Orthopedic surgeon training summary report

The main direction of my study is "conservative treatment of neck, shoulder, back and leg pain" and "trauma fracture" surgery. The training department is the neck, shoulder, waist and leg pain department, upper limb injury department and hand surgery. There are 4 departments under the neck, shoulder, back and leg pain treatment center, with a total of 170 beds. It is the largest traditional Chinese medicine treatment department for cervical and lumbar spondylosis. The upper limb injury department and hand surgery are the departments for surgical treatment of fractures of the extremities and vascular nerve injuries.

First, study and study:

Every morning at 7:00 in the morning, go to the hospital to check the room, check the patient's treatment, ask the patient's feelings, and seek advice on their treatment. The focus is on the newly admitted patients and the patients after the operation. Answer the patient's problems and doubts, report to the teacher in a timely manner, solve the problem that he can't solve, ask the teacher, solve the problem with the teacher, and complete the treatment of the patient in time.

During the study of neck, shoulder, waist and leg pain, he mastered a set of effective treatments for non-surgical treatment of neck, shoulder, back and leg pain, namely Luoyang orthopedic treatment.

Excellent value traction method: adopting the bed multi-purpose traction frame, according to the different conditions of the patient, adopting the corresponding traction angle, traction weight and traction time, and performing traction treatment to achieve the therapeutic effect of the orthopedic tendon.

Traditional Chinese medicine treatment: Pingle orthopedics is divided into three types: one is qi stagnation and blood stasis type, the other is cold and dampness, and the third is liver and kidney deficiency type. Luoyang Zhenggu Hospital uses self-developed Nongtongxiao Pill, Intervertebral Disc Pill, and Qizhong Yaoshu Pill. According to the three types of classification, it can be treated by stages and syndromes, and it can be used for traditional Chinese medicine fumigation, iontophoresis and other traditional Chinese medicines for warming and dispelling cold, and through the active, Make the law of external treatment play the same as internal healing.

Spreading glutinous peony: The method of tonifying danshen is based on the principle of acupuncture and moxibustion, "the hole is wide open without any sputum, causing the evil spirit to fly out", combined with the specific condition of the neck, shoulder, back and leg pain, the corresponding acupuncture points or reaction points will be selected. Spread on it, and apply specific peony and massage techniques to make medicines and techniques work together to achieve the effect of promoting blood circulation and relieving pain.

Manipulative treatment: divided into the treatment of the tendons and the treatment of bones. The techniques of ribbing are mainly ribs, active ribs and loose ribs. The bone-handling technique is mainly based on various active joint techniques, including the push-pull presupposition and the three-dimensional traction bed fixed-point rotation. This method can effectively adjust the position of the intervertebral disc and facet joints of the spine, change the anatomical positional relationship between the protrusion or the epiphysis and the stimulated nerve root or the spinal cord and blood vessels, thereby reducing the tension of the nerve root or the stimulation of the nerves and blood vessels by the epiphysis. To achieve the purpose of bone pain. The combination of the treatment of the tendons and the treatment of the bones, with points, press, push, squat and other active tendons, ribs, loose tendons to relax the spinal dynamic muscles, to achieve the effect of muscles and pains.

Ozone injection therapy and fistula treatment.

Functional exercise: According to the different physical endowments and specific conditions of the patient, formulate a corresponding personalized functional exercise program, and selectively apply the functional exercise methods of the cervical back muscle and the spinal dynamic muscle, such as the arm struggle, the geese fly, and the fall Walking, arching, etc.

During the study in the surgical department, go to the hospital to check the room, complete the treatment of the patient in time, enter the operating room around 8:30, visit the surgery or participate in the operation. When one or two assists, Luoyang Zhenggu Hospital has an average of more than 60 operations per day. There are 14 flat operating rooms and 1 emergency operating room. Nuoda's operation volume poses a huge challenge to the operating room. Therefore, the operation of the station is generally very compact. There is a corresponding "surgery preparation room" in the operating room. When the operation is almost half an hour before the end of the operation, the patrolling nurse will inform you. The next operation, the end of the operation of the patient to the "anesthesia resuscitation" monitoring resuscitation, the two surgery interval of about 10 minutes. There is a lounge in the operating room where doctors and nurses can rest and eat. The entire operating room is only 21:00 to finish work. Write medical records at night, read the materials and solve their own problems. In addition, he actively participated in the preoperative case discussion of orthopedics and discussed all the operations on the second day.

During the period of study and training, we must abide by the rules and regulations of the hospitals and departments, respect the teachers, unite our colleagues, and strictly demand ourselves, so that we will not be late, do not leave early, do not die for no reason, and leave the job without authorization. Treating patients with amiable attitudes and good attitudes, and trying to use the theoretical knowledge and basic skills learned in practice, I was highly appraised by the directors, teachers and patients of the department. In the process, I constantly summarized the learning methods and clinical experience, and tried my best to improve independent thinking. Independently solve problems and the ability to work independently, and constantly cultivate their lofty ideas and good professional ethics to serve the people wholeheartedly. After this training, I have improved the level of writing related medical files; and enhanced the ability to diagnose and treat common and frequently-occurring diseases in orthopedics; Further mastered the conservative treatment. In the meantime, I also actively participated in the "How to Write a Good Medical Paper", "A New Seminar on the Development of Limb Tissue Defects" and the "XX National Hip and Knee Disease Summit Forum" sponsored by Luoyang Zhenggu Hospital. Business learning, and experts conducted academic exchanges. Through learning and communication, I have broadened my horizons, enriched my knowledge, and got a glimpse of some new surgical methods and skills.

