? Summary report of clinical practice demonstration papers 1
? Time flies, it's already February, and the internship is almost over. Looking back on this journey, I am full of joy of harvest, making progress every day and living a calm and realistic life. When I first came, I came to my colleagues with a beautiful vision and expectation of internship life, and my heart was full of passion; I don't think ten months is coming to an end, and I have gained a lot. Let me sum up my internship life.
? Internship life is mainly divided into five stages. Under teacher Li's arrangement, my senior and I started the first stage of our internship on the second day of registration. At that time, I mainly contacted the acceptance of medical consumables, measurement management and simple equipment maintenance. In the daily equipment inspection work, I gradually became familiar with the equipment that my senior is responsible for. I remember when I first came into contact with musical instruments, I was always very excited and happy. I feel that I have finally met, and I have a strange feeling about the equipment. I can't put it down, but I'm careful.
? The second stage is the warehouse internship. During that time, I was very busy and full. I am mainly responsible for the acceptance of medical consumables and instruments, the inquiry and authorization of three certificates, and ensuring the normal channels and shelf life of product purchase. I learned a lot from accepting. First of all, I am familiar with many manufacturers and suppliers, and understand the types, names, prices and clinical uses of their products. In addition, there are management and distribution work. I am familiar with the categories of items placed in warehouses from 1 to 5, and I am familiar with the clear sorting of items in warehouses, and the items are clearly placed. In the process of delivery to the department, we often encounter large and small problems, and deeply feel that communication is very important.
? The third stage, followed by Mr. Wang Xiaodong who has always admired me. He is very familiar with the market prospect, brand manufacturers and prices of all kinds of equipment, and has also talked about it in Kan Kan. I followed him for two months, mainly to sort out the contract. According to the equipment name, specification, quantity, brand origin, price, payment method, user department, sales company, after-sales phone number and company address, make a big list of the equipment in the hospital. Through sorting, we have a systematic understanding of the equipment in the whole hospital and are familiar with the types of equipment that each department should configure. In addition, Dong Ge and I participated in the contract formulation and learned about the whole process from equipment purchase to procurement.
? The fourth phase was originally arranged to follow Mr. Wang Shisen. Later, I rarely followed Mr. Wang because I helped the finance department to do fixed assets cards. I'm deeply sorry. Whenever the equipment breaks down, I always like to go to the department for maintenance with him. I need to cultivate my hands-on ability, exercise my maintenance ability and accumulate experience, and master the basic principles.
? In order to better manage the hospital's fixed assets, the finance department and the equipment department decided to establish a fixed assets card. Roughly speaking, there are 6000. After copying, rechecking, looking for serial number registration, department confirmation and signature, it finally ends. Among them, finding the serial number is what we do every day. The most important thing is to look at all the equipment in the hospital. Now we can clearly know the storage location of each equipment.
? In the fifth stage, I started working on the topic of blood cell analyzer with Mr. Li, and elaborated in detail its development history, blood cell counting principle, white blood cell classification technology, instrument selection, installation, debugging and evaluation, maintenance and other aspects, and found my own views on the market prospect, model list of well-known manufacturers, after-sales evaluation and other aspects of blood cell analyzer. /kloc-in early February, I went to the clinical laboratory for an internship. Under the guidance of Qian Guang, a teacher in the clinical laboratory, I quickly learned the operation of Hysenmecon K-4500 and _K-2 1, became familiar with some daily maintenance knowledge of the two equipments, and learned the methods of daily quality control and reagent replacement. I looked up a lot of information on the internet, and the bookstore dabbled in related books, sorting them out while studying, and asked the teacher some questions I didn't understand. On such days, I feel that my life is particularly fulfilling, and when I get to know them better, I always feel that I lack knowledge, so a strong desire to learn arises spontaneously.
? At the beginning of the internship, Miss Li told us that study habits, working methods and being a person are the contents of your study. Always remember this sentence. I have been a colleague for almost a year, and I have made great progress in all aspects, and my professional and technical ability, learning ability and interpersonal skills have been greatly improved.
