As a doctor, learning knowledge and broadening one's horizons is self-serving and beneficial to others. How to write the self-evaluation after further study? The following is my carefully compiled self-evaluation of doctoral studies, hoping to help you!
Self-evaluation of doctoral studies (1)
Time flies. In a blink of an eye, I have been working and studying in Germany with the health system exchange group for two months. These two months, I seem to have returned to my student days. During the day, I went to the stage for surgery with my tutor, and at night I went back to the dormitory to check the information and recite the words. In just two months, Germany, the nation, the country, the city, the people, and the hospitals and doctors in this country have all brought me great touch and admiration. Thanks to the Health Bureau and hospital leaders for giving us such an opportunity to broaden our horizons and increase our knowledge.
With the smooth landing of the plane at Frankfurt International Airport, we started our work and study for three months. We have 30 doctors in different hospitals in North Rhine-westfalen. Luckily, I was assigned to st in Dü sseldorf, the capital of North Rhine-westfalen. Vincent Klinkenhouse. This is a humble hospital with only 300 beds. On the first day of work, I didn't even find the gate of the hospital, but this hospital can complete 3-4 thousand orthopedic operations every year, and it is the orthopedic center in the whole state. Professor Tumler, the 76-year-old dean, is a famous German expert in joint surgery. His hip replacement surgery has been revised for the fifth time (generally only two or three times in China). Under his leadership, after decades of efforts, the hospital has formed a large-scale hospital focusing on orthopedics.
On my first day at work, I had four operations, two in the morning and two in the afternoon. They were two joint replacements, one joint revision and one arthroscopic operation. Although I am the second assistant, I still benefit a lot. Germany is the originator of western medicine. During the operation, every doctor's operation is very meticulous and cherishes the organization very much. The anatomical level is clear, the bleeding is thorough and the exposure is sufficient. I can't put down surgical instruments in Germany. Although it is very old, it is well maintained, reasonable in design and excellent in materials, which is worth learning. Our surgical instruments are very new and expensive, but they are often used improperly and soon break down, causing a lot of unnecessary waste. In this hospital, different operations have special tools. The use of various automatic retractors reduces the number of people on the stage and can effectively reveal the surgical field of vision, which is praised by Chinese doctors. German doctors have a clear professional division of labor, and each senior doctor has his own professional expertise. The so-called "specialization" has been fully reflected here. German doctors have a heavy workload. They have no lunch break. There are coffee, pizza and other foods in the lounge of the operating room. Doctors can eat something after the operation. At this time, the next patient has been pushed into the operating room for anesthesia. It is common for an operating room to have 3-5 joint replacements every day, which is really unbearable at the end of the day. From this, I deeply understand the hardship of the profession of doctor, and being a doctor in Germany is no exception.
As far as orthopedic expertise is concerned, the gap between us and Germany is not out of reach. The operations performed by Germans are basically carried out in our hospital, and we have done quite well in some areas. I think only by strengthening specialty refinement and developing specialty expertise can we shorten the gap between us and developed countries and promote the development of orthopedics as a whole.
These three months of study are very valuable to us. I believe I will change my working philosophy, working methods and surgical methods. How to make our operation and our treatment more meticulous and humanized is my future direction. I will conscientiously sum up the learning gains of these three months, which will definitely play a very good role in the future work practice.
Self-evaluation of doctoral studies II
Introduction: The Cardiovascular Department of the University of Minnesota Medical College is one of the top ten hospitals in the United States. To my surprise, their cardiac surgery is put together with internal medicine, and their cooperation is relatively close. For example, the operation of heart transplant patients is completed by surgeons, while the later follow-up is mainly handled by physicians. Of course, as a physician, my further study was conducted in the Department of Cardiology.
From July 2065438 to July 2004, as the first China scholar in the exchange program between the First Affiliated Hospital of Chongqing Medical University and the Medical College of the University of Minnesota, I went to the Cardiovascular Department of the Medical College of the University of Minnesota for a six-month clinical study.
