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Reprinted from alumni of the user at 21:53 on July 8, 2010 Reading (loading. ..) Comments (0) Category: Personal Diary
------------------------ internship, you need to know --------------- -------------------
in terms of practice should bear in mind that a department:
1, eyes clear: during the internship period to the base in order to truly learn clinical knowledge or experience, must be your own eyes, polished, carefully observe the instructor's words and deeds, manners.
2, fast chips: take the initiative to help guide physicians do a good everything within its power. Record the experience of some good notes.
3, mind: to see and hear of clinical experience in mind in her heart pondering scrutiny, into their own experience.
4, Qin Q: do not understand the problems encountered frequently asked to guide the physician, and promptly resolve, time to digest.
internship reference prepared at the time:
1. intern manual. Is a good reference guide clinical. From there you can quickly know how to open medical advice, how to open a single laboratory, so as to move ahead, to avoid teaching for teachers in schools that should be mastered and learned there is no chance to advance to master.
2. laboratory single normal reference manual. This is a very useful guide, because we just on the clinical, many laboratory test we may have never seen what a lot of diseases should be open we do not know a single laboratory. The manual can help you solve this problem
3. Is to choose according to your professional reference
As a teacher I would like to give you the senior students to make a few comments:
1, large Four must conscientiously study period, such as: medicine, surgery, gynecology, pediatrics, diagnostics, clinical imaging and other basic subjects for future clinical work to lay a solid theoretical foundation.
2,
coach shoes, note that during the probationary process theory with practice, for example, a case can not be met simply be satisfied with the performance of their clinical diagnosis, we should also consider the example of deep pathology and physiology of the body changes that occur and do to know these, know why. This can play a basic knowledge of the previous role of Network access. Probationary students on improving the overall quality play a key role in promoting the role.
3,
太绝了!竟然能把汉字写成如许 - Qzone日记, should not blind themselves to clinical practice. Because the attachment phase of the medical students do clinical work is very simple basic operations. Even non-formal medical schools who graduated about 1 month after the training can still do well. After all, is the need for training students in terms of theory to guide practice. Premature to clinical practice too much delay we will practice the basic theory. Why schools will arrange for one year of internship, not two years? Must have his reason. We have many such examples of homes. Many male students in the senior clinical teachers to follow during some surgery, treatment of patients, these tasks are done very well and won the love of clinical teachers. So they feel flattered that they have a qualified doctor, so ignore the study of theory, neglecting, in the end final examinations are not passed. You can say that they are a qualified medical student? Patients will be assured of them heal it? So no matter what theory of learning time must be in the first place. This is the only way to grow a good physician.
------------------------------- The following seniors internship ------ ---------------------------
the basic hospital practice, there are many opportunities for hands, so to learn something, the most important thing is to active, of course, have a solid theoretical foundation. in to each section before you have to understand what kind of admitted that the main sections of the patients, their medical information in this area looking to equip themselves with nothing else to go there do not know, of course, families really want to learn round the essence of the division of time is not enough, but let us not go to school to learn things from books.
demands on themselves, in a section of a new collection of patients, does not require a diagnosis can be very accurate, but at least should know roughly what the problem is the abdominal pain as chief complaints of patients taking into account what diseases can you? new patients received conventional medical advice,
coach women shoes, a single laboratory to how open, commonly used drugs which the subject of these, you can refer to the Section's medical records collected in a new time, because the hospital the following interns less, so a good chance to make their own treatment, and that they can follow the teacher, requiring inquiry under the guidance of teachers, physical examination (complete system), combined their knowledge to a preliminary diagnosis and treatment suggestions, and ask your teacher what their own in these areas or what not to do things he did not think, after a few times, believe you receive a new procedure for the patient can stand light on the familiar. in the treatment process, as well as specific operations such as pumping pumping pleural effusion, ascites, how teachers can observe the operation first,
coach outlet online, and then his back in the books, and their simulation in the minds of every detail, the next opportunity to operate their own initiative to teachers themselves, as far as possible the answers, do not rush, so that the teacher you trust , you have a lot of chance operations.
as well as in orthopedics, surgical those technical subjects, we can offer to teachers to visit the surgery, of course, we are on the table before surgery to be prepared for surgery, the first detailed look at medical records and various checks, also available from the department see the information about how to do surgery, or what can not read up, you can learn how in the operating room wearing a surgical sterilization and aseptic clothes there and after the patient will certainly be dressing removal of stitches, these we can do. as long as their own initiative, these basic operations we can do very skilled. electrocardiogram, and health care, the operation of the electrocardiogram and blood, more hands-on, and soon will be able to grasp.
