This is normal. Almost all medical students come here. At first, when I was a student in school, what I learned was more abstract, a bit like talking on paper. When it comes to the actual clinical practice, you must be familiar with various procedures and various specific rules and regulations. When facing a patient, some are knowledgeable, some are illiterate, some are mild, some are impatient, and some are not. Conservative and some are vulgar, you have to learn to use different methods to collude, ask doctors, and check according to different situations, and then get your preliminary judgment, and then propose a feasible treatment plan. Some conditions are not obvious or can be diagnosed at a glance. Therefore, the new doctors who have just started to work are actually worried. You must also understand the settings of the various clinical departments and auxiliary departments of the hospital where you work, understand the various inspection items that can be provided, understand the various drugs commonly used in pharmacies or departments, and many drugs in the school textbooks are specific Not all of them can be found in all hospitals. But all these problems are actually temporary. Newly-appointed young doctors will generally be arranged to follow a senior doctor in the department first. As long as they achieve the “four accomplishments”: the heart, the eyes, the hands, and the feet, they will grow quickly. The so-called mindfulness means being a caring person, letting go, respecting the teaching doctors, and carefully listening to the teaching doctors’ teachings; the so-called mindfulness means not only observing and learning the diagnosis and treatment methods and experience of higher-level doctors in the work, but also having insights. Live, do more, and accumulate experience; the so-called hand-to-hand means to write down medical records and various medical documents in time, and to write down medical records and various medical documents. The so-called hand-to-hand means to keep your feet diligent. When you need to contact a patient or an auxiliary department, move around more, and naturally the various processes will become familiar.


By zhiwo

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6 months ago

First: imitate. Any learning starts by imitating. Your teaching, whether you are a big cow or a mess, as long as you can be your master, it is worthy of your study. What you have to do is to imitate his words and deeds, the process of medical advice, preoperative talks, discharge missions, just a few things, smart for a week, and stupid for a month or two. It is basically qualified to be able to deal with all the processes from admission to discharge of a patient proficiently. Second: Know why. This stage is to pay attention to some things, why do you want to do this. For example, you can only move normally three months after the hernia. Why is it three months? Because it takes two months for the patch to grow strong, and three months is the safest time. Ask your teacher about these things. If he answers vaguely the first time, don’t ask the second time. It’s likely that he doesn’t understand it. It’s just ” If someone else taught him this way, you need to find the answer yourself. For example, for hernia, I found the answer in the manual of hernia patch… This stage is more troublesome, but it is the root of the gap between people. Third: extension. It is necessary to establish a good relationship with the equipment dealers and medical representatives of the departments. Of course, they have no money to give you, but they can still provide you with “technical support”. Don’t underestimate them. Many of them are from pharmacy and participate in many academic conferences every year. Of course, the ultimate goal is to promote their own drugs. But you can learn the most complete knowledge from them, get the latest guide, and even engage in a case ppt from another hospital for your reference.

6 months ago

This is normal. I was magical when I had surgery on the first day of my internship, and I didn’t find it in the operating room… Then I met an old director who had just had surgery and asked about my height. Then I started to chat. It turned out to be my old brother. ……I said I was anxious to go to the operation room of teacher xx. The old director waved his hand. What is so interesting about the sewer operation? Come to me, just waiting to take the stage. Your height is most suitable for lifting the patient’s legs and The leg press… Although I didn’t ask me to help in the end, just chatted with him for a long time, but he took out the patient’s film and let me read the film. Unfortunately, the answer was not very good… He asked me when I was at school. The imaging teacher at the time said that the director was his classmate, and he had to criticize and criticize him in the evening, because the quality of teaching has declined severely. Then I kept saying that I was not good at learning…so don’t be afraid of not, as long as you are bold and careful, do not violate the rules and regulations, and be sweeter, in fact, everyone is very happy to teach you. Especially if you are willing to point out your problems, although you may feel uncomfortable on the face, it is better than regretting when something goes wrong. Everyone will like you.