The Department of Cardiology, University of Minnesota Medical College is one of the top ten hospitals in the United States. To my surprise, their cardiac surgery is put together with internal medicine, and their cooperation is relatively close. For example, the operation of heart transplant patients is completed by surgeons, while the later follow-up is mainly handled by physicians. Of course, as a physician, my further study was conducted in the Department of Cardiology.
There are many similarities between daily clinical work and domestic work, such as morning rounds; Asking about medical history, physical examination, writing medical records and a series of processes. When receiving patients; When there are some clinical problems that our department can't solve, please ask other departments for consultation and assistance in treatment ... There are also many differences. After half a year's study, I was impressed by the following points:
As a teaching hospital, there are many lectures every day. As long as you are willing to learn, you will have many opportunities to learn. In the Department of Cardiology, there is an electrocardiogram lecture at eleven o'clock every day, and doctors in our hospital give lectures on clinical aspects at twelve o'clock, involving basic clinical knowledge, latest progress, medical record discussion and so on. The lecture lasts for one hour, during which the department provides free lunches, such as pizza and hamburgers. And everyone listened while eating, which really reflected the spirit of every second. Every Wednesday afternoon is a lecture by fellow (specialist training doctor, somewhat like domestic attending doctor), including lectures on topics selected by specialist training doctors, lectures and comments by senior attending doctors (attending doctor, more like domestic attending doctor), and occasional lectures by experts from other hospitals. At 7: 30 on Friday morning, there will be a lecture in the cardiac electrophysiology room, which will be attended by cardiac electrophysiologists from all hospitals in the city. Medical college holds lectures in the whole hospital at noon every Thursday and Friday, with basic research as the main topic on Thursday and clinical content on Friday. The theme of this paper is the medical record discussion once a week, involving major clinical departments.
2. Good cooperation team around doctors. This team enables American doctors to concentrate on clinical medical work without being distracted by trivial matters. For example, the "doctor's assistant" in American hospitals is a specialized doctor's assistant, who can talk with the patient, ask about the medical history, have a physical examination and do some tests before the doctor treats the patient, which greatly saves the doctor's time and energy. Our work is also in place, for example, patients need gastroscopy, doctors only need to issue orders, naturally there are nurses to handle related affairs, and doctors only need to check at the appointed time. Unlike in China, doctors have to take care of everything, from preparation before examination to treatment after examination, which is very energy-consuming. In addition, pharmacists guide and supervise clinical medication, and technicians are responsible for the use and maintenance of instruments. Social workers will help solve financial problems when patients have no insurance or cannot afford medical expenses for other reasons. Before the heart transplant operation in the ward, volunteers who had done the same operation talked with them to encourage patients and dispel their concerns. I have participated in the rescue of patients before they die several times. There are more than 20 medical staff in the small ward, including doctors, nurses, technicians and pharmacists. On another occasion, a patient with manic heart failure lost control during rounds. Within 3 minutes, three hospital security guards appeared at the door of the ward. In less than five minutes, the psychologist came to consult. It makes people feel that being a doctor in America really has no worries.
3. Patients' trust in doctors and good doctor-patient relationship. On the one hand, doctors spend a lot of time talking with patients every day and try to explain their illness to patients in easy-to-understand language; On the other hand, most American patients have great trust and friendship with doctors, and they also respect them very much. Unlike in China, the huge workload (the number of patients attending the clinic every day may be several times or even dozens of times that of American doctors) and the pressure of patients to pay medical expenses make patients put doctors on the opposite side, and the contradiction between doctors and patients is very sharp.
4. The hospitalization time is much shorter than that in China. Patients will be transferred to the rehabilitation center for further treatment after the acute or critical period, which not only saves medical expenses, but also reduces the pressure of the hospital and reduces the occurrence of hospital infection.
5. Good recommendation system. Patients usually go to family doctors or community hospitals first. When doctors there feel that patients are seriously ill and need further treatment, they will be transferred to a higher level hospital, thus avoiding the waste of medical resources. Moreover, the doctor training system in the United States makes the level of doctors in various hospitals close, and it is not easy to see the big difference in clinical level between doctors in small hospitals and doctors in big hospitals like China, which also enables patients to fully trust family doctors and community doctors.
