(a) to master the basic diagnosis, treatment, prevention and control skills of common infectious diseases;
(two) to master the relevant skills of identifying and transporting patients with common infectious diseases (including suspected patients);
(three) to master the relevant procedures and management knowledge of infectious disease epidemic report;
(four) familiar with the laws and regulations on the prevention and control of infectious diseases and related management knowledge;
(five) to understand the preliminary analysis and handling of the epidemic situation.
Second, the timing.
Training time ***6 months. 1 month focuses on the theoretical and practical skills of infectious disease prevention and control institutions in principle, and 5 months focuses on the clinical practical skills in infectious disease hospitals at or above the county level or general hospitals with infectious diseases departments (wards, wards).
(1) concentrated learning (reference hours: 160 hours)
The main contents include: introduction to infectious diseases, management of legal infectious diseases, epidemic situation report, basic methods of field epidemiological investigation, planned immunization, health education on prevention and treatment of infectious diseases, prevention and treatment of common infectious diseases and acute major infectious diseases, and prevention and treatment of endemic infectious diseases and endemic diseases.
(2) Further clinical research (reference hours: 900 hours)
The main contents include: consultation and outpatient treatment of patients with infectious diseases, diagnosis, differential diagnosis and treatment principles of common infectious diseases, and clinical first aid of common diseases. Among them, the ward should have at least 3.5 months (630 class hours) for rotation study in clinical departments.
Third, the training content
(A) focus on learning content
Introduction to epidemiology
1, use
Improve the basic knowledge and theoretical level of infectious diseases of the chief inspector of township hospitals.
2. Requirements
(1) master the related concepts of infectious diseases;
(2) to master the performance of infectious disease infection process and the basic situation of infectious disease epidemic process;
(3) To master the basic characteristics, common clinical symptoms and signs, diagnosis basis and treatment principles of infectious diseases;
(4) master the preventive measures of infectious diseases and the disinfection and isolation methods of common infectious diseases;
(5) be familiar with the factors affecting the epidemic of infectious diseases and the development stages of the course of infectious diseases;
(6) Familiar with disinfection types, specific operation methods and personal protective measures;
(7) Understand the pathogenesis of infectious diseases.
3. Teaching arrangement (reference class: 2 1 class)
The main contents include: the definition and basic concepts of infectious diseases; Infection and immunity; Pathogenesis of infectious diseases; Epidemic links of infectious diseases; Basic characteristics, clinical characteristics, diagnostic basis and treatment principles of infectious diseases; Rational application of antibiotics; Infectious disease prevention measures (managing the source of infection, cutting off the route of transmission, and protecting susceptible people), isolation and disinfection measures, and medical waste treatment.
Legal management of infectious diseases
1, use
(1) Raise the awareness of the chief inspector of infectious diseases in township hospitals to manage infectious diseases according to law, so that he can do a good job in the prevention and control of infectious diseases in accordance with the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases (hereinafter referred to as the Law on the Prevention and Control of Infectious Diseases) and relevant laws and regulations;
(2) Improve the quality of infectious disease information report and the management ability of infectious disease report in township hospitals.
2. Requirements
(1) Master the main contents of the Law on the Prevention and Control of Infectious Diseases and related laws and regulations;
(2) To master the contents, methods, procedures and time limits of the epidemic report of infectious diseases in the Law on the Prevention and Control of Infectious Diseases;
(3) Master the basic methods of controlling the epidemic situation of infectious diseases;
(4) to understand the guidance, supervision and management of the report on the epidemic situation of infectious diseases in village health institutions.
3. Teaching arrangement (reference hours: 12 hours)
The main contents include: the types of legal infectious diseases and local frequently-occurring infectious diseases; Incidence, prevention and control of major local infectious diseases; The main contents of the law on the prevention and control of infectious diseases; The position and function of township hospitals in the prevention and treatment of infectious diseases: the significance of infectious disease report; The main contents of direct network reporting of infectious diseases; Legal requirements for reporting infectious diseases; Analysis and application of epidemic data.
Field epidemiological investigation
1, use
Improve the field epidemiological investigation ability of chief inspector of infectious diseases in township hospitals.
2. Requirements
(1) Grasp the purpose and content of case investigation;
(2) Familiar with the general form and structure of case questionnaire in field epidemiological investigation;
(3) Understand the basic knowledge of field epidemiological investigation.
3. Teaching arrangement (reference hours: 6 hours)
The main contents include: introduction to field epidemiological investigation; Basic theory of field epidemiology (purpose, method, object and content); Case investigation (purpose, method, content, etc. ); Epidemic investigation and special investigation (introduction); Design and application of case questionnaire: basic skills of field epidemiological investigation; Application of field epidemiological investigation in practical work.
planned immunization
1, use
Improve the practical operation ability, theoretical level and technical guidance ability of planned immunization in village health institutions.
2. Requirements
(1) Master the basic knowledge of EPI;
(2) master the immunization program of planned immunization vaccine;
(3) To master the clinical manifestations and treatment principles of immune response.
3. Teaching arrangement (reference hours: 12 hours)
The main contents include: the concept of planned immunization; Immunization plan; Main factors affecting vaccine titer; Monitoring and reporting requirements for acute flaccid paralysis; Techniques for identifying polio-related cases; Clinical manifestations and principles of management of immune response.
health education
1, use
Improve the health education knowledge and basic skills of the chief inspector of infectious diseases in township hospitals.
2. Requirements
(1) Master the related concepts of health education;
(2) To master the formulation methods of health education strategies;
(3) Familiar with the basic methods and skills of training rural doctors;
(4) Master the core information of health education on major infectious diseases.
