Self-evaluation of respiratory medicine model essay 1 I have been practicing in xx Central Hospital for one month. During this time, I first contacted the clinic, shuttled through the ward for the first time, and had a positive contact with the patient for the first time. Although there was a lot of discomfort in the process, I benefited a lot. Respiratory medicine is the first stop of my internship, and everything is learned from scratch, which often makes me a little at a loss. With the patient teaching of the teacher and the careful help of other interns, I learned the civilization checklist and other items. Slowly began to issue medical advice, from simple to complicated, aiming at the use of some antibiotics.
A certain understanding. During the rounds, the teacher will explain the main points of some diseases. When there are new patients, the teacher will carefully revise the medical records I wrote, and explain their diagnostic ideas when I make rounds the next day, which makes me make great progress. There are many diseases encountered in respiratory department, such as pneumothorax, pleural effusion, chronic obstructive pulmonary disease, asthma, pneumonia and so on. By writing medical records and physical examination, I have a certain understanding of the symptoms and signs of these diseases. I think I'm a little behind the times in respiratory department.
Unfortunately, it was not proposed to go to the lung function laboratory to see how the lung function experiment was operated. After coming out of the respiratory department, I went to the hematology department. The most significant thing in this department is to make a bone spur. Although I only stayed in the hematology department for a week, I finally practiced it myself the day before I left the department through observation a few days ago. Seeing that I have successfully completed it, I really want to thank my teacher for her trust and support. Bone marrow puncture is a routine examination in hematology department. On the first day we entered hematology department, all the directors, Zhang Huiying, explained the whole process to Nightmare in detail. Hematology is the department that I feel is most closely related to our laboratory specialty. It makes me feel very sweet to see the bone marrow report. Unlike B-ultrasound and ct, we know nothing about it. We are familiar with every item on the bone marrow report, and we have practiced it in the previous experimental class. Through a week's study in hematology, I have a deep understanding of aplastic anemia and iron deficiency anemia. The last department I went to this month was Cardiology. Because I didn't learn ECG much at school, it was very tiring to follow the teacher's rounds. The teacher talked about P-wave, U-wave and st-segment in ECG. At first, he was at a loss. After a few days, they gradually entered the state, and some simple ones could be understood. When I was in cardiology, I went to the catheter room to see a coronary angiography and a pci. When I watched the guide wire puncture from the radial artery into the heart, I had to marvel at the rapid development of medicine. For patients with coronary artery stenosis, successful pci can make them feel proud as doctors. Sometimes, you can learn a lot just by sitting in the office and listening to the teachers' discussions. The most common patient in cardiology is coronary heart disease. Through the conversation between teachers and patients, I learned about the risk factors of coronary heart disease, that coronary angiography is the basis for diagnosing coronary heart disease, and that I also have a certain understanding of the treatment of coronary heart disease.
As the first month of integrating theory with practice in my study, everything made me feel fresh. I like this situation now, and I like the freshness brought by each department. I will make good use of the remaining month of internal medicine, study hard and believe that I will grow in this process.
Self-identity of respiratory medicine model essay 2 At work, I deeply realized the qualities and conditions that a qualified doctor should have. Strive to improve their professional level, constantly strengthen business theory study, read a lot of medical magazines and books, insist on writing reading experiences and summaries, actively participate in online forums for medical majors, and often participate in various academic conferences, thus broadening their horizons and expanding their knowledge.
Timely application of new theories and technologies to guide business work, proficiency in common diseases, frequently-occurring diseases and new diagnosis and treatment technologies in various internal medicine systems, as well as handling common diseases and various critical and difficult diseases in various systems such as cardiac arrest, drug poisoning and coma. , and strictly implement the work system, diagnosis and treatment routine and operating procedures in the work, thus avoiding the occurrence of misdiagnosis accidents to the greatest extent. My belief is to do my best to do my job well and relieve the pain of patients.
Since taking office, he has paid attention to personnel training, actively carried out guidance work for junior doctors, trained junior doctors in various common internal medicine operations, standardized the three-level medical treatment system, improved the diagnosis and treatment level of common and frequently-occurring diseases of junior doctors, organized lectures in hospitals for many times, and standardized various routine operation skills, which really played a key role in business.
I hope that I can pass this promotion evaluation and make my business in by going up one flight of stairs an excellent doctor.
