Model essay on pediatrician's self-evaluation
In a blink of an eye, the two-month advanced study of freshmen in the neonatal department of Obstetrics and Gynecology Hospital affiliated to Zhejiang University has been successfully concluded, and the inventory study can be described as both enjoyable and beneficial. When I first arrived in Hangzhou, everything seemed strange, unfamiliar with the environment of hospitals and departments, unfamiliar with the surrounding routes, and different schedules disrupted the biological clock. I was homesick and missed my children when I first arrived, which made me feel that the first half of my study was very long every day. But the head nurse, director and teaching teacher here made me familiar with the environment and workflow of the ward quickly and adapted to the life and work here. After that, I established a harmonious relationship with them, and the days passed quickly and fully. I learned advanced nursing concepts and techniques here, and felt their high work enthusiasm, rigorous work style and cooperative team spirit, which really made me glad you came. First, systematically learn new knowledge, new technology and management system.
Through intense and extensive study, I realized that there were many misunderstandings in clinical work in the past, such as the choice of artery when taking arterial blood, sputum aspiration for neonatal asphyxia, umbilical nursing and so on. After two months of clinical practice, I am familiar with the working mode of specialized nursing, and have mastered the new knowledge and technology such as the use of CPAP machine and the treatment of pneumothorax, the observation and nursing of necrotizing enterocolitis in premature infants, the reading of X-rays, the treatment and reading of pulmonary hemorrhage in premature infants, the nursing of patients with pulmonary hypertension, the nursing and recording of ventilator patients, the observation and nursing of neonatal and premature infants' infections, and the maintenance of PICC. After work, departments often organize some business studies to continuously improve their own literacy.
Through the communication with the head nurse, we obtained the internal management system manual, including the training manual for nursing staff, the neonatal resuscitation compiled by Director Wu, the training system for relevant personnel in the neonatal room, the relevant systems in the neonatal room, the responsibilities of cleaning staff, the disinfection measures for various instruments, and the communication skills between unaccompanied wards and their families. It laid a good foundation for the next step to open a neonatal room.
Second, feel harmonious teamwork and professional attitude.
The first is good teamwork. The department has three wards, which are relatively independent and unified. Each comrade cooperates with each other while completing his own work to ensure the nursing quality of the ward.
The director here and Dr. Jiang taught patiently and meticulously, and took pains to answer questions. Their professionalism moved me very much. They will answer my questions, comments and suggestions in time. Give me a lecture as soon as you are free, and take pains until you understand it.
What impressed me most was the hand washing of medical staff. Every day when the doctor comes to make rounds, the first thing to do is to wash your hands. When one patient touches another, he will definitely wash his hands first. Every ward has a sink and hand sanitizer, and every child has hand sanitizer beside his bed. After washing their hands, they wiped them with a special towel. Needless to say, nurses wash their hands or don't wash them before each operation. Although they are busy at work, they will never forget to wash their hands. Hand washing has become everyone's habit, because everyone has deeply realized that hand washing is the cheapest measure to prevent hospital feeling, but it is the most effective.
Third, experience warm and meticulous humanized service.
When I first came to the hospital, my first impression was neat, clean and warm. What impressed me most was that they didn't pay lip service to humanized service, but really cared about children. The faucets in the treatment room and cleaning room are all induction switches, equipped with long-handled hand sanitizer and paper towels, which can not only avoid cross infection, but also save energy and protect the health and safety of employees. Fine management mode is embodied in every detail in this way. If CPAP is used, an artificial protective film will be placed between the nose and the stuffy nose to prevent squeezing; When tearing the tape on your face, lubricate it with Johnson Baby Lotion before tearing it. Take a bath every day, and the baby on the second day of birth will use Johnson & Johnson baby lotion to clean all the skin wrinkles all over the body, with very gentle movements. The children here will insert the stomach tube from the mouth, not the nasal cavity, because they don't want to lose a nasal cavity because of the stomach tube, which will aggravate the difficulty in breathing. For premature infants, the environment is required to be relatively quiet, the sound and operation should be as light as possible, and the stimulation of sound should be reduced. All treatments are centralized, and there will be a cartoon cover on all incubators, mainly to reduce light and external stimuli. Newborns living in incubators make nests out of cartoon thin bags, which makes every child feel comfortable, shows their love and care everywhere, and treats every child as his own.
