Do you know that?/You know what? Do you know that?/You know what? Those who are good at summing up will have room for improvement. Doctors are lifesaving professions. I believe you must have gained a lot of work experience after studying for a period of time. The following are three practical references summarized by doctors. Come and have a look.

Summary of doctoral studies 1 In xx, I was fortunate enough to go to the long-awaited Department of Obstetrics and Gynecology of Qilu Hospital for a year. Qilu Hospital of Shandong University is a hospital directly under Shandong University and the Ministry of Health. It is a large-scale comprehensive third-class first-class hospital integrating medical treatment, teaching, scientific research and preventive health care. Obstetrics and Gynecology in this hospital is a national key discipline and a key discipline in Shandong Province. It is divided into seven majors: gynecological tumor, gynecological minimally invasive surgery, gynecological urology, gynecological endocrinology, perinatal medicine, family planning and reproductive medicine, and enjoys a high reputation in the field of obstetrics and gynecology in China.

There is an endless stream of patients here, with extra beds in every corner, and a considerable number of cases are critical or difficult cases. After I was familiar with the working environment for a short time, I attended the patient's separate admission. I saw many diseases that I only saw in textbooks before. When I encounter a problem, I humbly ask the teacher. After work, I looked through books and materials to consolidate my knowledge.

The appearance of hysteroscopy is a great progress in medicine. Hysteroscopy is the modern gold standard for diagnosing uterine cavity lesions. Hysteroscopy is regarded as a successful model of contemporary minimally invasive surgery because of its low trauma ratio and high cost ratio. During my study, under the careful guidance of teachers, I strive for practical operation opportunities and constantly use books to experience and explore. I have mastered hysteroscopy, such as the diagnosis of abnormal uterine bleeding and intrauterine adhesions, the positioning and removal of intrauterine devices, the diagnosis of abnormal echo and occupying lesions in the uterine cavity, the examination of tubal intubation under hysteroscopy, and the examination of intrauterine factors of unexplained infertility. Basically master hysteroscopic electrotomy of endometrial polyps and O-type submucous hysteromyoma. Have a thorough understanding of difficult operations such as hysteroscopic hysterectomy and intrauterine adhesions. During this period, I read through the third edition of Hysteroscopy edited by Xia Enlan, the originator of hysteroscopy in China, and Clinical Gynecology and Obstetrics Endoscopy edited by Dong Jianchun, which made the theory and practice well combined.

Through this study, my theoretical knowledge, diagnosis, treatment and surgical skills of gynecological diseases have been significantly improved. More importantly, my biggest gain is to broaden my horizons, broaden my thinking and change my theory.

Summary of doctor's further study 2 During the seven-month further study in PLA General Hospital, with the care and help of doctors and nurses in the General Hospital, the rotation of each group was successfully completed. Through the study, I have been able to independently complete the surgical cooperation of orthopedic internal fixation of limbs, anterior and posterior cervical internal fixation, thoracolumbar internal fixation and percutaneous low-temperature plasma ablation of nucleus pulposus vaporization; Portal vein shunt, radical resection of rectal cancer, total gastrectomy and retroperitoneal tumor in general surgery; Esophageal and pulmonary surgery in thoracic surgery and three esophageal incisions; Cooperation in neurosurgery, such as anterior and posterior cervical internal fixation, oral and nasal pituitary adenoma, meningioma, carotid aneurysm clipping, acoustic neuroma resection, etc.

Second, advanced instruments and equipment.

I went to the PLA General Hospital for further study, and saw and personally operated many advanced instruments. Such as ultrasonic scalpel, blanket heater, ring electrode, orthopedic and neurosurgical navigation system, neurosurgical craniotomy electric drill and pneumatic drill, nerve electrical stimulator, rapid disinfection pot, low-temperature disinfection pot, instrument ultrasonic cleaning pot and ethylene oxide disinfection pot.

Two chemical sterilization methods, glutaraldehyde soaking and formaldehyde re-steaming, have been eliminated in the operating room of general hospitals. They usually choose high-pressure sterilization, ethylene oxide sterilization and low-temperature sterilization, so the types of disinfection pots are relatively complete, and the operation is convenient and safe, which not only ensures the sterilization requirements of instruments, but also greatly saves the time for the next operation. In the nerve group, the advanced navigation system is used to cooperate with the operation. Through navigation, the position, size and completeness of the resection of the space-occupying lesion during the operation can be accurately judged, which greatly improves the quality of the operation. The navigation system used in orthopedic surgery of spinal internal fixation can help doctors to judge whether the nail is in the cone or not and whether there is nerve damage, which increases the safety factor of the operation.