6 months ago

We must let go of the burden of being a “good student”-we can’t blame ourselves on the fact that things are not well done. The clinical work is very trivial, the process is complicated, and there are only rules, not rules to follow. My mentor’s treatment team has half a floor of beds (about 30 beds, come to the comment area if you understand, cry for me!), our team is in charge of beds, including I have 2 hospitalizations and 1 attending treatment. Surgery is uniformly arranged by the team leader. (Gastrointestinal Surgery) The bed determines the workload. From the morning, the urine volume and temperature will be recorded (preparation must be done before the round, so it should be 15 minutes earlier than the other doctors in the group); the round, the doctor’s order (according to the drainage & Check, adjust diet, fluids, tubing, medication); send operation notice (note the number of times, endoscopy or laparotomy, the name of the operation, which room to send, what special equipment to prepare, whether spare blood transfusion); new patients admitted to the hospital ( Ask the medical history, check the examinations, and prescribe the doctor’s order; go to the bed to pull out the gastric tube, pull out the drainage tube, pull out the urinary tube, change the dressing; prescribe chemotherapy orders for day chemotherapy patients; organize group rounds (patient list, diagnosis, Surgery, operation days, special circumstances); check the blood type of the patient who has been scheduled for surgery, check whether the blood type has been determined; ask questions, add the examination of the patient before the operation (“kneel” in front of the heart color Doppler ultrasound, lung function teacher) ; Go to the bed and inform the patient that the family members will not leave and prepare for the conversation; sign the conversation; write the admission record of the new patient, the first course record; make up the course record, complete and print out the discharge summary; print the paper medical history and sign. (Insert the time to deal with the special conditions of the patient: fever, hypoxia, high blood pressure, low blood pressure, high blood sugar, low blood sugar, etc…) I am in my group: when there are intern students, I work until 10:30 in the evening. , Can finish it. When there is no student intern, I will work until 11:30 every day. If I can’t finish it, I will come to make up the medical history on weekends. Next is what I want to say with my young colleagues: Among these steps you may be familiar with, I have had problems with many steps (even missed the operation notice), and will be severely criticized by the superior doctors. At first, I felt very distressed. I have learned these simple repetitive operations for three months, but I still feel that I am not proficient enough. After going back every day, write down the doctor’s advice silently (now it’s much more convenient when the electronic doctor’s advice comes), and silently recite the precautions for each process. However, I made mistakes again and again, frustrated me again and again, and ravaged me. One night at 23:30, on the way back to the dormitory in a battery car, piles of medical histories had not been written yet, and I was too tired and wanted to rest. It’s just autumn, and the weather is still very comfortable at night. I was riding and found that my face was so cold. I only noticed when I slapped my face. I cried and couldn’t help but start sobbing. I couldn’t control it at all. I felt that I couldn’t ride this way. Stop. Sitting on the side of the road, fortunately, the shops were closed and no one saw it. As soon as I sat down, I couldn’t hold back, and started crying… I called my mother, and my mother didn’t say anything, but I was crying. In 20 minutes, when I came back, I repeatedly told me to be careful on the road. When doing the same thing, 1 year, 2 years, 3 years later, these things are as accustomed as wiping the ass after shit. No one is born to complete complex tasks such as medical treatment. Your superior doctor used to be a counselor. Don’t blame yourself because you didn’t do a good job. Imagine yourself as a poor student (actually), and be like a poor student. , Faced with the teacher’s criticism, he took it with a bashful face. Brothers who can pass the medical examination have no problem with their learning ability. The idol baggage of a “good student” will only make them unhappy.

6 months ago

Ah, this question is good, let me dream back to 20 years ago. I think first of all, you have to memorize the commonly used medicines and inspection items in the hospital, so that at least you won’t be full of blank space there. Then discuss the situation: 1. If there are teachers or higher-level physicians in the department, you should watch and listen more, learn clinical treatment with an open mind, be cautious in diagnosis and treatment, consult more, and report more. 2. If you catch the ducks on the shelves, the department has only a pink and tender seedling, what should you do? Medical consultations must be opened. Patients must be treated and treated when they come. Asking for leave all the time will not work. So if you come from a well-tested old patient, listen to him and ask questions at the right time. The patient will answer you. Of course, pay attention to methods and methods. hit. What if it’s also Mengxin? The brainstorming begins. Apply the diagnosis and treatment of all possible diseases that you think of one by one to the patient’s situation, make bold assumptions, and try to treat them carefully. At this time, the key is the mode of getting along with the patient, a lower posture, a gentler speech, and a positive attitude when serving tea and pouring water. If you can’t deal with the situation or happen, take the initiative to help the patient referral. After the referral, it is essential to ask about the cold and warmth, and also inquire about feasible diagnosis and treatment plans, and learn by yourself. This is basically enough to exercise for two years.

