Laxatives 1. Did you learn the basics before the internship and recite anatomy? Do you know anything about physiology and biochemistry? How is the progress of internal medicine and surgery? At the clinic, every course you think looks stupid will be useful. If you don't even learn the knowledge in books well, you can only look blank every day when you make rounds, make doctor's orders, write medical records and go to the clinic. 2. If you learn the basic knowledge well, you should manage the bed independently. There is no value in following the teacher. At most, you can become a qualified medical assistant. 3. Apply for night shift. Night shift is always the most trained. Your knowledge, stress resistance and communication skills can be trained quickly. 4. Every time you go to a department, if you are free in the afternoon, take a good look at the doctor's advice of all patients in your group and check it carefully with a notebook. Where is it the same as a tree, and where is it different? Don't complain when the teacher asks you to do housework. Everyone does this, and you will do the same. But don't worry, few doctors will embarrass their brothers and sisters. After all, the medical environment is so bad now, and we will habitually hold groups ourselves. 6. When posting the list, you must think more. Seeing clearly is a technical job, so you should read more books and think more. 7. Get to know the science and education department (also called the clinical room, which may have a different name, that is, the administrative department that manages interns). If you need to take time off for postgraduate study, you need the approval of the science and education department. Keep writing and write wherever you want. 8. Teachers are usually very busy, and many teachers are not good at teaching students. After all, they are not professional teachers, so you must remember to ask more questions. Many teachers actually like to talk about it, because telling you about the learning process is very fulfilling and you can review it again. 9. Students who are preparing for the postgraduate entrance examination should not hold the idea that both hands should be hard when looking for a job while reviewing. Postgraduate entrance examination is a cross-strait war, so don't think about anything else. If you must leave a way out, let your family be responsible for finding a job. 10. Whether a physician or a surgeon, internal medicine is the foundation and must be mastered. 1 1. Pay attention to protect yourself and avoid being hurt, especially in the emergency department. 12. If you have strong willpower, I suggest you review for the postgraduate entrance examination, and you will have a sense of pleasure. A man's war is always full. If you are not such a determined person, you must find a partner. 13. You must work harder in your surgical practice. Although it is good to get two assistants for surgery now, we still have to fight for it. You must practice dressing change more. This is a skilled worker. 14. Many surgical medical records are not well written, but really don't use them for reference. Writing medical records is the foundation, so we must lay a solid foundation. Even if you copy and paste, please read it several times. 15. Be nice to the nurses, they work hard, and it's right to shout at the head nurse. 16. You must be polite. People older than you are either called teachers or senior sisters. Many people can't do it now. It's embarrassing to call them by their first names before you get to know them. 17. Practice in different departments should follow their own habits. For example, if you go to the cardiology department, you will take the blood pressure of the patients in the department early in the morning, and the director and your staff will be very satisfied. This is especially true if the director is your favorite tutor. . . # # # Play "Teacher, what is this?" Change it to "teacher, is this thick white one next to the trachea the recurrent laryngeal nerve?" # # # I'm not a clinician, but I've seen many. My clinical classmates are all honest people, but almost all of them have been dragged away by their families. Treating diseases is only a small part of clinical work, and it can even be said that it is purely for the satisfaction of self-worth. Most of the content of clinical work is how to leave a way out for yourself with correct expression in front of family members. Patients and their families can't understand your medical skills, but only your attitude can intuitively feel them. To protect yourself, no matter how tired you are, don't show any impatience in front of them. It's just a good prognosis. The problem is that no one is immortal, and there are always incurable diseases and accidents. Of course, there is nothing the family can do about pathogenic microorganisms, genes and luck. Cann't you get a white coat without power and power? # # # Clinicians need to learn to control their emotions earlier than ordinary people. Most people can basically hide their emotions after middle age, and some people can't even do it all their lives. But clinicians need to do this