In terms of professional ethics, I consciously abide by the rules and regulations of the unit, work hard, and don't be late or leave early; Respect leaders and unite comrades; Love their jobs, correct professional ethics, abide by the professional ethics of doctors, and serve the health of the people wholeheartedly.
In business study, I can study hard and keep improving. With the continuous development of social economy, people's health requirements are constantly improving; With the continuous progress of science and technology, new theories, technologies and methods are constantly emerging. I deeply realize that only by constantly learning and enriching myself can I be better qualified for my work and constantly meet new challenges. Therefore, I actively participate in various academic exchanges and medical continuing education activities, constantly enrich my knowledge, broaden my horizons and improve my professional quality by using newspapers, magazines, books and the Internet, so as to meet the needs of the times and lay a solid foundation for future work.
In daily work, do a good job, obey the arrangement of the section chief, obey the leadership scheduling, do a good job in the prevention and control of endemic diseases such as schistosomiasis, iodine deficiency disorders, malaria and filariasis, and assist in handling the affairs of the government schistosomiasis control office. Work actively, be good at thinking, be enterprising and innovative, and make suggestions for prevention and control work. I insist on working at the grass-roots level, not afraid of hardship and fatigue, and devote myself wholeheartedly to the grass-roots work of * * to serve the people's health wholeheartedly. I have also been responsible for the collection, collation, statistics and reporting of schistosomiasis information, assisting the section chief in making work plans and writing work summaries.
Politically, we always adhere to the party's line, principles and policies, and always adhere to the leading ideology of serving the people wholeheartedly. Actively participate in various political activities and political studies organized by units and departments, persist in reading books and newspapers, and constantly improve their political theory level. As a young comrade, I actively pursued the advanced, demanded progress, actively moved closer to the party organization, and gloriously submitted the Application for Joining the Party to the party organization.
In the past two months, with the care and patience of the teacher, I have learned a lot that I didn't know in class. During my internship, I learned the general process of treating patients: for example, measuring vital signs; Ask about the patient's medical history, allergy history, etc. Write nursing records carefully, observe the patient's condition at the same time, cooperate with the teacher's guidance, and understand the basic application of antibiotics to each digestive system.
During the internship, I strictly abide by the rules and regulations of the hospital and various departments, earnestly perform the duties of nurses, be strict with myself, respect teachers, unite my classmates, work hard, and think of patients wholeheartedly. At the same time, we can understand family members, correctly handle the relationship between nurses and patients, do a good job of explanation and comfort, say "I'm sorry" more, let family members understand the work of nurses, and reduce unnecessary misunderstandings or excessive behaviors.
Hypertension complicated with arrhythmia, coronary heart disease and heart failure are common in cardiology. Under the guidance of the teacher, I have basically mastered the nursing and basic exercises of some common diseases. Welcome new patients with a smile and do a good job in admission evaluation; Closely monitor vital signs and standardize records; Collect blood and urine samples correctly; Actively cooperate with doctors for treatment; Strictly implement three checks and seven pairs; Seriously carry out intravenous infusion ... while constantly learning and summing up experience, I can be diligent in observation, be good at observing the patient's condition, grasp the changes of the condition in time, and make accurate judgments. Although the time is not long these days, I have been exposed to a lot of professional knowledge and skills that I didn't know before, and I have picked up a lot of operating techniques again, such as aseptic principle, oxygen application and five settings of rescue vehicle.
In a word, I think I learned a lot in this internship. Although I am only a student, I may have limited ability, but I use my efforts to enrich my knowledge and skills, hoping to send away healthy patients with my smile, and I am eager to learn successfully. This is just the beginning of internship, a challenge and an opportunity. I must apply what I have learned to the next internship department, keep in mind the teacher's teaching, keep learning and make progress. At the same time, I would like to thank the patients in our department for their cooperation in my treatment. As the saying goes, patients are teachers. I hope everything goes well at the next stop.
Self-identification of respiratory medicine Fan Wen 4 I have worked in internal medicine for more than 2 months. Judging from the clinical manifestations, the clinical manifestations of respiratory diseases lack specificity. I found that most respiratory diseases have symptoms such as cough, expectoration, hemoptysis, chest pain, wheezing, fever and shortness of breath. These symptoms often lack specificity. They may be mild symptoms such as colds and bronchitis, or early clinical symptoms of fatal diseases such as severe pneumonia and lung cancer. If they are not further examined and diagnosed, it is likely to delay their illness and cause irreparable consequences. Therefore, in the treatment of respiratory diseases, we should not make a clinical diagnosis only according to a certain clinical symptom or sign of the patient, but should further carry out necessary examinations, obtain reliable clinical data, and make a careful diagnosis through rigorous and correct clinical thinking. In fact, there are many kinds of respiratory diseases, but they can be summarized as infection, tumor, swelling and so on.
