[Boutique] Hospital Internship Report

This article directory 1 hospital internship report 2 hospital internship report 3 hospital internship report Part 1: Hospital Internship Report

Abstract: As a sophomore medical student, as a sophomore medical student walked into the hospital to observe and learn, to get familiar with the work of the hospital early.

The environment, understanding all aspects of the work that I will do in the future, to know my current learning, is also a preparation for my medical dreams.

Keywords: Hospital apprenticeship experience

During the summer vacation, I went to Huangshi Chinese Medicine Hospital for a trainee. Wen’s office was in the hospital complex, and I followed him. Mr. Wen has been trained by Huangshi City General Practitioner and is also the leader of the inpatient department of the hospital. During this period of study, I learned a lot of clinical medical knowledge under the guidance of Teacher Wen.

At 8:00 in the morning, the doctors and nurses on duty should sum up the situation of the patient the previous day to determine the work today. After that, I followed the teacher to check the room. Since I had not actually been clinical, I started to explain the contents and precautions of the room to me every time I checked a patient. Sometimes I would try to check the patient. . I remember that the first patient that Wen teacher asked me to check was an elderly person with chronic bronchitis and high blood pressure. When I was listening to the heart sound with a stethoscope, I didn’t hear any heart sounds before, so I didn’t hear anything abnormal. I noticed that there was something unusual between the first heart sound and the second heart sound. I really noticed that there was a rustling sound between the first heart sound and the second heart sound. I realized that this is the heart caused by high blood pressure. The valve is not fully closed, and the teacher told me that such a heart sound is too typical in clinical practice. You can remember one generation after listening to it. Another time was a patient who requested a broken belly. The director of the obstetrics asked Mr. Wen to assist me. I also followed the operating room. However, when I heard that I could enter the operating room, I ran to Xinhua Bookstore by eating at noon. Make up the rules and precautions that must be observed in the operating room. For example, the tweezers that hold the things can only be used once, and the tweezers can only be taken up vertically, etc. Before entering the operating room, the teacher repeatedly stressed that they must wear them all. The thing to wear. But to be honest, I felt very scared when I first saw the surgery. When I saw the baby appear in my field of vision, I was very excited. I saw a life born in front of myself for the first time.

Because Wen teacher has been trained by general practitioners, he often receives some non-hospital patients, so I can also see the symptoms of some common diseases and their corresponding treatment plans. For clinicians, the writing of medical records is also very important. The physical examination at the hospital covers all items required for the whole body to confirm the condition, and blood tests are also the most common examination items. Urine is also, and morning urine is the best urine specimen, because people are in sleep at night, various physiological factors are more consistent, urine concentration PH value is the lowest, pathological active ingredients are relatively stable in weak acid environment, so the specimen is often Suitable for urine routine examinations. The most common during the trainee period is hypertension in the elderly. Therefore, emergency treatment for high blood pressure is usually performed by using sodium nitroprusside 25 to 50 mg, adding 5% grape juice to 3 to 5 ml, and then adding 500 ml of 5% glucose solution to the vein. Symptomatic medication should not only remember the name, medicinal properties and usage, but also remember the contraindications of the drug, such as the patient's cold and fever, if the patient has bronchial asthma, you can not use ephedrine drugs, so you can not use Contec Treats a cold because it contains ephedrine.

During the month of the trainee, what impressed me the most is that clinical is the solid foundation of theoretical basic knowledge, clinical field experience, and field operations, so that I can firmly remember the seemingly boring knowledge points in the textbook. For example, every day I look at the teacher's like a fish, I hate that I have learned too little. It’s really "there is less hate when the book is used." As a doctor, it is a life-critical knowledge of medical care. It is not necessary to be false, not only to have a solid theoretical foundation, but also to learn to connect theory with practice.

While learning clinical knowledge and learning how to use it flexibly, during the trainee period, there is also an important achievement. I have a perceptual understanding of the correct handling of the relationship between doctors and patients, and cultivated the spirit of humanistic care. Patients came to the hospital. There is a certain degree of anxiety. Doctors should pay attention to communication while treating patients with diseases, avoiding medical disputes and medical accidents caused by insufficient mutual understanding, and good doctor-patient relationship is also the key to promoting patient recovery.