? In my daily work, I have always been strict with myself, doing everything seriously and practically, keeping a positive attitude and studying hard. I always feel lucky. The equipment department has a strong learning atmosphere, and all the teachers in the department get along well. Business study is conducted in different forms every Wednesday, and sometimes it is discussed and told. Teachers give full play to what they are good at and learn from each other. What I get here is not only knowledge, but also the cultivation of good study habits and methods. At the morning meeting every day, I learned about the teachers' daily work content, problems encountered and solutions. I think this is a special benefit for me. The work must be rigorous and meticulous, prompt and timely, not slow-moving, clear-headed, planned and innovative, but it must be safe and reliable. In addition, I have accumulated a lot of maintenance experience. The hospital's easily damaged sphygmomanometer, ultraviolet disinfection vehicle, microwave oven, film viewing lamp and ICU bed have all been independently maintained. For myself, what I lack is knowledge. I need to keep learning, thoroughly master the basic principles and be familiar with the operation methods of the instrument. I believe I will make greater progress through continuous efforts.
? I have always been grateful that I chose to practice here with my colleagues. The hospital is far away from the city and close to Southeast University and the middle school affiliated to Heather Normal University. It's less noisy and quieter here. Because of my quiet personality, I fell in love with it soon after I arrived. On the first day we came, Miss Li introduced us to the teachers in the library. Since then, the library has become a frequent place for us. Because of taking the self-taught exam, we worked hard in the library and got good grades. We are really grateful to the hospital for creating such a comfortable and quiet learning environment for us.
? Over the past year, I have been very happy with my teacher in Cory. They bring us not only professional guidance and help, but also care in life. I remember Dong Ge once said that Xiao Xu was really thin! Take care of yourself, okay? At that time, after listening to this sentence, my heart was warm, comfortable and practical; Senior sister is like a sister to me and Fang, and always asks us to be caring and attentive, which makes us feel deeply cordial; Teacher Wang Shisen has always been my role model. He is a non-medical engineering major, but he is good at the operation and maintenance of hospital imaging equipment, supply room disinfection equipment and stomatology equipment. I know this is due to his hard work. Like his grandfather, Miss Li is kind and serious. She usually pays close attention to my study with Fang. She can't forget the second month of her internship. It's already ten o'clock on a Saturday night. Miss Li called us both, and the CT of the imaging department is changing tubes, which is a rare learning opportunity. So, Fang and I went to the department with notebooks. That night, I always felt how happy and lucky we were. We must study hard and live up to the teacher's expectations. I worked as an intern with Mr. Li for so long and learned a lot from him. A serious and rigorous attitude towards work, meticulous organization, and the angle and method of handling things are enough to benefit us for life.
? The internship is almost over. In addition to summing up my own gains, I also make a summary of my own shortcomings. I am not generous enough to get along with people, I don't talk much, I don't take the initiative to ask questions when I study, and sometimes I don't pay enough attention to things. Therefore, I must strive to improve my ability in all aspects in my future work and study, set a good goal and make steady progress.
? Finally, thank Mr. Yao Jianxin. If it weren't for his original recommendation, I might have missed my colleagues, these respectable teachers and a lot of my existing knowledge, experience and progress. In addition, I want to thank my colleagues, the leaders of the hospital, all the teachers who have taken care of me and helped me, all the medical staff who have contacted me in clinic, and thank you for making us grow all the way!
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Clinical practice summary report II
? Growing up, it has always been a dream in my heart.
? For various reasons, I couldn't come, and it was a pity that the college entrance examination passed by. It is a great honor to come to the Capital and Haidian Hospital. As an intern majoring in clinical medicine in the School of Public Health of the University, I welcome the one-year undergraduate internship.
? Although I have been away from home for more than three years, I was still a little uneasy when I first came, worried about whether I could integrate well into the new environment and spend my internship life smoothly. But from the moment I got off the train, the careful arrangement and care of Director Ma and Teacher Huang Yan of Haidian Hospital quickly reassured me. Their rigorous work attitude, relaxed and happy work mentality, pragmatic work concept and unique personality charm gave me a vivid first lesson and made me full of confidence in my internship life in Haidian Hospital in the next year.
