In the days of the 120 emergency department - my trainee experience
After a year of paper-based theoretical study on the paper, I finally hoped to have a chance to show up on the battlefield. Although there are only ten days of traineeship, I have gained a lot of experience and a lot of experience. Now I am going to talk about how to learn this aspect in the hospital.
I. Communication and communication with teachers
I believe that every student who has been in the hospital knows that the relationship between the hospital and the teacher is very important. Before I went to the hospital, I went up to the head of Qiu Libing and went down to the brothers and sisters to remind us of this. After actually arriving at the hospital, I discovered that this is actually a great study. The doctors attached to the emergency department of the First Affiliated Hospital should see dozens of patients a day. The doctors in the ward also scored more than a dozen beds a day. One day, the teachers were so busy that they had no time to "sacred" with you.
A few days later, I found out that there is no way to go. As long as the teacher thinks you are a "material that can be made," they will be happy to teach you. The key is that in just a few days, how can we let the teacher discover your "Hess" in the shortest time? As far as my own personal experience is concerned, there are two methods.
First of all, it is an amazing method. If you can actively explain your own understanding and insights about a common disease in the undergraduate course, it is difficult to speak thoroughly, in-depth and accurate. If you can answer the questions raised by the teacher in the round-up room in a timely and correct manner. Even if the analysis is not comprehensive enough, the teacher will feel that you are a student who will think. Teachers are usually more willing to give lectures to such students.
The previous method may be difficult to master. In addition to requiring a solid and extensive knowledge as the basis, there is a bit of luck. The next method is what everyone can do, is diligent. As the saying goes: Qin can make up. Every teacher will like hard-working students. Of course, the premise that the above two methods can work is that you must respect the teacher, discipline, and love learning.
Second, seize the opportunity and actively learn
this is very important. In the hospital, there are many advanced students, doctoral students, postgraduates, trainees at home and abroad, and trainees. If you don't actively seek opportunities, you can't learn anything at all. Of course, this is also a trick.
First of all, you can ask for a night shift with your teacher. Because the teacher usually has more time at night, you can have time to give you a small class; if you have a patient who needs to be rescued, you can also see what measures the teacher takes in an emergency and how to use it. The comprehensive use of knowledge is a valuable learning opportunity for every medical student. Of course, there are many benefits to night shifts, which requires you to explore slowly.
Secondly, if your teacher is really busy, don't ask any questions. In fact, there are many good teachers in the ward, that is, trainees. When I was in the emergency department, there were two trainee “teachers”. Their basic knowledge was solid and their ability to work was very strong. More importantly, they had time, patience and willingness to give you lectures. During this time, I got a lot of inspiration.
Third, the grasp of learning content
What do you have to learn when you are in the ward? I believe that many people are still unclear. I was also confused at the time. After I arrived at the emergency department, the teacher Guo Minjun who took me only got a glimpse of the dream. He told me that in addition to seeing more diseases in the ward, it is very helpful for us to learn the doctor's orders, how to open the test list, and even just remember the name of the drug. I just woke up like a dream, before that, except for my ability to improve my hands, there is really not much in this area. Also, in the ward, a patient often combines several diseases. As long as you can grasp it carefully and review it carefully, you can learn the knowledge.
Fourth, write a good day diary
Writing a trainee diary is to record your own trainee experience by writing a diary. There are a wide range of writing diary diaries. It can record your daily learning gains and shortcomings. It can also remember the understanding of a certain patient, the understanding of a certain symptom and sign, the intractable problems encountered in the clinic, or Everything that happens in the clinic, in short, the experience of the trainee can become the content of the trainee diary.