earlier, preferably within three to five years after working independently. When you are nervous about the operation, you need to be rational. When you face unreasonable people, you need to be rational. When you fail in treatment and deny yourself, you need to be rational. When the patient thanks you and is a little complacent, you need to be rational ... There are countless clinical scenarios. As a doctor, you should not delve into them with too much emotion. Clinicians can use their emotions to do some rational actions. # # # Many people find the following contents of the other half during the job rotation, and their personal views and feelings can be exchanged more. The full text does not say that you can all do it. Please say that you can do it as a fairy, so don't BB it, and don't spray it if you don't like it. I was very depressed at work the other day. I saw it on the internet, and it felt right. Now I will review every two days. The following is the original text: What do you rely on to stand in the department? If you want to establish a foothold in the department and maintain harmonious interpersonal relationships, please memorize the following eleven points! One: Loyalty? The unit may fire the competent staff, but no department will spare a conscientious and loyal doctor. He will be the longest soldier and the most promising doctor in the iron camp of the department. ? 1, think from the patient's standpoint; 2. Share your thoughts with your superiors; 3. Always safeguard the interests of patients; 4. Facing external temptations, it can stand the test. Two: dedication? The first condition for many hospitals to inspect doctors is dedication. 1, the purpose of work is not just to pay; 2. Providing services and efforts other than remuneration; 3. Willing to make personal sacrifices for work; 4. Vague the concept of commuting, and talk about rest after work (no doctor can do this ...); Pay attention to every detail in the work. Three: positive? Don't wait for others to explain everything. As long as a person can do everything spontaneously, even if the starting point is lower than others, he will make great progress, and positive people will always be welcome. 1, from "want me to do it" to "I want to do it"; 2. Take the initiative to share some "redundant" things; 3. Do it first; 4. High standard requirements: one step is required, and three steps are required; 5, take the initiative to attack, don't rush to show, show off or even grab someone else's job. Four: responsible? A doctor who dares to take responsibility is of great significance to the hospital. A person's working ability can be worse than others, but he must not lack a sense of responsibility. If he tries to avoid everything, not reflect on himself, and look for objective reasons, he will lose the trust of his superiors. 1, the core of responsibility lies in the sense of responsibility; 2. Do every little thing well; 3, words must be believed, and actions must have results; 4, wrong is wrong, never make excuses; 5. Let the problem ball stop on you; 6. Don't make a big mistake because of a little negligence. Five: efficiency? Efficient working habits are necessary for every excellent doctor and highly valued by every department. 1, scrambling to say "goodbye"; 2, not distracted, focused; 3. Quantify and refine the daily work; 4. Procrastination is the most vicious professional killer. 5, keep in mind the priorities, the first thing; 6. Prevent perfectionism from becoming the enemy of efficiency. Six: Doctors who can't communicate, even if they are talented, are hard to be recognized by departments. 1, communication and gossip are two different things; 2. It is wrong not to talk too much; 3. Ask questions with a plan, communicate face to face and solve them on the spot; 4. Cultivate emotional intelligence and accept criticism; 5, with the overall situation in mind, mixed feelings; 6. There may be contradictions inside, but the outside must be consistent. Seven: Team? Team comes first, self comes last. No matter how strong your personal ability is, as long as you hurt the team, the unit will not let you stay for a long time-don't think that the team can't function without you! 1, dripping into the sea, individuals join the team; 2. Obey the overall arrangement; 3. Abide by discipline and ensure combat effectiveness; 4. Don't be the "short board" of the team. If it is now, it is necessary to "increase" yourself; 5. Think of others and the team. Eight: enterprising? Individuals should always keep up with the pace of hospitals, and hospitals should always keep up with the pace of science and technology; No matter individuals or hospitals, participants don't want to be eliminated. To this end, we must move forward, stopping means giving up, which means falling behind! 1, learn with an empty cup mentality; 2. Don't always get angry, and live up to expectations; 3. Don't reuse one year's experience for ten years; 4. Make time to "increase" and "recharge" yourself (doctors' various studies and exams ...); 5. Develop their own "comparative advantages"; 6. Challenge yourself and plan ahead. Nine: Low key? You don't have to be proud of your talent. Don't think that if you don't talk and publicize, others won't see your ability and medical skills, so don't show off in front of your colleagues. 