A Summary of Self-evaluation of Doctoral Postgraduate Education
Looking back on my one-year study in xx Orthopaedics, there are scenes of asking medical history, careful physical examination, quiet lectures, not taking the patient to a prenatal examination, standing on the operating table honestly for a day, reading books and reading documents, and so on, all of which are presented in my mind when I write a review summary. Although I am familiar with some work, I can rediscover my shortcomings in my daily clinical practice with Dr. xx, such as making rounds, asking about medical history, physical examination and so on. From the normative point of view, the difference is very far, so this year has not been wasted. From the most basic learning, I not only learned their profound spinal joint routines, but also standardized my behavior from the perspective of clinicians. Unremitting pursuit of career. As a national center for diagnosis and treatment of difficult diseases, xx often encounters many rare diseases in the field of orthopedics. When they encounter diseases that they have never seen before, they will consult a lot of literature, organize general practitioners to study the consulted literature and discuss treatment plans. Although medicine is an empirical science, it is right about experience. Accumulation is very important, but it is more important to respect evidence-based medical evidence. They will keep all the treated cases in order to sum up the treatment experience.
Clarify the concept of bed manager. In fact, it is the definition of the concept of bed management doctor and the interpretation of clinicians. The bed management doctor should do a good job in writing the patient's medical records in this bed, complete relevant examinations and preoperative and postoperative consultations, deal with the common perioperative complications of patients, and report to the superior doctors in time when problems are found. Therefore, it is common for residents to stay and work overtime, because their work is complicated and heavy, and today's work will be left until tomorrow. Only by taking care of your bed every day can you become a real clinician.
It is difficult to be a doctor with excellent skills, and it is even more difficult to be a doctor with both ability and political integrity. Orthopedics doctors mainly rely on surgery to treat diseases, so they will attach great importance to the improvement of surgical skills and abilities. However, an excellent doctor should not only have basic professional skills, but also have a sincere and responsible heart for patients. Although these reasons are understandable, how many doctors can really do it? At least that's what I did among the xx orthopedic professors I contacted. Therefore, the emotional environment is very important to me, and xx spirit and xx culture have created them. Academic leaders are very important, and an excellent leader can bring out an excellent person.
Although one year's study is short, xx's rigorous and refined academic spirit and diligent and dedicated work style will benefit me for life.
The second part summarizes the self-evaluation of doctoral continuing education
I am grateful to the leaders of the hospital for giving me this opportunity for further study, to the leaders of the Third People's Hospital of Shaanxi Province (Shaanxi Cancer Hospital) for providing us with a good learning platform, and to the teachers for giving us more knowledge. Through this study, I have greatly broadened my horizons, enhanced my professional ability, recognized the professional and technical gap between our hospital and large domestic high-level hospitals, and defined my future study and development direction, laying a solid foundation for future study and business skills training. The Third People's Hospital of Shaanxi Province (Shaanxi Cancer Hospital) is a three-level first-class cancer hospital integrating tumor diagnosis, treatment, scientific research, prevention and control, and is also the central institution for tumor prevention and control in the province. Undertake the mandatory work of the government on cancer prevention and control, and play an important core role in the cancer prevention and control work in the province. The service scope covers the whole province and radiates to neighboring provinces and regions such as Gansu, Shanxi and Inner Mongolia.
During my three-month study in the Third People's Hospital of Shaanxi Province (Shaanxi Cancer Hospital), I successfully completed my studies with the enthusiastic care and help of many teachers. Through the study, I further consolidated the routine knowledge of common diseases in oncology department, focused on the maintenance and dressing change technology of PICC, and further understood the importance of aseptic technology. Through the 24-hour emergency class, I also improved my understanding of emergency cases and strengthened my confidence in diagnosing the same emergency cases in the future. I hope that I can do more work in these areas after returning to my original unit, and also provide more and more accurate auxiliary materials for clinical work. It is worth mentioning that in such a busy work, we still discuss difficult cases for a week on a regular basis, and at the same time explain the knowledge of each chapter to the students who are studying further, so that all students and themselves can benefit a lot. This kind of good atmosphere for everyone to learn from each other is well worth studying in the university.