The study period coincides with the Spring Festival, and the word "Fu" is posted on the doors of departments, and the canteen is no exception. During the Lantern Festival, the canteen gave everyone a hot jiaozi free of charge at noon, which made me fully feel their humanized management.
Fourth, learn standardized training and services.
"Hardware is the foundation and software is the soul." There are many brands of instruments in neonatology department, including various neonatal ventilators, high-frequency oscillation ventilators, imported and domestic infant incubator, radiation tables, CPAP, central monitors, infusion pumps, infusion peristaltic pumps and so on. Every nurse is familiar with the operation of each instrument, thanks to their standardized training. Arrange nursing rounds and lectures every month, ask students questions in the form of slides and bedside, and conduct a sampling test of nursing operation once a month. For new nurses, we also arrange special personnel to teach, and the weekly training starts from the department system and every basic operation process, so that they can get familiar with and master it faster.
The Department of Neonatology will also hold a weekly class activity for parents taught by senior nurses. If a premature baby is discharged from the hospital, he will contact the parents of the child who is preparing to leave the hospital to learn nursing knowledge in the reception room of the department, such as bathing, feeding and changing diapers. Nurses will demonstrate on the spot until their parents fully grasp the baby before they can safely give it to them. This naturally extends the nursing work to the family.
Learning is very tiring, because there are many things to learn, you need to do it yourself to master it skillfully, you need to think hard to adapt to the role change, and you need to cultivate your own cautious and independent spirit. This is a process, stick to it and you will have a perfect jump.
This precious learning opportunity has given me a lot of experience and feelings. Perhaps such a learning opportunity will not bring earth-shaking changes to my work, but I have more thoughts on my life and work, hoping to bring new ideas to my future life.
The second essay on pediatrician's self-evaluation
Xxx is the organizer and commander of hospital department management and plays an important role in hospital management. Especially in today's fierce competition in the medical market, the management level of xxxx directly affects the all-round development of departments and even the whole hospital. To be a famous xxxx, I think we should do the following: First, learn management, understand management, keep pace with the times and work creatively.
1. As a manager, you must first be able to mobilize all the resources of the department and put them into the opportunities that can produce the most critical effects.
As far as our pediatrics is concerned, we should first be good at discovering the advantages of nurses in departments, using their advantages to guide our work and give full play to our personal specialties. Secondly, establish team spirit, let them produce results in collaborative work and give full play to their personal strength. Furthermore, we should grasp the key points and give full play to the advantages of equipment and individuals.
2. Keep pace with the times and work creatively. The standard is not just how many achievements are made for the department, but to satisfy the patients.
Second, xxx should have a certain professional quality.
1, strengthen self-study, constantly improve their theoretical knowledge and technical level, be the first to accept new knowledge and technology, and be the leader of professional technology.
2. Be enthusiastic, sincere and tolerant in your daily work, always set an example and look up to others. Only in this way can we get the wholehearted input and support of our subordinates.
3, no matter under what conditions can have a clear head, a balanced mentality, orderly and reasonably arrange manpower and material resources, so that the nursing work in the department can operate normally.
