Hospital apprentice summary

Article 1:

Since May 2019, I have had a one-year internship at the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine. The internship life in the past year is summarized as follows.

I. Introduction to the internship hospital

The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine

Founded in 1964, the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine is a large-scale comprehensive Chinese medicine hospital integrating medical treatment, teaching, scientific research, rehabilitation and health care. It is the first batch of third-class Chinese medicine hospitals and demonstration Chinese medicine hospitals in China. The first batch of Guangdong Provincial Traditional Chinese Medicine Hospital, 2019 Guangzhou Asian Games designated hospital. The actual number of open beds was 1,250, and the medical business continued to grow every year. In 2019, the number of outpatients exceeded 2.25 million, and the number of inpatients treated in the year exceeded 30,000. The number of emergency and delivery was among the top three in all hospitals in Guangzhou. Experts include Professor Deng Tietao, a master of Chinese medicine, and Professor Wang Jianhua and Professor Ou Ming, well-known in the country. It is one of the important bases for clinical education, medical treatment and scientific research of Chinese medicine in South China and even the whole country. It is also the strongest among the national TCM technical forces. One of the hospitals. The hospital has strong medical strength and has 8 state-level key specialist diseases. It has entered the ranks of hospitals with the largest number of specialized specialist units in the country. Many of the specialist diseases have become the heads or deputy heads of the national collaboration group. In the 2007 ranking of the best hospitals in China's Ministry of Health, the hospital ranked 8th in gynecology and ninth in orthopedics, ranking first in Guangdong Province and even in traditional Chinese medicine institutions. The hospital is also the first clinical medical school of Guangzhou University of Traditional Chinese Medicine. It has 13 teaching and research sections and is responsible for the annual classroom teaching tasks of more than 13,000 hours per year. It is one of the largest traditional Chinese medicine clinical teaching hospitals in South China and even the whole country. The college has 4 national key disciplines, 3 key disciplines of the State Administration of Traditional Chinese Medicine and 2 post-doctoral mobile stations. It has 3 national-level quality courses in traditional Chinese medicine, including gynecology, typhoid fever and warm disease. It is a national level among similar institutions in China. The most excellent clinical school for quality courses.

The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine

The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine was founded in 1904. Its predecessor was the Jinan Railway Central Hospital. It was the first comprehensive three-level hospital in Jinan City in Shandong Province. In December 2004, the whole system was transferred to Shandong University of Traditional Chinese Medicine and became the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine and the Second Clinical Medical College. In September 2007, it was identified by the Shandong Provincial Government as the Shandong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, becoming the only provincial-level integrated Chinese and Western medicine hospital in the province. The hospital is a pilot unit of the International Baby-Friendly Hospital, the State Administration of Traditional Chinese Medicine's “Prevention of Diseases” prevention and health care, and the State Administration of Traditional Chinese Medicine approved to be included in the national key integrated Chinese and Western medicine hospital construction unit. The hospital has experts who enjoy special allowances from the State Council, national outstanding Chinese medicine clinical talents, Distinguished Professor of Shandong Taishan Scholars, young and middle-aged experts with outstanding contributions from Shandong Province, famous Chinese medicine experts in Shandong Province, thousands of well-known technical experts in Shandong Province, and outstanding Chinese medicine practitioners in Shandong Province. Senior medical talents such as academic leaders and leaders of outstanding disciplines in the health system of Shandong Province. It has 2 key specialties of the 11th Five-Year Plan of the State Administration of Traditional Chinese Medicine, 1 key discipline of the State Administration of Traditional Chinese Medicine, 1 set-up unit for special professors of Shandong Taishan Scholars, 1 technical access specialist of the Ministry of Health, and national work-related injuries. There are 1 rehabilitation pilot institution, 2 Chinese medicine research and research institutes, 3 key laboratories of Shandong Provincial Administration of Traditional Chinese Medicine, and 1st Five-Year Key Laboratory of Shandong University, Shandong University of Traditional Chinese Medicine. 3 key disciplines. It has become the leading unit of medical, teaching and scientific research in integrated Chinese and Western medicine in our province.

