(General Medicine Major-Deputy Senior)

I. Professional knowledge

1. Master the basic theoretical knowledge of general practice (including general practice, general practice, general practitioners, clinical prevention, family health care, residents' health records and general practice management, etc.). ).

2. Master the basic theory of general internal medicine and the theoretical knowledge of common and frequently-occurring diseases (including cardiovascular and cerebrovascular diseases, respiratory diseases, digestive diseases, urinary system diseases, blood and hematopoietic diseases, rheumatic diseases, endocrine and metabolic diseases and common infectious diseases).

3. Familiar with the basic theoretical knowledge of common diseases in clinical disciplines such as surgery, obstetrics and gynecology, pediatrics, otolaryngology, dermatology, neuropsychiatry, etc.

4. Master the basic theoretical knowledge of community medication, common clinical tests and community rehabilitation. Familiar with the principles of image diagnosis (including ECG, X-ray, ultrasound, CT, MRI, etc. ).

5. Familiar with the basic theoretical knowledge of traditional medicine, medical ethics, psychology and community nutrition. Understand the basic theoretical knowledge of genetics, behavioral science and health economics.

6 master the basic theoretical knowledge of primary health care (including urban community health service and new rural cooperative medical care). Familiar with basic theoretical knowledge of health education and health promotion, women's health care, children's health care, elderly health care, epidemiology, health statistics and community health diagnosis.

Second, the professional practice ability

1. Master the key points of differential diagnosis, treatment principles and referral of common symptoms. Include fever, cough, sore throat, headache, dizziness and syncope, coma, convulsion, insomnia, depression, anxiety, hemoptysis and hematemesis, chest pain, dyspnea, abdominal pain, diarrhea, vomiting, jaundice, constipation, hematochezia, edema and ascites, hematuria, urinary incontinence, anemia, lymphadenopathy, fatigue, emaciation, paralysis, lumbago, etc.

2. Be familiar with the on-site identification, first-aid treatment principles and referral precautions of common acute and critical diseases in the community. Master the primary treatment and rescue principles of common accidental injuries in the community. To understand the principles of handling common critical patients in intensive care unit.

3. Master the clinical manifestations, diagnosis and differential diagnosis points, treatment points, referral indications and health guidance of common and frequently-occurring diseases in internal medicine. Understand the diagnosis points, treatment principles and guidance of more difficult diseases in internal medicine.

4. Familiar with the diagnosis and differential diagnosis points, treatment principles, referral indications and health guidance of common diseases in surgery, otolaryngology, dermatology and sexually transmitted diseases. Understand the diagnosis and differential diagnosis points, treatment principles, referral indications and health guidance of common diseases in obstetrics and gynecology, pediatrics, ophthalmology, stomatology and psychiatry; Surgical indications and postoperative nursing principles of common diseases.

5. Understand the diagnosis methods, differential diagnosis points, treatment principles and common complications of difficult diseases in the community.

6. Be familiar with the content of community rehabilitation; Rehabilitation function evaluation and general treatment technology of common disabilities in community: familiar with TCM syndrome differentiation and treatment of common diseases in community; Function, indications, usage and dosage of Chinese patent medicines commonly used in communities and matters needing attention in application.

7. Master the common clinical techniques of general medicine, including: correct methods of medical history collection and physical examination; Disinfection, isolation and aseptic operation technology; Common indications are clinical examination, electrocardiogram, chest X-ray, abdominal B-ultrasound, EEG, CT and MRI. Master ophthalmoscope technology; Clinical significance of common abnormal images of electrocardiogram and chest X-ray and common detection indexes.

8. Grasp the functions and side effects of drugs commonly used in the community, and rationally use drugs in the treatment of common diseases and frequently-occurring diseases; Principles, indications and contraindications of intravenous infusion of drugs in community.

9. Be familiar with the methods and techniques of community health education. Familiar with the formulation, implementation and evaluation technology of community health promotion plan; Familiar with the procedures, contents and methods of elderly health care management, children's planned immunization and systematic health care management, and maternal health care management; Familiar with epidemiological research methods, simple statistical methods and statistical map making commonly used in the community.

10. Familiar with the common techniques of general medical management, including general medical target management, quality management and organizational management; Community health diagnosis process and common technologies; Compilation of family diagram and evaluation of family function; Quality of life assessment of the elderly. Understand the common methods of health economics.

1 1. Familiar with the design, implementation, evaluation, analysis, report and paper writing skills of scientific research projects; Have the ability to discuss and analyze common and frequent cases; Have the ability of community general practice teaching and organization and management. Familiar with relevant laws and regulations, professional technical specifications and rules and regulations.

