Annual Summary of Resident Training 1 Under the leadership of President XXX, our department has conducted a series of standardized training for residents in our department in combination with the actual situation of our department.
1, cultivation of noble medical ethics and sense of responsibility:
The vague concept of medical ethics affects the progress of doctors and the development of the industry, which not only damages the image of the health industry, but also has a bad social impact. The technical level of doctors is directly proportional to their sense of responsibility. It is impossible for an irresponsible doctor to observe and deal with patients attentively, so the technical level will not be very high, and even medical disputes will arise. Our department strengthens the cultivation of professional ethics and sense of responsibility in resident training, urges the teaching teachers to set an example and subtly infect standardized training doctors. At the same time, teaching teachers need to analyze and discuss the specific situations encountered in their work, grasp typical cases, analyze them in depth, and cultivate the determination and long-term nature of standardized training doctors to resist unethical behavior.
2. Strengthen the cultivation of communication ability between doctors and patients;
Harmonious doctor-patient relationship can effectively prevent and reduce the occurrence of medical disputes, and communication barriers are an important factor leading to the decline of trust of patients and their families in hospitals and medical staff, and also a potential risk factor leading to medical disputes. Therefore, in the training process, we advocate "putting yourself in the other's shoes and sincerely caring for patients". Some seemingly insignificant actions can win patients' high trust, such as shaking hands with patients during rounds and tucking them in at night. The standardized training of doctors should embody the service concept of "people-oriented" in details, which will greatly promote the communication ability between doctors and patients.
3. Participate in clinical research and develop scientific research thinking;
Our department has also added clinical scientific research ability training and specialized foreign language reading programs to the comprehensive quality training of residents, requiring trainees to participate in our scientific research work during the training period and cultivate scientific research ideas and rigorous scientific attitudes. The purpose is to let them know the development, new knowledge and new skills of this subject and keep pace with the times.
4, basic theory training should pay attention to teaching:
Regular resident meetings are held every month, and doctors and technicians who come back from hospital for further study are invited to give lectures once. Clinical practice training, after the residents go deep into the department, the director of the department designates the attending physician and the instructor with the title of subtropical high or above, and implements the training mode of combining the instructor with the collective guidance of the superior doctors.
5, strengthen the evaluation and assessment:
Establish and implement a quality evaluation and assessment system, including the evaluation and inspection of training quality and organizational management level, and carefully organize the assessment. The purpose of evaluation and examination is to test the participation of clinicians in training, and at the same time find out the shortcomings in training, so as to continuously improve in future work.
At the same time, some problems have been found: the rotation of residents can not meet the requirements, and the quality and quantity of teaching teachers can not meet the training requirements. In clinical skill assessment, it is generally believed that real patients or standardized patients, simulated patients or virtual patients should be used as much as possible, and the assessment scheme, content, process and time should be designed as objectively as possible, and humanities, ethics and law should be added.
Resident training is in the process of gradual standardization from scratch. It is our responsibility and mission for teachers to attach great importance to the training of residents. We should make great efforts to cultivate excellent medical talents for the society with great enthusiasm!
Annual Summary of Resident Training 2 Strengthening the training and management of residents is extremely important for cultivating high-level clinicians and improving the quality of medical services. Combined with the actual situation in our hospital, a series of standardized training was conducted for residents.
1, medical ethics accomplishment: the vague concept of medical ethics affects the progress of doctors and the development of the industry, which not only damages the image of the health industry, but also has a bad social impact. The technical level of doctors is directly proportional to their sense of responsibility, so it is impossible for doctors without sense of responsibility to observe and deal with patients attentively, and may even lead to medical disputes. Our hospital strengthens the cultivation of professional ethics and sense of responsibility in resident training, and conducts standardized training by watching CDs and urging teachers to set an example. At the same time, the teachers also conduct targeted analysis, discussion and in-depth analysis in combination with the specific situations encountered in the work, so as to cultivate residents' determination to resist unethical behavior.
