In March of 20xx, with the care and support of hospital leaders and department heads, I went to the Department of Rehabilitation of the First Affiliated Hospital of Henan College of Traditional Chinese Medicine for a three-month refresher study on rehabilitation techniques. I will report my learning experience to the leaders as follows.
During the study in OT, ST, rehabilitation evaluation room and physiotherapy room, I strictly observed the rules and regulations of hospitals and departments, mastered the functional evaluation of hemiplegia, paraplegia, cerebral palsy and amputation, and formulated the training plan and clinical application of rehabilitation treatment technology. During my further study in OT room, I not only consolidated my professional knowledge, but also learned a lot of practical knowledge, such as giving some reasonable and effective treatment schemes to new patients under the current situation. Not all patients have the same treatment items, but should follow the principle of occupational therapy, then draw up a reasonable treatment plan, re-evaluate it during the treatment and make reasonable arrangements. Re-evaluate when leaving the hospital and explain the precautions to the patient's family. In the study of ST room, I relived aphasia, dysarthria, dysphagia, language retardation and cognitive impairment in children. Including definition, etiology, symptoms, classification, diagnosis, evaluation, treatment, etc. And the treatment has been standardized. Every instruction language, every movement and every feedback in my treatment have been fully guided by the teaching teacher. After constant standardization, the treatment methods of the teaching teachers are combined with the treatment methods they have mastered, and patients with various language disorders and dysphagia are treated independently, and different degrees of efficacy have been achieved in the treated patients. This study focuses on the rehabilitation of stroke patients and accelerates the rehabilitation of limb function of stroke and brain injury patients. The sooner the recovery time, the better. As long as the patient is conscious and his vital signs are stable, he can start. In addition, we should do a good job in publicity to make patients and their families
Cooperate with medical staff and actively participate in rehabilitation training, so that they can recover as soon as possible and return to their families and society.
Finally, thank you again for giving me this opportunity to study. After returning to my hospital, I will apply what I have learned, sum up all kinds of knowledge I have learned, sum up the development model more suitable for our hospital with the team under the full instructions of the leaders, combine the hospital model with the scientific and educational institution model, make effective treatment methods serve patients better, develop rehabilitation department and become an influential rehabilitation team.
Rehabilitation Department: Wang Hongxia
20xx 1 1 month
Chapter two: Summary of further study in Department of Rehabilitation Medicine.
First of all, I would like to thank the leaders of the institute for giving me such a good opportunity for further study. I know this opportunity is really hard to get. Thank you for your trust and expectation. During my further study, I always remember the entrustment of the hospital leaders, asking more questions, doing more work, communicating with the teachers, and trying to seize this opportunity for further study and improve myself. After three months' training of rehabilitation doctors, I have mastered the knowledge of rehabilitation therapists' treatment technology, rehabilitation doctors' diagnosis and treatment technology, department management mode and rehabilitation ward management in Shandong Jiaotong Hospital. The specific situation is reported as follows:
1. Learning situation: During my further study in PT room, OT room, ST room and ward of rehabilitation department, I strictly abided by the rules and regulations of hospitals and departments, and mastered the functional evaluation, training plan and clinical application of the rehabilitation treatment technology of hemiplegia, paraplegia, cerebral palsy and amputation. This study focuses on the rehabilitation of patients with stroke, brain injury and paraplegia, that is, taking all measures to prevent the occurrence of disability, reduce its impact, and make patients return to normal social life to the greatest extent. The best period of limb function rehabilitation for patients with stroke and brain trauma is within three months after onset, during which rehabilitation can accelerate the progress of limb function recovery. The sooner rehabilitation treatment, the better. As long as the patient is conscious and his vital signs are stable, he can start. In short, the effective recovery period is within 6 months after onset; If the course of disease exceeds 1 year, the rehabilitation effect and the speed of limb function recovery will be reduced. Therefore, it is necessary for medical staff in various departments to cooperate with each other to do early intervention for patients with stroke and brain injury. In addition, we should do a good job in publicity, so that patients, their families and medical staff can cooperate with each other and actively participate in rehabilitation training, so that they can recover as soon as possible and return to their families and society.
In addition, I also actively participated in the lectures of our department, and had the honor to participate in the two-week national training course on rehabilitation technology held in Jinan, and carefully studied and photographed the advanced rehabilitation technology of well-known experts in the field of rehabilitation at home and abroad. Well-known experts include ABBIE NAJJARINE, MD of Australia, Professor Hu from Fuxing Hospital of Capital Medical University, Professor from China Rehabilitation Research Institute, Professor from Jiangsu Provincial Hospital, Professor from Shandong Provincial Hospital, Professor Yue Shouwei from Qilu Hospital, Professor Li Tieshan from Affiliated Hospital of Qingdao Medical College and Professor from Shandong Jiaotong Hospital. Through my study, I have broadened my horizons and increased my knowledge, and my understanding of rehabilitation medicine has also risen to a new height.
2. Importance and social benefits of rehabilitation department: Among the patients with "three paralysis", some patients can't take care of themselves, although they have saved their lives. Patients not only can't participate in social labor, but also need someone to accompany them. If rehabilitation medicine can be used to treat patients in time, it can greatly alleviate the pain of the disabled, the elderly and patients with various chronic diseases in the acute phase and early recovery, make them take care of themselves, return to their families and even society as soon as possible, and relieve the worries of patients and their families.
Through the study, I became more clear about the necessity of rehabilitation medicine, which is the need of patients. The more advanced medicine, the more developed economy, the greater the demand for rehabilitation, which is a major trend of medical development. Many tertiary hospitals have established rehabilitation branches in our hospital. For example, Qilu Hospital. Patients in our hospital (neurology, neurosurgery, orthopedics, etc.). ) need to recover a lot, don't worry about the source of the disease, can increase the hospital's economic income, and further improve the visibility of our hospital.