Third, the operating room management experience

The PLA General Hospital has many advantages in logistics management, human resource management, equipment management and high-value goods storage, which is worth learning. Each department prints a detailed list of charging items, and the toll collectors check and keep accounts after each operation, and the fees are settled on the same day to prevent arrears and missed charges. The instrument is responsible for all operations the next day. Conventional instruments and special instruments should be used, and the supply of emergency surgical instruments should be guaranteed. After the operation, the instruments should be cleaned, maintained, packaged and sent for disinfection. The teaching of new nurses and advanced students in general hospitals is very strict and standardized, and the training is managed by a teaching team leader. In order to prevent students from blindly coming to the stage, they were first organized to learn the rules and regulations and workflow of the hospital operating room, which laid a solid foundation for students to cooperate with the operation smoothly in the later period. Every operation has been trained in a unified way, and personal habits in the operation process have been eliminated. Adopt the "One Belt, One Belt" teaching method. In this process, teachers set an example, so that all students can understand the cooperation process of each operation, get used to the habits of operators and the matters needing attention in the operation process, and benefit all students.

Chapter 3: The experience of doctoral further study: 20xx years is an important year. Liaocheng Maternal and Child Health Hospital successfully purchased the Development Zone Hospital and plans to build Liaocheng Central Hospital. 20xx is also the year when my five-year college clinical ended and I graduated smoothly. It is such a coincidence that I was lucky enough to join the city women and children, and I became a member of the city women and children through application. In order to let us step into a brand-new job, master superb technical skills and better serve patients, our hospital has arranged 100 more clinical and nursing new employees to go to the affiliated hospital of Jining Medical College for further study, which is a very rare opportunity as new employees. During my further study, I was assigned to study in four internal medicine departments, namely, internal medicine, internal medicine, digestive medicine and respiratory medicine. Half a year's study has been long and short, but I have gained a lot and gained a lot of experience. Now I want to say something that I deeply felt during my study in internal medicine and respiratory medicine.

Cardiology is one of the most important windows in the hospital. There are five wards and one CCU ward in the Department of Cardiology of our hospital, which not only accepts normal elderly patients with chronic diseases, but also accepts urgent and critical patients transferred from counties. It is anxious, busy and complicated. Facing the first diagnosis and rescue of critical emergency patients, patients in cardiology department often have unclear diagnosis, unknown condition and rapid changes. If it is not handled properly, it is easy to have medical disputes. However, patients and their families are prone to impatience, anxiety and fear. Cardiology is different from ward. Medical staff have enough time to communicate with patients and their families, understand the needs of patients in time, and establish a good nurse-patient relationship. Remember, patients and their families have not yet established a good sense of trust in their short contact with medical staff, and they are very sensitive to every nuance of medical staff. The speech and behavior of medical staff will have a great influence on patients' psychology. As a result, the treatment behavior of medical staff is not understood, leaving patients and their families with the illusion of "being ignored" and "being urgent and not urgent". So I feel more and more that "communication" is a very important link in cardiology. At the same time, only by learning to observe can we be good at discovering problems, including observing the patient's condition, psychology, needs and family members. Learn to judge through observation and communication, and have an accurate understanding and judgment of the patient's condition and needs, which is conducive to the rescue work of medical staff and buys time for patients. For example, patients with acute myocardial infarction can know the onset time and inducement, the location and severity of precordial area, past medical history and so on. Through observation and systemic inquiry, the disease is initially diagnosed at the first time because of its treatment, thus winning time for the treatment of patients.

Everyone in the Department of Cardiology is my teacher, and everything is my experience, which has taught me a lot, whether it is being a person or doing things. Of course, if you want to be an excellent physician, communication is not enough. You also need a solid theoretical foundation, rich clinical experience, quick response and quick action. This is a guarantee that can stand the test in an emergency.

Compared with other departments, the complexity of respiratory diseases is more prominent in clinical medicine. Moreover, the etiology and pathogenesis of many respiratory diseases are closely related to living environment, smoking history and genetic factors, such as COPD, cor pulmonale, pulmonary embolism, asthma and respiratory tumors. The etiology and pathogenesis of many diseases are also closely related to epidemiology, such as community-acquired pneumonia, acute exacerbation of chronic obstructive pulmonary disease caused by weather change and common cold. There are epidemiological problems.

