? Understanding of learning experience of hospital doctors

? Autumn and winter are coming, the chill is getting deeper and deeper, and the homesickness is getting stronger and stronger. Especially when the year is approaching and the school is coming to an end, homesickness and friends are born, and I can't help but feel sorry for this study. After studying in Hangzhou for more than two months, my blog posts are rarely updated, and my hands and brain feel dull and rusty when I lift my fingers. I have a moment of leisure today, leaving a word to comfort this lost time for the time being.

? The prestigious Zhejiang First Hospital is one of the top ten hospitals in China. It is a great honor for my little daughter to study respiratory therapy in ICU. She cherishes every inch of her time here. Get up at 6: 30 every day and walk back and forth between the hospital and the dormitory at a monotonous pace. 24 hours a day is divided by work, study, eating, reading and sleeping, because even if I am in such a hurry, I am still far away from others, professionally. Therefore, during my further study in Zhejiang No.1 Middle School, I often felt that I was a frog in the well.

? Many advanced medical technologies developed by the First Hospital of Zhejiang Province are leading in China, such as organ transplantation (especially liver transplantation and heart-lung transplantation). ), heart surgery and ICU intensive care, etc. , has long been a household name, attracting groups of medical staff from all over the country to choose to study here, and even nurses from Britain come here for internships, and medical master students from Southeast Asian countries. Zhejiang First Hospital can have such an important influence in the domestic medical field. I think this is inseparable from every medical staff who works here. Rich learning atmosphere, open academic thought, practical medical practice, diligent study and analysis, heated debate and discussion ... these factors closely related to progress are always stirring around me. The establishment of famous hospitals is not only related to advanced medical equipment, but also to advanced medical concepts and diligent study and practice. Study, study and study again; Think, think, think again; Practice, practice, practice again; Discuss, discuss, and then discuss; Deep, deep, deep; Innovation, innovation and innovation, this is the first Zhejiang in my eyes.

? At the beginning, many people around me didn't understand why I chose to go out for further study, because in their eyes, I was 32 years old and my son was in the second grade of primary school. At this stage, women should educate their children at home and enjoy life to kill time. Progress should be a matter for young people. Study hard, there is no bonus for further study, and the income will be much less. Learning is simply a loss-making business, not worth it. The study is almost over, and my persistent choice without regrets is still my pride at the moment, as is the firm support and help of my husband and son. In a word: the value is far from enough to express the precious wealth it left in my life.

? Here, I feel that my study is very hard and my life is very light, which is worse than my lack of knowledge and backward concept. I met many excellent teachers here, such as Pu Qibin, director of respiratory department in comprehensive ICU. He admired me for a long time, so I learned from him and was impressed by his profound knowledge of respiratory medicine and profound and comprehensive medical skills, especially in respiratory specialty. He still studies hard all day, works hard, is full of enthusiasm and elegant style of study, which makes me admire him even more. Here, Dr. Shi Heng has a thorough and unique understanding of the cycle. When analyzing wonderful speeches in turn, he often attracts many fans including me to gather around him. Quoting examples, laughing and combing, accurate counseling, modesty and easygoing are all reasons to follow. Of course, there are also good friends. For example, my sister Huang Xiaoling, who is a few years older than me and whose children are still attending junior high school nursing here, often asks me to be caring and attentive. She lives in Hangzhou. Let me taste her own steak, which makes me feel a little warm at home. And my little sister Sun from Shandong, who studied respiratory therapy with me for a month. Graduated from undergraduate nursing major, ready to apply for international nurse certificate. She is smart and diligent, and has given me a lot of help and guidance in the basic aspects of medical specialty. They are all excellent head nurses in the unit, modern and enterprising women here, and they are examples for me to learn. There are more mentors and friends, so I won't elaborate on them one by one.

? Let's finish with one sentence. As a woman, only study can work hard, only study can build a foundation, only study can settle down, only study can make each of us better meet life, and only then can I have a calm feeling to teach my children.

What is the experience of further study for hospital doctors?

