Practical skills assessment outline
According to the Notice of the General Office of the Ministry of Health on Printing and Distributing (No.210 [2065438] 210) and the Notice of the General Office of the Ministry of Health on Printing and Distributing (No.210 of the Health Office's Science and Education Letter) Practical skills assessment mainly evaluates the basic post service abilities that trainees should have after receiving job transfer training, including common symptom identification ability, physical examination, auxiliary examination and interpretation ability, medical document writing ability, basic operation ability, common disease diagnosis and treatment ability, first aid ability, community chronic disease management and health education ability, humanistic spirit and communication ability. To assess whether it meets the basic requirements of general practitioners' job transfer training. The main contents of the assessment are as follows:
First, the ability to identify common symptoms
Include headache, dizziness, cough, palpitation, chest pain, abdominal pain, lumbago, joint pain, fever, diarrhea, insomnia, emaciation, fatigue and anemia.
Second, the physical examination ability
Including the following abilities: general examination, head and neck examination, chest examination, abdominal examination, spine, limbs and anus examination, nervous system examination.
Third, auxiliary inspection and interpretation ability.
(1) Explain common normal and abnormal electrocardiogram.
ECG is normal;
Abnormal ECG: sinus tachycardia, bradycardia, atrial premature beat, atrial fibrillation, ventricular fibrillation, ventricular tachycardia, premature beat, left atrium and left ventricle hypertrophy, typical acute myocardial infarction, atrioventricular block I, II and III degrees, and left and right bundle branch block.
(2) Interpretation of common X-rays.
Chest (pneumonia, pneumothorax, pleural effusion), abdomen (intestinal obstruction, digestive tract perforation), limbs (fracture).
(3) Interpretation of common laboratory test results.
Blood routine, urine routine, stool routine, blood biochemistry (blood sugar, blood lipid, liver, kidney function, electrolyte), serum markers of hepatitis B virus.
Fourth, the writing ability of medical documents.
Emergency medical records, health records, chronic disease management follow-up records.
Five, the basic operation ability
Comprises the following operations: disinfecting and spreading towels in the operation area; Incision, hemostasis, suture, knot and suture removal; Debridement; Dressing change; Take sterile gloves; Put on and take off the surgical gown; Take off isolation gown; Management of spinal injury; Emergency external fixation technique for limb fracture: hemostatic dressing for open wound; Hands-free cardiopulmonary resuscitation (artificial respiration, chest compressions); Electrical defibrillation; The use of simple ventilator; Gynecological examination in Shuanghe town; The use of vaginal speculum; Measure children's growth and development; Oxygen inhalation; Sucking sputum; Inserting a gastric tube; Catheterization; Atomization inhalation; Gastric lavage; Vomiting; Enema; Use otoscope, ophthalmoscope and nasal endoscope; The use of electrocardiograph; Blood glucose measurement (using portable blood glucose meter).
Six, the diagnosis and treatment of common diseases
(1) Clinical features, diagnosis, differential diagnosis, treatment principles, prevention, referral indications, process management and matters needing attention of common diseases. Common diseases include:
1. Hypertension, coronary heart disease, cardiac insufficiency, arrhythmia, myocarditis;
2. Upper respiratory tract infection, acute and chronic bronchitis, pneumonia (including pneumonia in children), bronchial asthma (including asthma in children), chronic obstructive pulmonary disease and pleurisy;
3. Peptic ulcer, gastritis, reflux esophagitis, diarrhea (including infantile diarrhea), fatty liver, cirrhosis, appendicitis, gallstones, acute and chronic cholecystitis, acute pancreatitis, abdominal hernia and food poisoning;
4. Diabetes, dyslipidemia, hyperthyroidism, hypothyroidism, goiter and gout;
5. Urinary tract infection, urinary calculi, acute and chronic glomerulonephritis, nephrotic syndrome, acute and chronic renal insufficiency and prostate diseases;
6. Hemorrhagic and ischemic cerebrovascular diseases and dementia;
7. Soft tissue infection, acute mastitis, varicose veins of lower limbs and bone and joint diseases;
8. Vaginitis, cervicitis, pelvic inflammatory disease, menstrual disorder and uterine prolapse;
9 neonatal jaundice, malnutrition and obesity in children, rickets, febrile convulsions in children.
(2) Identification, reporting process, referral indications, precautions and prevention of common infectious diseases.
Cholera, polio, plague, human infection with highly pathogenic avian influenza, SARS, viral hepatitis, tuberculosis, bacillary dysentery, measles, rubella, chickenpox, mumps, scarlet fever, epidemic cerebrospinal meningitis, Japanese encephalitis, diphtheria, whooping cough, epidemic hemorrhagic fever, brucellosis, dengue fever, AIDS, hand, foot and mouth disease and influenza.
(3) Identification, referral indications and management of common mental diseases.
Schizophrenia, anxiety and depression.
Provinces (autonomous regions and municipalities) can adjust the evaluation of diseases according to the local disease spectrum.
(four) the identification, reporting process, referral indications and management of common parasitic diseases.
Schistosomiasis, malaria, echinococcosis, leishmaniasis, intestinal parasitic diseases (roundworm, hookworm, trichuris, pinworm), food-borne parasitic diseases (liver fluke, Angiostrongylus cantonensis, Trichinella spiralis).
Seven, emergency first aid ability
(a) the diagnosis, differential diagnosis and treatment principles of common symptoms and problems in emergency and the matters needing attention in the management of referral process.
Including high fever, coma, headache, convulsion, syncope, acute chest pain, angina pectoris, myocardial infarction, cardiac insufficiency, acute abdominal pain, dyspnea, hemoptysis, hematuria, nosebleed, electrolyte disorder, shock, poisoning and accidental injury.
(two) the correct use of commonly used first aid drugs.
Include cardiotonic agents, diuretics, antiarrhythmic drugs, antispasmodic and antiasthmatic drugs, analgesic and sedative drugs, hemostatic drugs and antidotes.
(3) Common first aid techniques.
Including oxygen inhalation, gastric lavage, vomiting or enema techniques; Hand-held CPR; Artificial respiration, dressing, hemostasis, fixation and handling.
(4) Basic principles and methods of pre-hospital first aid.
(5) Principles and methods for dealing with injuries caused by physical and chemical factors.
(six) the use of ambulances to transport patients and the preparations before referral.
Eight, community chronic disease management and health education ability
Comprehensive management of chronic diseases in community (hypertension, diabetes, etc.). ), principles and basic methods of life cycle and health maintenance, principles and methods of health care and health education for key populations in the community, principles and methods of screening for diseases (major diseases and psychological problems), and principles and methods of two-way referral.
Nine, humanistic spirit and communication skills
Medical ethics, humanistic care, health laws and regulations, professional behavior norms, communication skills, teamwork skills, etc. It is integrated into various clinical skill assessments.
The national physical examination service center network provides reference.