Second, the internship overview

In the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, I have been internship in gastrointestinal thyroid surgery, gynecology, pediatrics, emergency medicine, acupuncture, spine orthopedics and endocrinology. The internship time is one month. In the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, I have been in the Department of Nephrology, Department of Gastroenterology, Respiratory Medicine, Cardiology, Neurology, Reproductive Center, Orthopaedics, Hematology, Urology, Pediatrics, Electrocardiography, Special Inspection, Internship in radiology, neurosurgery, and cardiothoracic surgery. The internship time for each subject is two weeks. During the internship, I was able to abide by the rules and regulations of the hospital and the department, strictly demanded myself as an intern's standard, and actively participated in various academic activities organized by the hospital and the department. The medical knowledge was further consolidated and improved, and the clinical operation skills were greatly improved. Degree of exercise.

Medical knowledge has been further consolidated and improved

During the internship period, I have a preliminary understanding of the clinical manifestations, diagnosis, differential diagnosis and treatment principles of common and frequently-occurring diseases in various departments. Such as stomach pain, need to identify with angina, then ECG can provide a basis for identification, combined with the patient's medical history can make a diagnosis. At the same time, there is some understanding of the use of commonly used drugs in the clinic. For example, in the internship of respiratory medicine, the standard use of antibiotics was initially mastered; in the internship of the nephropathy clinic, the indications and contraindications for the use of hormones were initially mastered. During the internship, he also encountered acute diseases such as acute myocardial infarction, upper gastrointestinal bleeding, appendicitis, and personally participated in the treatment of thrombolysis, hemostasis, surgery, etc., and had a deeper knowledge of the diseases related to the textbooks. Understanding.

Clinical operation skills get a lot of exercise

Under the guidance of the teacher, the key skills of the clinical skills required in the internship program were studied. In the internal medicine internship, I basically mastered the essentials of the whole body system examination, and mastered the basic clinical operations such as blood pressure measurement. In surgery, mastered basic surgical operations such as washing hands, wearing surgical gowns, wearing sterile gloves, suturing, knotting, thread reduction, dressing change, etc. In the electrocardiogram room, I have mastered the electrocardiogram operation method and clinical common atrial premature beats, premature ventricular contractions, atrial fibrillation, atrioventricular block, bundle branch block and other ECG findings. In the special inspection department, I was familiar with the writing of reports such as cardiac ultrasound, gastroscope, and B-ultrasound. In the Department of Radiology, I am familiar with the characteristics of X-rays such as osteoarthritis, bronchitis, and tuberculosis, as well as CT findings of cervical vertebrae, lumbar disc herniation, cerebral infarction, and cerebral hemorrhage. At the reproductive center, I mastered the method of making smears and the use of microscopes. In the acupuncture department, patients can be independently treated with acupuncture, ginger moxibustion, massage and other treatments. In the outpatient department, I mastered the main points of the consultation and the writing of the outpatient medical records. In the ward, I basically mastered the admission records, the writing of the first course and the course of the disease.

Third, the internship experience

During the internship process, I had a shallow understanding and understanding of the development of Chinese and Western medicine and the handling of doctor-patient relationship. As the internship captain who went to Guangzhou for an internship, he led the students in the internship team to achieve the goal of enhancing the exchanges between the two universities, opening up their horizons and increasing their knowledge.

Studying in a strong province of Chinese medicine

Guangdong is a strong province of traditional Chinese medicine. The atmosphere of Chinese medicine is good. The people trust Chinese medicine. It is worth learning in the aspects of Chinese medicine promotion, foreign exchange and teaching.

1. Propaganda is important for creating a strong Chinese medicine atmosphere

The major Chinese medicine hospitals in Guangzhou regularly disseminate Chinese medicine knowledge to the general public through free clinics and lectures on weekends. The hospital's publicity column will also regularly update medical science articles published by hospital experts in major newspapers and magazines for public reading. Each department detailed the characteristics of TCM diagnosis and treatment of the department in the corridor of the ward, which effectively spread the Chinese medicine culture to the public. In addition, Guangdong itself has useful customs such as traditional Chinese medicine soup, which makes Guangdong's traditional Chinese medicine atmosphere very strong.

