[Boutique] Internship summary and experience

This article directory 1 internship summary and experience 2 internship summary and experience 3 internship summary and experience of the first article: internship summary and experience

“Study medicine is a long process. To become a good medical staff, we must establish a correct thinking mode at the beginning; cultivate a persevering spirit; the most important thing is that you must be interested in medicine.” . This sentence was told to me by the teacher when I first entered the oncology hospital a few months ago. However, I still remember this sentence a few months later, as if it was yesterday.

Medical imaging technology is a science of studying medical imaging methods. It is a highly practical technique formed by the intersection of multiple disciplines. It was discovered by Roentgen in 1895. After more than a century of development, medical imaging has evolved from analog imaging to digital imaging; The year of computerized tomography CT came out, and then the computer technology continued to penetrate into the medical field. Nowadays, medical imaging is a new subject that uses modern radiology, microelectronics, electronic computers, image processing and other latest scientific and technological achievements to diagnose and treat diseases. Modern medical imaging technology is developing rapidly. Whether it is ordinary X-ray, radionuclide, ultrasound or X-ray computed tomography, magnetic resonance imaging and other technologies, the density resolution and spatial resolution of images are greatly improved, so that various images complement each other and complement each other. Mutual confirmation, this can more clearly display the structure of human organs, and then combined with clinical data, physical examination, laboratory and other clinical data, comprehensive analysis, significantly improve the level of clinical diagnosis and treatment. This allows us imaging technicians to realize that there are multiple tasks on their shoulders; at present, we have completed two years of theoretical and theoretical studies with basic medical, clinical medicine, medical imaging and other systems. The stage of combining practice - the graduation internship stage.

A full nine-month internship from mid-July 2019 to April 2019; I really benefited a lot. Here I learned the theory and practice; I understand that the establishment of an excellent medical team is inseparable from an excellent medical imaging technology operator; the breakthrough of each disease, the study of medical experiments, and the completion of various scientific research We do not open an excellent image operator, so each of our technicians must have a solid theoretical foundation, guide the reality through theory, and better serve the clinic.

During my nine-month internship, I was interned with general discharge, CT, MRI, ultrasound, and diagnosis. The first internship department that entered the Cancer Hospital was MRI; the things I learned in this department were the most. Because my grandmother always said this to me: "If you have an idea, you must put it into action, otherwise you will regret it." Because only in this department we are half-day rest for half a day, so only in Here I am learning technology and learning from diagnosis. I think the advantage is that when I operate the machine and scan the patient, I can plan from the perspective of a diagnostician and a clinician, with clinical and diagnostic needs, so that we can not only reduce the burden on the diagnostician, but also It can also help you move toward a good technical staff as soon as possible.

To be honest, when I first entered MRI, I was really scared by the new environment and strange equipment. But with the help of the teachers, I fell in love with this strange device with the clockwise rotation. A strong desire, that is, "I must conquer you, brother and sister." The phrase "Yellow is not convinced with the heart" is not wrong, but my success is inseparable from the guidance of the teachers. In the two months of the MRI room, I know some English pronouns commonly used in MRI scan sequences such as: "Sag sagittal, tra transverse, cor coronal, ep dispersion, fs fat, mbh closed, tse fast, mpr no Intermittent, p-chip, s transmission; TR repetition time, TE echo time, TI reversal time, FA RF pulse excitation angle, tse fast spin echo, etc.) also mastered most parts of the human body scanning method, understand Some of the high-end technologies applied by MRI. Different scans are used in different patients in MRI, which are determined on a case-by-case basis; for example, a head scan routine scan only scans: 1.localizer2.t1-se-tra3.t2-tse-4484.t2-tirm -cor-dark-fl is the routine scanning sequence of the head; however, other sequences should be added in special cases. If there is suspected intracranial infarction, abscess, or malignant tumor, 5.epid-diff-3scan-trace- p; However, in order to better display and exclude brain lesions, the best examination method is to use the decisive advantage of angiography, and to observe the intracranial condition more objectively after scanning without layer. Of course, the advantage of MRI is not the scan for head lesions; its advantage lies mainly in the scanning of soft tissue, so MRI is currently mainly used for abdominal examination.

The high-end technologies of magnetic resonance mainly include: 1. The spoiled GRE sequence. Its main function is to use a high-intensity spoiler gradient to make the residual transverse magnetization vector vector phase after each echo acquisition; Imaging: MRH refers to the use of heavy T2 technology to make the vital organs and flowing blood a low signal, while the long T2 static or slow flowing liquid is a high signal as if directly injected into the contrast agent, the MRI imaging technique is used to form a sharp contrast image. Screening for gallbladder, urinary and other diseases; 3, Pop: is the only way to carry out no innovative examination of chemical substances in living tissue, the principle is similar to dispersion, characterized by information on metabolites. Although my understanding of MRI diagnostic knowledge is superficial, I am very happy and satisfied.

My second internship department is general. This department is the most basic and important department for our students who graduated from the college. It is also the department with the most contact equipment. The teachers here are willing to let go. So here we can always find our own deficiencies, and then constantly ask the teacher, correct the mistakes, and constantly improve themselves. The main equipment I contacted in the general public is CR, flat DR, DR mammography, dental tablet machine, bedside machine. During the period of the general internship, I realized that in order to truly do the simplest part of the imaging department, we must do the following: "1. Familiar with various inspection methods, and correctly guide patients to see a doctor. 2. Independent Complete various operations and management of the equipment; 3. Proficiency in the operation method of the X-ray machine and ordinary X-ray photography and angiography of the routine inspection site, and take X-ray films that meet the diagnostic requirements; 4. Familiar with X-ray special inspection technology, including high-lying photography, soft X-ray photography, digital X-ray examination; 5. Know CR, flat DR, DR mammography, dental tablet machine, bedside machine technical inspection procedures and basic steps So that we can leave the teaching teacher and stand alone, and do a good job in my own work.

