Lead: Talents are the backbone of hospital survival and development. In all the work of the hospital, personnel training is always the top priority. The implementation of the above work provides a platform for the hospital to train high-level talents. The following is my self-evaluation of Chinese medicine teachers' education. Welcome to read the reference.
Chapter 1: The education and self-evaluation of learning Chinese medicine time flies. Unconsciously, I have been a doctor for more than ten years. I have the honor to learn from Professor Yin Huarong, a famous old Chinese medicine practitioner, who has benefited a lot and benefited for life!
Clinically, Mr. Yin is good at treating cardiovascular and cerebrovascular diseases, neck, shoulder, waist and leg diseases and intractable diseases with traditional Chinese medicine. In the days when I studied with my teacher, I deeply realized that Mr. Yin is a knowledgeable teacher. He is good at transforming his many years of clinical experience into theory to guide students' work, which broadens my mind, enlivens my thinking, broadens my horizons, renews my concept, gradually improves my diagnosis and treatment technology and strengthens my confidence in Chinese medicine. What I feel from Mr. Yin is that he is full of confidence in the ancient discipline of Chinese medicine and its development prospects.
With the development of modern science and technology, modern medicine has flourished on the basis of modern natural science achievements, while traditional Chinese medicine is ancient medicine for thousands of years. Some people think that Chinese medicine is a product of thousands of years ago and is incompatible with today's modernization. Learning Chinese medicine is outdated, even retrogressive in history. Although the classic theory of traditional Chinese medicine is out of date, many ancient books seem to be outdated, but new effects can be found. For example, Dachaihu Decoction is a prescription in Treatise on Febrile Diseases more than 0/0,000 years ago, which has a good curative effect on acute pancreatitis on the basis of modern western medicine treatment. Another example is coronary heart disease, and modern medicine is difficult. Western medicine needs long-term medication and has great side effects. It has a good effect to replenish qi, eliminate phlegm and promote blood circulation with traditional Chinese medicine. Teacher Yin used a large dose of Astragalus membranaceus to treat vascular diseases, and used a large number of drugs to warm and tonify kidney-yang to treat hyperosteogeny, and achieved good results. After studying under Mr. Yin, my learning attitude is different. I used to learn by rote at school. I just want to memorize all the contents of the book, whether I understand it or not. During the exam, I wrote it down word by word, and it was a success. Learning is very passive, aiming at scores, and there is no fun at all. Now, following the clinical practice of Mr. Yin, aiming at treating patients well, Mr. Yin is good at raising his years of clinical diagnosis and treatment experience into theory and gradually "enlightened" me. Traditional Chinese medicine is empirical medicine, which pays attention to syndrome differentiation and treatment. The current mode of following the teacher is just a mode to prove this feature, which makes me take a lot of detours less. As an old Chinese doctor, Mr. Yin has a broad and inclusive mind and a far-sighted vision. He graduated from West China University of Medical Sciences. For modern medicine, he advocates taking root in Chinese medicine, making western medicine serve China, and combining Chinese and western medicine.
It is precisely because of teacher Yin's positive attitude of being open-minded, tolerant and advancing with the times that he has become an enduring evergreen tree in the medical field and has a good reputation among patients. Teacher Yin often teaches us to "make a career first". As his student, I not only learned the art of settling down, but also realized Mr. Yin's noble medical ethics and strong personality charm.
Chapter 2: Self-identity of TCM teacher education. I have been working in the inpatient department of internal medicine since I was a doctor 18. Although I sometimes use the concept of TCM syndrome differentiation and treatment in clinic, I can't always skillfully use it. Therefore, in most cases, western medicine is the main treatment, and there is no confidence in the efficacy of Chinese medicine. This year, I had the honor to learn from Mr. Chen, one of the top ten old Chinese medicine practitioners in Sichuan Province. Through oral instruction and careful guidance, I gradually realized the enduring charm of Chinese medicine, and saw the profound side of Chinese medicine, so I was full of confidence in the cause of Chinese medicine and determined to concentrate on learning Chinese medicine well, using Chinese medicine well and inheriting Chinese medicine well. After more than half a year's study, I have benefited a lot. Now I will summarize my learning experience as follows:
First, "take the great doctor's sincerity as the concept, and aspire to benefit your life."
"Those who want to practice medicine in the world in ancient and modern times should be treated first; If you want to cure your body, you should be upright first; If you want to be correct, you must be sincere and skillful. This is a doctor's kindness. As a doctor of medicine, besides superb medical skills, it is more important to have noble medical ethics. Chen Lao has set a good example for us in "benevolence, kindness and benevolence". He always takes every patient seriously and takes it as his duty to alleviate their pain; Be modest in the process of clinical diagnosis and treatment, patiently explain and analyze the patient's condition; Always think of the patient and never prescribe expensive tests and drugs; Sometimes giving patients free medical treatment without registration fee ... the teacher's words and deeds deeply infect each of our students. I will inherit the teacher's sense of responsibility and love for patients, and I will definitely take Sun Simiao's "great doctor's sincerity" as my life criterion, so as to truly "ask for help when someone is sick, regardless of the rich and the poor, the old and the young, whether friends are friendly or not, and whether they are ignorant. "
Two, strengthen the theoretical research of traditional Chinese medicine, theory with clinical.
