Medical students go from classroom to society, from books to clinic, apply theoretical knowledge to practice, consolidate medical theoretical knowledge in clinical practice, and master clinical skills and clinical thinking. Although the on-the-job training arrangement fully considers the role transformation of medical students, such as medical safety disputes and prevention, medical law education, medical record writing, informed consent and law, prescription management methods and prescription writing. , so that students have a basic understanding of medical and health-related legal knowledge, strengthen the awareness of preventing medical disputes, cultivate correct clinical thinking procedures, doctor-patient communication skills and attach importance to medical document writing, and put an end to all kinds of medical hidden dangers in clinical work. However, due to the limited time of traditional pre-job training, I can get to know the hospital in a short time and know what to do, what not to do and how to do it in clinical work, which is often very clear in class and unfamiliar in practice. Therefore, how to expand or extend the pre-job training is an urgent problem for the human resources department of our hospital.
1 Cultivate medical students' humanistic care and empathy.
With the generation of only children leaving school and entering the society after 1980s, they are not only open-minded and active, but also have a strong sense of social participation. In addition, their growing experience of being cared for and cared for since childhood has, to a certain extent, created the common characteristics of a group of post-80s youth, such as personality and self-emphasis. Relatively lacking in caring for others and empathy. In the early stage of my career, I need to train and cultivate this aspect consciously. Because medicine should pay attention to patients' psychological and social needs, it requires medical staff to communicate effectively with patients in clinical work and actively establish a good doctor-patient relationship with patients to promote treatment, so as to understand what patients care about and need, and make reasonable treatment plans according to patients' actual conditions. It also confirms the famous Hippocratic oath of the founder of western medicine more than 500 years ago: my only purpose is to seek happiness for patients ... Today, many medical college graduates still take this oath as their own. Humanistic spirit based on medicine and humanistic care of medicine can be embodied in many aspects. Such as cordial greetings to patients during rounds; Heating stethoscope to examine patients; Taking part in community free clinics on rest days, etc., these indispensable acts of kindness reflect a medical worker's good medical humanistic quality and noble professional ethics in details.
2. Cultivate the practical skills of medical students.
Medicine is a highly practical subject, and a young medical student must undergo repeated training and master solid clinical skills. Learning from the establishment of clinical skills medical training centers at home and abroad provides a very good model for our training and education system, the most effective way and the most direct platform for medical students to improve their clinical skills, and it is also the continuation of our pre-job training function for young doctors.
2. 1 Transfer to the doctor-patient relationship office.
With the progress of society and the improvement of people's quality of life, patients' awareness of law and self-protection has been obviously enhanced, and the requirements for hospitals and medical staff have gradually increased. The promulgation of a series of laws and regulations, such as the Law on Medical Practitioners and the Regulations on Handling Medical Accidents, also clearly stipulates the handling of mistakes and negligence in the practice of doctors, and demands to ensure the correctness and legality of doctors' practice activities, which is the requirement of protecting patients' basic rights and the main purpose of medical humanitarianism. In the doctor-patient relationship office, patients often complain because of their dissatisfaction with service attitude or medical quality. Small disputes can be solved through personal complaints, reception, mediation and consultation, and big disputes must be solved through legal channels. It can be said that every case is the most vivid and intuitive teaching plan. Starting from the reality of solving problems, young doctors who have just entered the profession can learn from other people's lessons and remind themselves not to repeat the same mistakes.
The classified query of periodical articles is in the periodical database.
2.2 the establishment of clinical special skills medical training center.
The medical training center for clinical special skills mainly includes commonly used clinical operation techniques, such as the training room for medical students in Wan Fang Hospital of National Taiwan University, which has intelligent patient simulation and can perform various punctures, such as abdominal puncture and lumbar puncture. The training mode of emergency medical operations such as tracheal intubation and cardiac defibrillation can be operated by at least 20 people at the same time to meet the needs of clinical training.
2.3 Establish a standardized patient medical training center (simulated outpatient service).
For example, Qilu Hospital and Medical College of Shandong University recruited more than 50 standardized patient volunteers in the society. After more than half a year's training and assessment, it is used for medical students' learning, skill training and assessment. Each standardized patient plays the role of a specific disease, which is vivid and repeatable, and can give feedback to the doctor's consultation process.
2.4 the establishment of basic clinical skills medical training center.
The clinical basic medical training center mainly includes the training modes of heart and lung listening, palpation and abdominal examination, which can be used for heart and lung palpation, auscultation of various normal and abnormal breathing sounds, rales, pleural friction sounds, heart sounds, cardiac murmur and pericardial friction sounds, as well as abdominal palpation and liver and spleen palpation training. If human resources are sufficient, young doctors can go to repeated training at any time and organize examinations regularly.
2.5 the establishment of basic skills training centers in various professions.
Basic skills training centers, such as the medical training center for basic surgical skills and basic nursing skills, are used to train basic surgical skills, including incision suture model, local skin infiltration anesthesia training model, intestinal anastomosis training model, aseptic operation training model, intramuscular injection model, intravenous injection model, infant scalp intravenous injection model, intradermal injection model, etc.
2.6 Establish a clinical virtual medical training center.
Virtual medical training center includes simulated laparoscopy, gastroscope room and simulated operating room. For example, the Laparoscopic Training Center of Zhang Bin Hospital of Xiuchuan Medical Center in Taiwan Province Province can perform simulated animal endoscopic surgery on 20 experimental pigs at the same time. Trainers can watch surgical videos from their software programs, and they can also carry out surgical training with the help of instruments provided by the system, which is especially beneficial to cultivate the sense of space of surgery under the microscope and help trainers master surgical techniques and familiar techniques in a short time. You can also send the surgical video to the lecture hall, explain it while watching the image, and discuss it with medical students.
2.7 the establishment of situational teaching and training center.
Only when it is closest to the truth, the trained ability is closest to the truth. In the training center, medical students are brought into various possible first-aid scenarios by means of on-site simulation, so that medical students can receive knowledge transfer and ability training in the scenarios. Through repeated training, medical students' psychological stress ability, overall planning ability under abnormal circumstances and subjective initiative in first aid are enhanced, and their observation ability, hands-on operation ability, mutual cooperation ability and innovation ability are improved, so that they can make more reasonable, timely and effective arrangements for emergencies, and finally achieve the goal of changing single training into multiple compound training, shortening the distance between clinical practice and textbook theory, and once they are really put into actual treatment, they can better complete the first aid task.
Systematic, standardized and phased training by specialty is a generalized pre-job intensive training for us to become a medical worker from a medicine. Only by establishing a strong training base and a feasible training plan can young medical students quickly consolidate their book knowledge and avoid invasive examination of patients as "novices" or unskilled people, or some operations may bring pain or harm the interests of patients or even endanger their lives because they do not master the skills, such as pneumothorax and mediastinal swing caused by improper thoracic puncture operation; Improper lumbar puncture operation will lead to paraplegia, which runs counter to the doctor's purpose of treating diseases and saving lives. Scientific pre-job training will greatly enhance the confidence of medical students in practice and operation at work.