Personal summary of neurologist 1 After 4-5 years of strict rotation training in internal medicine, as well as a series of procedures such as my application, voting by the attending physician and discussion by the director, we were finally elected as the chief resident of internal medicine and started a new job. What does chief resident mean? Some people say that it means that there is no need to draw blood from patients every morning, write hospital medical records, sit in front of the computer and write doctor's orders, and the attending doctor is afraid of being criticized when making rounds. Yes, the chief resident is really different from the resident, and their job content is mainly:
1, hold a 3 10 pager 24 hours every three days, whether it is a medical ward, an emergency room or other departments; Whether it is 4 pm or 2 am; Whether it is an emergency or a general consultation, it can be called at any time. The chief resident with 3 10 pager is not only a reference book of internal medicine, but also a rescue vehicle on standby. Where he needs to go, where there are seriously ill patients, he will appear there.
2. For difficult and critical cases, the chief resident is the strong backing of the resident. They often need to make a key decision of life and death quickly under the condition of insufficient information: is it acute myocardial infarction? Need emergency PCI? Do you need tracheal intubation? Are you scared? What is the cause of shock? Do you need central venous catheter and fluid resuscitation? They should not only have a solid theory and skilled operation, but also have a good grasp of critically ill patients; We should also be cool-headed, be good at communication, be able to grasp complex situations and gain insight into and resolve conflicts and disputes in time.
3. The scheduling of the whole internal medicine department is also one of the important tasks of the chief resident. The chief resident in charge of scheduling must know all internal medicine residents, graduate students, doctors in other departments of our hospital and doctors trained in other hospitals, master their working ability and personality characteristics, be familiar with the past rotation, and take into account work requirements, leave applications and various emergencies. Not only that, but also meet the needs of medical staff in other positions in the hospital. Doctors have a big occupation and complicated work. In order to arrange the classes well every month, they must think again and again. In the face of all kinds of requirements, you have to smile and say no, so this is usually the most painful job for the chief resident.
4. The chief resident should also arrange medical rounds for one week. They should be responsible for selecting cases involving multi-disciplinary situations and teaching value, implementing the speeches of consultants inside and outside the department, inviting senior professors to participate, and presiding over on-site discussions. After the meeting, residents should also be urged to complete the ward round records and put them into written form for the contribution of Xiehe clinical medicine. Medical rounds are the characteristics of internal medicine and should be adhered to. But with the passage of time, it is debatable whether the previous large-scale rounds are still suitable for today's environment. There is a cloud in the Book of Changes: Change makes sense, and general rules last for a long time. I hope that the traditional great circle system can develop through continuous sublation, adapt to the times and surpass the times at the same time.
5. The chief resident should also represent the brother departments of internal medicine consultation, screen the internal medicine patients who benefit greatly from emergency hospitalization, notify the ward patients to be admitted to the hospital, arrange internal medicine lectures, be responsible for resident rounds, give lectures by senior doctors, and teach by interns.
It can be seen that the chief resident of internal medicine has a great responsibility and is never easy, although he has come out of the "bitter sea" of residents. However, not all hospitals have this position. Why should there be a chief resident in the Department of Internal Medicine of Union Medical College?
To understand the chief resident system of Union Medical College, we must understand the history of Union Medical College. This system has a long history and has been accompanied by the growth and development of Concord. Under the old Concordia model, if the training of residents is called "pagoda" model, then the chief resident is the tip of this "pagoda". They are not only the assistants of department directors, but also the general managers of all general affairs. They are directly responsible to the department director and assist the director in handling all the routine work of the department. Especially in the evening, the chief resident is fully responsible for internal medicine and medical work. Unless individual problems are really difficult to grasp, you should ask your superior doctor for instructions. In most cases, the chief resident has the right to make the final decision. Although the development of medicine is very different from decades ago, the tendency of specialization is obviously strengthened, and the chief resident is no longer "in charge" as in the past, and it is impossible to "master all 18 martial arts", but many important aspects of this system have been inherited and carried forward, and the chief resident is still an extremely important part of internal medicine work.
The work of chief resident is so important and complicated, how can we do it well? Facing the new historical opportunity, what new contents should be injected into the chief resident system? How can we better inherit this system and carry it forward? We believe that many Concord people are thinking about these issues. We all grew up in the Department of Internal Medicine of Union Medical College, and the cultivation of internal medicine changed us from a young medical student to an independent chief resident. In our medical career, eight months of chief resident work is an unprecedented exercise, and we have gained unprecedented gains and improvements. We will write out our work experience and provide some help for future chief residents, hoping that they will take less or no detours we have taken. I hope our summary can leave some information for the history of Sheikh's internal medicine and provide some reference for all those who care about Sheikh's internal medicine.
Neurologist's personal summary 2 It's been more than X months since 10. With the care of hospital and department leaders and the help of colleagues, I successfully completed various tasks and quickly familiarized myself with the new working environment. -Work attitude and professional and technical level have made great progress, mainly in the following aspects.
First, correct working attitude, enthusiastic service for patients
As a doctor, serving patients is both a responsibility and an obligation. Our hospital is still a new thing for xx. In order to be stronger and bigger in the shortest time, I think we should first improve the service quality, make every patient satisfied with the doctor, and then expand the popularity of our hospital. After joining the work, strive to improve their ideological quality and professional ethics, correct the attitude of the master, worry about the patient's urgency, think about the patient's thoughts, and do their best to serve the patient; Treat every patient patiently, no matter how tired, take pains to explain and communicate, and strive to implement the work of "two good things and one satisfaction".
Two, seriously and responsibly do a good job in medical work, improve the professional and technical level.
