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What's the difference between a doctor in the outpatient department and a resident?
There is still a big difference between outpatient doctors and residents. Let me briefly talk about our orthopedics department.
The outpatient doctor and resident doctor in our department are actually a department, and the difference lies in the difference of a professional title. Some directors and deputy directors of our department usually go out of the clinic two or three times a week, and basically stay in the inpatient department, waiting for surgery. These experts treat patients in outpatient clinics. If the illness is not too serious, you can basically prescribe some medicine to go home for self-cultivation. If the patient is seriously ill and needs to be hospitalized, they will write a hospitalization slip and let the patient live in their own department. After completing the relevant examinations, they will prepare for the operation. The doctors in the outpatient department are all experienced and senior doctors.
Conclusion: Only people with certain qualifications can take outpatient service, and doctors in inpatient departments are often young doctors who have just joined the job or worked for several years, which is the hope of the future.
# The difference between outpatient doctors and residents # Many friends think that why there are outpatient doctors and residents in hospitals and why they should be separated, but what is the purpose of separation and what is their essential difference? I can tell you one by one.
The first outpatient doctor is the initial diagnosis of the patient. For everyone, seeing a doctor means going to the hospital. The first thing to go is the outpatient department of the hospital. First, you register. Then wait for the doctor, and then do you know what number you are hanging up? In fact, those who want to go to the outpatient department are all doctors at or above the deputy director level. Of course, some doctors in hospital departments are nervous, and the attending doctor will send them directly, but it is impossible for residents to see a doctor, because there are certain requirements in terms of professional titles and a certain number of years of clinical work, at least ten years, so that patients can see you. You will feel confident.
Secondly, some expert numbers are basically in outpatient clinics. Because of their rich experience, they have a certain judgment on an examination report or the patient's first impression. The so-called listening and asking, combined with case reports, can initially judge what diseases patients have, how to guide and help them, and carry out the next treatment. This is the process of initial medical diagnosis by outpatient doctors.
Of course, some doctors are re-employed after retirement. These people have basically made some breakthroughs in a certain discipline and are leaders in a certain discipline. And these people have been working in clinical and outpatient clinics for more than 30 years. So for some ordinary people, seeing this kind of outpatient doctor will be a lot happier from the heart. Moreover, if the re-employed expert doctor comes to see a doctor, it will open up the popularity of the hospital and attract patients to see a doctor. That's good.
Second: Residents are the most practical doctors in clinical work. Residents are the hardest, different from outpatients and residents, but they can also see a doctor, but pay more attention to treatment, or make more reasonable diagnosis and clinical work under the guidance of experts. Of course, residents can also see the condition, but their energy should not be too scattered, because from the perspective of doctors' career development, doctors also train doctors and residents regularly from the beginning. Attending doctor, then deputy chief physician, chief physician, gradually came up in five years, constantly finding problems from clinical work, summing up experience, solving problems, and improving their clinical professional ability step by step.
Therefore, if some people are familiar with the resident and have been diagnosed with the disease, then you can go directly to the resident for the second time, and the resident can directly prescribe medicine for you, and so on.
Third: the process of the hospital is to go to the hospital after the outpatient service. Every enterprise has its own rules and procedures, and so does the hospital. When a patient sees a doctor, he will make a preliminary clinic, and then he will find out what disease he has. When an outpatient doctor is hospitalized, he can still judge if he is not hospitalized. If he needs to be hospitalized, he can directly send the patient to the inpatient department for treatment. In fact, according to the rules, the doctor you see in the outpatient department is the doctor you treat in the inpatient department. This is the first principle of our doctors. Of course, some patients say that the doctors in charge of the hospital don't like it, and you can also apply for a designated doctor, but I think this is not good for patients, because it is bound to be embarrassing to make rounds every morning.
Generally speaking, there is not much difference between residents and outpatients. The most important difference is the difference between academic qualifications and professional titles. Under normal circumstances, the doctors you hang up in the clinic are basically the doctors who are in charge of your hospitalization. Of course, in terms of clinical and medical diagnosis, outpatient doctors are definitely higher than residents, and residents are basically inexperienced and are constantly learning and practicing, so we can understand that each has its own advantages, but outpatient doctors.
