Article 1:
? Miki? Training is an important guarantee to improve the medical level of hospitals and an important way and method to improve the overall professional quality of medical staff. In order to better grasp the quality of basic medical care, standardize medical operation procedures and increase clinical and medical skills? Three basics and three strictness? Theoretical and operational assessment, to promote learning and practice basic skills. At the medical clinic? Three basics and three strictness? Taking training as the central content, we should pay special attention to the graded training of medical staff, especially strengthen the on-the-job training of residents, so as to improve the medical quality and the overall quality of medical staff in the hospital. According to the requirements of "Evaluation Standard of Secondary General Hospitals in Yunnan Province" and the actual situation of our hospital, the 20 17 three-base training and assessment plan was formulated.
I. Training objectives:
Medical and nursing technicians in the whole hospital
Second, the purpose of training
? Miki? Training is an important way to improve the overall quality and medical level of medical staff. Objective To improve the medical quality of all medical staff. Three strict? Work style is carried out in all medical activities. According to the requirements of "Evaluation Standard of Secondary General Hospitals in Yunnan Province", health technicians? Miki? Training rate? 95%, the pass rate of the exam is 100%.
Third, training methods.
(1) The principle of graded and classified training is implemented: the training of basic knowledge, basic theory and basic skills should be strengthened for junior professional titles, and the training of new technologies and new progress in this position and specialty should be strengthened for intermediate professional titles or above. Reference books are new editions of pharmacology, physiology, pathophysiology and anatomy, as well as teaching materials and the latest diagnosis and treatment guidelines for this specialty. Law on Medical Practitioners, Regulations on Handling Medical Accidents, Law on Tort Liability, Law on Prevention and Control of Infectious Diseases, and various professional laws, regulations and departmental rules.
(two) individual self-study, supplemented by training organized by departments and hospitals. Formulated by various departments? Three basics and three strictness? Training plan and implementation plan, and the director or deputy director is responsible for training and assessment. Study once a month for at least 2 hours, and record the training requirements (time, signature, speaker, content, etc. ). This year, we will focus on the three basic training of departments.
(three) according to the spirit of the Ministry of Health's "National Antibacterial Drug Joint Remediation Work Plan" document, train the theoretical knowledge of antibacterial drugs and rational drug use, and increase the assessment of relevant knowledge points in quarterly examinations.
(4) The Medical Department conducts training and assessment once every quarter, and the specific time will be notified separately. The department conducts an evaluation once a month. Require grades, papers, analysis and evaluation.
(5) On-the-spot training and assessment methods are adopted for unarmed cardiopulmonary resuscitation.
Article 2:
In order to continuously improve the professional and technical level of medical staff in our hospital, improve the quality of basic medical care in our hospital, and standardize the medical operation process, according to the requirements of hospital business development and superior health administrative departments, medical staff carried out. Basic theory, basic knowledge, basic skills? Training and assessment, release? Strict requirements, strict organization and strict attitude? In order to implement all the work, this training plan and assessment system are specially formulated.
I. Purpose of training and evaluation
1, to improve the basic theory and knowledge of clinicians (technicians)
2, standardize the basic operation process of clinical medicine (technology) division.
3. Strengthen the basic operation skills of clinicians (technicians).
Second, the training and assessment object
Medical practitioners and assistant medical practitioners registered in hospitals include residents, attending physicians, deputy chief physicians, chief physicians who have been promoted to the title of chief physician within three years, and medical technicians in auxiliary departments.
Third, the training form
1, combined with centralized learning in departments and centralized counseling in hospitals.
2. Various departments with directors and head nurses as the main body have been established? Three basics and three strictness? Train the management team. Should departments define majors according to their characteristics? Miki? Training content, especially for the weak links and personnel composition of this major, the annual implementation plan suitable for this major is formulated at the beginning of the year, which is organized and implemented by the department. At the end of the year, the medical department and nursing department will conduct basic theory, basic knowledge examination and skill assessment; Hospital infection management training program 3. The hospital organizes hospital staff twice a month? Miki? Knowledge learning, operation training, learning and attendance registration.
Four, training content (all levels, all majors)
1, basic clinical skills, medical record writing and general physical examination, aseptic operation technology, thoracic puncture, abdominal puncture, lumbar puncture, tracheal intubation, mechanical ventilation, cardiopulmonary resuscitation, electrocardiogram examination, medical image reading, ultrasonic diagnosis, clinical nuclear medicine, etc.
2. Basic clinical theories and knowledge, routine clinical diagnosis and treatment of various professions, norms for rational use of antibiotics and drugs, indications for rational use of blood, and testing relevant basic knowledge.
3. Health-related laws and regulations.
4, hospital rules and regulations.
5, the professional knowledge and skills training of medical technicians is given priority to with this major.
Verb (abbreviation for verb) evaluates the content
Clinical resident:
1, relevant health laws, regulations and rules;
2. Basic clinical knowledge;
3. Basic clinical skills, medical record writing and general physical examination, aseptic operation technology, commonly used clinical operation technology, unarmed cardiopulmonary resuscitation, electrocardiogram, medical imaging, rational application of antibiotics and drugs are compulsory items every year, and 2 items are selected for the rest items in each assessment cycle.
Clinical attending physician:
1, relevant health laws and regulations;
2. Basic clinical skills, medical record writing and general physical examination, cardiopulmonary resuscitation, common clinical operation techniques, electrocardiogram, imaging reading, rational application of antibiotics and drugs are compulsory items every year, and the rest items are selected in each assessment cycle.
