The Cardiovascular Specialist Hospital of the First Affiliated Hospital of Xinjiang Medical University has 200 beds for cardiovascular diseases such as coronary heart disease department, pacing electrophysiology department, hypertension department, cardiac surgery department, cadre cardiovascular department I and II, Xinjiang pacing interventional diagnosis and treatment center and intensive care unit of cardiovascular center, cardiac function department and cardiac ultrasound diagnosis department, with more than 0/40 medical staff. Professor 15, associate professor 12, and 5 people enjoy xx special allowance. Department directors Ma Yitong and Ding Huang are famous cardiovascular experts in Xinjiang. Under their strict requirements, the learning atmosphere of the department is rich and slightly nervous. We use our spare time to study and take part in the self-taught exams and participate in special lectures held all over the country. The two experts also kept reporting the latest cardiovascular technology and theory at home and abroad, and felt that everyone was desperately studying. I was fortunate to study in this department and learned a lot of knowledge.
Cardiovascular specialist hospital is a hospital integrating medical treatment, teaching and scientific research, with strong technical force, well-known experts with senior skills and a group of young and middle-aged academic leaders with rich clinical experience and doctoral degrees. The level of diagnosis and treatment of cardiovascular diseases is at the leading level at home and abroad, and the professional cardiovascular diagnosis and treatment equipment is advanced and complete, with the international advanced INNOV2000 cardiovascular digital imaging machine. SONOS5500 multi-functional color ultrasonic diagnostic instrument, MARGUETTE red catheter physiological instrument, STOCKERT radiofrequency ablation instrument and rescue equipment, cardiovascular specialized hospital can complete the diagnosis and treatment of acute, difficult and difficult diseases in cardiovascular specialty. At present, emergency and routine percutaneous transluminal coronary angioplasty has been carried out, and the leading ones in China are percutaneous balloon dilatation of heart valve stenosis (atrial septal defect, ventricular septal defect, patent ductus arteriosus), pacemaker implantation (single-chamber, double-chamber, three-chamber pacing and ICD), radiofrequency ablation (for the treatment of rapid arrhythmia) and other non-thoracotomy interventional occlusion of congenital heart diseases. Pericardial fenestration, surgical repair of congenital heart disease, valve replacement and coronary artery bypass grafting rank first in Xinjiang. In the aspect of diagnosis and treatment of hypertension, it joined the World Hypertension Union and was in line with international standards, and the level of diagnosis and treatment reached the domestic advanced level.
I feel honored to study in the intervention room. My tutor is very considerate to me. I have just arrived in a new department, and I am a stranger. The teacher gave me a detailed introduction to the environment, personnel and workflow, and the location of medicines and articles, which made me familiar with the environment faster. Every morning, the nurses in the intervention room will take the initiative to arrive at their posts 30 minutes early, and more and more patients are undergoing surgery. They are short of manpower and have a heavy workload every day, but they work together in Qi Xin and unite as one, so that patients can get the most satisfactory care during the operation. In my three months, no patient complained, and all I saw was banners hanging all over the wall. Department leaders attach great importance to business learning and often organize everyone to attend various lectures. Experienced doctors in this department will also explain the complications, prevention and treatment of intervention. Make them sensitive, calm and well-trained in their work. In private, they learn relevant professional knowledge, meet new problems and discuss and learn new knowledge together. Under the guidance of the teacher and his own efforts, he has been able to deal with some unexpected situations during the operation.
When I work in the department, I can feel that they have a strong sense of self-protection, and can reasonably explain all kinds of problems raised by patients and clearly inform the development and prognosis of the disease. During my study in the catheter room of the First Affiliated Hospital of Xinjiang Medical University, I greatly broadened my horizons, especially their strong learning atmosphere and exploration spirit, which constantly inspired me to master new theoretical knowledge and technology as soon as possible.
Through this rare learning opportunity, I have a basic understanding of cardiovascular intervention. When I return to work, I will apply what I saw in medical school to my work in the best way, and bring good style and experience to my work to improve the quality of our work.
After three months of study, under the careful guidance of all teachers, I have learned a lot, and my professional level and communication skills have been qualitatively improved.
In the process of further study, while I am relearning the theoretical knowledge, I humbly ask the teaching teacher for advice, and have a deeper understanding of the handling of various key periods in natural childbirth. For example, in the first stage of labor, we have a combination of theory and practice in the reflection of labor charts; In the second stage of labor, I will be more clear about the method and opportunity of perineal protection after the fetal head is exposed and pushed out, and the treatment methods before and after the fetal head is delivered, so that the umbilical cord can be tied in an orderly way and the newborn's respiratory tract can be cleaned, and the delivery experience can be recorded in time; Perineal suture can be performed lightly, quickly and accurately after placental abruption in the third stage of labor.
In the process of my further study, I realized the importance of mental health care for pregnant women during childbirth. In the process of labor and delivery, I can observe the parturient with a calm and objective attitude, guide and help in a scientific and effective way, and encourage with warm words and deeds to make the delivery complete smoothly. Establish mutual trust with the parturient, meet the needs of the parturient for independence and dependence during delivery, make them feel comfortable and relaxed, and generate self-confidence. Only in this way can we ensure and promote the safety and health of mother and baby.
Generally speaking, in this rare study, I have benefited a lot from my own efforts and the selfless help of my teachers. In the future work, I will use my proficient business level and people-oriented communication skills to serve more pregnant women and truly apply what I have learned! "
Self-evaluation of doctoral studies III. 1 year's further study has just ended, and I have returned to my familiar post. 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. Respiratory medicine has two wards with 80 beds, in addition to allergic disease research room, pulmonary function blood gas room, bronchoscopy room, respiratory 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 during rounds, emphasizing seeking truth from facts and attaching importance to evidence-based medical evidence. Many principled issues have reached consensus, but differences that do not violate the 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 famous 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.
Thirdly, 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 above is my little suggestion to the hospital. If there is anything wrong, I hope the leaders will understand me, because I am from a Chinese medicine hospital and I love hospitals.