Article 3 Self-evaluation summary of doctoral continuing education
From xx month of 20xx to xx month of 20xx, in response to the "Training for Key Doctors of Women and Children in the Province" initiated by the Provincial Health Department, I went to the Children's Health Department of xx Hospital for a half-year refresher training. It has been identified as follows: I worked in the children's health care department for two months and passed the health clinic, bone density room, children's dietary nutrition analysis and guidance, children's motor nerve development intervention treatment, children's intelligence measurement and other related health care departments. Daily work includes: following the chief physician's outpatient duty, general pediatric outpatient physical examination, assisting the teaching teacher in physical examination of patients, independently exercising children's motor function, assisting the teaching teacher in dietary nutrition analysis of children, assisting the teaching teacher in bone mineral density examination of children, and providing health care guidance for children.
The new technologies I have learned are: infant intelligence development assessment, infant dietary nutrition analysis, infant temperament type analysis, children's mental health consultation, the application of EEG in early diagnosis of childhood epilepsy, the application of infant eye examination and eye care in children's health care, and the emergence of infant oral health care in children's health care. The technologies that may be applied to children's health care in our hospital include: widely popularizing the application of bone mineral density in children's physical examination, vigorously advocating the application of trace elements in children's health care, strengthening the management of early neonatal health care, strengthening the evaluation of infants' development at all stages, realizing one-stop health care services from birth to all ages, and giving full play to the application of children's health care manual in infants' growth and development.
After further study, I think I feel the importance of medical specialty. After entering the department, I found that the learning atmosphere in the department was strong, and I felt that I was back to my student days. After handling the doctor's advice every day, there will be collective discussion among departments for difficult cases or special cases. Even the director will personally lead everyone to the patient's bed for repeated detailed physical examination. Every week, teaching will be held in the department, and leaders of each group will organize speeches to explain some personal experience in diagnosis and treatment and some latest treatment plans and research results at home and abroad.
The department has its own library, and all books are open to the public and can be consulted at any time. From department heads to interns, anyone can ask questions at any time and get satisfactory answers. What I feel most is the teachers' thirst for knowledge. Compared with their attitude towards learning, our learning only passively accepts knowledge, and we only think of learning when we need it. Teachers in colleges and universities, after years of accumulation, have formed a habit of being in the bones and blood, just like we have to eat and drink water every day. In such a learning atmosphere, the staff of the whole department will form a benign competition mode, and improve their professional level as a whole through mutual supervision and encouragement.
At the same time, during my study in XX Hospital, I really felt the sense of responsibility shouldered by a doctor, especially in the neonatal department. In the neonatal intensive care unit, because of the particularity of their posts, frontline clinicians basically have no rest time, often on duty for more than 30 hours, and almost constantly transfer wards to make rounds for children. Director of Neonatal Department Stone once said: It's not that I don't want to have a rest. Responsibility is tied to life. When the family gives the child to us, we must try our best to ensure that the child is comprehensive.
Under such high-intensity work pressure, every doctor in the neonatal department has a high sense of responsibility. Once the children in the ward are in danger, they can always rush to the ward for rescue. During my two months in the intensive care unit, there were more than 90 critically ill newborns in the hospital every day, but none of them died because of poor treatment. It is precisely because of the sense of responsibility as a doctor that children in the neonatal intensive care unit mainly treat critically ill newborns, with a very high survival rate and are very tired every day. The ancient sages once said: officers are not afraid of death, civil servants are not greedy for money, and so are our doctors. I think a hospital can really grow and develop, not because of how good its hardware facilities are, nor because of how advanced its medical equipment is, but because of such a group of doctors with faith.
Furthermore, I fully understand the importance of grasping the details. I can meet many rules everywhere in XX hospital, from prescriptions, doctor's orders, diagnosis and treatment norms, to dress and behavior. After the beginning of further study, I experienced the process of not knowing the rules everywhere, hitting a wall everywhere, starting to understand the rules, observing the rules, and finally highly agreeing with the rules. In this process, I understand the importance of details. There is an unwritten rule in the department of neonatology, no matter what level of doctors, anyone can criticize and correct them as long as they violate the rules, so many small rules have become habits over time. For example, hand washing, before further study, I never thought that there would be so many sayings about a simple daily action. In addition to strictly following the prescribed "seven-step hand washing technique", I also need to know what to do when washing my hands, what hand sanitizer to use and what disinfectant to wash my hands with, and I actually took the exam three times in the first week of my department.