The third essay on pediatrician's self-evaluation
Self-identification pediatrician graduated from xx University of Traditional Chinese Medicine in August, 20xx. In the same year, he was assigned to xx Occupational Prevention Institute as a clinical and occupational disease prevention physician. From the end of 20xx to the end of 20xx, I worked in Duanzhou District People's Hospital of xxx. He used to be a pediatrician in infectious diseases, internal medicine and emergency department, and was the deputy director of internal medicine and internal medicine, during which he studied pediatric internal medicine and respiratory medicine. Since the end of 20xx, I have been working in xxx Hospital. I used to be the vice president of business, the current president, and the Standing Committee of Duanzhou District People's Congress. In addition to completing administrative work, I insist on clinical work for four and a half days a week, mainly engaged in clinical work in two specialties: pediatrics of traditional Chinese medicine and respiratory medicine of integrated traditional Chinese and western medicine. During my work in the occupational disease prevention hospital, I was mainly engaged in the treatment of occupational diseases and frequently-occurring clinical diseases with traditional Chinese medicine. For example, in the treatment of occupational diseases, the method of supplementing qi, nourishing blood and nourishing yin is used to treat benzene poisoning and radiation leukopenia, and the effect is good. During my work in Duanzhou District People's Hospital, I adhered to the combination of traditional Chinese and western medicine to treat diseases, and also used modern dosage forms of traditional Chinese medicine to rescue critically ill patients according to my characteristics of working in the West Hospital and clinical frontline. He is good at summing up predecessors' experience, using traditional Chinese medicine to treat jaundice hepatitis, severe hepatitis and liver cirrhosis, and using traditional Chinese medicine to treat chronic cardiopulmonary failure. The famous prescription Cangling decoction is effective in treating children's viral enteritis and diarrhea. During this period, he also engaged in clinical research on respiratory diseases, such as routine examination, the study on the relationship between swan—ganz catheter and pulmonary artery mean pressure, and the study on the treatment of pulmonary hypertension by promoting blood circulation and removing blood stasis. Observation on the curative effect of intrathoracic injection of Houttuynia cordata Thunb on malignant pleural effusion, and observation on the curative effect of traditional Chinese medicine on advanced cancer pain. At the end of 20xx, I was transferred to xx Hospital. Combined with the work needs of xx Hospital, I am mainly engaged in the traditional Chinese medicine treatment of pediatric internal medicine diseases and respiratory diseases. I opened a specialist clinic in pediatric internal medicine and respiratory medicine in the hospital, paid attention to the use of Chinese medicine to treat related diseases, and insisted on specialist syndrome differentiation and treatment, and achieved good results. This traditional Chinese medicine treatment method with no injection, low cost, good curative effect and little pain has alleviated the problem of expensive medical treatment for the masses to the greatest extent and is well received by patients. In the process of SARS prevention and treatment, in the case of unknown etiology at the beginning, the theory of prevention and treatment of epidemic febrile diseases in traditional Chinese medicine was used in time, and the method of "clearing away heat, detoxifying and nourishing yin" was used as the main method to prevent and treat SARS, which was completely in line with the treatment plan put forward by experts from relevant national and provincial institutions. Traditional Chinese medicine has played a role in coping with and preventing sudden infectious diseases. In recent years, Chinese medicine therapy has been continuously excavated and developed to treat diseases, and physical therapy has been introduced to treat internal diseases. Traditional Chinese medicine combined with moxibustion, microwave therapy and chiropractic therapy is used to treat children's asthma, bronchitis and allergic diseases complicated with diarrhea. The combination of physical therapy and traditional Chinese medicine greatly reduces the side effects and damage of drugs, especially antibiotics, to the human body during the treatment. While adhering to the theory of traditional Chinese medicine, we constantly absorb modern medical theory, enrich and develop traditional Chinese medicine theory, such as introducing the theory and therapy of "Long's chiropractic" and applying the theory of "spine-related neck disease", which deepens and enriches the theoretical knowledge of traditional internal medicine. With the deepening of the theoretical understanding of the etiology and pathogenesis of internal medicine diseases, we have enriched the means of internal medicine treatment and improved the diagnostic level and curative effect of internal medicine diseases. In addition to studying this major seriously, I also pay attention to the development of related disciplines. The ministerial-level project "Standard Research on Treatment of Ankylosing Spondylitis by Lingnan Tendon-lifting Method" has passed the acceptance and appraisal of scientific and technological achievements and won the xx Science and Technology Progress Award. After practicing medicine for more than 20 years, I have never forgotten to carry forward the mission of Chinese medicine, be down-to-earth, persist in carrying forward the quintessence of the country every step, and take Chinese medicine as my lifelong career choice. On June+10, 5438, he was awarded the title of "Grade III Anti-non-iodine" by the People's Government of xx Province, the honorary title of "Famous Traditional Chinese Medicine Doctor in xx City" by the People's Government of xx City, and the honorary title of "Excellent Worker in National Health System" by state administration of traditional chinese medicine, Ministry of Personnel and Ministry of Health of People's Republic of China (PRC).