Concluding remarks: This trainee has benefited me a lot. In addition to learning related diseases, I also exercised my clinical practice.

Ability, this will prompt me to combine theory and practice in future studies and strive to improve my medical level.

Thank you: Thank you for this trainee, let me know a lot of things that I can't learn in the textbook, and let me understand my own shortcomings.

Part 2: Hospital Internship Report

The two-month internship life is coming to an end. Recalling the 359 hospitals of the People's Liberation Army, it is really a great memory. There is no burden on the official doctors, but the formal doctors' work is shared with the doctors. There are very few such opportunities.

During the two-month internship, we have a lot of gains. The summary report can only report the specific aspects of our internship in the hospital in writing, but it is difficult to express our excitement, excitement and excitement in the hospital. Mood. At least we can't express ourselves very accurately and clearly. The harvest during the internship will lay a good foundation for our future work and study. In short, thank the hospital for cultivating us bit by bit, and thanked Jiangsu University for giving us a valuable opportunity for this internship.

When I came back to the internship, when the PLA officers gave us the department, I and Yu Liang, Wang Linna, and Wang Jiayin were assigned to the internal medicine clinic. So we started our two-month internship, and our teacher was Teacher Zhou Jiahe, a doctor who graduated from Anhui Medical University, is about the same age as ours. So compare it. We have contacted many patients in the internal medicine clinic. Atrial fibrillation, enteritis, the common cold, combined with the knowledge we have learned in books, gives us a deeper understanding of the disease. In addition to her work, Mr. Zhou talked with us about the World Cup and added some fun to the relatively boring work. During the internship, I abide by the law and abide by the rules and regulations of the hospitals and hospital departments. Try our best to improve the ability to think independently, solve problems independently, work independently, and strive to cultivate the lofty ideas and good professional ethics that serve the people wholeheartedly. After one month of practice, I have mastered medical records such as medical records, consultation records, and discharge records. Writing.

The internship experience in the medical ward is also very meaningful. Just entering the ward, there is always a feeling of awkwardness, the work of nursing is relatively unfamiliar, and there is still no concept of shaping what can be done in such a new environment. Fortunately, we have teachers who introduce us to the structure of the ward, introduce the work, and bring the rich experience of the teachers, so that we can adapt to the nursing work of the hospital quickly. Being able to adapt to the hospital environment as soon as possible has laid a good foundation for practice and work in the hospital. This should be regarded as the first gain in the internship stage: learn to adapt and learn to grow and survive in a new environment. In the ward we were exposed to the working environment of the nurses.

The nurse's work is very heavy and messy, although I have some feelings before, but after entering the ward, the feeling is deeper. Indeed, the nurse's work is very fragmentary, very messy, but it can be said to be very low, but through the majority of people do not understand, we found that nurses have their own unique charm. It is impossible for a hospital to have no nurses, which explains the importance of nurses. Doctors can't leave nurses, patients can't leave nurses, and the whole environment can't do without nurses. This trivial work has a complete system. It can be said that "the sparrow is small and complete," and because of this, it can play its unique role and produce an indispensable role. Because of the clinical practice, we have a more comprehensive and profound understanding of the nursing work, more specific and detailed understanding of the industry. The second gain in clinical practice: correct understanding of nursing and establishing correct professional ethics

On the first morning of the ward practice, I came to the hospital early. At 8 o'clock, the handover did not start. I followed the nurse to help the patient change the sheets, help them to take the temperature and so on. At 8 o'clock, the doctors and nurses handed over the shifts on time. The doctors and nurses who passed the night reported the situation of the patients last night, and then the doctors of each bed began to check the houses separately. I followed them and listened carefully to how they checked the patients and how. Ask them. Looking at their meticulous work attitude, my heart can not help but be full of reverence. First, doctors ask patients about their illnesses, such as: whether there is fever, whether there is pain, how to eat, whether the excretion is normal, whether there is polyuria or oliguria. Then, the doctor carefully observed the patient's signs, and sometimes made a percussion, and finally prescribed a doctor's advice. At this time, the nurses began to compare the doctor's orders, and according to the doctor's advice to take medicine and treatment, the nurse checks the body temperature every 4 hours, and draws a temperature curve for the doctor's reference, in addition, every half hour to conduct a tour Room, check if there is any abnormality.