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There is a big difference between outpatient doctors and residents, and some regulations of our hospital.
Under normal circumstances, the outpatients and residents in the same department are actually a department, and the difference lies in the problem of professional ability. Some directors and deputy directors of our department usually go out of the clinic two or three times a week, and the rest of the time are in the inpatient department, waiting for surgery. These experts treat patients in outpatient clinics. If the illness is not too serious, you can basically prescribe some medicine to go home for self-cultivation. If the patient is seriously ill and needs to be hospitalized, they will write a hospitalization slip and let the patient live in their own department. After completing the relevant examinations, they will prepare for the operation. Doctors in outpatient departments are highly qualified and generally have the qualification of attending doctors. Attending doctors are divided into junior doctors, general doctors and senior doctors. In outpatient clinics, they are generally senior and experienced doctors.
Only with certain qualifications can you take the outpatient service. Doctors in inpatient departments are often young doctors who have just joined the work or worked for several years. They are engaged in business under the leadership of senior doctors or deputy directors or chief doctors, and they are unable to carry out business alone.
Normal medical treatment must go through outpatient service, but before hospitalization, patients always ask, "Doctor, are you still treating me after hospitalization?" . Will the doctors in the outpatient department be replaced by those in the inpatient department after hospitalization? How to divide the clinic and the resident? Are they a group? Who is better? Take orthopedics as an example, the doctors in these two positions are really different!
From the perspective of professional titles, doctors in hospitals can be roughly divided into four grades: chief physician, deputy chief physician, attending physician and resident physician. Residents here usually refer to doctors who have been in school for a short time or doctors with junior qualifications. Its main responsibility is to complete the basic medical work, including accepting patients, recording the course of disease, making orders under the guidance of superior doctors, and performing some clinical operations. And accept the guidance and supervision of superior doctors (attending doctors and above). In addition to residents, there is also a position of "chief resident" in general large-scale comprehensive 3A hospitals. Generally, the chief resident is required not to leave the ward and its vicinity for 24 hours, and the general cycle is 1 year. The position of chief resident physician is higher than that of resident physician, but not as good as that of attending physician. Residents and chief residents can't go out of the clinic, and they are "inpatient doctors" in the minds of ordinary people.
Doctors who can walk out of the clinic are generally attending and above, and their level will of course be higher than that of residents or chief residents. But the doctors in the inpatient department are not exactly the same as the residents. Take orthopedics as an example. Doctors in inpatient departments may also be directors or big-name experts. Because each doctor has limited time to go out of the clinic, the rest of the time is basically in the inpatient department. Even big-name experts can't sit in the clinic every day. He also needs to arrange rounds and operation time in the inpatient department. At this time, he belongs to the doctor in the inpatient department.
Many people are worried that after being admitted to the hospital from the outpatient department, the experts who saw the doctor before will leave it alone and will continue to be treated by doctors in the inpatient department. In fact, this kind of worry is unnecessary. At present, large-scale comprehensive third-class hospitals all implement the medical grouping system and the three-level physician rounds system, that is to say, the doctors who treat each patient are actually "a group of doctors", including residents, attending physicians and chief/deputy chief physicians. After being hospitalized from the outpatient clinic, the medical team where the outpatient doctor is located is responsible for the treatment of the disease. Even if the experts are not in the inpatient department, there will be doctors in the team.