2. Actively introduce advanced technology at home and abroad

In Guangzhou, from time to time, Chinese medicine hospitals will invite famous scholars from home and abroad to come to the hospital to give lectures to doctors, so that everyone can understand the most advanced diagnosis and treatment concepts and technologies. For example, I once heard a lecture by Professor Liu Lihong, the author of Guangxi Traditional Chinese Medicine and "Thinking Chinese Medicine" at the Guangdong Provincial Hospital of Traditional Chinese Medicine. At the same time, Chinese medicine hospitals in Guangdong, such as bee needles, abdominal needles, and cream prescriptions, are trying to develop. It is not only the special medical treatment of traditional Chinese medicine, but also the advanced instruments and techniques of Western medicine. In the hospital where I am internship, the comprehensive strength of gynecology and orthopedics ranks among the top ten in the national hospitals, which is inseparable from the active introduction of advanced technology.

3. The clinician has a strong sense of teaching

The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine is also the first clinical medical school of the school. It undertakes the teaching tasks of undergraduate, master's and doctoral students. Hospital doctors have a strong sense of teaching, from receiving patients to issuing wills, to admission records, writing of disease records, etc., paying attention to students' participation and dare to give students clinical operation opportunities. From the first day of the internship, each intern was assigned a responsible bed, which increased the sense of responsibility and enthusiasm of the students. Each department has a special teacher who is responsible for managing the teaching, arranging the duty of each intern, and letting the students experience the doctor's work. The department also regularly arranges instructional courses for interns to make us progress faster.

Handle doctor-patient relationship properly

During the internship process, I really realized the tension between doctors and patients, which was especially prominent in Guangzhou. My personal experience is based on the tense doctor-patient relationship:

1. Solid medical skills are the premise to reduce medical disputes

As a doctor, solid medical skills and superb clinical skills are fundamental to gaining patient trust and a prerequisite for reducing medical disputes. A quack doctor can not only relieve the patient's pain, but also bring more pain to the patient due to misdiagnosis and mistreatment. It can effectively alleviate the pain of patients, and from the patient's point of view, for the sake of patients, patients will also be grateful to the doctor from the heart, thus effectively reducing the occurrence of medical disputes.

2. Noble medical ethics is a lubricant to improve the relationship between doctors and patients

In hospitals with relatively high ranks, doctors, especially famous experts, have to look at more than 100 patients a day. It is unrealistic for non-medical patients to explain the condition in a limited time, but the noble medical ethics that serve the patients wholeheartedly is Always upheld. In the ECG room internship, in order to make the chest lead of the electrocardiograph better to produce images, it is necessary to brush the water in front of the patient's chest. At that time, the weather was still cold, and I changed the cold water to warm water. On this small move, the patient was moved for a long time. In medical work, if the doctor can do a better attitude, smile a little more, think more about the patient, the doctor-patient relationship will be more harmonious.

3. Actively popularize medical knowledge to the general public

The contradiction between doctors and patients sometimes stems from the lack of medical knowledge of patients themselves. I once saw a patient in the hospital who went to see a doctor because of high blood pressure. The doctor asked her to do a heart color ultrasound. The patient thought that the doctor had to make money to let her do the examination because of the money, so she obviously caused high blood pressure. Nothing is known about the lesions of the heart structure. It is not enough to rely on doctors to provide medical education to patients. Nowadays, there are more and more health programs in the media. If the general public can "select them from the good", it is beneficial to understand basic medical knowledge and prevent disease prevention.

4. Learn to protect your legal rights with legal weapons

Now there is a special "medical trouble" group in the society, which seriously affects the normal medical treatment environment of the hospital. For patients, if there is a medical dispute, they should protect their legal rights in accordance with the relevant laws and regulations of the country. For doctors, we must strictly comply with the relevant provisions of the Law on Practitioners and the Law of Tort Liability, and provide patients with standardized and reasonable treatment according to the requirements of the clinical path. In any case, neither the doctor nor the patient should use force to solve the problem.

Fourth, the problem that needs to be improved

During the internship process, I am constantly learning from outstanding students and constantly reflecting on my gaps and deficiencies in order to do better in my future studies and work. In the future, we need to improve from the following three aspects.