1, no credit; 2. Overcome the mentality of "overqualified"; 3. You are qualified if you don't put on airs; 4. Everyone must be respected; 5. Strive to be worthy of the name and be worthy of your position; 6. Achievement is only the beginning, and honor is the driving force. Ten: Cost? Economy is not meanness, but virtue. Don't mistake the unit's money for money, it is in the unit "pot" and only in the employee "bowl"; Similarly, with more pots, there will naturally be more bowls. And you are cooking by yourself. 1, reimbursement of accounts, must be honest; 2, don't be smart, don't be greedy and cheap; 3, do not waste the resources of the unit, even if it is a piece of paper; Eleven: Thanksgiving? Why can we allow our own mistakes, but have so many complaints about others and units? No matter how talented people are, they also need others to give you opportunities to do things and help you, big or small. Your happiness now is beyond your own realization. 1, work gives you not only remuneration, but also opportunities for learning and growth; 2. Colleagues cooperated with you at work; 3, peers let you see the distance and development space; 4. Critics let you constantly improve yourself. # # # Currently a second-year graduate student. At that time, the most important thing was to learn professional knowledge, because it was the basis of clinical practice. But there are other abilities that I think are different from other doctors. 1, kind and afraid of life. You are always dealing with diseases and life in clinic, no matter what discipline. No matter what level of doctor you are, first of all, remember that medicine is benevolence. Don't treat patients as relatives, at least in normal operation, contact with patients should be serious and clean, and no matter language communication or operation, try not to cause unnecessary harm to patients. 2. Be serious and responsible. At the beginning, we were all young doctors. We start with watching, then start with simple surgery, independent patients, and finally important surgery, such as surgery. But no matter at what stage, as long as you are in contact with patients, you must first remind yourself to be serious. Many humble mistakes can be avoided by being serious. Moreover, we should know that our doctors may bring huge economic and even physical burden to patients because of a small mistake. 3. Communicate effectively with patients. Let patients and their families understand your communication and trust you and your team. You will find that you will avoid a lot of trouble in the future. 4. Work more and run more wards. These are the skills that I feel I need to master after two years of clinical practice. # # # It's been many years since I left the clinic ... First of all, you should be familiar with the illness and chat with the patient's family. Of course, you should also know that this is known to all your colleagues. Second, treat patients with a better attitude, and don't learn from the attitude of some old doctors. Third, it is best not to covet immediate interests and learn from some doctors, otherwise you will never understand the word "saving lives" in your life. Fourth, we must have a good relationship with the nurses in the department and respect them. Fifth, it's ok to see communication psychology or something. Good communication generally won't make others complain. # # # After reading the suggestions of these seniors, are you a little confused? These experiences are the feelings of people who have been there for many years and are extremely precious. For them, these are practical experiences, and for you, these are theories. So put these theories into practice together with the theories of specialized courses and verify them step by step.
Theoretical knowledge is the skeleton. What the internship needs to do is to add flesh and blood (practical experience) to the skeleton and make it a living person. This is your own experience. A flesh-and-blood remedy? There is a shortcut: sum up these experiences upstairs and downstairs into a short manual (one day is enough, and exercise your integration ability at the same time), turn it out if you have nothing to do, and turn it out if you encounter problems. This is called integrating theory with practice, and you will make faster progress.
In addition, don't discuss the international frontier basic theory you just learned with clinicians, which is something that many students should pay attention to. You should discuss these theoretical problems with the basic course teacher. Clinicians are concerned with theories and methods directly related to diagnosis and treatment. I remember that many years ago, an intern asked me all the links of sperm development and the action mechanism of enzymes in each link (it seems that there are more than 50 links, I can't remember clearly). Do you think it is appropriate to discuss such problems with clinical teachers? Fortunately, I have read the relevant materials by chance.