The fourth essay on pediatrician's self-evaluation
1 year has just ended, and I have returned to my familiar job. First of all, I want to thank the hospital and the leaders for giving me this precious opportunity, and I also want to thank my colleagues, because their hard work allows me to finish my studies with peace of mind. I studied in the Department of Respiratory Medicine, Tang Dou Hospital, Fourth Military Medical University of PLA. It is the first master's degree-granting discipline in China, the superior medical discipline in Shaanxi Province, the national drug clinical trial institution, the grass-roots construction demonstration department of the Fourth Military Medical University, the bronchoscopy diagnosis and treatment training center in northwest China and the ventilator training base. Chairman of the respiratory tuberculosis branch of Shaanxi Medical Association and vice chairman of the respiratory discipline of the whole army. There are two wards and 80 beds in respiratory medicine, as well as allergic disease research room, lung function blood gas room, bronchoscopy room, respiratory medicine intensive care unit and respiratory medicine laboratory. It is the most advanced unit of respiratory medicine technology and equipment in Shaanxi Province and Northwest China. The teachers here are noble in medical ethics, knowledgeable and approachable. Not only is the level of diagnosis and treatment among the best in China, but they attach great importance to the training of the younger generation, and maintain a strong talent echelon, which is popular all over the world.
The director of their department makes rounds once a week 1 time, and the third line makes rounds twice a week. I feel a harmonious atmosphere when I make rounds, emphasizing seeking truth from facts and attaching importance to evidence-based medical evidence. Many issues of principle have been recognized, but differences that do not violate principles are allowed. Tang Dou Hospital has always emphasized comprehensive treatment, and the comprehensive department organizes joint rounds of radiology diagnosis, pathology, surgery, internal medicine and radiotherapy from time to time. When making rounds, the first-line or senior doctors report the medical history; The superior doctor carefully reads the film, analyzes the possible diagnosis, further examination and treatment plan. In this way, patients can get reasonable treatment systematically and systematically, and young doctors know a lot about this. Reasonable comprehensive treatment is one of the important factors of high-level diagnosis and treatment in Tang Dou hospitals.
To develop departments, we must attach importance to re-education, re-learning and the cultivation of reserve talents. The academic activities I participated in mainly include: theoretical study twice a week to make new progress in treatment; Weekly 1 departmental academic discussion; Irregular academic exchanges with foreign countries, including lectures by experts at home and abroad and academic conferences at home and abroad. Long-term intensive and conscious study and communication are also important factors for their longevity.
I also found something. First of all, I systematically studied the relevant basic knowledge and the latest diagnosis and treatment technology, mastered the diagnosis and treatment of common and frequently-occurring diseases in respiratory department and related departments, mastered the routine operations of respiratory department such as closed thoracic drainage, pleural biopsy, ultrasound and CT-guided percutaneous lung puncture, and basically mastered the operating essentials of bronchoscope and thoracoscope.
The cooperation of various disciplines is the guarantee to improve the level of diagnosis and treatment. Every department has technical expertise, and every doctor also has technical expertise to ensure the level of diagnosis and treatment in the department. It is not enough to have a good clinician. Only advanced equipment and perfect auxiliary examination can design an ideal treatment plan. At the same time, the cooperation between various departments of the hospital is also very important, such as surgery, pathology, diagnosis and so on. Outstanding comprehensive strength can bring a high level of diagnosis and treatment.
Advanced equipment and technology also left a deep impression on me. In our primary hospitals, there are many problems that plague us. With advanced medical equipment and technology, we will be easily solved and suddenly enlightened. Nevertheless, routine treatment is still the most commonly used treatment. In my opinion, relying on the current technology and equipment in our hospital, as long as we can use conventional technology in a standardized and reasonable way and carry out new business and new technology within our power, most patients can also obtain satisfactory curative effect.
