20 19 medical students' internship experience (1)
On xx, XX, 20 19, my classmates and I left our alma mater and went to XX Central Hospital, where I will spend 1 year. Because I am in XX's hometown, I feel familiar and kind.
Excited and eager, we drove to the hospital early in the morning. Teachers from the school and several teachers from the nursing department stood at the gate of the hospital to greet us on behalf of the whole hospital. We feel at home from their cordial greetings and eager actions. Just like in mom's arms. We have been packing for a long time because of a lot of luggage. After a hard day's work, we also feel hungry and tired. But because the first impression of xx Hospital is cordial, we are comforted. We are also determined that we must practice well here, integrate into the hospital and live up to the expectations of our teachers.
The following week, Teacher Liu of the Nursing Department arranged unified training according to our needs and job requirements, and the directors of various departments of the hospital made eight reports, including:
1, hospital profile.
2. Relevant regulations on student management.
3. Common sense of public security management.
4. Medical ethics education.
5. Writing of medical documents.
6, the explanation of nursing knowledge.
7. Hospital infection lecture.
8, operating room related knowledge.
In the meantime, the substitute teacher of the department also organized us to visit the medical records of various wards, watch expert lectures on medical disputes and emergency videos, and get a preliminary understanding of the actual clinical work, which laid the foundation for formal work.
After a week of training, I got a preliminary understanding of the hospital and learned a lot of new knowledge. First of all, Director Hu Jianjun of the Nursing Department introduced us to the development history and scale of the hospital, which made me realize that our hospital has a long history, brilliant background and development potential. At the same time, the substitute teachers in various departments have also formulated strict management regulations for us in teaching management, so that we can establish a rigorous style and serious work attitude from the beginning, form our fixed way of thinking, and lay a good foundation for future work. The police force in the hospital also makes us feel safe in substantive work. I want to thank the police officers for their work, because they are the guarantee for our hospital to implement normal and stable work order. Medical ethics education really makes me feel sacred and pragmatic as a nurse. We must establish our own image and adhere to the principles, so as to better safeguard the sacred authority of "angels in white" and gain the respect of patients and colleagues.
Secondly, lectures on specific clinical work, such as writing medical documents, nursing knowledge and nosocomial infection, let us realize how difficult it is to do a good job in clinical work, which cannot be mastered by theoretical knowledge alone. At the same time, I have a perceptual knowledge of correctly handling the relationship between doctors and nurses. Doctors and nurses are equally important, no matter who is older or younger. Our ultimate goal is to cure patients. I think the work of nursing staff is more important and complicated, which deserves the respect of every medical staff.
Come to my home, love my home, and I will do a good internship in xx Hospital, a United and uplifting family, enrich my knowledge, lay a good foundation for future work and contribute everything to the hospital.
Internal medicine is a department that focuses on the respiratory, digestive and endocrine systems. Common diseases include diabetes, chronic bronchitis and upper gastrointestinal bleeding. When I first entered this subject, I felt a little confused, but under the guidance of the substitute teacher, I learned about the daily schedule: morning care, disinfection time and so on. Learned intravenous infusion, drug pumping, dispensing, exhaust and so on. It is required to strictly implement the principle of aseptic operation and the system of three checks and seven pairs. Observe the patient's condition in detail after infusion, and check the bed number, name and liquid again when changing the medicine. If there is any mistake, report it to the teacher in time and replace it. Quick needle drawing, skilled operation. No practice for three days! There is no blood return during intramuscular injection, and another cotton swab is used to gently wipe around the skin during injection to relieve the pain of patients. Master subcutaneous and intradermal injection, especially intradermal injection. After 20 minutes, carefully observe the skin condition to determine whether it is negative or positive. Oxygen inhalation is also a very common nursing operation.
For a dying patient, oral care, oxygen inhalation and sometimes enema and catheterization are needed. For patients with chronic bronchitis, it is necessary to continue low-flow oxygen inhalation and enter a high-protein and high-vitamin diet to prevent upper respiratory tract infection. Diabetic patients should regularly measure blood sugar, eat crude fiber food on an empty stomach and 2 hours after meals, and take medicine regularly, especially within 30 minutes after insulin injection to prevent hypoglycemia. I also learned to draw blood and draw a temperature list; Mastered the work of new patients after hospitalization, such as: admission education, determination of T, P, R and bp. The body temperature should be measured for 3 days, 4 times a day, usually/kloc-0 times a day after normal, and 4 times a day for those with fever. Mastered the writing of nursing record sheet and shift report and how to shift.