In the afternoon, the doctors had a discussion session for the 14-bed patient. I also came there quietly, listened carefully to their discussion, and remembered the main points. Unconsciously, I have already arrived at work. Back to the dormitory, I summed up the harvest and doubts of today, and I feel that today is really fulfilling!

Every morning, we followed the teacher or the director of the department to check the house. I saw many old and sick deaths. I also saw that many patients with cancer at the end of the year were constantly fighting with the disease. Many patients were optimistic and actively wanting to live. I am moved, and I am very impressed by the hospitality of the hospital volunteers. There is a veteran who has lung cancer, more than 80, incontinence in bed and incontinence, to the ward is a stinking smell, the director privately told us that it is only a month, this is the tragedy of the world, but who is also Can't stop the arrival of death. We also came into contact with patients with diabetes. His diabetes caused nerve numbness and pain in the abdomen. He always told the doctor that he could eat a lot of things, a few buns and a few big cakes in the morning. What he meant was to tell the doctor that he could eat very healthy. In fact, this is the clinical manifestation of diabetes, more than three. Because there are many female nurses in the department, sometimes the patients are moved to the downstairs for inspection. The female nurses are very difficult to do. Our boys have taken care of this aspect and helped some patients with bad legs and feet to go to the second floor for color ultrasound examination. . When I was on duty, I came to a migrant worker, very strong, about 30 years old, came to say that I had a chest tightness and difficulty breathing. After examination, it was found to be pneumothorax. Lung compression has reached 85%. According to him, when working hard, he felt the tears in his chest and tissue, and then he felt chest tightness. The chief doctor immediately gave him a chest x-ray and then gave him a closed thoracic drainage. All operations were done using clean, hygienic equipment. He repeatedly warned doctors and nurses to pay attention to the infection and prevent the occurrence of pus.

In the next two weeks, we were interned in the Department of Hepatology. The Department of Hepatology was located behind the 359 Hospital. It was in a very quiet place to facilitate the rest of the patients. The liver disease department was mainly in the inpatient department. The doctor asked us to help us with daily small things. However, the things that are done are small and significant. Let us establish a rigorous style and a serious work attitude from the beginning, form a fixed way of thinking, and lay a good foundation for future work. Medical ethics education makes me feel the sacredness and pragmatism of being a doctor. We must establish our own image and adhere to the principle of doing things in order to better safeguard the sacred authority of the "white angel" in order to be respected by patients and colleagues. .

There was an episode in the internship of the 359 hospital. I had a mucous cyst in the lower lip of my mouth. I asked Mr. Zhou Jiahe when I was in the internship. I thought that there was nothing wrong with the disease like oral ulcer. of. I did not expect that Teacher Zhou was very surprised to ask me how long I have been. Let me go to the Department of Stomatology for an examination. Although it is basically impossible to be a tumor, it is better to check it. It is best to get it done as soon as possible. I was accompanied by my classmates and went to the dental department of 359. I learned that it was an oral mucus cyst. It is not a big problem. It is best to do it. The next day I decided to have surgery there. In the 359 hospital, I was both a doctor and a patient. It was a comprehensive adaptation to the hospital.

Then we went to the orthopedics and surgical internships, saw a lot of surgery, and gained a lot. At the very least, I dared to see the pictures of flesh and blood.

As I became more aware of my medical knowledge. My internship is coming to an end. During my internship, I deeply felt that it is not easy to be a doctor. It is not easy to be a good doctor.

Practice the truth, practice long talents

In just one month, I had established a good relationship with the teacher, and it made me feel a little reluctant to leave. Into the various departments of the office, missing a stranger, more than a kind; less lonely, more comfort; less worry, more sincere! Here, I not only really learned Knowledge, I also understand some truths: to be a real person, to work seriously! „„ Thanks to the school and 359 Hospital for giving us this valuable practical opportunity, I think this practice is indispensable for our medical insurance students, because It not only improves our professionalism and skills, but also enhances our social communication skills and lays the foundation for us to better adapt to society in the future.