Strictly demand yourself

In the hospital, ward rounds, doctor's orders, and dressing changes are often carried out in the morning, while the afternoon is relatively free. During the internship, sometimes I was not strict enough on my own, and I did not work in the hospital on time in the afternoon. Now I want to come. When I am not busy in the afternoon, it is a good opportunity to communicate with the teacher. I can ask the teacher for the treatment of common diseases, the writing of medical documents, the communication skills of doctors and patients, etc., and also communicate with the patients and their families in the hospital. A good opportunity to keep abreast of the patient's treatment and to increase the patient's trust in themselves.

Internship initiative needs to be strengthened

During the internship process, some of the initiative and enthusiasm of clinical operations need to be strengthened due to the scruples of patient feelings and fear of mistakes. For example, in the gynecological internship, because I have not considered the patient's feelings, I have not been able to do a gynaecological examination independently for the patient. Now I want to come, it is really a pity, I am afraid it is really inevitable and the loss is no longer coming. This point should be paid attention to in the future internships and work. After mastering the operational essentials of the book and repeatedly observing the teacher's operation, it is necessary to take the initiative to apply to the teacher and practice under the guidance of the teacher to have a deeper understanding.

Return to the textbook in time

Sometimes I am busy in the hospital for a day. When I return to the dormitory, I want to take a break. The inertia makes me sometimes unable to return to the textbook in time and systematize the knowledge I have learned in the clinic. This has lost a good opportunity to impress my knowledge. "If you don't think, you don't think, then you don't think about it." In the future, we should strive to overcome our own inertia, sum up the lessons learned in the day, and not easily let go of any details that we don’t understand, so that we can learn solidly and make progress.

The one-year internship life is about to end, there are gains and regrets. Every experience in life is a foundation for the future, constantly summing up experience and lessons, and working hard in future study and work. I think that the desire to become a good doctor will not be far away.

Article 2:

This summer, with a fear of learning, a lack of confidence in myself, and concerns about being unable to adapt to the new environment, I am even more afraid that I will be at a loss of anxiety, with a hope and a sudden come to the location." The landscape is in the world. The Guilin Medical College affiliated hospital in Guilin city center is a trainee.

Traineeing is a kind of tempering. It is a social practice that consolidates the theoretical knowledge of the hospital environment and the hospital affairs. It is also a preparation for your own dreams. The trainee has made me understand a lot.

Affiliated Hospital is a comprehensive hospital with beautiful environment, advanced technology, and integrated medical teaching and research. Since its establishment in 1985, the hospital has achieved rapid development, especially since the reform and opening up. It has become the first comprehensive “three-level hospital in the northern part of Guangxi” to pass the national assessment. The hospital has always adhered to the “patient-centered” medical work direction. “Medical first, service attitude first, patient benefit First, the hospital's reputation is the first. The purpose of the hospital is to establish a scientific management mechanism to vigorously implement the goal of strengthening the basic medical stipulation and spiritual civilization construction to achieve high-level three-level hospitals---"patient-centered , create quality service" is the persistent pursuit of all medical staff in the affiliated hospital of Guilin Medical College.

Ten days of trainee, what impressed me the most is: clinical is the base of theoretical basic knowledge, clinical field experience, field operation, let me reproduce the problems raised by the school's boring and stubborn knowledge. For example: every day In the heart of the busy picture of the teacher, I only complained in my heart, complaining that I could not apply the theory to practice, complaining that I did not study well before the trainee, and that the traditional education mode of cramming, passively accepting knowledge, was a miserable student. What is more tragic is that we can only obtain short-term memory, and we can't become a material to fight disease at this time. As long as we keep reading books, there is really a kind of remorse and sigh that "when the book is used, it hates less." Joke: "An intern was asked by the patient because of the lack of understanding of the knowledge, and he used the excuse to say that he wanted to go to the bathroom, but actually sneaked back to the office and turned the book to go hungry. Then he met again. A question, what excuse should I use to escape?" Therefore, learning scientific knowledge, especially life-critical medical knowledge, can not be false. We must make the theoretical foundation solid and more important. It is necessary to learn the theory to connect with the reality, so as not to mistake the person and make a mistake.

I learned the theory and practice, where I also know that establishing a good relationship between nurses and patients is imperative for the smooth implementation of nursing. So how can we establish a good relationship between nurses and patients?