There are not many students who write a diary in clinical practice, and there are fewer students who insist on writing. Maybe the students have not realized the benefits of writing a diary. Writing a trainee diary has at least the following advantages: First, insisting on writing a trainee diary so that students have time to think about their own trainee's gains or shortcomings every day, which is conducive to their continuous improvement of trainee methods and good trainee; secondly, writing a trainee diary is to accumulate clinical experience. A good way; third, often writing a diary is conducive to cultivating good habits of diligence and thinking, and is conducive to improving the ability to observe and analyze things. This ability will be very important for clinicians; Fourth, through the trainee diary, you can see the process of your own growth; fifth, some of the contents of the diary, such as the difficult problems encountered in the apprenticeship, may become a breakthrough in the success of your career, and many scientists’ manuscripts become A story like the important clues of major scientific discoveries is a good example. Therefore, for the trainee classmates, you should develop a good habit of writing a trainee diary. I believe this will benefit you a lot.
V. Thematic learning method
The so-called topical learning method is to concentrate on learning for a certain type of disease or certain symptoms. In the trainee, students should combine the clinical and timely special topics. For example, patients with central nervous system infections should be diagnosed and diagnosed with central nervous system infections. Fever is to be investigated for this topic; patients who are suffering from anemia will be diagnosed and diagnosed with anemia. In the course of the special study, you should not only meet the disease content introduced in the textbook, you should go to the library to check the relevant information. Through these topics, it is possible to expand the knowledge and facilitate the horizontal understanding of certain diseases, which is conducive to the improvement of disease diagnosis and differential diagnosis. If you are interested in a topic and have more comprehensive information, you can write a clinical review or prepare for future clinical research.
Sixth, the combination of basic and clinical methods
Clinical medicine is inseparable from the guidance of basic medicine. Therefore, don't forget to combine clinical and basic learning in a timely manner during clinical training. This combination of learning can not only consolidate the previously learned knowledge, but also help to understand the disease. And understand. The combination of clinical and basic learning is mainly in the following aspects: 1 using basic theory to explain the pathogenesis of the disease, deepening the understanding of the nature of the disease; 2 using basic theoretical analysis to explain clinical symptoms and signs; 3 using basic theory to explain The result of the auxiliary inspection.
In short, in the trainee work, we will encounter problems, difficulties and resistance that we have not imagined in school, but we already have the knowledge summarized by our predecessors in school and have learned various basic skills. As long as we continue to find problems in the clinical practice to solve problems, and learn from the experience of predecessors with humility, we will also get the gains that we have not gained in school.
I. Communication and communication with teachers
I believe that every student who has been in the hospital knows that the relationship between the hospital and the teacher is very important. Before I went to the hospital, I went up to the head of Qiu Libing and went down to the brothers and sisters to remind us of this. After actually arriving at the hospital, I discovered that this is actually a great study. The doctors attached to the emergency department of the First Affiliated Hospital should see dozens of patients a day. The doctors in the ward also scored more than a dozen beds a day. One day, the teachers were so busy that they had no time to "sacred" with you.
A few days later, I found out that there is no way to go. As long as the teacher thinks you are a "material that can be made," they will be happy to teach you. The key is that in just a few days, how can we let the teacher discover your "Hess" in the shortest time? As far as my own personal experience is concerned, there are two methods.
First of all, it is an amazing method. If you can actively explain your own understanding and insights about a common disease in the undergraduate course, it is difficult to speak thoroughly, in-depth and accurate. If you can answer the questions raised by the teacher in the round-up room in a timely and correct manner. Even if the analysis is not comprehensive enough, the teacher will feel that you are a student who will think. Teachers are usually more willing to give lectures to such students.
The previous method may be difficult to master. In addition to requiring a solid and extensive knowledge as the basis, there is a bit of luck. The next method is what everyone can do, is diligent. As the saying goes: Qin can make up. Every teacher will like hard-working students. Of course, the premise that the above two methods can work is that you must respect the teacher, discipline, and love learning.
Second, seize the opportunity and actively learn
this is very important. In the hospital, there are many advanced students, doctoral students, postgraduates, trainees at home and abroad, and trainees. If you don't actively seek opportunities, you can't learn anything at all. Of course, this is also a trick.
First of all, you can ask for a night shift with your teacher. Because the teacher usually has more time at night, you can have time to give you a small class; if you have a patient who needs to be rescued, you can also see what measures the teacher takes in an emergency and how to use it. The comprehensive use of knowledge is a valuable learning opportunity for every medical student. Of course, there are many benefits to night shifts, which requires you to explore slowly.