in the outpatient , particularly patients with the teacher, the teacher sometimes no time to teach you anything, only let you copy the copy the prescription, we can copy the time prescribed, pay more attention to the teacher's medication, each teacher has his or drug habit it is the experience of drug treatment are similar to the prescription of such diseases, we learned from the teacher's prescription drug law, to see how to treat his patients. Of course, these also our own experience on the basis of the teacher to analyze, so into their own things, to question things that they can write down, and the other teachers less when patients ask the teacher, may get a more detailed answer. Also, the teacher can see how to go to a patient inquiry, some of the problems is not enough that we can not consider the experience can take note of some things in this regard.
at a higher level hospitals, because it is affiliated hospitals, many graduate interns, so we have less hands-on opportunities, but as long as we take the initiative to point, diligent point, there are still things to learn. superiors that patients in the hospital, all diseases, can make up for lack of primary hospital. If you learn to hospital following the operation, together with the theory of higher level hospitals, can quickly improve their medical level.
there is his profession, the professional department in a long time, their demands should be more stringent, should do their own pipes and treatment of each patient's diagnosis and prognosis can be a very good grasp of frequently-occurring disease common to have a deep understanding of the disease on the difficult and we should try to consider thoroughly,
谁能做到? - Qzone日志, to minimize the misdiagnosis, and the clinical practice and efforts must be mastered to operate, so as to make their expertise is more firmly.
There is to learn how to communicate with patients, some patients will inevitably conflict with the doctor, of course, the vast majority of misunderstandings, and to treat a patient or family members or even the questions asked, we can calmly look at how to deal with the teacher, to resolve the conflict parties, as long as a clear explanation, the majority of patients is still very reasonable. Of course there are a few patients are vexatious, we do not know how to do it, the teacher to deal with such patients are more experienced in the protection of their own circumstances , have the skills to avoid, we might as well learn, because in future we have to face these problems.
graduation, then work is a doctor, health, life entrusted to doctors demanding requirements of their own, for early high-quality medical personnel to become qualified!!!
recall the days when interns, two words: full!!!
I think first you need to have a clear goal, ask yourself is not to intend to practice When learn? Why? Because the hospital had with my internship in a majority of students, one to the hospital practice, (also good number of first month), I really like a runaway horse (not an exaggeration),
coach sunglasses, they play cards every day in the dorm, drinking, In addition to the video room or go to Internet cafes, and then later, even the shadows have to see it. . . Most of these people at home the more money their way back to paved, there is a small part is to find a job after graduation, to run every day or go to the provinces to participate in the talent market talent exchange and the like, in short, these people No one learned anything in practice.
Second, you have to learn how? Learning is a chore, especially in medical school. Clinical practice is an important process that is linked bond theory and practice. Be sure to cherish this year's experience of life in general to a large hospital, division is very small,
coach sneakers, a family practice at most a month, so this short span of one month you have to cherish. Usually a doctor with one or two students, teachers go to work, you have to go to work, the teacher breaks, you can rest. But I suggest you: every day, soak in the hospital!!! I had like this, almost 24 hours. No patient, look at the basics of ground, and then all the cases where the sections are read, especially their management of the patient cases. Each common etiology, pathology, pathogenesis, clinical manifestations, diagnosis and differential diagnosis, laboratory examinations, therapy, medication and drug side effects, and so the mechanism must be mastered, it is best to do mastered.
in surgery, surgery to lay the basic skills, such as knotting, we must learn, general surgery teacher will give you a chance to tie on stage, even a knot if you are playing well, he will not give What is your chance. When patients and prescription writing must be neat handwriting.
again, in the hospital, are also considered a small social circle, interpersonal relationships are important, there is the complexity of it ~ ~ ~ themselves properly handle.
In fact, in all the practice sections, you can choose your favorite or two after his own plan to develop this talent in the department stationed down. (Round of Division, you go to a new report to the department, and then come back, left ~ ~ ~)
another point, I suggest you also learn what aspects of nursing operations, such as blood, intravenous, intramuscular, under the tube, catheter and so on. (I had learned these)
Finally, and most important point: Stick!!! Many sections in the first practice to learn very serious and diligent, you can relax next to those sections down to I hope you can up the loose ends ~!!
