What autotraining the new doctor is

What autotraining the new doctor is
Diagnose a disease truly for the patient
Chen HongJun ( The People's Hospital of Da Tong market second of Shanxi) : I came to the north of the Great Wall from flourishing Shanghai 54 years ago, there is no noise of city here, very quiet to the night. I utilize this rare quietness, open the note when textbook and teachers are given lessons to contrast the patient who I saw in the daytime, find the shortcoming, remedy insufficiently from it, it is very great to reap. It is not terrible to be lonely and lonely, so long as you can utilize it, cherish it, time will reciprocate for you. Later, my thesis obtained the provincial prize for the achveivement in science and technology.
Basic unit medical terms very bad, want basic tool looked at, touched, knocked, listened to to rely on and inquire the medical history in detail, adopt the method that is diligent in observing or watching over the patient simply to treat patients. I really find out, specially write a case history and my observation for him, some patients, let patients take to the city for doctors in the city's reference. Such true method has won the confidence of villagers, is looking for the person that I saw the doctor and getting more and more.
Watch a lot of serious disease, serious illness really as doctor in basic unit, little doctor have no ability, go, make correct diagnosis and treat too. But once there are serious illness and serious disease, can find, create conditions for the patient diagnose in time very in early days, this is a kind of skill that can't lack too.
The diligence is the most reliable teacher
Wang TingMin ( Hold one gram of flags hospital in Hubei Province of the Inner Mongol) : First of all, confirm two teacher, the intersection of books and periodicals and materials the intersection of theory and Mr., patient to practise Mr.. Carry on theory analysis with the auxiliary examination materials to each patient's symptom, physical sign, make preliminary diagnosis, treat under the guidance of theory, analyze, revise at any time according to curative effect. This not only can improve the engineering level of the business, the more important thing is to put the relationship between doctors and patients in a correct place, have trained noble medical ethics.
Second, pay attention to the medical writing. The medical writing is that the clinical medical treatment practises the recording objectively of course, it is medical treatment, teaching, scientific research, law and weigh the important basis of the engineering level, also the medical worker improves the important route of one's own quality. In working for initial 5 years, I insist that write the intact case history for each impatient, make the course of disease to record, analyze to the course of treatment, the serious brief summary, summarize the experience while leaving hospital, accept the lesson. The operation to participate in or is visitedding, difficult to be easy, large or small, should combine the real procedure and contrast the operation atlas and write the operation record voluntarily. This learning method makes my operation skill and ability improved quickly.
In the clinical practice, often catch the learning opportunity everywhere. After for example escorting patients and transferring institute to the hospital of higher level, can consult doctors of higher authorities voluntarily that study, participate in their course of making a diagnosis and giving treatment, study the clinical thinking, diagnose and handle the scheme clearly. The patient that can't escort in person, track too that follows up a case by regular visits to their situation of making a diagnosis and giving treatment at any time, and carry on contrast with one's own analysis.
Basic unit in medical treatment prevent forefront, have sufficient the intersection of practice and chance observe disease, the law of development take place; Keep in close touch as masses, it it is be early to find by patient,let's summarize in early days displaying by characteristicking, transferring from it to and experience of making a diagnosis and giving treatment; Can also combine the regional characteristic, prevent and cure the investigation to local frequently-occurring disease, common disease. While establishing the scientific research project, should study the libraries of universities and colleges and obtain getting in touch with medicine, in order to guarantee its advance and scientific.
Also need strategy as the past master
Xiao Hai ( Shandong Rizhao Lu Ju county people's hospital) : Look for the operation chance. Just entered surgery, that hoped most was to get a chance to perform the operation! But that waited until is the second chance to draw hook of one at most. See the companion who is admitted to hospital together stepping into the operating room with one's chin up, go back to the dormitory and tell with enthusiasm the operation is realized, I am burning with anxiety. Can't be silly,etc., we want to take action too!
I have found our group arranges the law of the sick bed: Neither large nor small, director, have the intersection of assistant and patient of chance at the beds of others. Even as big as the whole group to mobilize, so small to guard treating mostly on my bed. From then on, having moved to a nurse and done in my battle field, so long as patients came, we gathered up, see who is thick-skinned. Nurse Ann's bed was much fairer hereafter.
Leave no stone unturned to help the doctors of higher authorities to finish some simple work, replace voluntarily in other words, in order to gain the potential operation chance. It is the time when a competition is minimum at night, it is the most time of chance too. No matter how tiredly it will be daytime, I can when Corey insists on 12 behind the supper.
To the operation desiring to do, I will collect some relevant materials, there are certain difficulty, question which the director has proposed once in a while to then find out several, question to the director publicly. After the director answers, it is not " very clear " that I still insist on saying . The director have to say having no choice: "All right, you go back goodlooking book, tomorrow operation with me, have understood once seeing you. "
Choose a good teacher. My choice of those years is to confirm a credible teacher first, then regard him as the best cooperative partner, regard him as the strongest competitor at the same time. This determines to offer superstrong motive force to me.
He is the most famous surgeon of the hospital, but he has seemed to never think it famous. The principle of his work is very simple, can summarize with a word: As a surgeon falling asleep. He transform principle of operation have only one too, how do most safe and reliable how make. So, it is slower than others that he sees the doctor, it is often longer, but can not still stop becoming the best surgeon. The patient's appraisal is, so long as he says that can do, on the issue that there will certainly not be.
Whenever I succeed in finishing a major operation, a technology exceeds him, will all get a sincere, smiling face of letting all people experience of his. This is the most moving smiling face that I have seen up until now. How many persons hope wholeheartedly the apprentice exceeds oneself? Search one's heart, can not do too by oneself.
The most crucial in the past 5 years. Practice hard the time of operation at first, the choice of number is a key! It had better be the intact case, it is common disease. That accord with these two requirements most in the department of general surgery is appendicitis. Then concentrate all energy on settling appendicitis. Consult all relevant materials that can see, treat all patients meeting and examining it in person, construct one including physiology, dissecting, pathology,etc. intact knowledge frame. Through the frame, analyze every composition the function played, mutual connection in the whole, and prove on patient one by one.
I have observed a lot of surgeons, find some people progress quickly, but others are very slow, even maintain at certain level in decades. Among them there may be the following several points in the bottleneck of development: It is unable to melt
|