During the internship, you should do the following:
Diligence: Your research object is the symptoms, signs and examination results of patients, and it is the doctor's thinking and methods of diagnosis and treatment, including consultation, physical examination, writing laboratory sheets, prescribing drugs, surgery and so on. Every question and every physical examination of him runs through syndrome differentiation and treatment. What do you want to prove and exclude by asking this question? What does the test list want to prove and exclude? Why use Luo Hong instead of cephalosporin? It is worth asking. For the same abdominal palpation, doctors of different occupations have different purposes, but they also reflect the level of doctors. For example, a 3-year-old child has abdominal pain and vomiting 1 day. The pediatrician checks that the liver and spleen are not big, and the surgeon touches them for a while. The pediatrician joked that touching the liver for so long. After examination, the surgeon said that the liver and spleen were not big, and there was a moving tender mass in the lower abdomen. Considering the age of symptoms, it is intussusception. Is the surgeon trying to touch the liver? Why didn't pediatrician think of intussusception?
Frequently asked questions: Ask about the patient's medical history, symptoms, etc. Give priority to listening, and then compare the diagnosis and differential diagnosis in the book and ask as targeted as possible. There are only a few articles in the book, and each patient's symptoms and signs are not exactly the same. Ask the doctor, and ask about the specific patient's condition and diagnosis and treatment. The breadth and depth of the problem also reflect your level.
Be diligent: It's a very rare disease that you may never encounter in your life. See doctors and nurses' operation methods, diagnosis and treatment procedures, instrument operation, surgery, etc. Take a look and ask.
Do it: Once you know the basic principle, do it. Physical examination, dressing change, injection, catheterization, etc. Look at how the teacher operates first, and then draw a tiger according to the cat. Master a basic principle: don't do it without seeing it. Teachers must be present for invisible deep operations, and don't do it without authorization (such as lumbar puncture anesthesia). ), take the initiative to do daily work, clean the office, run errands and so on.
Think about it: compare the test results of patients' symptoms and signs with the rules and regulations in diagnostics, which are consistent and which are inconsistent? Why? Are there any other diseases that mask or aggravate the symptoms? Wait, follow the trend, extrapolate, and connect with each other.
Be diligent in summing up: combine the practical knowledge you have learned with books every day or every week and sum up in your own words. This is your professional experience. Summarize non-professional knowledge and experience, such as dealing with people. ) will pave the way for your future.
In addition, you should also learn non-professional contents such as dealing with people, teamwork, professionalism, work style and self-protection. To be a doctor, I come into contact with a variety of people, including rich executives, poor people, reasonable people, unreasonable people and so on. Learning to deal with these problems is a necessary condition for smooth development after entering the society. # # # Medical knowledge is very important, and what is more important is communication skills with patients. You should not only explain clearly what you want to express to patients, but also ensure your own way of speaking, so that patients can accept it frankly and learn to avoid risks. # # # Emergency department for half a year, basic operation, clinical skills, handling, interpersonal relationship, patient relationship handling, human feelings are warm and cold, the world is cold, you have it all! # # # You'll find that you have a lot to spare. . . I suggest spending more time reading and preparing for the postgraduate entrance examination. If the postgraduate entrance examination is guaranteed, I suggest you stay with the teaching teacher, and the harvest will be very rich (in fact, the real way is to seize all possible time to go out to play! Go out and play! Go out to play, and when you go to graduate school, you are busy becoming a dog, busy becoming a dog, and busy becoming a dog! ) ### 1. Think about what to do in the future. Go all out for the postgraduate entrance examination, and don't practice it seriously. 2. Learn to teach yourself. If you have problems during the day, go back and review the materials at night. There are still questions to ask the teacher, which is quite impressive. 3. The knowledge reserves of auxiliary departments should keep up. If you are determined to become a doctor, I wish you a happy holiday. Because once you start working, it is 24/7 mode. Best wishes. # # # People who do this business have been in this business all their lives. Since it is something to know sooner or later, you should master it early. It is really painful to ask what you don't think and what you don't understand, but you can tell others that you don't know. Mom, it feels great to talk about love than to study. # # # Always have a fear of life.