If you are a newly graduated stages of production would be best practice not to go over the top three hospitals, it is recommended to go to some hospital, such as county or county-level city hospital, so that you hands-on opportunities will be a lot of surgery done and the teacher can go to dinner. Learned during the day in the department to understand or do not know whether ah. Home must look at the book. What is learned during the day means to go back to see what the evening. There is more to your teacher to write cases. Busy doctors are not willing to work to write this thing. I'm ah. Write every day and tired. This way you can learn more things. The relationship between the teacher can get along better. More reading, done theory and practice. You will learn things like the effect of office times.
------------------- The following example sub-sections introduce ------------------
Pediatrics:
1, well written medical records, medical records and write progress notes each, absolutely good!
2, careful physical examination to master the method in children, because children are a special group, and adults are relatively large differences.
3, learn child care learning
4, more than to see your doctor, master of children's dose of medication characteristics
5, departmental rotation at least to know how to diagnosis and treatment of common illnesses of children, such as pneumonia and diarrhea.
to a few pediatric pathophysiology of common illnesses as well as important, the proposed master.
1. Pediatric Blood forty-six cross-laws
2. Children with elevated body weight formula
3. one week to monitor growth and development of children (to determine whether the retardation of early detection of cerebral palsy, mental retardation meaningful )
4. all stages of normal breathing and heart rate, heart size circles disappear when various primitive reflexes (those who do not go away or are again abnormal)
5. fluid therapy
6. Newborn jaundice Health (very important)
7. rickets
8.HIE, NEC, scleroderma
9.21 syndrome
10. rheumatoid purpura
11. a variety of infectious diseases, rash (JE , mumps, chickenpox, flyers, pertussis, measles is the key 0
12. a variety of pathogens pneumonia
13. viral myocarditis
14. nephritis nephropathy
15. encephalopathy brain Wright of comprehensive disease
16. infective anaphylactic shock
17. nutritional anemia
other endocrine I was very good for the blood, find it difficult, if you are interested on the drill, are not interested in proposals put to the limited training time to other areas, both in medical practice and then learn when
general surgery:
1, checked everything with a teacher after working rooms, after finish all the time to be on the list to see more out-patient to help patients in hospital to complete the procedure, so that the patient first, you feel good, and second, patients can arrange to bring their own set of teaching where the teacher and then as soon as possible in the case of write, so your teacher is likely to with your surgery.
2, million, and operating room nurses to good relations, and more to help them do some live, so you the opportunity to observe the operation will be much larger.
3, handling a variety of surgical practice basic skills.
Orthopaedics:
into the Branch should be prepared before: consolidating his base, such as some of the basic concepts of orthopedics, orthopedic examination, bone and muscle of the local anatomy, orthopedic most common illnesses in the diagnosis and differential diagnosis, etc..
into the Division should
A more brains after,
B and more hands-on (dressing, check the patient, practice writing progress notes,
coach sunglasses outlet, summarized in the notes on a patient record the course of the disease and a number of similarities and differences between patients with the same disease - such as the recovery of patients after lumbar disc herniation, as for many on the operating table, and do more manual reduction, cast immobilization and small stitching ... ...),
C and more tongue (ask questions, ask medical history, and we discuss issues),
D to look at (other people's operations, professional books),
E, then the less than medical,
F less public evaluation of patient efficacy - - discussion with the teachers and students, except,
G little explanation to the patient and family illness,
H is too small to mention a simple question - can find the answer in the book not to mention the issue of Nephrology
:
1 leg to ground, multi-run
2 mouth to good, ask
3 eye of the fast, more
4 hands to move,
Ten signs of marital problems - Qzone log, writing
image:
1. is to see more of the so-called practice makes perfect.
radiology practice at the time.. You can rest time every night or.
to see the hospital's film library to see where the previous film.. the first under their own diagnosis.. Then look at the teacher behind the replication in the application form.
to see what the teacher is under diagnosis. one day to see a 100 - 200 film better.
fact, imaging is a very abstract thing.. experience is important ... theory of knowledge is very important.. It is important to do more. see more.
2. is to be more clinical.. clinical knowledge is important.. Why now are the first medical imaging clinic after reading Imaging read it.. is the truth... a combination of clinical... is not the abstract Rights Imaging... to learn to think..
example, you see a fracture at the time of the film.. You From the AP and lateral views can imagine it must be the three CD stereo is kind of how
label department laboratory test patients for medical students clinical