? Pre-job training is the only way for clinical medical interns to take up internship positions. During the two-day pre-job training, we learned about the historical evolution, organizational structure, department settings and other related information of Haidian Hospital, systematically trained the common problems such as relevant medical regulations, rules and regulations, medical quality, doctor-patient relationship, safety and security, and conducted in-depth study on key issues such as medical record writing, nosocomial infection, and prevention and control of infectious diseases before entering the clinic. From the patient lectures of Dean Li, Director Li, Director Ma, Mr. Wang and Mr. Dong of Haidian Hospital, we feel that the hospital attaches importance to us from leaders to teachers at all levels, and at the same time puts forward hopes and demands for our interns. In the future internship, I will definitely keep in mind the teaching of all teachers, and strive to achieve excellent results in the internship stage and successfully complete my studies.
? As the head of clinical interns in the School of Public Health, and as a student, party member, I am very honored to study in Haidian Hospital. How to lead students to finish their studies better in the future practice life, how to do a good job of communication among schools, classmates and hospitals, how to play party member's exemplary leading role among students, and how to lead students to integrate into the hospital practice environment and life as soon as possible are the places I need to think more about in the future.
? Attitude determines height, details determine success or failure. I believe that with the joint efforts of Haidian Hospital, students and schools, our interns in the School of Public Health will be able to successfully complete their internships, and I hope that our arrival will add luster to the future work of Haidian Hospital!
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Summary report of clinical practice mode 3
? To learn this knowledge well in a relatively short time, it is obviously impossible to study hard without taking some effective methods. In the last chapter, we talked about the experience of doing a good internship. This chapter will further talk with the students about the methods of doing a good job in internship, and I believe these methods can also inspire the students to do a good job in internship.
? First, grasp the basic skills training.
? To be a doctor, you need to master some necessary basic skills first, which is the basis of being a good doctor. As a clinical intern, you should first do a good job in training these basic skills, which is the basis for further development in the future. Without a solid foundation, future promotion can only be empty talk. The contents involved in this paper are all related to basic skills, such as contacting patients, asking about medical history, physical examination, writing medical records, writing application forms, writing prescriptions, reporting medical history, diagnosis and analysis, and managing patients. These are the basic skills that a doctor must have, and these skills can not be mastered through reading or "probation", but only through constant exercise can they be mastered skillfully. Therefore, students should practice these skills hard.
? Second, pay attention to the study of "methods"
? What is an internship? Many students think that they are studying diseases. Clinically, many students talked about encountering a rare disease and finding a rare clinical sign, but rarely thought about how this rare disease or sign was diagnosed or found. This is actually a misunderstanding that students often appear in their internships. What about the internship? The teacher's point of view is that the main practice is "Dharma", not illness.
? There is a simple reason. Knowing and mastering a disease is just a disease after all, and mastering the methods of knowing the disease can help us find more diseases, so as to know and master more diseases. Therefore, it is more important to learn and master the methods of understanding diseases than to know one or more diseases. Therefore, students should study hard or master "methods" in practice.
? Third, find * * * the same point method
? The so-called * * * similarity is to find the law of * * * homosexuality. For example, the understanding of diseases is always summarized from its etiology, pathogenesis, clinical manifestations, diagnostic criteria and treatment methods. The contents of medical records are similar to outpatient medical records, medical history reports and special application forms, but their respective emphases are different. If you master the writing of medical records, it will be relatively easy to write other contents. In short, in clinical practice, there will be
? Many similar similarities or laws can be followed, so students should consciously sum up these laws in practice, and mastering these laws can make the clinic learn more knowledge in effective practice time.
? Fourth, look for characteristic methods.
? Everything in the world has its particularity, and it is precisely because of its particularity that things are different from each other. This particularity, which we often say, can help us better understand things in the world if we grasp the characteristics of things. The same is true in clinic. Every disease has its own characteristics, every subject has its own characteristics, and every patient has its own characteristics. If we can grasp these characteristics, it will greatly promote the correct understanding and practice of diseases. Therefore, students should learn to be good at discovering characteristics during their internship.
? First of all, find the characteristics of the disease and understand the essence of the disease.