As we all know. To establish a harmonious relationship between the nurses and the sick, the first thing to do is to compare the heart with a heart. Use a heart of love, an empathy to imagine the pain and pain of the patient, contradictions and embarrassment, the pain of the patient as their own Pain is regarded as your own pain. You can understand the patient's sorrow and overwhelm. If you extend a pair of warm hands in time, the patient can feel the power from your palm. Maybe they will get a determination to overcome the disease. With confidence, the disease is not broken, it should be a splendid landscape of the medical world. Secondly, it is good at communicating with patients. Among them, smile is a surprisingly successful sword. Here, I see a smiley face. Kong, I also feel particularly beautiful and cute, so I have a feeling of relaxation and warmth. If I am a patient, I will not hesitate to choose to live here. Therefore, I also ask myself not to bring my emotions. At work, keep a sunny smile every day, let the patients feel the warmth every day, whether it is winter or hot summer, smile is always a beautiful scenery. "Smile service" is beneficial to their own pleasure, but also relieves the patient's Fear and sickness, why don’t you have a good thing with double arrows? Once again, in front of the patient, you must always have a self-confidence that is not annihilated. It is my weakness, not timid and unwilling to be thick. Naturally, I will lose a lot of learning opportunities. Because of my inferiority, I don’t take the initiative and I don’t get the corresponding operation training. This kind of reality has caused me to splash a cold water. I feel that we have been intern for so long, and we are undergraduates. The thing that should be done is that it is handy. The help of the team teacher is really self-confident. Fortunately, I have a patient teacher who is timid, afraid of the tiger before the wolf, dare not try to make me grow up. After her knowledge, I regained the operation. It is indeed another feeling. If the patient sees you with a confident and steady face, their fear will be reduced by half. Therefore, self-confidence is an invisible The reassurance, whether it is the nurse itself or the patient, is an essential thing.

The patient's affirmation is the nurse's greatest achievement; the patient's praise is the nurse's greatest glory; the patient's pity is the nurse's warmest relief; the patient's smile is the nurse's best feedback ^^^^^^^^" nurse occupation is The most noble! The nurse is in direct contact with the patient. You see, when the child is just admitted to the hospital, the condition is critical and the whole body is swollen. Xia is in good spirits and the symptoms are gone. It is good to be a nurse! You let us have a second The opportunity of the second life is you, comforting us with kind words, let us have the confidence to overcome the disease, your careful care, let us recover quickly." This is the heartfelt heart of the inpatient, I believe the lovely white angels hear these It is so much moving from the patient's understanding of their work. I am also motivated, and I am determined to fight for the lifelong medical care that I am about to start.

Article 3:

Traineeing is an experience and tempering. It is a social practice that allows you to feel the hospital environment, understand the hospital affairs process, and consolidate theoretical knowledge. It is also a preparation for your medical dreams. As a medical student who is about to enter the senior year, in order to be modest and cautious, not arrogant, throw away the aura of the ivory tower, learn from the society with humility, enhance the ability to serve the name, and maintain the feelings of the true dedication to the society; Get ridiculous, ensure that the theory is linked to reality, strengthen your own training; in order to learn more about anesthesia expertise, understand the duties of an anesthesiologist, the responsibility of a qualified volunteer; in order to position yourself as soon as possible, reserve knowledge, let I can better prepare for the internship, integrate into the medical environment, and understand all aspects of my future work. In order to guide my current study, during the summer vacation, I went to the anesthesiology department of the Affiliated Hospital. During the nearly two weeks of internship, I learned a lot from my teacher.

On the first day, I came to the operating room with excitement and embarrassment. But when I saw a lot of equipment and medicine in front of me, my excitement and excitement instantly became confused and helpless, and there was inferiority and resentment. Resentment can not apply the theory to practice, complaining that they did not study well before the trainee, reserve enough knowledge, and complain that their practice is pale and weak.