1, insist on business study. After taking part in the work, I still insist on studying every day and mastering a disease every day; At the same time, do not forget to learn the new achievements of this major, constantly absorb new nutrition and exercise scientific research thinking;
2. Adhere to the principle of "Excellence and meticulousness" and carry out work in strict accordance with routine medical operations to avoid mistakes; Constantly enrich my clinical experience in my work, always be modest and prudent, dare to ask my superiors for advice when I encounter problems I don't understand, and strive to improve my comprehensive analysis and problem-solving ability; Closely observe the condition, timely and accurately record the condition, and properly handle patients; As a new doctor, I should guard against arrogance and rashness, be full of energy and keep learning.
Third, be strict with yourself.
Actively contribute to the development of the hospital. As a member of the hospital, it is my unshirkable responsibility to make suggestions and work hard for the greater development of the hospital. On the basis of doing a good job, we will actively make suggestions for the development of the department and hope that the workload will reach a new high next year.
Summing up 20xx years, with the help of hospital leaders and colleagues, all my work has been successfully completed, but I can't relax at all, because my future work will face greater challenges and opportunities. At the same time, there is still a gap compared with other advanced colleagues. In my future work, I will continue to work hard to overcome my own shortcomings and create more excellent work results.
Neurologists personally summed up that in the past three 20xx years, under the correct leadership of the hospital party committee, hospital committee and dean, and with the support of brother departments, all medical staff worked hard and achieved certain results. Mainly manifested in:
First, develop quality services.
Internal medicine, as the key specialty of xx county central hospital, cultivates humanistic ideas and improves humanistic quality under the correct leadership of hospital leaders and department directors. Through various forms of activities, the service concept of "patient-centered", "all for patients, all for patients and all for patients" runs through the clinical medical service, and actively guides the staff of the department to consciously establish the five service consciousness of active service, family service, honest service, humanitarian service and patient first, and carry out humanized service. Department personnel behave in a civilized manner, be polite to others, dress according to regulations, wear badges, keep their clothes clean and tidy, use Mandarin, use civilized and standardized service terms, have a good service attitude, create a humanistic atmosphere, purify, green and beautify the medical environment, increase waiting chairs, provide free drinking water, set up book and newspaper racks, and actively carry out popular science such as medical treatment, hygiene and health. Carry out the concept of "7,38,55", that is, if communication is 65,438+000, talking about treatment is 7, tone and intonation is 38, and body language is 55. At the same time, all medical staff were organized to seriously study "the State Council's Special Work on Controlling Commercial Bribery in Health System", and the relevant documents and speeches of "Fighting Corruption and Advocating Honesty" were carefully studied many times, which improved the ideological level of all medical staff and consciously resisted.
Second, pay attention to safety.
Safety comes first, especially medical safety. Without security, there is nothing. To this end, we set up a safety quality control group, headed by the director of the department, to check the medical quality, service quality, the use of various medical devices and the operation of various instruments. Service quality is the premise of safety, and medical accidents and medical disputes caused by service quality are the lowest mistakes. We always emphasize smile and on-call service. Due to the emphasis on safety, there has not been a medical accident and dispute in our department for one year.
Third, strong technology.
In order to improve the professional quality of all medical staff and constantly improve their professional and technical level, they actively participated in national and provincial academic seminars and business lectures organized by the hospital. At the same time, business study lectures are held in this department, which can independently carry out special projects such as early diagnosis and treatment of stroke, drug diagnosis and treatment of intracranial venous sinus thrombosis, early diagnosis and treatment of Parkinson's disease, early rehabilitation of stroke, early diagnosis and rehabilitation of cognitive dysfunction, and diagnosis and treatment of intractable epilepsy. It is used for cerebrovascular diseases such as cerebral hemorrhage, subarachnoid hemorrhage, massive cerebral infarction, and intracranial venous sinus thrombosis. Incidental diseases, such as status epilepticus and hypoxic-ischemic encephalopathy; Inflammatory diseases, such as acute myelitis, guillain-barre syndrome and viral encephalitis; As well as the diagnosis and treatment of various nervous system diseases such as migraine and intracranial hypotension headache, he has rich clinical treatment experience and has successfully rescued critically ill patients in deep coma for many times. Expert diagnosis and treatment technology is at an advanced level in xxxx.
Fourth, pay attention to unity.
Over the past year, the medical staff in our department have been United as one, thinking and working wholeheartedly. Everyone is equal before the system, and strict assessment methods and reward and punishment systems can be fulfilled. Everyone works comfortably in an open, fair and just atmosphere, and solidarity and mutual assistance have become a common practice.
Verb (abbreviation of verb) seeks benefits.
1. Social benefits: Compared with economic benefits, social benefits are more important. Social benefit is the basis of economic benefit. Always keep in mind the purpose of "all for patients, all for convenience and all for service", save lives, offer love, create a beautiful environment and provide quality services. In order to better serve patients, we have specially set up a telephone return visit system to deeply understand the family situation of patients and try our best to solve their life difficulties. In order to reduce the burden on patients and put an end to large prescriptions, the proportion of drugs has dropped significantly, which has won the recognition of patients and society.
2. Economic benefit: Our department treated more than X patients, including X critically ill patients, and successfully rescued X patients, with a success rate of x%. The total annual income reached more than X yuan, and the benefit salary was more than X yuan, with an average of about X yuan per person, which fully mobilized everyone's enthusiasm.
In the new year, we will work harder, strengthen management, pay close attention to safety, improve technology and quality service. Strive to complete the tasks assigned by the hospital leaders and contribute to the health of the people in xx County.