? Students studying medicine all have this experience. There are too many things to remember and understand in medicine, not to mention the concept of basic medicine, the explanation of nouns, the physiology and biochemistry of human body, pathology, patients and so on. Just memorizing and learning the etiology, pathogenesis, clinical manifestations, diagnosis and treatment methods of many diseases in textbooks requires considerable energy. It is true that a lot of medical knowledge needs to be memorized, but this does not mean that all medical knowledge needs to be memorized. Using the correct method will bring great benefits to learning.
? A better way to learn and understand diseases is to master the characteristics of diseases. For example, the primary nephrotic syndrome is described in textbooks as follows: the main clinical manifestations of nephrotic syndrome are edema, pallor, loss of appetite, oliguria, edema during physical examination, ascites, pleural effusion and scrotal edema, auxiliary examination, urinary protein+++++,decreased plasma total protein, increased cholesterol, and complications such as infection and electrolyte disorder. In fact, the disease is characterized by "three highs and one low", that is, hyperedema, proteinuria, hypercholesterolemia and hypoproteinemia, and the key point of these characteristics is that "a large amount of protein is lost from urine". If we grasp the root cause of the disease "massive loss of protein", it is easy to understand the characteristics of the disease "three highs and one low" and other clinical manifestations such as edema, ascites and pleural effusion. This shows the importance of grasping the nature and characteristics of diseases. Therefore, when students know and learn diseases, they should pay attention to summing up the characteristics of each disease and find out the key links or essence of the disease, so that they can not only master and understand diseases better, but also learn and understand diseases very easily.
? Second, identify the characteristics of the subject and grasp the learning direction.
? In practice, frequent rotation of subjects is one of the characteristics of practice. Because the contents and research methods of each subject are different, interns need an adaptation process every time they rotate. Some departments have short internship time, and some students haven't adapted to the environment in the department or just now, and it's time to change majors. This frequent subject rotation requires students to constantly adapt to the new environment, which has a certain impact on the internship effect of students. How to change my major?
? To solve this problem, we can also use the "finding characteristics method". Every time students practice in a new department, they should pay attention to the characteristics of the subject, including the characteristics of research content, working methods and clinical thinking methods. For example, in surgery, the diagnosis and treatment of patients who need surgery are generally divided into three stages: preoperative, intraoperative and postoperative. Pay special attention to your hands before operation.
? The selection of surgical indications and timing, the emphasis on doctors' operation ability during operation and observation and nursing after operation, while the diagnosis of patients in internal medicine emphasizes logical reasoning and the diagnosis of neurology emphasizes positioning and qualitative diagnosis, which are the characteristics of various disciplines. If students can sum up the characteristics of various disciplines in practice and grasp these characteristics well, they can quickly adapt to the environment, understand and understand the content of the research, and clarify the focus of learning. In the guide, this book helps students summarize the characteristics and learning methods of clinical departments, with the aim of helping students master the characteristics of disciplines and learn more knowledge in a limited time.
? Third, find the characteristics of patients and determine the diagnosis and treatment measures.
? In the process of clinical diagnosis and treatment of patients, we can also find the characteristics of patients by finding the characteristics, which is beneficial to the diagnosis and treatment of patients.
? Clinically, every patient has his own clinical characteristics. When discussing medical records and analyzing the proposed diagnosis, we should first summarize the clinical characteristics of patients. This is because grasping the clinical characteristics of patients can accurately analyze patients' diseases and grasp the main contradictions of patients' diseases, which is conducive to correct diagnosis and appropriate treatment. Therefore, students should grasp the characteristics of patients when managing patients and take corresponding diagnosis and treatment measures around the characteristics of patients.
? Fourth, write an internship diary.
? Writing an internship diary is to record your internship experience by writing a diary. Writing an internship diary has a wide range of contents, which can record your daily learning gains and shortcomings, your understanding of a patient, your understanding of certain symptoms and signs, clinical problems that are difficult to solve, and everything that happens in clinic. In a word, internship experience can be the content of internship diary.