There is no difference. There are generally three ways for outpatient doctors to exist. First, department directors take turns to go to outpatient clinics every week to receive patients. Second, the director or deputy director of the older department can't do surgery in the first line. They will go to the expert clinic all the year round, only accept patients, and don't participate in the inpatient ward round. It's not because of poor technology, it's true that hand-eye is not suitable for surgery at that age. Third, it is a doctor who is re-employed after retirement and is also a full-time clinic. He doesn't take part in surgery and rounds, but is only responsible for seeing a doctor and treating hospitalized patients. The only one is the first one, the working doctor, who is the soul of the department, that is, seeing the outpatient department, handling everything in the inpatient department and performing surgery. These are general outpatient doctors. There are also pure residents, usually students or subordinates of department directors, who are responsible for their own patients, prescribe doctors' orders and deal with their illness. I don't participate in outpatient service, but only take charge of inpatient department. All patients also independently handle their illness under the leadership and supervision of the director of the department, and can basically complete general surgery and other work. Complex surgery must be completed by the chief physician. That's why after you are in hospital, you have your doctor in charge. Not all the doctors in the inpatient department are in charge of your illness. Whoever has the hand is responsible, and whoever distributes it is responsible. Your doctor is in charge of prescribing medicine. Every morning meeting, the doctor in charge will report to the director of the department. If you encounter intractable diseases, you still need to give a treatment plan, involving diseases in other departments, and organize consultations. Now they are all experts. A small stomach can't cure your stomach, and a stomach can't cure your lungs. Hey! Actually, it's too professional. If you don't consider it in all directions, you will sometimes miss the illness and shirk the department back and forth, causing patients pain.
According to well-informed sources, doctors who usually sit in outpatient clinics have rich experience and long calendars. There is a simple reason. Most of the patients who come to the clinic are newcomers, and their condition is unclear, and the severity is unclear. They need more "excellent" doctors to see them off. If the outpatient department can handle it well, prescribe some medicine to take home, send it to the inpatient department, and send suggestions on how to treat it to the inpatient department for reference. This process is a bit of a "check".
Of course, the technical strength of the inpatient department is not bad. They have a team, backbone guidance and inspection, novice training and practice. If necessary, you can also call the outpatient master for consultation.
So there is a slight difference between outpatient doctors and residents.
Hello! Children studying medicine will answer for you!
Let me give you a brief explanation.
Doctors in out-patient departments are front-line troops, and they are generally served by experienced doctors. Every day, a large number of patients come to the hospital for treatment, and all of them are treated by outpatient doctors, who diagnose patients' diseases. Simple ailment, no big problem, just prescribe some medicine and go home to recuperate. If the illness is serious and requires hospitalization, it is necessary to be hospitalized for further treatment.
So sometimes after staying in the ward, the doctor will make rounds in the morning to see the doctor who saw the doctor in the outpatient clinic a few days ago. In fact, the outpatient doctor became a doctor in the inpatient department.
This is what I actually saw. According to the schedule, the doctor in the inpatient department, for example, today is Tuesday, and it is his turn to go to the outpatient clinic. He has become an outpatient doctor again.
Of course, there are special circumstances. For example, some retired doctors will be rehired to the hospital to continue outpatient service. These old experts usually only sit in outpatient clinics.
So when can the doctor in the inpatient department go to the clinic?
If a doctor wants to go to a clinic, he must first have the right to prescribe and get a doctor's qualification certificate. Then I got the attending doctor and worked in the ward for several years, and my experience, technology and clinical diagnosis and treatment thinking were all improved. In addition, some related departments have strict requirements, and the deputy chief physician has the opportunity to go to the clinic. In some departments, senior residents can go to the clinic. In short, they are skilled and can handle patients independently before they can go to the hospital to apply for outpatient service.
Medical children learn knowledge, share knowledge and help health. Thank you for your attention!
That's a good question, because sometimes when we go to the hospital and consult medical matters at the medical guide desk, the medical guide often blurts out the terms "outpatient doctor" and "resident doctor", but many people still don't understand what "outpatient doctor" and "resident doctor" are. What is the difference and connection between the two? Today I will talk about their differences and connections from the following three aspects.
First of all, as the name implies, an outpatient doctor is a doctor who treats outpatients; A resident is a doctor who treats hospitalized patients. There are differences and connections between them in the following three aspects.
Outpatients serve mild and newly diagnosed patients. China hospital adopts the triage system of western hospitals, which divides patients into two parts: outpatients and inpatients.