Practice makes true knowledge, practice makes talents! In the first clinical practice, I realized the importance of combining theory with practice and the importance of a good nurse-patient relationship. Without the test of practice, no matter how many theories are on paper. Good nurse-patient relationship is the key to promote patients' rehabilitation. For example, during morning nursing, ask the patient, "Did you sleep soundly last night? It seems that your spirit is much better! ..................................................................................................................................................................................
Once, when I visited the ward, I chatted with the patient for a while. One patient said: "The nursing major is still good! Nurses are in direct contact with patients. You see, the child next to him was seriously ill and swollen when he first entered the hospital. Now he is in good spirits and his symptoms have disappeared. He also said, it's good to be a nurse! You gave us a second chance to live; It is you who comfort us with kind words and give us confidence to overcome the disease; It is you who take care of us and make us recover soon; It's you ... "I'm moved, I'm excited, and I'll fight for my upcoming career all my life!
Next, I went to the emergency department, general surgery, outpatient department, cardiovascular department, blood endocrinology department and patient assistance department. I have learned a lot of different knowledge in each department, and many experiences and skills that are not available in books. The substitute teacher is kind, patient, careful and careful, and teaches me the precautions and contents of various operations. In the past six months, I have changed from a student who knows nothing about medical social workers to a semi-practical worker who can face patients and their families independently and know how to connect with other resources. I feel really fulfilled in my heart.
20 19 medical students' internship experience (2)
20 19-20 19 worked as an intern in xx Hospital. Looking back on this year's internship, from the initial fear of the unknown and the expectation of becoming a qualified clinician as soon as possible, to the integration into the hospital environment and workplace culture, as well as the ability to contact patients alone, ask about medical history, do something for patients, and strive to establish a good relationship with hospital staff, these are all indispensable experiences for our medical students. One year's internship has made me grow up and learn a lot. I know how to be a good doctor, how to combine theory with clinic, and how to build a bridge to communicate with patients.
During the internship, under the careful training and guidance of many hospital directors and all teaching teachers, I actively participated in various teaching activities such as medical record discussion, academic lectures, intern teaching rounds, and learned how to operate various clinical skills such as puncture, debridement and suture, dressing change and stitches removal. The following teachers learned how to complete simple operations such as appendectomy and plaster external fixation. All operating procedures can be carried out in strict accordance with aseptic operation, and familiar with and master the overall diagnosis and treatment process of various common diseases.
I remember one operation, because I was nervous, I didn't change places with the teacher according to the back-to-back requirements. As a result, the director asked me to change my gloves and surgical gown before I went on stage. At that time, I deeply impressed the concept of infertility in my mind, reminding myself at all times. At the same time, I also told myself to be good at accepting criticism and growing up in mistakes, which is a necessary quality for us as interns. It is also important to cultivate clinical thinking. We should not just sit in the classroom reading textbooks and passively listen to students' lectures, but learn to read textbooks carefully, ask questions actively and try our best to combine theoretical knowledge with clinical practice.
Clinically, we occasionally encounter unreasonable and overbearing behaviors of some family members, and then we will question whether our efforts are worth it. However, from another point of view, when we see the patient fully recovered from hospital, especially when the patient smiles and says "thank you", we can get a sense of accomplishment that can't be described in words. This is our respect. As doctors, there are some things we need to bear, and patients have a bad attitude. We should reflect on what we have not done well and how to do it better.
Hippocrates, the father of western medicine, once famously said that doctors have three big lies: the first is language, the second is medicine, and the third is scalpel. Language is attitude, and the doctor's attitude determines everything. In today's medical and health circles, many doctor-patient relationships are caused by doctors' bad attitudes and inadequate explanations. The patient came to see a doctor, and we thought it was a minor illness. If you send him away in a few words, it will make the patient feel that the doctor has a bad attitude. Once something goes wrong, the patient will definitely complain.
