development of society. ###Medical knowledge is very important, the more important thing is to communicate with the patient skills, both to the patient to explain clearly what you say to express, to ensure that their own way of speaking, so that the patient calmly accept, but also to learn to avoid the risk. ### Six months of emergency medicine rounds, basic operations, clinical skills, handling, interpersonal relationships, patient relations treatment, human warmth, the world, you have it all! ###You will find that you guys have a lot to spare. It is recommended to spend more time to read books, prepare for graduate school, if the graduate school, then it is recommended to rely on the dead face in the side of the teacher, the harvest will be very rich (in fact, the real practice is to grasp all the time you can go out to play! Go out and play! Go out and play, in graduate school you will be busy as a dog, busy as a dog, busy as a dog!) ###1. Think about what you want to do in the future first. If you're going to graduate school, go all out. If you're not going to graduate school, take your internship seriously. 2. If you encounter problems during the day and go back to review the information at night, if you have any more questions you can ask the teacher, so that you have a better impression.3. The knowledge base of the auxiliary departments should be kept up.4. If you aspire to be a doctor, have a vacation and have a good time. Because once you start working, it's 24/7 mode. Good luck. #### Doing this line of work basically this life are doing this line of work Since it is sooner or later to know the contents of the early mastered it Ask what will not think what does not make sense of the face of a blindfolded really painful But you will not others will not you can say that the other people do not know the mamma mamma feel can be good Talking about what the relationship is not as good as learning #### Always have a reverence for life