Third, the new progress of the discipline.

1. Be familiar with the development status of general practice at home and abroad, the new progress of general practice theory and frontier knowledge.

2. Familiar with new theories, new knowledge and new technologies related to the treatment and prevention of major diseases (such as hypertension, diabetes, cardiovascular and cerebrovascular diseases, malignant tumors, tuberculosis, etc.). ) endanger people in the community.

3. Be familiar with the technical specifications for community health services and the guidelines for prevention and treatment of major diseases recommended by the Ministry of Health or authoritative academic departments in China.

IV. General occupational diseases

1. cerebrovascular diseases

Ischemic cerebrovascular disease (transient ischemic attack, cerebral thrombosis and cerebral embolism) and hemorrhagic cerebrovascular disease (cerebral hemorrhage and subarachnoid hemorrhage).

2. cardiovascular diseases

Hypertension, coronary atherosclerotic heart disease, heart failure (acute left heart failure, chronic congestive heart failure), sudden cardiac death, arrhythmia (supraventricular arrhythmia, ventricular arrhythmia, atrioventricular block, sick sinus syndrome), myocardial disease, valvular heart disease, infective endocarditis.

3. Respiratory diseases

Acute upper respiratory tract infection, chronic bronchitis, chronic obstructive pulmonary disease, chronic pulmonary heart disease, bronchial asthma, bronchiectasis, various pneumonia, bronchial lung cancer, pulmonary embolism, pleural effusion, pneumothorax and respiratory failure.

4. Diseases of digestive system

Gastritis, peptic ulcer, pancreatitis, inflammatory bowel disease (ulcerative colitis, Crohn's disease), common malignant tumors (esophageal cancer, gastric cancer, primary liver cancer, pancreatic cancer).

5. Urinary system diseases

Urinary tract infection, glomerulonephritis, nephrotic syndrome, interstitial nephritis, renal failure.

6. Hematopoietic system diseases

Iron deficiency anemia, megaloblastic anemia, hemolytic anemia, aplastic anemia, leukemia, lymphoma, idiopathic thrombocytopenic purpura.

7. Endocrine and metabolic diseases

Diabetes, hyperthyroidism, gout, osteoporosis, hypothyroidism.

8. rheumatism

Rheumatoid arthritis, rheumatic fever, ankylosing spondylitis, systemic lupus erythematosus.

9. Infectious diseases

Viral hepatitis, tuberculosis, bacillary dysentery, cholera, hemorrhagic fever with renal syndrome, SARS, AIDS, measles and schistosomiasis.

10. Surgical diseases

General trauma, surgical infection (furuncle, carbuncle, abscess, acute cellulitis, erysipelas, hand purulent infection, tetanus), body surface tumor and lump, (sebaceous cyst, lipoma, fibroma, hemangioma, pigmented nevus, melanoma), neck disease (simple goiter, thyroid tumor, thyroid cancer) * disease. Anorectal diseases (hemorrhoids, anal fissure, anal fistula, periarectal abscess, anorectal prolapse), prostate diseases (prostatitis, prostatic hyperplasia), urolithiasis (kidney calculi, ureteral calculi), cervical spondylosis, lumbar spondylosis, osteoarthritis.

1 1. Gynecological diseases

Menstrual diseases (menstrual disorders, dysmenorrhea), gynecological inflammation (vaginitis, cervicitis, vulvitis), menopausal syndrome, common tumors (cervical cancer, uterine fibroids, ovarian tumors).

12. Pediatric diseases

Children's respiratory infection, children's diarrhea, nutritional deficiency diseases and eruptive infectious diseases.

13. Eye, nose, throat and oral diseases

Infectious eye diseases (acute blepharitis, acute epidemic hemorrhagic conjunctivitis, acute catarrhal conjunctivitis and trachoma), otitis externa and otitis media, rhinitis and sinusitis, chronic pharyngitis and tonsillitis, sleep apnea syndrome and recurrent oral ulcer.

14. Dermatosis

Fungal dermatoses (tinea manuum, tinea corporis and tinea cruris, tinea capitis, onychomycosis and tinea versicolor), viral dermatoses (herpes zoster, herpes simplex, verruca vulgaris and verruca plana), eczema dermatitis dermatoses (eczema, contact dermatitis, neurodermatitis and drug dermatitis) and urticaria.

15. Neuropsychiatric diseases

Parkinson's disease, Alzheimer's disease, schizophrenia, depression, hysteria.

16 acute poisoning

Bacterial food poisoning, organophosphorus pesticide poisoning, sedative-hypnotic drug poisoning, acute alcoholism, acute carbon monoxide poisoning.