The so-called outpatients are mainly divided into two categories. One kind refers to those patients whose condition is mild and can be solved by simple diagnosis and treatment, or some common diseases, which are prescribed by doctors and taken at home by patients according to the doctor's advice; The other category is patients who need further diagnosis and treatment after initial diagnosis.
So doctors who provide medical services to outpatients become outpatients.
Residents serve seriously ill patients and confirmed patients. The so-called residents are those doctors who provide medical services for inpatients.
So what is an inpatient? The so-called inpatients are also divided into two categories. One category refers to those patients who are seriously ill and need hospitalization. According to the classification of the disease, it is arranged in a specific department and a specific ward, and a systematic examination is carried out according to the treatment plan of the hospital department, or a surgical plan is arranged, or other related treatments are arranged.
The other is that the outpatient doctor can't make a diagnosis of the disease according to the initial diagnosis results, and the patient needs to be hospitalized for a systematic examination before making a final diagnosis of the disease.
Outpatient doctors and residents are rotated. Although the responsibilities of outpatient doctors and residents are different, their jobs can be interchanged and a rotation system is implemented. In other words, after working for a period of time, the outpatient doctor will go to the inpatient ward and become a resident; After working for a period of time, residents will go to the outpatient clinic and become outpatient doctors.
Only a few outpatient doctors are fixed and will not work in the inpatient ward. These people are generally nearing retirement, or retired and re-employed, and stay in the clinic all the year round.
Conclusion: The clients of outpatient doctors are newly diagnosed mild patients. Residents serve critically ill and diagnosed patients; Outpatient doctors and residents are subject to rotation system and can be exchanged. Do you agree with me?
Generally, everyone doesn't know that, in fact, relatively speaking, the doctors in the inpatient department are taller than the doctors in the outpatient department. But this is not absolute. Because the doctors in the inpatient department should not only undertake the task of treating surgery, but also have the task of outpatient service.
Let me give you an example. Because a cholesteatoma was hospitalized and needed surgery, I was looking for a doctor at the deputy director level. Only doctors of this level can be hospitalized. You can make hospitalization bills directly, otherwise you need low-level doctors to organize expert consultations or confirm medical records with experts.
At that time, the operation began after being hospitalized. During the operation, the surgeon is the surgeon. The chief doctor is the head of this department and basically does not make house calls. He is in the ward or doing academic research.
Occasionally, the deputy chief physician's visits are all in the form of experts, and the number is extremely difficult to hang.
Doctors in outpatient departments rarely stay in inpatient departments.
Of course, hospitals are different, and there will be adjustments, such as how long it takes for outpatient and inpatient departments.
Hospitals usually adjust the order of doctors according to needs.
Moreover, it takes three to five years for a doctor to get a qualification certificate before he can be promoted to the level of deputy director. So why are experts above the level of deputy director? Because you must have enough annual salary and experience.
The difference is still quite big. The biggest difference should be the difference between professional title and clinical experience.
We go to the clinic to register, because we want to see an expert, so as not to be missed. Therefore, when the hospital arranges outpatient doctors, it also chooses the titles of deputy chief physician and chief physician, while the titles of outpatient attending physicians are not many.
When going to the inpatient department, the attending doctor is often the main force on duty. The chief doctor often asks about the patient's condition when he makes rounds every morning, and discusses with the doctor to formulate the patient's treatment plan. Then I went to do something else. With clinical experience, junior doctors have the ability and experience to do outpatient service.
But there is one thing that many people will ignore.
That is, there are some outpatient doctors who only sit in outpatient clinics, do not go to inpatient departments, and do not go to outpatient clinics. Although these doctors have high professional titles, many of them are already the titles of chief physicians. However, if you just sit in the outpatient clinic for a long time and don't go to the outpatient clinic, there will be the possibility of living on one's laurels and the level of clinical diagnosis and treatment will decline.
Therefore, when registering for outpatient service, it is recommended to give priority to the deputy director or chief physician who often goes to outpatient service.
Personal opinion, for reference only.
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