Second, the learning and learning of the sense of enlightenment

1, good doctor-patient communication

I attach great importance to doctor-patient communication and have good habits of doctor-patient dialogue. This is worth learning. Enter the ward to knock on the door first, ask about the condition, check the body, explain the diagnosis and treatment, and patiently listen to the patient's complaint and request, the doctor-patient relationship is very harmonious.

2. Standardized diagnosis and treatment behavior

Medical activities are very standardized and are engaged in medical activities in accordance with the uniform “jci standard”. For the choice of treatment: surgery or conservative treatment and their respective advantages and disadvantages, the choice of surgical internal fixation equipment, the doctor will also discuss with the patient and family, they decide the program, thus reflecting respect for the patient and ensuring the patient's informed consent.

3. Protect patient privacy and information confidentiality

There is no inpatient list in the department, the doctor leaves the patient interface when leaving the computer; the bed curtain should be pulled during the treatment operation; the condition or patient information cannot be discussed in the public place; the patient cannot be discussed with the patient treatment team; the treatment team member cannot Communicate loudly or exchange opinions in the ward. Respect patients and protect patient privacy.

4. Safeguarding patients:

Accurately confirm the patient's identity.

After admission, the medical staff carefully checked the patient's identity and wore a wristband on each patient's wrist.

The label of the patient's basic information to confirm identity.

v Improve the safe use of high-risk drugs.

The patient safety goal first requires the hospital to develop a list of high-alert medications based on its own data and regulatory/industry organization requirements/guidelines. The policy/regulation should emphasize the validation, location, labeling and storage of each high-warning medication on the list. According to the actual situation, intravenous penicillin and cephalosporins are temporarily classified as high-risk drugs under specific conditions. By carefully and meticulously evaluating each patient, the potential risk of anaphylactic shock under special conditions is minimized.

v Reduce the incidence of nosocomial infections.

An important way to eliminate or reduce the risk of infection is hand hygiene. Each ward has a disposable disinfectant. When assessing patients, consulting patients, and treating patients, they should wash their hands. Don't forget to teach the patients and their families about the importance of washing their hands over and over again.

v Reduce the risk of injury caused by a patient falling/falling.

Assess patients and arrange high-risk patients close to medical staff

Bunks, strengthen missions, including the mission of the accompanying staff, and use the paper on the bunk to mark the fall/fall.

v Make sure that the surgical site is correct, that it is operating correctly, and that the patient is correct.

Wrong surgical sites, erroneous surgical procedures, and erroneous patient procedures are considered unforgivable, but such errors are commonplace around the world and have been the most widely reported warnings in the Joint Commission's Alert Event Database. Therefore, the patient safety goal requires the hospital to develop and implement the following measures: marking the surgical site, marking is obvious, easy to understand, and not easy to remove or clean; the patient should participate in the verification process, when the patient enters the operating room, the hospital uses the checklist to confirm Proper patient, correct surgery, and surgical site marking; relevant files and images and test results are in place, and all equipment/transplant devices are in place, correct, and effective. Before the surgery officially begins, the entire surgical team should stop all operations at hand and verify that the surgical site is correct, the operation is correct, and the patient is correct. This “pause” process should be recorded in the medical record.

v Missionary patients use the alarm system in the restroom.

The inspector is told to have an alarm device in the patient's restroom. If there is a problem in the patient's restroom if there is no accompanying patient, the alarm device can be used to notify the nurse and pay attention to the restroom while inspecting the ward.

In the days of XXX hospital training, I felt that the work here is very formal and orderly. All the operations and all the processes have standardized documents. Everyone in the ward is working in an orderly manner. Everyone has a high level of enthusiasm and initiative. The relaxed and harmonious environment has given everyone a relaxed and healthy attitude. Everyone consciously abides by discipline. Here, employees are highly conscious and have a well-organized work. Everything is done to “reduce risk, ensure medical quality and patient safety”. Third, comments and suggestions:

The main purpose of learning is to apply what we have learned, to use our advanced technology, advanced management mode, advanced concepts, and the actual situation of our unit to improve our work and improve our diagnosis and treatment. According to the current situation of the hospital, combined with what you have learned, make the following comments and suggestions.

1. Launch new technology projects

It is planned to carry out the superior value traction method of cervical and lumbar vertebrae, the glutinous sputum medicine, the ozone injection therapy, the fistula injection therapy, and gradually carry out the lifting and pushing of the cervical vertebrae and the three-dimensional traction reduction treatment of the lumbar vertebrae.

2. Established a department to treat neck, shoulder, waist and leg pain

With the increase of people's work pressure, increasing emphasis on health and the establishment of medical insurance system, neck, shoulder, back and leg pain have a wide range of diseases and many patients. In order to achieve more systematic and standardized treatment, we will make better results and truly do it. Bigger and stronger, improve the competitiveness of the hospital. The neck, shoulder, waist and leg pain clinics and departments can be gradually established.

3. Reduce risks and ensure medical quality and patient safety

In December XX, xxxx hospital passed the "jci standard" certification. The jci standard is mainly concerned with the hospital's medical quality, patient safety and its continuous improvement and improvement. It is the highest level hospital gold certification in the world. The jci certification process is the process of improving hospital quality and service; it is the process of implementing the “patient-centered” service concept and strengthening the patient's safety treatment; we can learn from some experience: hospital system construction\medical process\quality continuous improvement\ Medical safety, etc. In order to achieve "reduce risk, ensure medical quality and patient safety."

I have been studying in the xxx orthopedic hospital for 6 months, which is a very precious experience in my life. I have benefited from it. I am grateful to the leaders of the hospital for their continued concern, support and help.