? 1 year has just ended, and I have returned to my familiar job. First of all, I want to thank the hospital and the leaders for giving me this precious opportunity, and I also want to thank my colleagues, because their hard work allows me to finish my studies with peace of mind.

? My study unit is the respiratory department of xx Hospital of xx Medical University, which is the first master's degree-granting discipline in China, the superior medical discipline in Shaanxi Province, the national drug clinical trial institution, the grass-roots construction demonstration department of the Fourth Military Medical University, the training center for bronchoscopy diagnosis and treatment in northwest China and the ventilator training base. Chairman of the respiratory tuberculosis branch of Shaanxi Medical Association and vice chairman of the respiratory discipline of the whole army. There are two wards and 80 beds in respiratory medicine, as well as allergic disease research room, lung function blood gas room, bronchoscopy room, respiratory medicine intensive care unit and respiratory medicine laboratory. It is the most advanced unit of respiratory medicine technology and equipment in Shaanxi Province and Northwest China. The teachers here are noble in medical ethics, knowledgeable and approachable. Not only is the level of diagnosis and treatment among the best in China, but they attach great importance to the training of the younger generation, and maintain a strong talent echelon, which is popular all over the world.

? The director of their department makes rounds once a week 1 time, and the third line makes rounds twice a week. I feel a harmonious atmosphere during rounds, emphasizing seeking truth from facts and attaching importance to evidence-based medical evidence. Many issues of principle have been recognized, but differences that do not violate principles are allowed. Tang Dou Hospital has always emphasized comprehensive treatment, and the comprehensive department organizes joint rounds of radiology diagnosis, pathology, surgery, internal medicine and radiotherapy from time to time. When making rounds, the first-line or senior doctors report the medical history; The superior doctor carefully reads the film, analyzes the possible diagnosis, further examination and treatment plan. In this way, patients can get reasonable treatment systematically and systematically, and young doctors know a lot about this. Reasonable comprehensive treatment is one of the important factors of high-level diagnosis and treatment in Tang Dou hospitals.

? To develop departments, we must attach importance to re-education, re-learning and the cultivation of reserve talents. The academic activities I participated in mainly include: theoretical study twice a week to make new progress in treatment; Weekly 1 departmental academic discussion; Irregular academic exchanges with foreign countries, including lectures by famous experts at home and abroad and academic conferences at home and abroad. Long-term intensive and conscious study and communication are also important factors for their longevity.

? I also found something. First of all, I systematically studied the relevant basic knowledge and the latest diagnosis and treatment technology, mastered the diagnosis and treatment of common diseases and frequently-occurring diseases in respiratory department and related departments, mastered the routine operations of respiratory department such as pleural cavity closed drainage, pleural biopsy, ultrasound and ct-guided percutaneous lung puncture, and basically mastered the operating essentials of bronchoscope and thoracoscope.

? Thirdly, the cooperation of various disciplines is the guarantee to improve the level of diagnosis and treatment. Every department has technical expertise, and every doctor also has technical expertise to ensure the level of diagnosis and treatment in the department. It is not enough to have a good clinician. Only advanced equipment and perfect auxiliary examination can design an ideal treatment plan. At the same time, the cooperation between various departments of the hospital is also very important, such as surgery, pathology, diagnosis and so on. Outstanding comprehensive strength can bring a high level of diagnosis and treatment.

? Advanced equipment and technology also left a deep impression on me. In our primary hospitals, there are many problems that plague us. With advanced medical equipment and technology, we will be easily solved and suddenly enlightened. Nevertheless, routine treatment is still the most commonly used treatment. In my opinion, relying on the current technology and equipment in our hospital, as long as we can use conventional technology in a standardized and reasonable way and carry out new business and new technology within our power, most patients can also obtain satisfactory curative effect.

? Further study experience and suggestions: 1. Departments should develop, hospitals should be strong, and be invincible in the highly competitive medical market. We should take the road of professional construction, complete disciplines, scientific development, academic specialization and increasingly fine division of disciplines. It is necessary to strengthen the cultivation of talents in various disciplines and attach importance to re-education, re-learning and the cultivation of reserve talents.

