People's quality refers to people's basic quality structure, including ideological quality, knowledge quality, physical quality and psychological quality. It is the synthesis of people's knowledge and skills, behavior habits and cultural accomplishment. The quality of the crowd reflects the spirit and characteristics of the nation to a certain extent, which is related to the rise and fall of the nation and the honor and disgrace. Due to the professional requirements, the quality of doctors should not only be possessed by people, but also emphasize the following three aspects, namely, solid basic skills, good medical ethics and scientific thinking. The quality of doctors is an important connotation and essence of hospital culture, and it is also related to the rise and fall of hospitals. Tall buildings rise from the ground, towering trees rely on the foundation, and without good quality, you can't be an excellent doctor.
First, solid basic skills.
Basic skills are the professional quality of doctors, and the professional knowledge of clinical disciplines is the enrichment and development of basic skills. Basic skills are commonly known as "three basics", including: 1, basic theories, such as anatomy, physiology, biochemistry, pathology, pharmacology and so on. The theory of yin and yang and five elements in western medicine, the theory of viscera and meridians in traditional Chinese medicine, etc. 2. Basic knowledge: such as the routine system of the hospital, various operating procedures, correct inquiry of medical history, writing of medical records and various medical documents, the steps and methods of basic examinations such as listening, touching and listening of western medicine, listening and asking of Chinese medicine, the items and clinical significance of routine examinations and common functional examinations, and the indications and contraindications of drug action. 3. Basic skills: the first-aid technology of critically ill patients and the operation of various diagnosis and treatment technologies, the operation technology of various commonly used inspection instruments, acupuncture and massage in traditional Chinese medicine, etc.
The above basic skills are the basic contents that medical students should learn first after entering the school, and also the practical skills that young doctors should try their best to practice after entering the clinic. Only by practicing these basic skills to perfection can we be handy and use them freely.
Second, good medical ethics.
Both Chinese medicine and western medicine attach great importance to medical ethics. The ancients said: "The way to cure diseases is to correct yourself first, and then get down to business. If you are right, you can be reasonable and do your best; An upright man means that he can use drugs to treat diseases. If you can't be right, how can you be right If you can't correct things, how can you get sick? " It means that doctors' medical ethics are low and unreasonable. No matter how high their medical skills are, they can't save lives. Sun Simiao, a doctor in the Tang Dynasty, put forward "Great Doctor Sincerity", which had a great influence on the medical field. "Essence" means superb medical skills, "sincerity" means sincere medical mind, that is, noble medical ethics. Medical integrity is mainly manifested in the following aspects:
(1) Be dedicated and happy.
Taking from society and contributing to society is the most basic duality of human beings. People have the right to make demands on society and the obligation to fulfill their responsibilities to society. Therefore, being loyal to one's duties and working hard is a basic professional ethics. Under the current market economy, some doctors are influenced by money worship and can't stand the suffering of doctors. Public opinion and news media pay great attention to the medical industry. The doctor-patient relationship is tense, medical disputes are increasing, the distrust between patients and society is increasing, and doctors are injured by patients from time to time. The attractiveness of the profession of doctors is declining, and the professionalism and happiness of doctors are severely tested. In this case, it is even more important to advocate the professionalization of doctors. People can't live without ideals and spirit, and choosing a career can't rely entirely on money and treatment. Doctor is a special and noble social occupation. "Life is the most important thing, and there is a baby daughter. When one party helps, morality does not stop there. " Paying a lifetime's hard work for this will definitely benefit the society, and I will also get happiness and comfort, as well as social respect.
(B) indifferent to fame and fortune
It is rare to completely ignore personal fame and fortune, but excessive pursuit of fame and fortune is unacceptable to medical ethics. So indifferent to fame and fortune is one of the basic requirements of medical ethics.