Experiences and suggestions for further research:
1, departments should develop, hospitals should be strong, and be invincible in the highly competitive medical market. We should take the road of professional construction, complete disciplines, scientific development and academic specialization, and the disciplines are becoming more and more detailed. We must strengthen the cultivation of talents in various disciplines and attach importance to re-education, re-learning and the cultivation of reserve talents.
2. For the development of the hospital, it is necessary to strengthen the cooperation among various departments, such as internal medicine, surgery, pediatrics, obstetrics and gynecology, radiology, CT room, ultrasound room, electrocardiogram room, lung function room, etc. It is not enough to have a good clinician. Only advanced equipment and perfect auxiliary examination can design an ideal treatment plan. Only in this way can we have a higher level of diagnosis and treatment, benefit more patients, better improve the social and economic benefits of the hospital and enhance its popularity.
3. It is suggested to set up specialized respiratory medicine and powerful thoracic surgery. At present, epidemiology shows that respiratory diseases (excluding lung cancer) rank fourth among the causes of death in cities and third in rural areas. The incidence rate of lung cancer (654.38+0.2 million years) and the mortality rate (654.38+0.65.438+0 million years) both rank first in the world, and have surpassed lung cancer in China. According to the disease spectrum and the present situation of our hospital, in order to strive for these patients and create better social and economic benefits for the hospital, it is suggested to increase advanced equipment such as bronchoscope and thoracoscope as soon as possible, speed up the training of personnel in this field, and develop new business and technology. Thoracic surgery and respiratory department can't survive without bronchoscope, let alone develop. Strengthening and strictly mastering the indications of using ventilator-assisted breathing to treat critically ill patients can save the lives of most respiratory patients, prolong their lives and improve their quality of life. It is suggested that critically ill patients (especially respiratory patients) routinely check arterial blood gas analysis, which can better judge the prognosis of patients and improve the utilization rate of equipment. For the time being, new services such as pleural biopsy and percutaneous lung puncture can be carried out, and comprehensive treatment such as pleural perfusion therapy for tumors can be carried out. Ventilator treatment can be performed.
4. It is suggested that the hospital set up a comprehensive emergency center, set up an emergency observation room, and merge and cancel the infusion room, which is also beneficial to the management and better treatment of patients in the observation room. It is suggested that patients who meet the hospitalization conditions should be hospitalized to create better economic income for the hospital. The medical staff in various departments of the hospital rotate, and the emergency doctors are not fixed, so that emergency doctors can also learn professional knowledge and apply what they have learned, so that the medical staff in the hospital can be fully developed, and the doctors in the inpatient department can get first aid training and master first aid knowledge and technology.
The fifth essay on pediatrician's self-evaluation
From xx, xx to xx, xx, I responded to the "Training for Key Doctors of Women and Children in the Province" initiated by the Provincial Health Department and went to the Children's Health Department of XXXXX Hospital for a half-year refresher training. It has been identified as follows: I worked in the children's health care department for two months and passed the health clinic, bone density room, children's dietary nutrition analysis and guidance, children's motor nerve development intervention treatment, children's intelligence measurement and other related health care departments. Daily work includes: following the chief physician's outpatient duty, general pediatric outpatient physical examination, assisting the teaching teacher in physical examination of patients, independently exercising children's motor function, assisting the teaching teacher in dietary nutrition analysis of children, assisting the teaching teacher in bone mineral density examination of children, and providing health care guidance for children.
The new technologies I have learned are: infant intelligence development assessment, infant dietary nutrition analysis, infant temperament type analysis, children's mental health consultation, the application of EEG in early diagnosis of children's epilepsy, the application of infant eye examination and eye care in children's health care, and the emergence of infant oral health care in children's health care. The technologies that may be applied to children's health care in our hospital include: widely popularizing the application of bone mineral density in children's physical examination, vigorously advocating the application of trace elements in children's health care, strengthening the management of early neonatal health care, strengthening the evaluation of infants' development at all stages, realizing one-stop health care services from birth to all ages, and giving full play to the application of children's health care manual in infants' growth and development.