? 2. For the development of the hospital, it is necessary to strengthen the cooperation among various departments, such as internal medicine, surgery, pediatrics, obstetrics and gynecology, radiology, ct room, ultrasound room, electrocardiogram room, lung function room, etc. It is not enough to have a good clinician. Only advanced equipment and perfect auxiliary examination can design an ideal treatment plan. Only in this way can we have a higher level of diagnosis and treatment, benefit more patients, better improve the social and economic benefits of the hospital and enhance its popularity.

? 3. It is suggested to set up specialized respiratory medicine and powerful thoracic surgery. At present, epidemiology shows that respiratory diseases (excluding lung cancer) rank fourth among the causes of death in cities and third in rural areas. The incidence rate of lung cancer (654.38+0.2 million years) and the mortality rate (654.38+0.65.438+0 million years) both rank first in the world, and have surpassed lung cancer in China. In order to win over these patients and create better social and economic benefits for the hospital, it is suggested to purchase advanced equipment such as bronchoscope and thoracoscope as soon as possible, speed up the training of personnel in this field and develop new business and technology. Thoracic surgery and respiratory department can't survive without bronchoscope, let alone develop. Strengthening and strictly mastering the indications of using ventilator-assisted breathing to treat critically ill patients can save the lives of most respiratory patients, prolong their lives and improve their quality of life. It is suggested that critically ill patients (especially respiratory patients) routinely check arterial blood gas analysis, which can better judge the prognosis of patients and improve the utilization rate of equipment. For the time being, new services such as pleural biopsy and percutaneous lung puncture can be carried out, and comprehensive treatment such as pleural perfusion therapy for tumors can be carried out. Ventilator treatment can be performed.

? 4. It is suggested that the hospital set up a comprehensive emergency center, set up an emergency observation room, and merge and cancel the infusion room, which is also beneficial to the management and better treatment of patients in the observation room. It is suggested that patients who meet the hospitalization conditions should be hospitalized to create better economic income for the hospital. The medical staff in various departments of the hospital rotate, and the emergency doctors are not fixed, so that emergency doctors can also learn professional knowledge and apply what they have learned, so that the medical staff in the hospital can be fully developed, and the doctors in the inpatient department can get first aid training and master first aid knowledge and technology.

? Understanding of learning experience of hospital doctors

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? First of all, I would like to thank the hospital leaders and department directors. The head nurse gave me this opportunity for further study. In a short time, I deeply felt that the advanced hospital management mode and thoughtful occupational safety protection of the People's Hospital were worth learning. Secondly, through this training and study, I have a deeper understanding of how to become a qualified and excellent nursing staff.

? The main ideas of this training are humanization, modernization, institutionalization and standardization. Humanization is people-oriented, words and deeds should fully reflect the care and love for patients, put yourself in the patient's shoes and attach importance to communication with patients and their families. Institutionalization is to formulate rules and regulations suitable for our hospital and strictly implement them according to the actual situation of the hospital and the needs of the times. Modernization means constantly learning advanced nursing thoughts at home and abroad to meet the needs of social development and provide better services for patients. These are not only new ideas for training and learning, but also new requirements for nursing in the times.

? With the development of the times, the requirements for nursing are getting higher and higher. The nursing knowledge I learned before can't keep up with the needs of social development. I learned a lot of new knowledge through this training.

? First of all: 1. Nursing service is not limited to simple nursing work such as injection, infusion and medicine distribution, and more and more attention is paid to providing patients with all-round and all-round quality nursing services. In addition to professional skills, nurses' words and deeds also fully reflect their concern and love for patients. Therefore, in the face of future medical competition and social needs, nurse etiquette can express the image of nursing staff and win social and economic benefits.

? 2. This training has also improved our professional quality, laid a good foundation for our rapid growth as a literate, qualified, capable and qualified nurse, and also helped us find professional value and self-value in ordinary work. As the saying goes: three points of treatment, seven points of care. As a clinical nurse, we have the closest contact with patients, so we should care for patients like relatives, always understand their needs, meet their needs, and help every patient with our love. This can not only improve the quality of hospital care, but also increase the confidence of patients to overcome diseases.