In diagnosis, a complete diagnosis of respiratory diseases should include three aspects: ① functional diagnosis; ② Pathological diagnosis, including nature and location; ③ Etiological diagnosis. When the etiology and pathology are difficult to be clear, only clinical diagnosis can be obtained. The basis of diagnosis includes medical history, symptoms, signs, laboratory data, X-ray, CT and other general data, as well as special examinations such as bronchoscopy and sputum culture. Some respiratory diseases with obvious clinical manifestations can be diagnosed only according to clinical symptoms and signs, such as chronic obstructive pulmonary disease and cardiogenic asthma. For those with mild early symptoms, inconspicuous symptoms and no typical medical history, detailed examination is needed to make a diagnosis.

Medical diseases are relatively complex and difficult to understand. Patients who encounter these diseases should also attach great importance to these symptoms and signs, be familiar with their clinical significance in internal medicine diseases, and at the same time distinguish whether these symptoms and signs are caused by internal medicine diseases or other systemic diseases. The common clinical thinking method of internal medicine is: first, find problems from clinical manifestations, get hints from them, then carry out relevant laboratory tests, get corresponding diagnosis, further check, get pathological diagnosis, make clear the location and nature of the disease (whether it is primary or secondary, organic or functional, whether there is tumor, benign or malignant), and then take corresponding treatment measures. Unlike the thinking mode of "casting nets in an all-round way and focusing on fishing" often adopted by other departments.

Hippocrates said: Work needs not only superb technology, but also art. In fact, the work of doctors also needs art. During this period of study, I have gained a lot. If I summarize it in simple words, it will look pale and powerless. At least we can't express it accurately and clearly, and we benefit a lot. In short, thanks to our training and careful service to life, after the study, we will take up clinical posts with a more proactive attitude, more solid operational skills and more profound theoretical knowledge, improve our clinical diagnosis and treatment ability and do our part for human health! I hope I can become a qualified and excellent doctor.

Summary of doctoral further study 3

How time flies! Unconsciously, I completed my further study in the Third People's Hospital. In just two months, the nursing department of this hospital can reasonably arrange the rotation of departments and arrange experienced teachers to teach carefully. I have learned valuable knowledge and clinical operation that I have never encountered in my usual work. The management of the third hospital is standardized, the ward is clean and tidy, the nurses are diligent, United and cooperative, and the nursing service is in place, which has benefited me a lot.

I studied in Beijing Sanjin for a month and learned a lot about psychiatry. For example, how to observe the changes of illness and care, how to communicate with patients, and care for patients in essence. Instruct patients to participate in some labor courses such as handicrafts, painting and making glue flowers. At the same time, psychological counseling is given, so that the patient's mood is stable, his attention is distracted and his condition is controlled. Do a good job in daily life care, prevent false medication, and standardize the writing of nursing documents.

In the second month, I studied in the Geriatrics Department. There are many hospitalized elderly patients, almost full of beds, many nursing operations and heavy workload, which is harder than psychiatric department. Through studying in regular classes, I am basically familiar with the nursing of common and frequently-occurring diseases of the elderly, the nursing of arteriovenous catheterization, the prevention and nursing of pressure ulcers, the oxygen inhalation method, the nasal feeding method, the catheterization method, the enema method and the sputum aspiration method. And how to observe the changes of critically ill patients' condition and rescue the dying patients. At the same time, the nursing department specially invited nursing experts and operation experts from the central hospital to give a demonstration lecture on cardiopulmonary resuscitation and nursing operation in our Third Hospital, which I have never met in my usual work. Because the hospital where I work does not offer geriatrics, the nursing knowledge of the elderly is relatively reduced, especially the treatment of sudden diseases of the elderly is still inexperienced. During this period, all the nurses in the first geriatric department spared no effort to practice all kinds of operation techniques and collect medical teaching and education networks during their rest time, laying the foundation for establishing a tertiary psychiatric hospital. Their conscientious spirit is worth learning.

In the work, I can get help and guidance from leaders at all levels and nursing colleagues in the Third Hospital of the City. Everyone treats me like a brother and sister, so I don't feel the strangeness of going out. Colleagues of the Third Hospital, I thank you!

In the future, I will continue to learn more knowledge and skills to better serve patients in nursing posts.