Through study and practice, we can master the causes of various clinical diseases, but we lack practical operation, know the basic pathological process, and even lack learning. I believe that in the future study and work, I will become a qualified xxx, serving the society and people!
With solid medical theoretical knowledge and full enthusiasm, I came to the internship unit-Wuhan Fifth Hospital for internship. Under the careful guidance of the teachers in all departments of the Fifth Hospital, I successfully completed the clinical practice tasks prescribed by the teaching. At work, I insist on going to work on time and finishing the tasks of the day on time. Teachers in individual departments are particularly strict, and all writing content must be written in strict accordance with standards and norms, and no mistakes are allowed. Today's work must be finished today, and it can't be put off until tomorrow. Under their guidance and influence, I also set strict demands on myself in my work, and cultivated the qualities of being careful, earnest and competitive.
In my study, I am diligent and eager to learn, and I am humbly asking for advice. When I first arrived at the Department of Respiratory Medicine (the first department of internship), I knew little about clinical knowledge and skills. Through the guidance of the teaching teacher, consulting other doctors in the department, communicating with other interns, and consulting relevant books and materials, we have a comprehensive understanding of the basic requirements of medical record writing, the writing of various records and application forms, the ordering of hospitalization medical records, the pasting of laboratory sheets, the requirements of medical orders, medical examination, pleural effusion puncture, etc., which has laid a solid foundation for the rotation of other surgical departments. I actively strive for the opportunity to go on the surgical stage and become the second assistant. In addition, the Fifth Hospital often organizes various academic lectures and reports, and organizes case discussions in departments, from which I learned a lot about various clinical diseases. During my internship in orthopedics, I also listened to an academic lecture of Wuhan Orthopedics Association with the teaching teacher, and got a further understanding of the medical progress of orthopedics. I am active and helpful in thought, get along well with the doctors in the department, be serious and responsible to the patients, and be warm and polite. During my internship in urology, there was a percutaneous nephrolithotomy, which was very difficult. The whole operation process is as long as 10 hour. As the second assistant, I withstood severe tests in physical strength and willpower, and finally successfully completed the operation task, which was praised by the director of the department. I think this experience will be of great benefit to my future life.
In a word, in this year, I successfully completed the clinical practice plan, learned a lot of clinical knowledge in practice, and reached a new height in work, study and thought.
After a month's internship in the second department of our hospital, the biggest feeling is that as a nurse intern, I began to do all the operations. Compared with the previous internship stage, I am more responsible. When I was a trainee, I just kept my hands still and followed the teacher to see all the operations. Apart from the morning care, I have no chance to start work at all, and I rarely touch patients. One month's internship and one week's operation. When the bell rings, I think of doing it at the first time, but I always ask the teacher first. At this point, I feel very different from my heart. I feel that I have begun to have the minimum responsibility as a nurse.
In our hospital, there are two departments: neurology and respiratory department. I live with almost all old patients, and I have known them for two or three days since I came here, but every operation is indispensable. What the teacher said to us every time: check the name and bed number (three checks and seven pairs). Sometimes some patients will ask: Have you not known me for so long? I explained: it's not that I don't know, it's the need of my work, and it's also to keep our operation from going wrong. I hope you can cooperate ... and seriously abide by the rules and regulations of our department since this month. Don't be late for work, don't leave early after work and don't be a miner. Seriously and timely complete the tasks assigned by the teacher, and carefully complete all the operations. Treat patients patiently and meticulously at work, respond to patients' needs in time, and earnestly learn from various surgical experiences. I feel very happy every time I receive a task, but sometimes I feel nervous when I meet some patients. Whenever this time, the teacher gave me confidence with encouraging words and trusting eyes, which made me find confidence!
Under the guidance of the head nurse and the head tutor, and under the careful and patient explanation and guidance of the tutor, I learned a lot and mastered a certain number of clinical nursing operations. Although some operations are not perfect, I will continue to work hard!
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