? There are not many students who keep practice diaries in clinic, and even fewer insist on writing them. Maybe the students haven't realized the benefits of keeping an internship diary. Writing an internship diary has at least the following advantages: first, writing an internship diary allows students to have time to think about their own internship gains or shortcomings every day, which is conducive to continuously improving internship methods and doing internship work well; Secondly, writing an internship diary is a good way to accumulate clinical experience; Thirdly, keeping a diary often helps to cultivate the good habit of thinking diligently and improve the ability of observing and analyzing things, which will be very important for clinicians; Fourth, through the internship diary, you can see the process of your growth; Fifth, some contents in the diary, such as the problems encountered in the internship, may become the breakthrough of their career success. Stories such as many scientists' manuscripts that later became important clues to major scientific discoveries are good examples. Therefore, for internship students, it is believed that it will benefit them a lot to develop the good habit of keeping an internship diary.
? Five, write a summary of diagnosis and treatment
? Writing a diagnosis and treatment summary is to summarize every patient, especially typical cases, including the patient's clinical characteristics, diagnosis and treatment experience, experience and lessons. Detailed contents and methods can be found in the chapter on patient management. Through this summary, it is helpful to deepen the understanding of diseases, improve students' ability to understand diseases, and help students learn and master clinical thinking methods. These abilities and methods are the difficulties and emphases of internship, so students should do this work well.
? Six, write a summary of the practice of the department.
? At the end of each department's internship, the school requires to write an internship summary. Many students regard this as an errand. As a result, this summary has actually become a form and has not played a real role. In fact, it is to summarize the internship harvest in the stage, check the existing problems, and clarify the direction of future efforts. This is of great significance to practice. Write a summary of the internship in the department stage, focusing on how much you know about those diseases, what knowledge you have learned, how to improve and perfect your clinical thinking ability and basic skills, the shortcomings and problems existing in the internship, and how to solve these problems.
? Seven. Thematic learning method
? The so-called theme learning method is to focus on a certain disease or a certain symptom. In practice, students should combine clinical practice and study special topics in time. For example, when they encounter patients with central nervous system infection, they should learn the diagnosis and differential diagnosis of central nervous system infection diseases. When you encounter a fever patient, you will study the topic of fever to be investigated; Anemia patients should learn the diagnosis and differential diagnosis of anemia. In the process of special study, we should not only meet the disease content introduced in textbooks, but also consult the relevant materials in the library. Through these special studies, we can broaden our knowledge, help to understand a certain kind of disease horizontally, and help to improve the ability of disease diagnosis and differential diagnosis. If you are interested in a specific topic and have comprehensive information, you can write a clinical review and publish it or prepare for future clinical research.
? Eight, the combination of basic and clinical methods
? Clinical medicine cannot be separated from the guidance of basic medicine. Therefore, students should not forget to combine clinical and basic learning in time during clinical practice. This kind of combined learning can not only consolidate what they have learned before, but also help them know and understand the disease. The contents of clinical and basic learning are mainly in the following aspects: ① Explain the pathogenesis of diseases with basic theories and deepen the understanding of the nature of diseases; ② Analyze and explain clinical symptoms and signs with basic theory; ③ Explain the results of auxiliary examination with basic theory.
? In a word, there are many practical methods, and I hope students can sum them up in practice with only one purpose, that is, to do a good job in practice and lay a good foundation for future clinical work.
? Medical students have many feelings when they graduate from internship. The internship has been over for a long time, but until today, the thoughts left by the internship are still in their minds. I don't know how long those feelings and thoughts will stay in my heart, and I don't know whether these thoughts are good or bad. After that experience, the whole person has changed, and now it seems to be changing. For me, this internship seems to be more difficult than any previous homework. I hesitated for a long time, but I couldn't write it. I've never had so many things in my mind, but it's hard to locate. I hope you'll forgive me if it's too messy down there.
? What impressed me the most was Professor Wang's talk about "treating patients with obsessive-compulsive disorder with clinical scale". In that class, I was first fully exposed to how to write patient medical records.
? Medical record writing should reflect the following parts:
? 1 patient profile. Name, age, occupation, native place, residence, etc.
? 2. Chief complaint. That is, the information about the patient provided by the patient's family.