"The Analects of Confucius" said: "I don't eat all day long, do not sleep all night, think, no benefit, not as good as learning!" Practice the true knowledge, practice long talents, at this moment I really appreciate the importance of practice. Clinical is the solid foundation of theoretical basic knowledge, clinical field experience, and field operations, so that I can reproduce the problems raised by the school when faced with those boring and boring knowledge. However, in the past, my medical knowledge only stayed between boring words, and most of the knowledge was only a short-term memory. It could not be the material and source of practical problems. All that can be done now is to constantly turn over the books and keep memorizing. When the book is used, it will sigh with less hate. Just as in the use of narcotic drugs, although we have studied pharmacology and anesthetic pharmacology, in the face of real patients, it still can not be used very well, and sometimes even feel powerless. Although the book gives us detailed details of the internal processes, pharmacological effects, clinical application, indications and contraindications of each drug, it is difficult to use in practice. Out of the theory of practical operation, and then exquisite is just a text. Therefore, there is no practice test, and more theory is just on paper.

Practice is important, but it is impossible to break away from the practice of theory. This is another sentiment that I received during my apprenticeship. Although I have been studying theoretical knowledge for three years, I still feel that it is far from enough or even scarce in the clinic. During the trainee, I often feel this way: everything in front of me feels familiar and unfamiliar. Many times, the brain will come up with countless question marks. Fortunately, every time I encounter a question that I don't understand, I ask the teacher very carefully to answer them for me. Of course, it takes time to ask questions, that is, ask when the teacher is free. Sometimes, the teacher will ask me questions about the patient who is undergoing surgery when I am free, and I often ask questions from the teacher. Every now and then, I feel that my theoretical knowledge is very scarce. I can't wait for this thick encyclopedia to let me immediately figure it out. Therefore, to learn scientific knowledge, especially the medical knowledge of life, we must study with a rigorous attitude, to have a solid theoretical foundation, and more importantly, to learn the theory and practice, so as not to mistake others, It’s a big mistake.

With a lack of knowledge and skills, there is a need to communicate with patients to establish a good doctor-patient relationship. As a qualified anesthesiologist, each patient needs to visit the patient before the operation, ask the patient's situation, explain the patient's precautions to the patient, and understand the patient's condition and develop a reasonable anesthesia plan. So, how can we establish a good relationship between nurses and patients?

In order to establish a harmonious relationship between doctors and patients, the first thing to do is to compare the heart, use a heart of fraternity, a transpositional thinking to imagine the pain and pain of the patient, contradictions and embarrassment, and regard the pain of the patient as his own pain. Think of the patient as your own relatives and friends, and use your heart to understand the patient's stunned and overwhelmed. As long as you extend a pair of warm hands in time, the patient can feel the power from your palm, maybe they will get a victory over the disease. The determination and confidence that the disease is not broken. Second, be good at communicating with patients. Among them, smile is a surprisingly successful sword. Here, I saw a smiley face, and I feel particularly beautiful and cute, which makes me feel relaxed and warm. If I am a patient, I will not hesitate to choose it's here. Therefore, I also ask myself not to bring emotions to work, to keep a sunny smile every day, so that patients can feel the warmth every day, whether it is winter or hot summer, smile is always a beautiful scenery. "Smile service" is not only beneficial to one's own pleasure, but also relieves the patient's fear and illness. How can such a good thing be a double-edged good thing? Again, in front of the patient, we must always maintain an undefeated self-confidence. If the patient sees you as a confident and steady face, their fears and fears are cut in half. Therefore, self-confidence is an invisible reassurance, whether it is the doctor itself or the patient, it is essential.

It is not enough to do all of the above. For any doctor, the attitude towards work is also very important. In the Tang Dynasty, the "medical saint" Sun Sizhen said that "Where the great doctors cure the disease, they must be calm and determined, no desire, no desire, first of all, and a vow to save the cold!" In the medical field of life, every All doctors must have a strong heart. In the face of critical issues, no rush, face acclaim, not arrogant, cautious and cautious in the face of incurable diseases... One sentence: bold and careful.

The trainee allowed me to grow up, let me lose some youthful madness, more youthful and practical; less youthful confusion, more youthful struggles... hatching dreams, need sweat and strong arms, I pay, I harvest, I am happy!

Once again, I walked into the ward, missing a stranger, and having a more graciousness; one less burden and one more comfort; one less worry and one more sincerity. Here, I not only learned the knowledge, but also understood some truths. To be practical, to do things seriously, to improve their ability to communicate with others, to establish a good doctor-patient relationship, to follow the tutor's teachings, to link theory with practice, and to pledge to contribute to the medical cause!