Secondly, if your teacher is really busy, don't ask any questions. In fact, there are many good teachers in the ward, that is, trainees. When I was in the emergency department, there were two trainee “teachers”. Their basic knowledge was solid and their ability to work was very strong. More importantly, they had time, patience and willingness to give you lectures. During this time, I got a lot of inspiration.
Third, the grasp of learning content
What do you have to learn when you are in the ward? I believe that many people are still unclear. I was also confused at the time. After I arrived at the emergency department, the teacher Guo Minjun who took me only got a glimpse of the dream. He told me that in addition to seeing more diseases in the ward, it is very helpful for us to learn the doctor's orders, how to open the test list, and even just remember the name of the drug. I just woke up like a dream, before that, except for my ability to improve my hands, there is really not much in this area. Also, in the ward, a patient often combines several diseases. As long as you can grasp it carefully and review it carefully, you can learn the knowledge.
Fourth, write a good day diary
Writing a trainee diary is to record your own trainee experience by writing a diary. There are a wide range of writing diary diaries. It can record your daily learning gains and shortcomings. It can also remember the understanding of a certain patient, the understanding of a certain symptom and sign, the intractable problems encountered in the clinic, or Everything that happens in the clinic, in short, the experience of the trainee can become the content of the trainee diary.
There are not many students who write a diary in clinical practice, and there are fewer students who insist on writing. Maybe the students have not realized the benefits of writing a diary. Writing a trainee diary has at least the following advantages: First, insisting on writing a trainee diary so that students have time to think about their own trainee's gains or shortcomings every day, which is conducive to their continuous improvement of trainee methods and good trainee; secondly, writing a trainee diary is to accumulate clinical experience. A good way; third, often writing a diary is conducive to cultivating good habits of diligence and thinking, and is conducive to improving the ability to observe and analyze things. This ability will be very important for clinicians; Fourth, through the trainee diary, you can see the process of your own growth; fifth, some of the contents of the diary, such as the difficult problems encountered in the apprenticeship, may become a breakthrough in the success of your career, and many scientists’ manuscripts become A story like the important clues of major scientific discoveries is a good example. Therefore, for the trainee classmates, you should develop a good habit of writing a trainee diary. I believe this will benefit you a lot.
V. Thematic learning method
The so-called topical learning method is to concentrate on learning for a certain type of disease or certain symptoms. In the trainee, students should combine the clinical and timely special topics. For example, patients with central nervous system infections should be diagnosed and diagnosed with central nervous system infections. Fever is to be investigated for this topic; patients who are suffering from anemia will be diagnosed and diagnosed with anemia. In the course of the special study, you should not only meet the disease content introduced in the textbook, you should go to the library to check the relevant information. Through these topics, it is possible to expand the knowledge and facilitate the horizontal understanding of certain diseases, which is conducive to the improvement of disease diagnosis and differential diagnosis. If you are interested in a topic and have more comprehensive information, you can write a clinical review or prepare for future clinical research.
Sixth, the combination of basic and clinical methods
Clinical medicine is inseparable from the guidance of basic medicine. Therefore, don't forget to combine clinical and basic learning in a timely manner during clinical training. This combination of learning can not only consolidate the previously learned knowledge, but also help to understand the disease. And understand. The combination of clinical and basic learning is mainly in the following aspects: 1 using basic theory to explain the pathogenesis of the disease, deepening the understanding of the nature of the disease; 2 using basic theoretical analysis to explain clinical symptoms and signs; 3 using basic theory to explain The result of the auxiliary inspection.
In short, in the trainee work, we will encounter problems, difficulties and resistance that we have not imagined in school, but we already have the knowledge summarized by our predecessors in school and have learned various basic skills. As long as we continue to find problems in the clinical practice to solve problems, and learn from the experience of predecessors with humility, we will also get the gains that we have not gained in school.
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