Of course, hospitals in the United States also have some unsatisfactory places. For example, because there are few patients, many basic operations are not available or rarely performed; Doctors can see few patients and diseases in training, so they can accumulate less clinical experience than China. There is also a huge waste of medical equipment and resources, and the usage of disposable goods is extremely alarming. In medical treatment, there are also cases of overtreatment, such as repeated blood tests every day and routine review of chest radiographs. The problem of antibiotic abuse also exists. I once met a patient who used four antibiotics including imipenem and vancomycin at the same time. It is rare in China. Vancomycin-resistant enterococci that have not yet appeared in our hospital sometimes appear in the intensive care unit of cardiology department at the same time.
In addition, I want to talk about two problems that should be paid attention to when studying in American hospitals based on my personal experience. One is language. American doctors speak quickly. VOA's SpecialEnglish is 90 words per minute, and StandardEnglish is 140 words per minute, but these doctors have to speak at least 250 to 300 words per minute, which is much faster than the local American radio station I am listening to here. Especially when reporting medical history and giving lectures. Maybe they are too busy, serious and dedicated, and want to convey the most information in a limited time, so they speak quickly. Besides fast, there are many abbreviations.
Self-evaluation of doctoral studies (3)
20xx is an important year. Liaocheng Maternal and Child Health Hospital successfully purchased the Development Zone Hospital and prepared to build Liaocheng Central Hospital. 20 13 is also the year when my five-year college clinical ended and I graduated smoothly. It is such a coincidence that I was lucky enough to join the city women and children, and I became a member of the city women and children through application. In order to let us step into a brand-new job, master superb technical skills and better serve patients, our hospital has arranged 100 more clinical and nursing new employees to go to the affiliated hospital of Jining Medical College for further study, which is a very rare opportunity as new employees. During my further study, I was assigned to study in four internal medicine departments, namely, internal medicine, internal medicine, digestive medicine and respiratory medicine. Half a year's study has been long and short, but I have gained a lot and gained a lot of experience. Now I want to say something that I deeply felt during my study in internal medicine and respiratory medicine.
Cardiology is one of the most important windows in the hospital. There are five wards and one CCU ward in the Department of Cardiology of our hospital, which not only accepts normal elderly patients with chronic diseases, but also accepts urgent and critical patients transferred from counties. It is anxious, busy and complicated. Facing the first diagnosis and rescue of critical emergency patients, patients in cardiology department often have unclear diagnosis, unknown condition and rapid changes. If it is not handled properly, it is easy to have medical disputes. However, patients and their families are prone to impatience, anxiety and fear. Cardiology is different from ward. Medical staff have enough time to communicate with patients and their families, understand the needs of patients in time, and establish a good nurse-patient relationship. Remember, patients and their families have not yet established a good sense of trust in their short contact with medical staff, and they are very sensitive to every nuance of medical staff. The speech and behavior of medical staff will have a great influence on patients' psychology. As a result, the treatment behavior of medical staff is not understood, leaving patients and their families with the illusion of "not being taken seriously" and "emergency is not urgent". So I feel more and more that "communication" is a very important link in cardiology. At the same time, only by learning to observe can we be good at discovering problems, including observing the patient's condition, psychology, needs and family members. Learn to judge through observation and communication, and have an accurate understanding and judgment of the patient's condition and needs, which is conducive to the rescue work of medical staff and buys time for patients. For example, patients with acute myocardial infarction can know the onset time and inducement, the location and severity of precordial area, past medical history and so on. Through observation and systemic inquiry, the disease is initially diagnosed at the first time because of its treatment, thus winning time for the treatment of patients.
Everyone in the Department of Cardiology is my teacher, and everything is my experience, which has taught me a lot, whether it is being a person or doing things. Of course, if you want to be an excellent physician, communication is not enough. You also need a solid theoretical foundation, rich clinical experience, quick response and quick action. This is a guarantee that can stand the test in an emergency.