From the patient's point of view, no matter how big or small the disease is, we should treat it seriously and sincerely and propose a treatment plan for the patient. People's hearts are all flesh, and patients will naturally be tolerant of you if they can see what you have done to them. In short, doctors should not only treat diseases, but also treat their hearts. You don't have the skills or ability to do a good job, but you have to have a good service attitude. Maybe you are in a bad mood or tired, but as a doctor, you should be kind and patient when treating patients. Don't put yourself in a high position, look down on the people, and don't treat patients arrogantly. This is the basic quality of professional ethics that doctors should have.
Some people say that an excellent doctor should treat patients' pain as pain, treat each patient sincerely, and try his best to improve their quality of life and prolong their lives. What we need to do is: first, treat patients seriously, serve patients with knowledge and experience, make accurate diagnosis and effective treatment as much as possible, and make patients feel happy that you are here; Second, be sincere and have a good attitude. No matter how busy and tired you are, even if the patient is so verbose that there is misunderstanding, you should try your best to restrain yourself and make the patient feel intimate and at ease. The third is to listen patiently and maintain a tireless attitude towards patients.
Out of concern and suspicion, patients and their relatives will ask questions, and doctors should sit still and listen and respond one by one; The fourth is compassion, caring and helping patients. Some serious illnesses often make farmers financially strapped and have to borrow from the east and the west. Therefore, when seeing a doctor, we should try our best to make a reasonable examination, use drugs rationally, be kind and soft, save as much as possible, and let the small money brought by patients help them solve big problems.
20 19 medical students' internship experience (3)
As a clinical medical student, after three years of clinical basic study, at the end of my junior year, in order to understand and learn more clinical knowledge and skills, I entered the urology department of xx First People's Hospital for a half-month summer internship. During this period, I actively learned from all the teachers and brothers and sisters in the department in practice. After half a month's study and practice, I have mastered the writing of some basic medical documents in urology, such as course records, admission records, medical records and laboratory tests. He also mastered the operations of inserting and pulling out catheters, removing stitches, dressing change, basic debridement and suture, aseptic operation and so on. Time is short, but we have gained a lot. ...
Clinical practice is the consolidation and strengthening of theoretical learning stage, the cultivation and exercise of clinical skill operation, and our pre-job training. Although this time is short, it is very important to me. I cherish this period of time, the opportunity of daily exercise and self-improvement, and the rare mentoring relationship with teachers.
When I first entered the ward, I always felt at a loss I am in a relatively unfamiliar state with my clinical work, and I still don't have a formed concept of what I can do in such a new environment. Fortunately, a teacher introduced me to the department, introduced some rules and regulations, the responsibilities of doctors at all levels and so on. , and taught the rich experience of teachers, so that I can quickly adapt to the clinical work of the hospital. Being able to adapt to the hospital environment as soon as possible has laid a good foundation for clinical study, practice and work in the hospital in the future, which should be regarded as a harvest of my internship: learning to adapt and learn to grow and survive in the new environment.
When I go to the ward for internship, I have the most patients, and I have a thorough understanding of the disease and a thorough grasp of the basic skills. The ultimate goal of practice is to cultivate good operation skills and improve various diagnosis and treatment skills. Therefore, under the teaching principle of "let go, don't look around, don't worry about looking around", I actively strive for every exercise opportunity, at the same time, I constantly enrich my clinical theoretical knowledge, actively think about various problems, ask the teacher modestly for questions I don't understand, and take knowledge notes.
In the operating room, every step of the teacher's operation is worth learning and learning from. Although I only watched those operations, it was a rare opportunity for an intern who had never studied surgery. I learned about aseptic surgery in advance, watched several rare operations such as adrenalectomy, total cystectomy and ileal bladder reconstruction, and participated in nephrectomy, transurethral resection of prostate and hernia repair.
Time flies, and the half-month internship will soon be over. After fifteen days of study and practice, I feel very full and have learned something that I can't learn in school. In a word, while thanking the First People's Hospital of xx for training me in urology, I will devote myself to my future study and work with a more active learning attitude, laying a solid foundation for future clinical work.