Within three years of being promoted to deputy clinical director and chief physician:
1, relevant health laws, regulations and rules;
2, clinical diagnosis and treatment routine and professional knowledge, diagnosis and treatment guide;
3. Hands-free CPR skills.
Medical technicians in auxiliary departments:
1, professional knowledge and skills of this major;
2. Hands-free CPR skills;
Recognition of evaluation results of intransitive verbs
1. Full marks of professional knowledge and skills of clinicians 100. Doctors in traditional Chinese medicine, rehabilitation and stomatology scored more than 65 points, and doctors in other disciplines scored more than 75 points, which was regarded as qualified.
2. The professional knowledge and skills assessment of doctors in auxiliary departments, the skills assessment of unarmed cardiopulmonary resuscitation is above 75 points, and the technicians are above 65 points, which is regarded as qualified in business assessment, and one failing is regarded as unqualified in business assessment;
3. Those who fail the exam will take a make-up exam during the exam period. Those who pass the make-up exam will be regarded as qualified in the business exam during the exam period, and those who still fail the make-up exam will be regarded as unqualified in the business exam during the exam period.
4. Those who fail to participate in the assessment without justifiable reasons shall be deemed as unqualified in the business assessment of this assessment cycle.
5. Doctors at all levels and medical technicians in auxiliary departments can be exempted from the test for two years if they have scored more than 90 points in the professional knowledge and skills assessment for three consecutive years.
6.？ Miki? The assessment results are directly related to the annual assessment, professional title promotion and post employment in the regular assessment of doctors.
Seven, assessment management
1, an expert group for in-hospital business assessment was established by the medical department, and a question bank was established to test the professional level of clinicians.
2. After each assessment, the Medical Department will publicize the assessment results in the form of weekly meetings.
3. The Medical Department is responsible for truthfully entering the medical examination results into the doctor's personal medical files as the basis for promotion of professional titles and post employment.
4. Hospital? Three basics and three strictness? Training should be included in the quality management of basic medical care and linked to the quality control of departments; Right? Miki? Commend those who have done a good job in training and reward those departments and individuals who have made outstanding achievements; Have you noticed? Miki? Training work, education and training management are chaotic, and there is a lack of standardized original records. Miki? Those who fail the examination will be given informed criticism and rectified within a time limit. According to the seriousness of the case, deduct the department quality control score and personal performance salary.
Article 3:
20 17 is a crucial year for the post-disaster development of hospitals. And the quality of medical care is its top priority. In order to better grasp the quality of basic medical care and standardize the medical operation process. At the medical clinic? Three basics and three strictness? Taking training as the central content, we should do a good job in the training of medical staff, especially strengthening the on-the-job training of residents, so as to improve the medical quality and the overall quality of hospital medical staff. 20 17 "three basics" training plan is specially formulated.
The first is to strengthen the "three basics" training of medical staff.
The medical education department is specifically responsible for the training of the whole hospital. Taking advantage of the handover time of the morning meeting and adopting the mode of centralized learning, the staff of the whole hospital are often trained in "three basics", and the training coverage rate reaches 100%.
Second, the training and assessment content:
(1) Basic theory: including basic medical theory and basic nursing theory related to disease diagnosis and treatment.
(2) Basic knowledge: including clinical medical knowledge that directly provides scientific basis for disease diagnosis and treatment. Such as: medical and nursing diagnosis and treatment norms, positive signs of various diseases, sampling methods of various examinations and their clinical significance. Basic components, contraindications, methods of action, uses and indications of various drugs.
(3) Basic skills: including the basic operation skills of medical staff (such as various injection techniques, puncture techniques, cardiopulmonary resuscitation techniques, etc.). Basic operation methods: including washing hands, wearing surgical gown, using surgical instruments correctly, knotting, basic suture methods, etc. ) and thinking judgment ability (such as medical record writing ability, doctor's advice, prescription, physical examination ability, diagnosis and differential diagnosis ability, emergency treatment ability, reading auxiliary examination report ability, etc. ) be able to formulate a diagnosis and treatment plan according to theoretical knowledge and practical experience.
(4) Medical and health-related laws and regulations: medical practitioner law, blood transfusion law, infectious disease prevention law, medical accident prevention regulations, medical record management regulations, etc.
(5) Skills training and assessment content: unarmed cardiopulmonary resuscitation technology; Application technology of ECG monitor: application technology of electric defibrillator: use and maintenance technology of ventilator;
Third, the training method:
Combination of centralized learning and departmental training. Medical staff are required to learn the basic knowledge, new technology and new theoretical knowledge of medical first aid in their spare time. The department takes advantage of the director's rounds, early class meetings, monthly business study and other time to give lectures on new theoretical knowledge, take on-site operation drills for common first-aid techniques, and hold regular first-aid simulation drills.
Four, centralized training plan:
1 month: 20 16 There are more children with hand, foot and mouth disease in jiangyou city in spring. In order to do a good job in the diagnosis and treatment of hand, foot and mouth disease in 20 17, the training of medical staff in the whole hospital was arranged.
March: arrange the medical staff in the whole hospital to learn a special lecture on functional endoscopic sinus surgery.
May: Study the topic of neonatal pathological jaundice.
July: Special lecture on medical disputes.
10 month: The medical staff in the whole hospital were given intensive training and assessment of unarmed cardiopulmonary resuscitation.
12 months: clinical blood transfusion knowledge training.