2. Strengthen the cultivation of communication ability between doctors and patients: A harmonious doctor-patient relationship can effectively prevent and reduce the occurrence of medical disputes. Communication barriers are an important factor leading to the decline of trust of patients and their families in hospitals and medical staff, and also a potential risk factor leading to medical disputes. The "people-oriented" service concept was emphasized in detail in the training, which greatly promoted the communication ability between doctors and patients.
3. Basic theory training is mainly based on teaching: the medical department organizes in-hospital training every Wednesday afternoon, and the directors of various departments organize in-hospital training every Thursday afternoon, and each training is recorded in detail. Clinical practice training is the responsibility of the attending physician or deputy senior title physician designated by the directors of various departments. The training content is mainly based on clinical basic training such as medical history collection, physical examination, medical record writing and basic skill operation.
4. Strengthen assessment: establish and implement a quality assessment system, including the assessment and inspection of training quality, and carefully organize extracurricular assessment. The purpose of evaluation and examination is to test the participation of clinicians in training, and at the same time find out the shortcomings in training, so as to continuously improve in future work.
At the same time, some problems have been found, such as the rotation of residents and the quality of teaching doctors. It is generally believed that in the examination of clinical skills, simulated patients or virtual patients should be used as much as possible, the examination scheme, content, process and time should be designed as objectively as possible, and humanities, ethics and law should be added. The cultivation of residents needs suitable soil, and with the increase of qualifications, it is urgent to improve their abilities in all aspects except clinical skills.
The resident training in our hospital is in the process of gradual standardization. How to better guarantee and realize the standardized training of residents in the mechanism requires teachers to attach great importance to the training of residents. This is our responsibility and our mission. We should make great efforts to cultivate excellent medical talents for the society with great enthusiasm!
Annual Summary of Resident Training: In the past 33 years, the standardized training of residents in our department has achieved rapid development, and various medical operation indicators have increased, especially the number of outpatient and emergency departments, which also means that the clinical workload of residents participating in standardized training has increased significantly. The increase of clinical workload can greatly increase the opportunities of clinical practice, which is consistent with the general idea of resident training from the perspective of clinical ability training.
(1) Construction and management of training base
(1) In the past three years, residents have changed their major, including stomatology, oral and maxillofacial surgery, prosthodontics, orthodontics, emergency department, medical imaging department, general surgery, cardiovascular medicine, pathology department and other related professional departments. Changing majors broadens the horizons of doctors who have just joined the work and lays a good foundation for future work. At the same time, other departments also send residents to our department in turn, and we also teach them the knowledge of stomatology.
⑵ Arrange department professional knowledge lectures 12 times a year, including two lectures by the deputy chief physician, focusing on the management system of various sensory organs in the department, the diagnosis and treatment of common oral diseases, the cultivation of clinical thinking and the improvement of scientific research ability. Let residents who have just entered the hospital know about the hospital, patients and various diseases, and strengthen standardized management.
⑶ According to the requirements of standardized training for residents in Zhejiang Province, standardized training, strict "three basics" training and assessment were conducted for residents, and all of them passed the annual examination.
(4) Resident attendance registration, discussion of difficult cases, demonstration class of new oral instruments and materials operation, etc. At the same time, anonymous teaching evaluation activities were carried out, and residents were invited to evaluate the implementation of the rotation plan, the transfer of professional knowledge and skills, and the examination of leaving the department.
(B) the existing problems and countermeasures
Establish and implement quality evaluation and improve the evaluation system, including the evaluation and inspection of training quality and organizational management level, and carefully organize the evaluation of this department. The purpose of evaluation and examination is to test the participation of clinicians in training, and at the same time find out the shortcomings in training, so as to continuously improve in future work. At the same time, we also found some problems: ① The rotation of resident doctors can't meet the requirements, and the quality and quantity of teaching teachers can't meet the training requirements. ② It is generally believed that real patients or standardized patients should be used as much as possible in clinical skill assessment, and the assessment scheme, content, process and time should be designed as objectively and reasonably as possible, and humanities, ethics and law should be added.