6 months ago

I was once asked a question: At which stage in your life have you studied the most and most solidly? Answer without hesitation: within three years of work. When I graduated, I was full of ambition, and I was dumbfounded when I arrived in the department: How could I not know anything! The test sheet will always be posted, and the medical record will always be written, which does not meet the requirements! Not standardized enough! The prescribing medicine was criticized by the nurses and sisters (didn’t write the department! Hospital number! No full usage! No prescription date! No specification! You put your name in the patient’s name column!) Not afraid, we are broad-minded (no Dare to refute) Ask for advice humbly (listen honestly) Suxing Yemei (correcting mistakes after get off work) strong mentality (skinned can’t be thin!), quickly getting better (cry twice, each time less than a minute ), was poached by several department directors: Do you want to stay in our department for one more round? Hahaha, this is my greatest affirmation! Therefore, be thick-skinned, read more, listen more, ask more, ask more instructions, report more, do more work, don’t be afraid of being criticized, don’t be afraid of annoying you by the superior doctor, don’t be afraid of making mistakes, just change it! If you change it, you will make progress!

6 months ago

1. Nothing? Do you understand basic medical knowledge? It’s just that you don’t know how to do it. It lacks actual combat experience. Most people come here like this. 2. Talk less, listen more, watch more, memorize more, use more brains, more hands-on, more careful observation, more study, know how to learn, and concentrate on learning. 3. Learn more from the director, learn more from the attending doctor, see how they diagnose, and see how they deal with emergencies… Keep it in your heart, write it in your notebook, and settle it in your head for a long time Once you have it, you will realize a little bit of Tao, slowly catch up with the rhythm, slowly, you will be able to deal with it, and slowly you will become proficient! 4. Have a good temper, have a sweet mouth, be more frequent, take the initiative, do more, complain less… and soon you will be there!

6 months ago

It’s just too normal. Recalling that year, on the first day at work, I was scolded by the nurse teacher. Because I wrote the medical records wrongly, I used a few more copy papers. Later, I didn’t understand the doctor’s order, and I was scolded by the nurse again. In fact, it doesn’t matter. Withstand the pressure, ask if you don’t understand, be more diligent, help the senior doctors run errands, help senior doctors buy a meal, bring drinks or something. Go early in the morning, check the patient’s vital signs, measure blood pressure, ask how you eat, and how you are going to urinate, so that the patient and the patient’s family will like you more. Remember all the information in the medical record, such as symptoms and signs, auxiliary examinations, and frequently flipping through books, and when asking about the differential diagnosis, you must be able to tell one, two or three. When the teacher makes a round of the room, you won’t be ignorant of one question and three questions. Make a good impression on the teacher. It will be fine after a long time. After becoming a senior doctor, I am more comfortable, but I will still be scolded by the director, but my psychological quality is really different.

6 months ago

The most important thing is to adjust your mentality! A good teacher will tell you why, a bad teacher will ask you why? Maybe many teachers will despise you and even despise you. “Why don’t you know anything so simple? Didn’t you learn this during your internship? Why did you forget what you just told you?” At this time, you must not get angry or give up on yourself. If you are angry, you will lose. It was PUA. You must first accept it with a humility. This is the humility and respect that a lower-level doctor should have. Then work hard to learn. This is not only your ability to improve yourself, but also what other people will see. This is also your reputation. As for the question of mentality, don’t take it to heart at all. Because when you see this answer, it means that you are a person who has demands on yourself. This kind of person is very likely to be much better than those teachers who look down on you.

6 months ago

The new doctor would be weird. When you first go to the department, you won’t know how to look more, look more flexible, and see how the seniors arrange their time, how to communicate with family members, how to ask for medical history, you will learn a variety of different habits from different people. The essence is to remove the dross. Ask more and ask when the seniors are not busy. When you ask, take a small book and write it down. Don’t repeat the question several times. After you have asked about your professional knowledge, you should go back and check the literature by yourself. The attitude is correct and rigorous, do your own things yourself, you must ask your superiors if you are in doubt, don’t make your own decisions, don’t leave other colleagues arbitrarily, don’t make mistakes, don’t make mistakes, this article is the most important thing! Establishing a good relationship with the nurses in the department will make you feel like a fish in the water. When you are fine, praise them and chat for a long time to ensure that you will not be scolded.

6 months ago

No matter what industry leaves the school, there will be a feeling that “every school has taught me everything, and how to work is not the same thing I learned.” In fact, it is also normal. Most of the things taught in the school are definitely correct, but the things in the books are all official expositions that have been modified by various parties, or the Anlu encountered in real life and the textbooks Can the cases be exactly the same? Is this possible? Going back to the doctor, the patient came in and said that there was a headache, and the possible causes behind it would be more. If you continue to ask more carefully, the symptoms, conditions, etc. mentioned are out of control. They are definitely different from those in the textbook. Doctors and lack of experience must be at a loss. This is why doctors need internships to actually go to clinic. But I don’t know if it’s a doctor, how many people can actually go to work without training after leaving the school, and they are doing well.

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