(A) teamwork ability
(B) the ability to organize and coordinate
(c) communication skills
(D) Social mobilization ability
Second, basic clinical skills
(1) Physical examination
1. General inspection
(1) General physical examination (vital signs, development, body shape, nutritional status, conscious state, face, posture, posture, gait);
(2) Skin examination (color, humidity and sweating, elasticity, rash, bleeding spots and purpura, spider nevus, hair, edema, others);
(3) Lymph node examination (submandibular lymph nodes, cervical lymph nodes, supraclavicular fossa lymph nodes, axillary lymph nodes, supratrochlear lymph nodes, inguinal lymph nodes).
2. Head
(1) eyes (eyebrows, eyelids, conjunctiva, sclera, cornea, pupil, eyeball);
(2) Ear (external ear, mastoid process, hearing);
(3) nose (nasal type, nasal septum, epistaxis and nasal secretions, sinus);
(4) Oral cavity (oral cavity, mucosa, teeth, gums, tongue, pharynx and tonsils, halitosis).
Step 3: neck
(1) cervical blood vessels;
(2) thyroid gland;
(3) trachea.
4. Chest examination
(1) Chest examination (chest surface signs, chest wall, chest, respiratory movement);
(2) Chest palpation (chest dilatation, voice tremor, pleural friction);
(3) Chest percussion (lung boundary, lung floor activity, contrast percussion, lung boundary percussion, lower lung boundary activity);
(4) Thoracic auscultation (normal breathing sounds, abnormal breathing sounds, rales, pleural friction sounds).
5. Heart examination
(1) Cardiac examination (uplift and depression of precordial area, apical pulsation, abnormal pulsation of precordial area);
(2) Cardiac palpation (apical pulsation, precordial tremor, pericardial fricative sound);
(3) Cardiac percussion (cardiac boundary);
(4) Auscultation of heart (auscultation area, auscultation sequence and auscultation content of heart valve).
6. Abdominal examination
(1) Abdominal examination (body surface marking and abdominal division, main contents of examination);
(2) Abdominal palpation (liver, spleen, tenderness and rebound pain, abdominal mass);
(3) Abdominal percussion (abdominal percussion technique and percussion sound, liver voiced percussion, dynamic voiced percussion, spleen percussion, kidney percussion and bladder percussion);
(4) Abdominal auscultation (bowel sounds, vascular murmurs).
7. Nervous system
(1) Nerve reflex (knee reflex, Achilles tendon reflex, abdominal wall reflex, biceps brachii reflex, superficial reflex);
(2) Pathological reflex (Babinski sign) and meningeal irritation sign (cervical rigidity, Kernig sign and Brudzinski sign).
(2) Auxiliary inspection
1. Laboratory test
(1) Blood routine;
(2) urine routine;
(3) routines;
(4) Routine and biochemical examination of cerebrospinal fluid;
(5) liver function;
(6) renal function;
(7) blood sugar;
(8) blood lipids;
(9) Pathogen detection;
(1O) serological test.
2. chest x-ray film
(3) On-site first aid technology
Cardiopulmonary resuscitation
Third, public health case analysis
(1) Infectious diseases
1. Disease range
(1) plague;
(2) cholera;
(3) AIDS;
(4) viral hepatitis;
(5) polio;
(6) People are infected with highly pathogenic avian influenza;
(7) measles;
(8) epidemic hemorrhagic fever;
(9) rabies;
(1O) Japanese encephalitis;
(1 1) Dengue fever;
(12) bacillary dysentery;
(13) tuberculosis;
(14) typhoid and paratyphoid;
(15) meningitis;
(16) schistosomiasis;
(17) malaria;
(18) influenza;
(19) hand, foot and mouth disease.
2. Assessment points
(1) Basic characteristics and diagnostic basis of infectious diseases;
(2) Epidemic characteristics of infectious diseases;
(3) Report on the epidemic situation of infectious diseases;
(4) Infectious disease monitoring;
(5) Investigation and handling of cases;
(6) Investigation and disposal of emergencies;
(7) prevention of infectious diseases;
(8) Reporting and management of public health emergencies caused by infectious diseases;
(9) Immunization planning.
(2) Chronic non-communicable diseases
1. Disease range
(1) hypertension;
(2) diabetes;
(3) stroke;
(4) Malignant tumor.
2. Assessment points
(1) Basic characteristics and diagnostic basis of chronic non-communicable diseases;
(2) Behavioral risk factors of chronic non-communicable diseases;
(3) Epidemiological investigation and monitoring of chronic non-communicable diseases;
(4) Tertiary prevention and effect evaluation of chronic non-communicable diseases.
(3) Occupational health and occupational medicine
1. Scope of the case
(1) pneumoconiosis;
(2) Hydrogen sulfide poisoning;
(3) chlorine poisoning;
(4) carbon monoxide poisoning;
(5) benzene poisoning;
(6) lead poisoning;
(7) Mercury poisoning;
(8) organophosphorus pesticide poisoning.
2. Assessment points
(1) Diagnostic principles and reports of occupational diseases;
(2) Investigation and analysis of occupational hazards;
(3) Detection and evaluation of occupational hazard factors;
(4) Occupational health examination;
(5) On-site disposal and prevention measures of occupational hazards.
Nutrition and food hygiene
1. Scope of the case
(1) nutrition investigation and monitoring;
(2) Food poisoning (bacterial food poisoning, food poisoning by fungi and their toxins, food poisoning by poisonous animals and plants, and chemical food poisoning).
2. Assessment points
(1) nutrition investigation and monitoring;
(2) Identification and reporting of food poisoning incidents;
(3) Investigation and handling of food poisoning incidents;
(4) Prevent food poisoning.
(5) Environmental sanitation
1. Scope of the case
Hygienic status and pollution incidents of water and indoor air.
2. Assessment points
(1) Investigation and monitoring of water and indoor air hygiene;
(2) Investigation, monitoring and control countermeasures of water and indoor air pollution on health;
(3) Report, investigation, disposal and prevention of public health emergencies caused by water and indoor air pollution.
Four, the basic operation skills of public health
(1) Personal protection
1. Personal secondary protective equipment for respiratory infectious diseases.
2. Personal protective equipment for digestive tract infectious diseases should be worn.
(2) Sample collection
1. Environmental samples
(1) water sample collection;
(2) air sample collection;
(3) Sample collection of public products.
2. Food samples
Microbial sample collection of bulk food (solid and liquid).
3. Hospital disinfection effect monitoring
Sampling of air, hands, surfaces, medical supplies and disinfectants.
(3) Operation of field test instruments
1. noise measuring instrument.
2. Anemometer.
3. Illuminator.
4. Ultraviolet radiometer.
(4) Sanitary treatment
1. Classification and methods of disinfection.
2. Preparation and use of disinfectants (glutaraldehyde, chlorine-containing disinfectants, peracetic acid and chlorine dioxide).
3. Preventive disinfection and epidemic disinfection.
4. Use a portable sprayer.