? 3. Pay attention to nursing safety and avoid medical disputes. People's hospitals have complete safety signs. Pay attention to safety and carefully pull out the needle and press it along the blood vessel for 5 minutes to prevent pressure ulcers. Secondly, nurses will always remind patients and their families of relevant precautions to avoid disputes. Although I often communicate with patients, I have a strong sense of self-protection. They pay attention to improving service quality and avoiding medical disputes, which is also worth learning and learning from.

? 4. Through the study of nursing theory in undergraduate stage, I realize that with the change of modern medical model, the nursing model in China is gradually changing from disease-centered to patient-centered, and the traditional functional nursing model is replaced by holistic nursing model. Constant communication with patients is the key, which is also the key to do a good job in holistic nursing.

? People's Hospital has its own unique and strict management system. For example, the day shift is ready for the night shift, and the rescue items are complete; Patient files and handover reports should be evaluated and recorded by nurses on duty, and the handwriting should be neat, clear, concise and coherent, using medical terms; When a senior nurse or intern nurse fills in the handover report, the teaching nurse or head nurse is responsible for revising and signing it. Compared with People's Hospital, the management system of Qing Ji Hospital is somewhat loose. In the future, according to the actual situation of our hospital and drawing lessons from the management of the people's hospital, we should formulate a set of management system suitable for our hospital and strictly implement it.

? Through study and comparison, I realize that there are still some problems in nursing in our hospital. take for example

? 1. Service attitude is not good enough. Our nursing service is still limited to simple nursing work such as injection, infusion and medicine distribution, and we do not pay attention to providing all-round and all-round high-quality nursing services for patients. Our words and deeds do not fully reflect our concern and love for patients.

? 2. The concept of nursing is backward and the times are derailed. Our nursing still adopts the traditional functional nursing mode, and we don't want to adapt to the requirements of the times.

? 3. The management system is relatively loose, and the people's hospital has no strict and formal management.

? In view of the above problems, I think we should learn from the excellent endemic diseases in people's hospitals for the following rectification: First, we need to change our concepts and strengthen the study of holistic nursing theory. In an ordinary post, we should not only adhere to the belief of serving patients, but also strictly demand ourselves in our study, constantly update our knowledge, improve our technical level, and constantly enrich and improve ourselves in our work in combination with clinical practice. The change of ideas is first of all a change of understanding. By studying holistic nursing theory, we can learn related nursing procedures, nursing concepts and nurses' code of conduct, understand the development trend of nursing at home and abroad, and clarify the significance of developing holistic nursing. At the same time, according to the characteristics of patients, we learn the new progress of related specialized theories such as psychological characteristics, nutrition knowledge, preventive health care knowledge and disease nursing, which makes us fundamentally change our concepts, broaden our horizons and ideas, and then lay an ideological foundation for the development of holistic nursing. .

? Secondly, as a medical staff, smiling is the most basic, and smiling can bring warmth, comfort and hope to patients; At the same time, medical staff should be tolerant of patients, put themselves in their shoes, apply what they have learned, care for others sincerely, pay attention to communication with patients and their families, and take targeted holistic nursing.

? Third, in the current tense relationship between doctors and patients, we should strictly abide by technical norms, advocate learning, strengthen legal concepts, strengthen legal awareness, improve service quality, improve humanistic quality and avoid medical disputes;

? Fourthly, in view of the loose management system, we should formulate a set of management system suitable for our hospital and strictly implement it according to the actual situation of our hospital and learn from the management of people's hospitals in the future.

? Although the time for further study in people's hospital is rather hasty, I will abandon my laziness and bad attitude in my future work! Apply what you have learned. After studying, I understand that hospitals should not only keep up with the development of modern medicine, but also improve our moral level, professional skills and clinical nursing quality to adapt to the development of medical science. Finally, in the future work, I will, under the leadership of the hospital leaders, base myself on my own work, abide by the rules and regulations of the hospital, work in a down-to-earth manner, and never live up to the expectations of the hospital.