After further study, I think I feel the importance of medical specialty. After entering the department, I found that the learning atmosphere in the department was strong, and I felt that I was back to my student days. After handling the doctor's advice every day, there will be collective discussion among departments for difficult cases or special cases. Even the director will personally lead everyone to the patient's bed for repeated detailed physical examination. Every week, teaching will be held in the department, and leaders of each group will organize speeches to explain some personal experience in diagnosis and treatment and some latest treatment plans and research results at home and abroad. The department has its own library, and all books are open to the public and can be consulted at any time. From department heads to interns, anyone can ask questions at any time and get satisfactory answers. What I feel most is the teachers' thirst for knowledge. Compared with their attitude towards learning, our learning only passively accepts knowledge, and we only think of learning when we need it. Teachers in superior hospitals, after years of study and accumulation, have formed a habit, which can be in the bones and in the blood, just like we have to eat and drink water every day. In such a learning atmosphere, the staff of the whole department will form a benign competition mode, and improve their professional level as a whole through mutual supervision and encouragement.
At the same time, during my study in XXXXX Hospital, I really felt the sense of responsibility shouldered by a doctor, especially in the neonatal department. In the neonatal intensive care unit, because of the particularity of their posts, frontline clinicians basically have no rest time, often on duty for more than 30 hours, and almost constantly transfer wards to make rounds for children. Director of Neonatal Department Stone once said: It's not that I don't want to have a rest. Responsibility is tied to life. When the family gives the child to us, we must try our best to ensure that the child is comprehensive. Under such high-intensity work pressure, every doctor in the neonatal department has a high sense of responsibility. Once the children in the ward are in danger, they can always rush to the ward for rescue. During my two months in the intensive care unit, there were more than 90 critically ill newborns in the hospital every day, but none of them died because of poor treatment. It is precisely because of the sense of responsibility as a doctor that children in the neonatal intensive care unit mainly treat critically ill newborns, with a very high survival rate and are very tired every day. The ancient sages once said: officers are not afraid of death, civil servants are not greedy for money, and so are our doctors. I think a hospital can really grow and develop, not because of how good its hardware facilities are, nor because of how advanced its medical equipment is, but because of such a group of doctors with faith.
Furthermore, I fully understand the importance of grasping the details. You can meet many rules everywhere in XXXXX hospital, from prescriptions, doctor's orders, diagnosis and treatment norms to dress and behavior. After the beginning of further study, I went through the process of not knowing the rules everywhere, hitting a wall everywhere, beginning to understand and abide by them, and finally highly agreeing with them. In this process, I understand the importance of details. There is an unwritten rule in the department of neonatology, no matter what level of doctors, anyone can criticize and correct them as long as they violate the rules, so many small rules have become habits over time. For example, hand washing, before further study, I never thought that there would be so many sayings about a simple daily action. In addition to strictly following the prescribed "seven-step hand washing technique", I also need to know what to do when washing my hands, what hand sanitizer to use and what disinfectant to wash my hands with, and I actually took the exam three times in the first week of my department. In daily life, there are clear regulations on when to wear what kind of work clothes, where to visit clothes and shoes, the classification of medical waste and domestic waste, the sitting posture and distance to be maintained when communicating with patients' families, and some habitual greeting occasions. These regulations and measures fundamentally put an end to the breeding of some bad behaviors and habits, and also laid the foundation for the benign development of the department. From this, I thought of the actual situation of our grassroots. If we can give full play to the role of mutual supervision and clear responsibilities, and strictly formulate and implement rules and regulations, how can there be mistakes and accidents?
The short half-year study time is over. In the past six months, I have experienced pain and loss, as well as happiness and enrichment. After hard work, I feel that my whole body and mind have changed a lot. Only after seeing the outside world do we know how high the sky is and how wide the earth is. After a lot of experience, I found that there is a gap between being an excellent doctor and being a qualified doctor, so I will work harder.