(3) Work plan
The teaching teachers are also deeply touched by the standardized training of residents, and feel that the teaching work is a responsibility and honor. Put forward the work plan for the next stage: ① strictly follow the rotation plan and do not change it at will; ② Students are highly motivated and curious. Resident training can best reflect the high intensity of training, including clinical operations under the guidance of instructors, such as tooth extraction, minor surgery in oral and maxillofacial clinic, complete denture mold taking, etc. To master these skills successfully, it is an effective way to organize residents to strengthen their study and training. (3) Teachers should be strict in teaching, and residents should be strict in medical ethics and clinical skills besides professional knowledge. ④ Hierarchical teaching: Different teaching forms and contents are adopted according to different rotation requirements of clinicians. Use book knowledge to guide doctors how to walk to the treatment chair; Understand the typical clinical manifestations of typical cases; Establish correct clinical thinking and supervise them to carry out invasive surgery with great difficulty and high risk step by step. ⑤ Diversified teaching: We don't stick to "you talk and I listen", but present the teaching content flexibly. There are traditional teaching methods, such as lectures, clinical case discussions and literature reports. There are also innovative teaching methods, such as month-end review and patient education.
In recent two years, the initiative of residents participating in standardized training is higher than that of the first session, and the business lectures and case discussions carried out by the department have achieved initial results. As a key link of lifelong medical education, standardized training for residents is an inevitable stage for the development of specialists, the only way to form medical clinical experts, and an effective means to improve the level of medical services and ensure medical safety. I hope it will last forever.
Annual Summary of Resident Training 4 As a medical student who has just left school and entered the hospital, standardized resident training is an essential step we must go through. Although I am just a "newcomer", as a doctor, I deeply realize that my job is to "try my best to eliminate human diseases, help improve health, safeguard the sanctity and honor of medical skills, and heal the wounded and rescue the dying". After this year's study, I have a lot of thoughts and feelings about my work. Here I briefly summarize:
I. Ideological and political performance and professional ethics
Can basically and conscientiously implement the party's basic line, principles and policies, and actively study political theory through newspapers, magazines and books; Abide by the law and study legal knowledge seriously; I love my job, have a strong sense of responsibility and dedication, take the initiative to study professional knowledge seriously, have a correct working attitude and be serious and responsible. In the process of medical practice, we should strictly abide by the medical ethics norms, do not issue false certificates, do not prescribe prescriptions, and do not open a medical education network to collect and sort out.
Second, daily work and business study.
Under the leadership of the director of the department, I have been adhering to the fine tradition and style of work in the past, studying hard and summing up assiduously, and "removing the rough and selecting the essence, removing the false and retaining the true, from the outside to the inside, removing the dross and selecting the essence" from the past experience. More perfect and skilled application of various anesthesia methods and techniques, such as nerve block in various parts, regional block, various general anesthesia methods and various puncture techniques, as well as the maintenance and use of various instruments and equipment.
One year is short and busy, and I have grown a lot under the guidance of my predecessors. In the new year, I will continue to strengthen political study, improve my work quality, study professional knowledge hard, and complete all the tasks assigned by the leaders with high standards and strict requirements. I should carry forward my own advantages, overcome my own shortcomings, and strive to contribute my strength to Corey!