In my usual work, my favorite is to use the breast, probably because I am also a woman. As long as there are breast patients, I will run quickly. So let's talk about breast irradiation now! Breast irradiation is actually a very laborious task. Every time I finish the breast, I will sweat a lot; but I like to do it, so I feel tired. Mammography is actually a soft X-ray method, which mainly uses a molybdenum target to expose the film at 40kv; then it is processed by the image post-processing technology and passed to the workstation. The position of the mammary gland is mainly internal and external oblique position and axial position, while the internal and external oblique position is the most valuable position for breast X examination. Also, when taking the mammogram, I can get close contact with the patient and touch the hand to understand the package. Block form, then shoot. After the filming is completed, I will make a simple inference first, and then I will see the results after I come out, and what is the difference between my own and his teacher's diagnosis. I think this is the best way to make up for the diagnosis. Of course, my task here is still to learn, so I can't bias my focus to one side; therefore, I still insist on the all-round development of all the equipment. Here, I also learned how to deal with the relationship with the patient, how to solve the problem in the event of conflict, etc., and mastered that every time we face a critically ill patient who cannot get out of bed, we should adhere to the principle that speed and quality are equal. Strive for the principle of people-oriented and try to conform to the patient's thinking. Of course, I know that two months is not enough for the general public, so I will continue to work hard in the future work, constantly improve myself and develop myself.

The two remaining departments are CT and ultrasound. The days of CT are happy and learning. The days of ultrasound are always the days of running against time. My internship in the ultrasound department is the least learned, probably because we can't test the doctor's qualification certificate! I don't have much thought on it; but I am still very grateful to my teacher, every time. When I encounter a special lesion, he will explain it to me carefully. I will give him more than ten years of experience. At that moment, I was really touched and moved. The most important thing is that I learned less but better than him. As for other students, I am a lot more.

In the CT room, my focus is mainly on the study of the essence of CT, because my heart is very clear, the operation of high-tech equipment is very simple, you can fully grasp it in a few days, and its essence technology is not your days. You can master it, so learn as much as you can in your own study stage so that you won't be in a hurry after you get into a real job. The main technique I learned at CT was arterial CTA. Arterial CTA is mainly divided into two types: head CTA and coronary CTA. And here I mainly introduce the head CTA

The head CTA includes a scanning portion and an image post-processing two parts. First of all, the purpose of the head CTA is: 1. Observe the blood supply of the tumor, 2. See if the blood vessel is deformed, and 3. Vascular lesions. The head CTA scanning steps are: 1. Select the sequence → Scan the positioning image → Position → Test → Scan while spraying → Find the carotid artery dominant target layer tracking → Get the flow rate curve → Calculate the delay time → Select the layer thickness for the third time Scan → Head regular scan. Image post processing is performed after completion. Arterial CTA is a very technical technology. To do it well, we must constantly strive to master more solid CT knowledge. Of course, I also learned CT scan methods in other parts, such as liver three-phase scan, limb scan, etc.

All of the above are from a unilateral point of view. In fact, I think that the relationship between medical imaging technology and clinical is very close. In the daily work of the radiology department, the medical imaging technology part occupies a considerable weight, and is responsible for imaging technology inspections from various clinical departments. It is responsible for providing objective, real and accurate image data for imaging diagnosis and clinical application. As well as the basis for accurate diagnosis of difficult lesions, the level of imaging technology directly affects the quality of the acquired images, which affects the accuracy of imaging diagnosis, and inevitably affects the clinical diagnosis and treatment of diseases. Statistics show that In clinical medical work, 90% of diagnostic and therapeutic information comes from medical graphics and images; therefore, the importance of imaging technology work is self-evident. Therefore, in our future work, we must be a new technician who understands clinicians and diagnostic doctors, and constantly communicates with the clinic. This way I believe that we will definitely become very good.

When, at the end of the sound of the keyboard, on March 31, 2019, at 5 o'clock in the morning, my internship life was successfully completed. The nine-month fruitful stay on this white paper, I did not expect the first to witness my results will be this small page of white paper. A little sad, but I still want to thank it, thank you for keeping my memory here forever; in the future work, I will use this paper as my testimony, bring this nine months of study to my own position. Constant efforts, continuous innovation, and constantly combine theory with practice, and strive to be an excellent medical imaging technician.

At the last moment, I really want to pay tribute to all my teachers. Thank you for your guidance. You are my forever role model. In the future work, I will take the interest you gave, the correct mode of thinking, the attitude towards work enthusiasm, and the spirit of perseverance to the end. Thank you very much! My dearest teacher.

Sincerely!

salute!

Part 2: Internship summary and experience

Measurement internship. The main task is to map the topography of the internship location. Through internships, consolidate and deepen the understanding and application of basic knowledge, basic theory and basic methods. Proficiency in the use of various measuring instruments. Cultivate students' ability to comprehensively apply the measured knowledge to solve resource surveys and mining resource engineering measurement problems, and lay the foundation for future professional work. Internship Content:

We first used the level gauge to measure the elevation. At the beginning, the measurement progressed very smoothly, but at the time of the final inspection, the error was found to be more than ten centimeters. We began to reflect on what went wrong. It may be because when the weather was late, I read the crosshairs into the silk. Because the result error was unqualified, we re-measured it the next morning. Comparing the previous reading, we found that the last time it was a crosshair reading problem. With this experience of failure, we are all careful. When the final match is fh=-28