In daily life, there are clear regulations on when to wear what kind of work clothes, where to visit clothes and shoes, the classification of medical waste and domestic waste, the sitting posture and distance to be maintained when communicating with patients' families, and some habitual greeting occasions. These regulations and measures fundamentally put an end to the breeding of some bad behaviors and habits, and also laid the foundation for the benign development of the department. From this, I thought of the actual situation of our grassroots. If we can give full play to the role of mutual supervision and clear responsibilities, and strictly formulate and implement rules and regulations, how can there be mistakes and accidents?
The short half-year study time is over. In the past six months, I have experienced pain and loss, as well as happiness and enrichment. After hard work, I feel that my whole body and mind have changed a lot. Only after seeing the outside world do we know how high the sky is and how wide the earth is. After a lot of experience, I found that there is a gap between being an excellent doctor and being a qualified doctor, so I will work harder.
A summary of self-evaluation of doctors' further education
1 year has just ended, and I have returned to my familiar job. 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. There are two wards and 80 beds in respiratory medicine, as well as allergic disease research room, lung function blood gas room, bronchoscopy room, respiratory medicine 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 when I make rounds, emphasizing seeking truth from facts and attaching importance to evidence-based medical evidence. Many issues of principle have been recognized, but differences that do not violate 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 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.
The fifth chapter is the summary of self-evaluation of doctoral continuing education.
After one year's training course for general practitioners, I have a certain understanding and understanding of general practice. Know the meaning of general practice: it is a comprehensive medical academic college facing the society and family, integrating clinical medicine, preventive medicine, rehabilitation medicine and humanities and social sciences. The related knowledge and functions of various disciplines are organically integrated, thus serving the needs of maintaining and promoting health in communities and families. At the same time, I am familiar with and understand that general practice is a medical specialty that provides continuous and comprehensive health care for individuals and families and integrates biomedicine, clinical medicine and behavioral medicine. As a general practitioner, he will play an important role in general practice. General practitioners are doctors who provide high-quality, convenient, economical and effective integrated primary health care services for individuals, families and communities, and manage life, health and diseases comprehensively and responsibly.
During the one-year study, the teacher taught us community medicine, general practice, community preventive health care, common health problems in the community, rehabilitation medicine, health education and health promotion, traditional Chinese medicine care of common diseases in the community, emergency and first aid, physical diagnosis, psychological disorders and mental health. From this, we learned the characteristics of community health service and the extensive general medical knowledge needed to implement the six-person comprehensive service system, especially highlighting the health and diseases of community health care.
During the clinical skills practice in Gaolan County Hospital 10 month, I mastered the clinical characteristics, diagnosis, differential diagnosis, treatment principles and methods, referral indications and prevention of common frequently-occurring diseases in internal medicine, emergency department, surgery and pediatrics, and earnestly completed the clinical training requirements. What impressed me the most is that all clinical departments have the same characteristics, which fully embodies the problem of solving the problem of difficult and expensive medical treatment for the majority of residents. Convenient, fast, thoughtful, cheap and informed. Accept all-round services. County hospitals have complete basic facilities, rich and cheap drugs, laboratories (routine examination and biochemical examination basically meet the needs of common diseases), B-ultrasound, electrocardiogram and so on. It also provides diversified services such as acupuncture, massage, cupping and sealing, which has played a positive role in the rehabilitation of many sequelae and chronic diseases. During the grass-roots practice training in Blackstone Township Health Center 1 month, I was able to deal with common and frequently-occurring diseases in rural areas independently, solve problems found in my work in time, master general medical service skills, manage chronic diseases in the community, and care for key people.
Through practice, I further realized the importance of being a general practitioner and a hospital doctor in township hospitals. Doctors in health centers can know the health status of residents in the township through various forms (outpatient service, home visits, health files, etc.). ), and often publicize health knowledge through various forms to achieve the purpose of health education and health promotion. Through practice, we have a deeper understanding of the differences and connections between general medical care and specialist medical care, which fully illustrates the important position of general medical care in the needs of community residents in today's society.
Due to the short medical time and lack of in-depth work in villages and towns, the understanding of general practice and community medicine is not comprehensive enough, and many concepts still remain in the mode of specialized medical care. In the process of dealing with patients, there is still a medical-oriented, disease-centered and doctor-centered medical treatment model, and there is still a lack of comprehensive understanding and mastery of common health problems in the community, rehabilitation medicine, Chinese medicine nursing and other general medical knowledge. Therefore, we should make full use of favorable conditions, renew our ideas, improve the quality of service and improve medical services.