Annual Summary of Resident Training 5 20xx May 1, I started a three-year standardized training course for general practitioners in Yuncheng Central Hospital, including internal medicine, surgery, obstetrics and gynecology, pediatrics, emergency department, infectious diseases, psychiatry, geriatrics, plastic surgery and so on. From the first day, I was arranged in pediatrics, and the training and study time was 2 months. The pediatrics here are divided into general pediatrics and neonatology. The substitute teacher is Chang Sufang, the attending physician. She majored in neonatology. Every day, she teaches me the corresponding neonatal diseases according to the situation of hospitalized newborns, so that we can better remember many neonatal diseases, such as premature infants with low (extremely low) birth weight, which is the most common neonatal disease. At the same time, premature infants may be accompanied by idiopathic neonatal diseases: neonatal respiratory distress syndrome, neonatal necrotizing enterocolitis (AEC), neonatal apnea, neonatal jaundice and neonatal sepsis. For the complications of premature infants, comprehensive treatment should be given, such as heat preservation in incubator, oxygen inhalation in incubator, antibiotics to prevent infection, creatine phosphate and ganglioside to nourish the heart and brain, and glucose water should be fed according to 1ml/Kg. Feed it every 3 hours. If there is no vomiting, it means that the newborn sucks well and swallows harmoniously. After that, premature babies can be fed with formula milk. If you don't spit milk, the amount of milk will gradually increase. For each disease, there are different treatment schemes. For example, neonatal respiratory distress syndrome is the most common. Premature infants will have cyanosis of mouth and lips, poor primitive reflexes, convulsions and so on. , oxygen saturation will decrease. At this time, CPAP ventilator will be used to assist ventilation at first, and the oxygen flow rate is 2-3ML/min, and the oxygen concentration will be adjusted according to the oxygen saturation (the lowest oxygen concentration is 2 1%, and the highest is 90%). If the oxygen concentration, neonatal apnea is the most common, but also I remember and master the best. The reason is that the brain stem central system of premature infants is underdeveloped and there is a short-term respiratory arrest. The whole body skin is blue, the original reflex is poor, and it will recover quickly after being stimulated. At the same time, it is necessary to closely record the number of apnea of children every day. If recurrent attacks occur, CPAP ventilator-assisted ventilation, human blood immunoglobulin treatment, and further potassium citrate treatment can be given. This is the latest medicine I have ever seen. I have experienced all the above neonatal diseases. The study time of pediatrics is just in summer. During this period, viral encephalitis is the disease with the highest incidence in general pediatrics (more than 28 days after birth). Symptoms are fever, headache, vomiting and cerebrospinal fluid examination of lumbar puncture, so there are many opportunities to participate in lumbar puncture surgery. At the same time, head CT and routine EEG examination are feasible. Mannitol (5ml/Kg) was given to reduce intracranial pressure, anti-infection, anti-virus and inosine. Kawasaki disease, upper respiratory tract infection, allergic purpura, motor mental retardation and epilepsy have all been encountered in pediatrics. Pediatrics is an independent discipline, involving all systems of the whole body. The study time of two months is very short, and there are still many things to learn and master. As a physician, I need more time to study all diseases in pediatrics and apply them to clinic.
20xx was transferred to the Department of Gastroenterology on July 3rd. I studied and worked in the Department of Gastroenterology of our county hospital for some time. I thought I should be eager to learn, but I didn't know that some diseases had been seen until the gastroenterology department who really came here, but I didn't see any new treatments. My teacher is the attending physician in Wang Weimin. He is a major in biliary tract diseases, so the most common diseases are biliary tract diseases, such as gallbladder multiple stones, gallbladder neck stones and bile duct stones. Among them, there is a new method to treat bile duct stones, called ERCP (choledocholithotomy under duodenoscope), which does not remove all bile duct stones, but only reduces the obstruction of bile duct stones to the pancreatic duct, thus avoiding pancreatitis. I have seen a middle-aged male patient with gallstones in the neck of gallbladder, which caused acute cholecystitis and enlarged gallbladder. It was a huge gallbladder. They did not undergo cholecystectomy immediately, but received drainage bag treatment for 3 months and continued anti-infection treatment for 65,438+00-65,438+05 days. Three months later, they underwent surgery. Polyps are also very common, such as gastric polyps and colorectal polyps, which will cause corresponding clinical symptoms. The simplest thing is to do endoscopic polypectomy, and at the same time, the pathological examination results are mostly polyposis. Gastric protuberant lesion is a new term I learned in digestive science. Unlike polyps, most of them are ectopic pancreas, which can be taken out and examined under a microscope. During this period, there were not many patients in the Department of Gastroenterology, so I summarized that the diseases I have seen most, such as peptic ulcer, gastrointestinal bleeding, intestinal obstruction, etc., are relatively rare, and there are very few real single-disease digestive diseases, and the study of digestive medicine is coming to an end. So I have too much knowledge to really master and apply to clinic.
To be a really good doctor, it is not just a single subject, but to master general knowledge and better serve every patient.