Compared with other departments, the complexity of respiratory diseases is more prominent in clinical medicine. Moreover, the etiology and pathogenesis of many respiratory diseases are closely related to living environment, smoking history and genetic factors, such as COPD, cor pulmonale, pulmonary embolism, asthma and respiratory tumors. The etiology and pathogenesis of many diseases are also closely related to epidemiology, such as community-acquired pneumonia, acute exacerbation of chronic obstructive pulmonary disease caused by weather change and common cold. There are epidemiological problems.
In diagnosis, a complete diagnosis of respiratory diseases should include three aspects: ① functional diagnosis; ② Pathological diagnosis, including nature and location; ③ Etiological diagnosis. When the etiology and pathology are difficult to be clear, only clinical diagnosis can be obtained. The basis of diagnosis includes medical history, symptoms, signs, laboratory data, X-ray, CT and other general data, as well as special examinations such as bronchoscopy and sputum culture. Some respiratory diseases with obvious clinical manifestations can be diagnosed only according to clinical symptoms and signs, such as chronic obstructive pulmonary disease and cardiogenic asthma. For those with mild early symptoms, inconspicuous symptoms and no typical medical history, detailed examination is needed to make a diagnosis.
Medical diseases are relatively complex and difficult to understand. Patients who encounter these diseases should also attach great importance to these symptoms and signs, be familiar with their clinical significance in internal medicine diseases, and at the same time distinguish whether these symptoms and signs are caused by internal medicine diseases or other systemic diseases. The common clinical thinking method of internal medicine is: first, find problems from clinical manifestations, get hints from them, then carry out relevant laboratory tests, get corresponding diagnosis, further check, get pathological diagnosis, make clear the location and nature of the disease (whether it is primary or secondary, organic or functional, whether there is tumor, benign or malignant), and then take corresponding treatment measures. Unlike the thinking mode of "casting nets in an all-round way and focusing on fishing" often adopted by other departments.
Hippocrates said: Work needs not only superb technology, but also art. In fact, the work of doctors also needs art. During this period of study, I have gained a lot. If I summarize it in simple words, it will look pale and powerless. At least we can't express it accurately and clearly, and we benefit a lot. In short, thanks to our training and careful service to life, after the study, we will take up clinical posts with a more proactive attitude, more solid operational skills and more profound theoretical knowledge, improve our clinical diagnosis and treatment ability and do our part for human health! I hope I can become a qualified and excellent doctor.
Self-evaluation of doctoral studies (4)
Four years' clinical theory study in college has formed my rigorous learning attitude and rigorous thinking mode, cultivated good study habits, and one year's clinical internship experience has further improved my ability to analyze and solve problems.
Especially in the process of internship, the internship hospital provided me with many practical opportunities, which enabled me to make a correct diagnosis and the best treatment of common diseases in clinical departments. Strong sense of responsibility, strong interest in learning, strong hands-on ability, quick acceptance, and excellent completion of various tasks, which won me unanimous praise from superior doctors and filled me with self-confidence and became a knowledgeable book in my future work and life.
Rich social work experience not only broadens my horizons, but also forms my calm, decisive, enthusiastic and efficient work style. In primary school, junior high school, high school, and all the way to college, I used to be a monitor and a study Committee member. I have successfully organized numerous class collective activities inside and outside the school, and my work has been recognized by my classmates and praised by my teachers. My class has been rated as an excellent class group for many times, and I have also won many honorary titles such as excellent league members and work activists. I believe that with these working experiences, I will be able to coordinate all kinds of relationships and handle the problems encountered in my daily work.
Self-study ability is another advantage of mine. Medical science and technology are changing with each passing day. Only by constantly updating knowledge can we be invincible in the fierce competition. During my stay at school, I passed the Computer Grade One and Grade Two exams and the National College English Test Band Four. I can master windows98, windowsXX, windowsxp and other operating systems skillfully, and use office, photoshop, foxpro and other software to do graphic processing, form design and web page making by myself, which has created good conditions for my future work, study and improvement of work efficiency.
After five years' study and practice, I am fully prepared psychologically and in my ability. I sincerely hope to be a member of the medical research team in your hospital. I will do my best with noble medical ethics and enthusiastic service, constantly learn what I can't, contribute my strength to the medical development of your hospital, and realize my long-cherished wish of saving lives, doing my duty and helping others. ;