1, Name: Doctors' reputation is gradually formed in long-term medical practice, which is a social evaluation of their medical ethics and medical skills and exists objectively. Follow good medical ethics and strive to improve medical skills. This doctor will be welcomed by patients. Doctors don't need to think too much about their reputation, let alone pursue their reputation. Buddha Sakyamuni once asked this question: "How can a drop of water not dry up?" None of the disciples could answer. The Buddha said, "Put it into the sea." This question reveals a universal and profound truth. Self-enlargement and superior ability can only be manifested, developed and confirmed in patients and medical practice. At present, there are still some doctors who do not focus on the intensive medical skills, but are keen to help others all day, carefully build various networks, and try their best to seek part-time jobs. Young people should focus on enriching themselves and be a good doctor first. Like a devout Buddhist disciple, it needs to get rid of distractions and practice for a long time before it can gradually reach the word "goodness". What society needs is a good doctor who does not seek fame and fortune, is highly respected and has excellent skills. Fan Zhongyan's famous saying "either a good doctor or a good doctor" in the Song Dynasty should be regarded as our doctor's memorial.
2. Benefits: Many famous doctors in China have been countless living and poor people all their lives. They traveled all over the world to practice benevolence and righteousness, seeking neither fame nor profit at all, and set an example for future generations. Today, the working and living conditions of our doctors are much better than theirs, but there are still doctors who abuse power for personal gain and do not treat diseases. Under the conditions of commodity society and market economy, medical activities should be paid reasonably, but all kinds of behaviors taken by doctors out of self-interest are not allowed by medical ethics.
(3) the principle of diagnosis and treatment optimization
The principle of diagnosis and treatment optimization refers to the decision to obtain the maximum effect at the least cost in the diagnosis and treatment scheme, and its main contents are the best curative effect, safety and harmlessness, the least pain and the least cost. However, in actual medical work, this principle is often violated. When you sneeze, you get infusion, and when you get up, you get several antibiotics. It is not uncommon for a common cold to spend thousands of dollars on medical expenses without getting better. These seemingly medical problems are actually medical ethics problems. There are two reasons: doctors' medical ethics and economic stimulus measures taken by medical institutions for survival and development. To solve these problems, on the one hand, it depends on a series of regulatory measures in the medical industry, on the other hand, medical institutions should fully understand its harmfulness and consciously guard against and resist it. The survival and development of hospitals depend on high-quality medical services. Excessive financial incentive is only a short-term economic behavior, which is unfavorable to the long-term development of hospitals. For doctors, accurately grasping the indications of examination and medication, and achieving the best possible therapeutic effect with less cost, is the concrete embodiment of doctors' loyalty to their duties and high responsibility to patients and society, and is the highest criterion of doctors' behavior.
(4) Health care and kindness
Confucian morality regards "benevolence" and "love" as the core of its own ethical thought, which has had a great influence on China's cultural thought for thousands of years and is still an important content of our moral cultivation. In the medical field, caring for the heart, caring for the soul, showing a higher level of moral responsibility and moral realm.
To achieve good therapeutic effect, patients must gain the trust of doctors. Patients often say, "Patients don't trust doctors, and it's useless to take medicine." Although patients may not be able to evaluate the doctor's diagnosis and medication, they are most sensitive to the doctor's medical mind. He can feel from the doctor's expression, words and actions whether the doctor is seriously examining his condition, so as to further infer the doctor's medical skills, medical ethics and reliability. Therefore, the image of doctors in front of patients is directly related to the diagnosis and treatment effect. This is also an important aspect that doctors must work hard and hone for a long time.
Third, scientific thinking.
Learning thinking is a method and viewpoint for doctors to use their brains to think about problems, and it is an important quality of doctors.
(A) Clinical thinking
Clinical thinking is a process of synthesis, analysis, reasoning and judgment, which can be roughly divided into three steps: the collection, synthesis, analysis and preliminary diagnosis of disease data, the determination of treatment plan and the verification of diagnosis in treatment practice. In clinical thinking, we should pay special attention to the following tens of thousands of aspects.
1, Viewpoint and Objectivity: The knowledge and experience of any brilliant doctor are always limited. In the face of complex and changeable diseases, doctors should not make subjective assumptions, and should not trust their own experience too much and rest on their laurels. It is necessary to repeatedly study the condition, dynamically grasp all kinds of data of the disease, seriously carry out clinical thinking, proceed objectively, grasp the essence of the disease at any time, and avoid misdiagnosis and mistreatment as much as possible.