Part 3: Hospital Internship Report

In the three months of sunshine training, I feel that I have matured a lot, and I have a new understanding of Chinese and Western medicine, doctor-patient relationship and my own life, and I am more brave and responsible. I returned to Linyi in July, very kind, after all, my hometown...

Linyi City Chinese Medicine Hospital is the largest comprehensive Chinese medicine hospital in Shandong Province, the national third-class Chinese medicine hospital, one of the 100 civilized industry demonstration sites in Shandong Province, and one of the 10 civilized service demonstration hospitals. Center for medical, first aid, rehabilitation, scientific research, teaching and technical guidance of Chinese medicine and Chinese and Western medicine. After the traineeship in Rizhao, I have a lot of internships in Linyi, and the workflow is clear. The first department is pediatrics, the internship method is one-on-one, and my teaching teacher is Zhao Changhua. Teacher Zhao is thirty-five and six years old. She is physically strong, with a bronzed complexion, and she is full of masculine beauty. She laughs and laughs in Cory, and she is very happy. The biggest advantage of following Mr. Zhao is that he will let you know the ins and outs of the disease clearly. After checking the room every morning, he will always take me to meticulously explain how the patient's reaction progresses during the rounds, especially when there are new patients, he will take me carefully to check the children. Body, sometimes completely let go of me. During the pediatric internship, it coincided with the prevalence of hand, foot and mouth disease. Teacher Zhao also asked me to write a summary of the epidemic, summarizing the pathogenesis, differential diagnosis, complications and treatment of the disease. Under the tutoring of Mr. Zhao, I am familiar with the diagnosis and treatment of common pediatric diseases such as neonatal jaundice, ischemia and hypoxic brain sensation, pediatric pneumonia, acute and chronic enteritis, myocarditis, and various infectious diseases. Traditional Chinese medicine has unique advantages in treating digestive diseases. This advantage has been well reflected in the Department of Gastroenterology of Linyi City Hospital. The atmosphere of Curry Chinese Medicine is very strong, and many old Chinese doctors in the hospital are gathered. Common diseases include acute and chronic gastritis, gastric ulcer, cholecystitis, pancreatitis, acute and chronic enteritis, viral hepatitis and the like. Chinese people say that "the disease is disease-free, and the meal is a testimony." The Chinese medicine says that the spleen and stomach are the foundation of the day after tomorrow. In many cases, the imbalance of the body will first manifest itself in the diet. Common pathogenic factors include excessive thinking, improper diet, and exogenous feelings. The treatment of multiple spleen and stomach is the basic principle to restore the physiological function of the spleen and stomach.

Acupuncture and moxibustion can clear the meridians of the obstruction, regulate qi and promote blood circulation, and have the function of health care. After the Department of Gastroenterology, I transferred to the acupuncture and moxibustion department. The magical effect of Chinese medicine acupuncture and moxibustion is amazing, especially for the treatment of various types of pain, cervical vertebrae and lumbar vertebrae and stroke sequelae and facial paralysis. The acupuncture department has obvious characteristics and exact curative effect, and has become one of the special departments of the Chinese medicine hospital. During the internship, the teacher gave me a lot of opportunities for acupuncture. I still remember that when I applied the needle to the patient in front of many people for the first time, it might be too tight. I tied the needle twice in the same position. Then I can't leave my hand every day, and now I shouldn't have that time again.

The department in which I am currently internship is orthopedics, and the next department is endocrine. After the pediatrics went to the general, learned the basic sutures and knots, and pulled a few hooks on the operating table, I thought that I would be afraid of surgery, but the excitement and curiosity on the stage could not catch the fear. . Now I have been able to suture, disassemble and change dressing alone. Simple plaster fixing can also be done well.

Now, when I go home, I can often solve some minor problems for the people around me. I have a good conscious effect and I have gained a lot of trust. Now I am no longer tired of the contradictions between Chinese and Western medicine. What I have to do is to get sick. A optimistic doctor, let the theory like to do the theory; now I have found the fun of learning to use. During the days in Linyi, I had a very happy time and was very fulfilling. Thanks to my mom and dad, brothers and sisters, girlfriends, friends, teachers and classmates!