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Pediatrician training summary


The one-year study and study has just ended, and I am back to the job I am familiar with. First of all, I would like to thank the hospital and the leaders for giving me this precious opportunity. I would also like to thank my colleagues for their hard work and peace of mind.
The unit I studied was the Department of Respiratory, Tangdu Hospital of the Fourth Military Medical University of the People's Liberation Army. It is the first batch of master's degree-granting disciplines in China, the dominant medical discipline in Shaanxi Province, the national drug clinical trial institution, and the grassroots construction model of the Fourth Military Medical University. Northwest bronchoscopy diagnosis and treatment training center, ventilator training base. The chairman of the Shaanxi Provincial Medical Association Respiratory Tuberculosis Branch and the deputy director of the respiratory department of the whole army. There are two ward areas in the Department of Respiratory Medicine, with 80 beds, an allergic reaction disease research room, a pulmonary qi ventilator, a bronchoscope room, a respiratory intensive intensive care unit and a respiratory medicine laboratory. It is the most advanced advanced unit of respiratory medicine technology and equipment in Shaanxi Province and Northwest China. The teachers here are noble, knowledgeable and approachable. Not only do the level of diagnosis and treatment rank among the best in the country, but they also attach great importance to the cultivation of the younger generation, maintaining a strong talent team, and Tao Li is everywhere.
The head of their department rounds up once a week, and the third line checks twice a week. When I was inspecting the house, I felt that the atmosphere was harmonious. I wanted to seek truth from facts and attach importance to evidence-based medical evidence. Many principled issues have reached consensus, but differences that do not violate the principle are allowed. Tangdu Hospital has always emphasized comprehensive treatment. The general department has organized joint large rounds of multidisciplinary subjects such as radiology, pathology, surgery, internal medicine and radiotherapy. When ward round, the medical history is first reported by the first-line or advanced doctor; the superior doctor carefully reads the film, analyzes the possible diagnosis, further examination and treatment plan. This systematically allows the patient to receive reasonable treatment while the young doctor knows a lot about it. Reasonable comprehensive treatment is one of the important factors in the high level of diagnosis and treatment of Tangdu Hospital.
In order to develop the department, we must pay attention to re-education, re-learning and the cultivation of reserve talents. The academic activities I participated in include: theoretical study and new progress in treatment twice a week; academic discussion in the department once a week; irregular academic exchanges, including lectures by famous experts at home and abroad, and academic conferences at home and abroad. Long-term, high-intensity, conscious learning and communication are also important factors in their long-lasting success.
I am also very small. The first is to systematically learn the relevant basic knowledge, the latest diagnosis and treatment techniques, comprehensively master the diagnosis and treatment of common diseases and frequently-occurring diseases in respiratory departments and related departments, and master the routine operation of respiratory department such as closed drainage of pleural cavity, pleural biopsy, ultrasound, Under the guidance of ct guided percutaneous lung, basic grasp of bronchoscopy, thoracoscopy and other operational essentials.
Once again, the collaboration of the various disciplines is a guarantee for improving the level of diagnosis and treatment. Each department has technical expertise, and each doctor has technical expertise to ensure the level of diagnosis and treatment of the department. It is not enough to have a good clinician. It is necessary to have advanced equipment and comprehensive auxiliary examinations in order to design an ideal treatment plan. At the same time, collaboration between hospital departments is also very important, such as surgery, pathology, and diagnostics. The comprehensive strength of the outstanding, in order to have a high level of diagnosis and treatment.
I am deeply impressed by the advanced equipment and technology. There are many problems that plague us in our grassroots hospitals. With advanced medical equipment and technology, we will be able to solve them and become more and more open. Despite this, conventional treatment is still the most commonly used treatment. I feel that relying on the current technology and equipment of our hospital, as long as the standardized and reasonable use of conventional technology and the development of new business and new technologies can make the majority of patients obtain satisfactory results.
Further experience and suggestions: 1. The department should develop, the hospital should be strong, and it should be in an invincible position in the competitive medical market. It must take the road of specialized construction, complete disciplines, science in development, academic specialization, and more disciplines. The finer it is, the more necessary it is to strengthen the training of talents in various disciplines. It is necessary to pay attention to re-education, re-learning and the cultivation of reserve talents.
2, hospitals to develop, must strengthen the internal medicine, subsurgery, pediatrics, obstetrics and gynecology, radiology, ct room, ultrasound room, electrocardiogram, lung function room and other departments between the cooperation, light is good The clinician is not enough, and must have advanced equipment and comprehensive auxiliary examinations in order to design an ideal treatment plan. In order to have a high level of diagnosis and treatment, more patients will benefit, better improve the social and economic benefits of the hospital, and increase the visibility of the hospital.
3. It is recommended to set up a special department of respiratory medicine to establish a strong thoracic surgery. The epidemiological study shows that respiratory diseases are the fourth leading cause of death in urban areas and the third in rural areas. Both lung cancer and morbidity and mortality are both. It ranks first in cancer in the world. In China, lung cancer has exceeded 20% of cancer deaths. According to the disease spectrum and the current situation of our hospital, in order to win this part of the patients and create better social and economic benefits for the hospital, it is recommended to add bronchoscopy as soon as possible. Advanced equipment such as thoracoscopy, and speed up the training of personnel in this area, carry out new business, new technology, chest surgery, respiratory department without bronchoscopy can not survive, let alone talk about development. Increasing and strictly controlling the indications of ventilator-assisted breathing for critically ill patients can save the lives of most respiratory patients, prolong life and improve the quality of life. It is recommended that patients with critically ill patients be routinely examined for arterial blood gas analysis, which can better judge the patient's disease prognosis and improve the equipment utilization rate. Temporary pleural biopsy, percutaneous lung puncture and other new services can be carried out, and comprehensive treatment such as thoracic perfusion therapy for tumors can be carried out. Ventilator treatment can be performed.
4. It is recommended that the hospital set up a comprehensive emergency center, establish a first-aid observation room, and revoke the infusion room. This will also facilitate the management of patients in the observation room and better treatment. Patients who meet the hospitalization requirements should receive hospitalization. It also created a better economic income for the hospital. The medical staff in all departments of the hospital rotate, the emergency doctors are not fixed, so that the emergency doctors also have the expertise to learn and use them, so that the hospital staff can be fully developed, and the doctors in the inpatient department can receive emergency training and master first aid. Knowledge and technology.
The above is my little advice to the hospital. If there is anything wrong, I hope that the leaders will understand, because I am a Chinese medicine practitioner, I am a hospital, I love the hospital.

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