2. * * * and personality: Although all diseases have the same characteristics and laws, each specific patient has different manifestations. Therefore, clinical thinking should not only pay attention to the guiding role of the law, but also pay attention to the personality characteristics of each specific patient's condition, because each patient is an independent and unique personality, and the * * * of the disease lies in the clinical diverse personality manifestations. It can be said that patients with the same disease have never performed exactly the same. Therefore, when studying specific patients, we must not completely copy the book theory and make dogmatic mistakes. One of the essences of TCM is that it varies from person to person.
3. Principal contradiction and secondary contradiction: In the complicated situation of numerous dental shields, only the principal contradiction can reflect the essence of the disease, and only the measures taken against the principal dental shields can achieve the therapeutic effect. Clinically, when patients state their medical history, they often talk about many important symptoms, but the main symptoms are ignored. Doctors must quickly grasp the main contradiction in order to accurately diagnose and treat it.
4. Part and whole: Chinese medicine attaches great importance to the unity and integrity of the human body. The five internal organs, qi and blood, and body fluid are physiologically interrelated, and * * * jointly complete the unified function of the human body;
Pathologically, they interact. Any local disease will affect all parts of the body, and any systemic disease will have different manifestations throughout the body. Therefore, when diagnosing diseases, we should have a holistic view of the human body to prevent one-sided and isolated treatment of clinical symptoms and signs.
5. Dynamic thinking: the initial diagnosis of clinicians may be incomplete or even wrong, which is due to the subjectivity or one-sidedness of doctors' thinking; Or due to the limitation of objective technical conditions; Or because of time constraints, it is too late to systematically collect and sort out information; Or because of the complexity of the disease, its internal contradictions have not been fully demonstrated, and so on. At the same time, the disease is constantly developing and changing, and the initial diagnosis may change at any time. Therefore, in the process of diagnosis, we should constantly observe the development of the disease, verify it repeatedly, and correct the clinical diagnosis and treatment plan in time. We should regard the initial diagnosis as a hypothetical nature, the treatment process as a continuation of the process of understanding the disease, and the treatment as a method to verify and explore the diagnosis, so as to review and evaluate the diagnosis repeatedly and verify and enrich it. In fact, it is common to supplement, correct or even overturn the original diagnosis during treatment. Therefore, doctors' thinking should not be stagnant and rigid, and their understanding should be fixed on a certain stage of the disease or a certain prescription for diagnosis and treatment, resulting in misdiagnosis and mistreatment. Therefore, clinical thinking is not completed at one time, but a dynamic thinking process of repeated observation, repeated thinking, repeated verification and repeated correction.
(3), the concept of prevention (preventive treatment)
Today, the medical model has changed from a simple "biomedical model" to a "bio-psychological-social medical model", and the concept of health is not simply that there is no disease. With the change of medical model and the renewal of health concept, the responsibilities of doctors will inevitably change. It is no longer the only duty of doctors to treat diseases, and it is also the duty of doctors to do their best in prevention and psychological counseling. Traditional Chinese medicine has always attached importance to the prevention of diseases. As early as more than 2,000 years ago, doctors in China put forward the view that "going to work does not cure diseases", which means that smart doctors should pay more attention to the prevention of diseases. Today's doctors should have the concept of "preventing diseases", change the concept of pure diseases in the past, regard disease prevention as one of the important contents of doctors' brain thinking and clinical work, and devote themselves to popularizing prevention knowledge while treating diseases, so that people can know how to not get sick (primary prevention) and how to not get sick (secondary prevention). This is the requirement of the times for doctors' thinking quality.
(D), the concept of innovation
Innovative concept is the life of medicine. Without innovation, there will be no medical development. Only by constantly summing up experience, discovering, inventing, creating and making progress can medicine develop continuously. Therefore, innovation is the requirement of doctors' thinking quality.
Not everyone can achieve great innovation, but the idea of innovation is what every doctor should have. Today's era is an era of rapid development of science and technology, and doctors' knowledge can't stay in their student days. Doctors should keep abreast of information, be good at accepting new knowledge, new technology and new methods, pay attention to updating knowledge and actively carry out clinical exploration.
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