3. Establishment of Rehabilitation Department: This department was established in 1998, which is the first clinical rehabilitation in the province that integrates treatment, rehabilitation, training, consultation, research and prevention of hemiplegia, paraplegia and cerebral palsy.
Institution, the only cooperative unit of China Rehabilitation Research Center in provincial capital cities, A-level key discipline of Jinan Health Bureau. Subordinate institutions: neurological rehabilitation ward, rehabilitation training hall, rehabilitation evaluation room, exercise therapy room (PT), occupational therapy room (OT), speech therapy room (ST), cognitive therapy room, dysphagia treatment room, rehabilitation clinic, acupuncture and massage physiotherapy room, hyperbaric oxygen department and fumigation treatment room. This topic is the key topic of the hospital which is building a rehabilitation building. Finally, thank you again for giving me this learning opportunity. I think through my efforts and the help and support of leaders and colleagues, I will definitely make due contributions to the rehabilitation of our hospital.
20xx- 1 1-4
Chapter III: Summary of further study in rehabilitation department.
The three-month rehabilitation study is coming to an end, and I am about to join the new rehabilitation business in our hospital to serve the patients in our county. I am honored to attend this valuable further study. This learning opportunity is very rare, and it is the first year of the excellent doctor training program in lower hospitals in Hebei Province.
My unit is the Rehabilitation Department of the First Hospital of Qinhuangdao City, which is the most advanced unit of rehabilitation medicine in Qinhuangdao City. Average daily medical visits 100. The department is equipped with advanced rehabilitation instruments, including doctors 1 1 and technicians 18. The proportion of graduate students is as high as 64.5%. Their clinical skills are mature, knowledgeable and experienced, which has benefited me a lot. There is a case consultation in the department at noon every day. First, the doctor who presided over the discussion reported the medical history, then the interns, senior doctors, residents, attending doctors and technicians expressed their opinions in turn, and then the deputy director or chief physician in charge of the system to which the case belongs summarized and put forward the final diagnosis and treatment opinions. In the discussion, the atmosphere was harmonious, seeking truth from facts and attaching importance to evidence-based medical evidence. The opinions expressed were well-founded, which opened my eyes and taught me how to make a comprehensive analysis of a case, rehabilitation plan and clinical inquiry, and finally make the best diagnosis and treatment method.
In the course of daily study, I systematically studied the nervous system, trauma, peripheral nervous system, facial features examination methods and the diagnosis and rehabilitation of related diseases. Because I had little contact with rehabilitation knowledge before, I really didn't understand it at first. Because I used to focus on traditional physical therapy, I always used the principles of Chinese medicine to explain rehabilitation, which caused a wrong starting point. The director of the department did a lot of work for this purpose, and gave me a serious and popular explanation, which made us understand rehabilitation.
The principle of medicine, and use this principle to explain the phenomenon of disease. And compared the familiar common diseases and frequently-occurring diseases, which made me have a deeper understanding and read many typical cases. More than 30 diagnosis and treatment plans were written, and more than 60 patients/kloc-0 were examined. For some difficult and rare diseases, we have a preliminary understanding and laid a solid foundation for further study and research in the future.
During my further study, I focused on the rehabilitation diagnosis and treatment scheme of nervous system and bone injury system, and systematically studied various evaluation, physical therapy, occupational therapy and language therapy in rehabilitation medicine, and got a more comprehensive understanding of this. Although the equipment imported from our hospital may not be able to carry out in-depth technology in this field, with the development of the hospital, there will definitely be a big breakthrough in the progress of medical equipment. The purpose of my study in this field is to prepare for the near future, and at the same time, I am familiar with more knowledge and expand my knowledge, which is very beneficial to my future work.
The department implements the three-trial system, checks at different levels, and minimizes misdiagnosis and missed diagnosis. First, the doctor on duty writes the initial report, then the chief physician and deputy chief physician do the initial examination, and finally the senior chief physician does the final examination. For difficult cases, we discuss them together, express our opinions and finally agree. This reporting procedure is very reasonable, and it is also absolutely responsible for patients, and the work is rigorous. It is also very worth learning.
In addition to case consultation and discussion at noon every day, I also attended every postgraduate lecture. Although I didn't go to graduate school, I was very happy to listen to the teacher here with graduate students. I learned a lot of knowledge, as well as the work experience summarized by teachers, and I learned their rigorous attitude towards medicine. In the daily study, I have a basic understanding of the rehabilitation principle while learning the principle theory and combining with the actual operation. At the same time, those who participate in daily reports
Writing, after writing the report, let me have a deeper understanding of the disease, familiar with the daily diseases and the norms of report writing.
Besides professional study, I also realized the teachers' serious and responsible attitude towards patients. They have a large number of patients. Every teacher has a large number of patients seeking medical treatment every day, but when they meet patients who come to seek medical treatment, they always patiently explain them. In the diagnosis, I don't just finish the task, but consider the further treatment of patients, answer the questions of clinicians, and put forward reasonable diagnosis opinions and suggestions after careful consideration. These are all things I need to learn further.
Three months is very short, but I have gained a lot. However, time is limited and learning is endless. I realized that if I want to be an excellent rehabilitation doctor, I still have a lot to learn. In my future work and life, I will continue to take every opportunity to study, strive for better service for patients and contribute to the development of the hospital. Finally, I sincerely thank the hospital for giving me this opportunity to study. Secondly, I would like to thank all the teachers in the rehabilitation department of Qinhuangdao First Hospital. Thank you!
Rehabilitation Department: Song Li
20xx February 16