3. Teaching arrangement (reference hours: 6 hours)
The main contents include: the definition and connotation of health education; The significance and role of health education in the prevention and treatment of infectious diseases in rural medical institutions: the concept and formulation method of health education strategy; Basic interpersonal communication skills; Social mobilization skills; Skills of using health education publicity materials; Core information of health education for major infectious diseases.
Prevention and treatment of common infectious diseases and acute major infectious diseases
1, use
Improve the prevention and control of common infectious diseases and acute major infectious diseases in township hospitals and the medical treatment ability of chief inspectors of infectious diseases.
2. Requirements
(1) Master the major national policies for the prevention and treatment of SARS, AIDS, tuberculosis and schistosomiasis;
(2) To master the main epidemiological characteristics of common infectious diseases and acute major infectious diseases;
(3) To master the main clinical features, diagnosis, differential diagnosis and preventive measures of different infectious diseases;
(4) Master the relevant knowledge of correctly identifying and transporting suspicious patients of infectious diseases;
(5) Master the disinfection and isolation and personal protective measures for infectious diseases with different transmission routes.
3. Teaching arrangement (reference hours: 103 hours)
The main contents include:
(1)SARS: epidemiology, clinical manifestations, clinical diagnostic criteria, key points of differential diagnosis, treatment principles, preventive measures and personal protection requirements.
(2) AIDS: transmission route, clinical manifestations, diagnostic criteria, treatment principles, indications and monitoring indicators of national free treatment drugs, preventive measures, occupational exposure treatment and the policy of "four exemptions and one care".
(3) Tuberculosis: epidemiology, clinical manifestations and diagnosis, key points of differential diagnosis, sputum examination, treatment principles, control strategies and preventive measures.
(4) Plague: epidemiology, clinical manifestations, key points of diagnosis and differential diagnosis, and preventive measures.
(5) Cholera: epidemiology, clinical manifestations, diagnosis and differential diagnosis, rehydration therapy and preventive measures.
(6) Influenza: epidemiology, clinical manifestations, diagnosis and differential diagnosis, treatment principles and preventive measures.
(7) Human infection with highly pathogenic avian influenza: epidemiology, clinical manifestations, diagnosis and differential diagnosis points, treatment principles and preventive measures.
(8) Viral hepatitis: clinical manifestations of various types of hepatitis, significance of laboratory examination, judgment of results, key points of diagnosis and differential diagnosis, treatment principles and preventive measures.
(9) Epidemic cerebrospinal meningitis: clinical features, diagnosis and differential diagnosis, treatment principles and preventive measures.
(10) Measles: clinical manifestations and course of disease, key points of diagnosis and differential diagnosis, treatment principles and preventive measures.
(1 1) Mumps: Clinical manifestations, principles of treatment, complications and principles of management.
(12) Bacillary dysentery: main clinical features, main points of diagnosis and differential diagnosis, treatment principles and preventive measures.
(13) Typhoid fever and paratyphoid fever: clinical features, diagnosis and differential diagnosis points, treatment principles and preventive measures.
(14) Infectious diarrhea diseases other than typhoid and paratyphoid (focusing on bacterial food poisoning): definition, clinical characteristics, diagnostic principles, differential diagnosis from non-infectious diarrhea, and principles of antibiotic use.
(15) Japanese encephalitis: clinical manifestations, diagnostic basis, key points of differential diagnosis, treatment and preventive measures.
(16) Hemorrhagic fever with renal syndrome: five-stage clinical manifestations, key points of diagnosis and differential diagnosis, principles of comprehensive treatment and preventive measures.
(17) Rabies: main sources of infection, clinical manifestations, key points of diagnosis and differential diagnosis, principles of wound management, and injection procedures of vaccine and anti-rabies immunoglobulin.
(18) Endemic infectious diseases and endemic diseases: In addition to the above-mentioned 17 common and major legal infectious diseases, such as brucellosis, anthrax, amebic dysentery, malaria, dengue fever, leptospirosis and schistosomiasis in high-incidence or epidemic areas, we should also understand the epidemiology, clinical manifestations and complications, diagnosis and differential diagnosis, treatment principles and preventive measures of these diseases.
All localities can formulate this part of the study plan according to the epidemic law, characteristics and incidence of local infectious diseases and endemic diseases. Among them, we should focus on major diseases such as SARS, AIDS, tuberculosis and schistosomiasis.
(2) Further clinical research.
1, use
(1) Improve the basic diagnosis, treatment, prevention and control capabilities of chief infectious disease inspectors in township hospitals for common infectious diseases and endemic diseases;
(2) Improve the clinical first-aid ability of the director of infectious diseases in township hospitals.
2. Requirements
(1) master the typical clinical manifestations, diagnosis and differential diagnosis, treatment principles and preliminary analysis of laboratory results of common infectious diseases and endemic diseases;
(2) master the preventive measures of infectious diseases and endemic diseases; Disinfection and isolation methods of common infectious diseases;
(3) Master the knowledge and skills of first aid for common diseases;
(4) master the outpatient log, fill in the epidemic report card, and record the routine diagnosis and treatment operations;
(5) Master the skills of patient consultation and physical examination;
(6) Understand the writing methods of medical documents such as course records, consultation records, change of major and transfer records, stage summary, discharge records and death records.
3, the way
All localities can take a combination of centralized counseling and clinical practice, outpatient service and ward, and arrange students to study in clinical departments such as infectious diseases department and emergency department in turn to ensure sufficient clinical practice time as much as possible.