Theory comes from practice, practice is based on theory, and theory is the foundation of TCM development. Therefore, strengthening the theoretical research of traditional Chinese medicine in practice is of great benefit to improving clinical efficacy. The basis of clinical support of TCM is the basic theories such as Yin-Yang and Five Elements, Zang-Fu Meridian, Four Diagnoses and Eight Classes, Etiology and Pathogenesis, Treatment Principles and Methods. How to master and use it well undoubtedly requires understanding the connotation, extension and complex relationship of various related concepts, and constantly enriching and perfecting them through clinical practice, thus guiding clinical practice and pioneering and innovating. Of course, you need to read and remember the main provisions of the classics and understand the meaning of the whole book. If you don't use your brain to read Treatise on Febrile Diseases, Synopsis of the Golden Chamber and Treatise on Febrile Diseases, you can have a profound understanding of the theory of traditional Chinese medicine, and you will have running water at the source when you are in the clinic, so you won't be thirsty and poor in skills. Chen Lao also taught us that as a Chinese doctor, we should also be familiar with the knowledge of Chinese medicine and master the nature, taste and meridian tropism of drugs; And can be familiar with the processing of drugs; Only by identifying the quality and authenticity of drugs can the efficacy and safety of drugs be guaranteed. Therefore, I use all my spare time to strengthen theoretical study; Go to the Chinese pharmacy to identify medicinal materials; The organic combination of theory and clinic, continuous thinking and summary, has greatly improved the level of Chinese medicine.
Third, keep pace with the times and combine syndrome differentiation with disease differentiation.
Chen Lao believes that with the development of modern medical science and technology, the traditional disease differentiation and syndrome differentiation can no longer meet the needs of people to understand and treat diseases, and its limitations are gradually emerging in clinic. In order to make up for the deficiency of traditional methods of disease differentiation and syndrome differentiation, taking modern medical diagnostic indicators as a part of TCM syndrome differentiation can not only improve the objectivity and accuracy of syndrome differentiation, but also give new ideas to the traditional dialectical thinking mode. Chen Lao advocates 1. Combination of disease and syndrome. Clinically, the first thing is to diagnose what disease the patient has, and then treat it according to the theory of traditional Chinese medicine. Only by paying equal attention to disease and syndrome and combining them organically can the clinical effect be remarkable. For example, patients with chronic cholecystitis, gallstones and some gastric and duodenal ulcers can all show fullness or pain in the right rib, which can be treated by soothing the liver and regulating qi. However, due to their respective pathological characteristics, there should be similarities and differences in treatment. Chronic cholecystitis and cholelithiasis: Curcuma Rhizome, Herba Artemisiae Scopariae and Fructus Gardeniae are added. Gastric and duodenal ulcer: add Zuojin Pill and cuttlebone to make acid. 2. No symptoms. With the development of modern medicine, some diseases have no clinical symptoms in the early or late stage, but there are abnormalities in physical and chemical examination. For this kind of patients, take the method of treatment due to illness. 3. No symptoms. Disease-free refers to diseases that have not been diagnosed at present, such as dry mouth of unknown reasons, and no abnormalities have been found in various tests, but TCM syndrome differentiation has clearly manifested as stomach yin deficiency, liver and kidney yin deficiency and other syndromes. At this time, the indications should not be sick. Satisfactory results can often be obtained by using Yiwei Decoction, Guan Yi Decoction, Liuwei Dihuang Pill and other prescriptions. 4. the combination of Chinese and western. Traditional Chinese medicine and western medicine have different theoretical systems, but each has its own strengths. We should not attack each other's shortcomings, but learn from each other's strengths. A good Chinese doctor should learn modern medicine while studying Chinese medicine, serve Chinese medicine and improve clinical efficacy. Such as tuberculosis and chronic gastritis.
Fourth, sum up teachers' experience and apply what they have learned.
Teacher Chen has been a doctor for decades and has rich clinical experience. He is good at treating various common diseases, frequently-occurring diseases and intractable diseases in internal medicine, gynecology and pediatrics. In the short time of studying with my teacher, I have realized that Mr. Chen is a knowledgeable teacher. He often patiently explained the clinical skills that we need to learn and master in clinical practice, promoted clinical practice to theory to teach us, and let us improve ourselves from the practice-theory-practice model. I deeply realize that follow-up and medical record arrangement are effective ways to inherit teachers' experience. Follow the teacher's consultation, face the clinical cases, start with writing cases and four diagnoses, and repeatedly experience the teacher's dialectical thinking and medication experience, including how to grasp the main symptoms, dialectical analysis, treatment, medication experience and diagnosis and treatment skills. Medical records can reflect teachers' academic thoughts and clinical experience. I use my spare time to sort out the teacher's medical records, especially some difficult medical records and medical records with remarkable curative effect, and analyze the characteristics of the teacher's medication, from which I can get inspiration and guide my clinical diagnosis and treatment.
After more than half a year's study, I summed up that Mr. Chen advocated the second diagnosis, flexibly used the methods of "combining disease with syndrome", "treating disease without syndrome" and "treating disease without syndrome", and paid attention to "combining traditional Chinese and western medicine". For example, in the treatment of stomach diseases, teachers use drugs in combination with modern medical gastroscopy, which is the characteristic of teachers' medication and has definite clinical effect. If the patient's gastroscopy is accompanied by Helicobacter pylori infection, Rhizoma Coptidis, Scutellariae Radix, Cortex Phellodendri, Radix et Rhizoma Rhei, Fructus Gardeniae, Herba Violae, Herba Taraxaci, Rhizoma Alpiniae Officinalis, Fructus Amomi, etc. They are often supplemented, because they all have anti-Helicobacter pylori pharmacological effects to varying degrees, and they are used dialectically, and all anti-Helicobacter pylori drugs are listed together without departing from TCM syndrome differentiation, which deviates from the theoretical purpose of TCM syndrome differentiation.
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