Self-evaluation is a person's self-summary of study, work and life at a certain stage. Self-evaluation enables us to find mistakes and correct them in time, so it is time for us to write self-evaluation. So what is the form of self-assessment? The following is my self-evaluation of 2022 medical continuing education (5 selected articles) for you. Welcome to read the collection.
Self-evaluation of medical further education 1 Thank the leaders of our hospital for giving me this opportunity for further education. Through this study, I have greatly broadened my horizons, enhanced my professional ability, recognized the professional and technical gap between our hospital and large domestic high-level hospitals, and defined my future study and development direction, laying a solid foundation for future study and professional skills training.
The PLA General Hospital is the largest comprehensive hospital integrating medical treatment, ship protection teaching and scientific research. It is one of the important medical and health care bases in the country, and undertakes the medical and health care work of the Central Committee, the Military Commission and the headquarters, and undertakes the diagnosis and treatment of difficult diseases in all military regions and services of the whole army. At the same time, the hospital also treats local patients from all over the country. The hospital has more than 4,000 beds and more than 50 clinical and medical departments/kloc-0.
The hospital has an annual outpatient volume of 2.5 million, treated more than 80,000 patients and performed nearly 40,000 operations. At the same time, the hospital develops a number of new businesses and technologies every year, which has formed obvious technical characteristics and advantages, which has enabled many difficult diseases to be effectively diagnosed and treated, many complicated operations and major rescues have been successful, and some diagnosis and treatment technologies have reached the international advanced level.
First, technical cooperation in advanced technology.
During the seven-month study in the PLA General Hospital, with the care and help of doctors and nurses in the General Hospital, the rotation of each group was successfully completed. Through the study, I have been able to independently complete the surgical cooperation of orthopedic internal fixation of limbs, anterior and posterior cervical internal fixation, thoracolumbar internal fixation and percutaneous low-temperature plasma ablation of nucleus pulposus vaporization; Portal vein shunt, radical resection of rectal cancer, total gastrectomy and retroperitoneal tumor in general surgery; Esophageal and pulmonary surgery in thoracic surgery and three esophageal incisions; Cooperation in neurosurgery, such as anterior and posterior cervical internal fixation, oral and nasal pituitary adenoma, meningioma, carotid aneurysm clipping, acoustic neuroma resection, etc.
Second, advanced instruments and equipment.
I went to the PLA General Hospital for further study, and saw and personally operated many advanced instruments. Such as ultrasonic scalpel, blanket heater, ring electrode, orthopedic and neurosurgical navigation system, neurosurgical craniotomy electric drill and pneumatic drill, nerve electrical stimulator, rapid disinfection pot, low-temperature disinfection pot, instrument ultrasonic cleaning pot and ethylene oxide disinfection pot.
Two chemical sterilization methods, glutaraldehyde soaking and formaldehyde re-steaming, have been eliminated in the operating room of general hospitals. They usually choose high-pressure sterilization, ethylene oxide sterilization and low-temperature sterilization, so the types of disinfection pots are relatively complete, and the operation is convenient and safe, which not only ensures the sterilization requirements of instruments, but also greatly saves the time for the next operation. In the nerve group, the advanced navigation system is used to cooperate with the operation. Through navigation, the position of the space-occupying lesion and whether the resection is complete can be accurately judged, which greatly improves the quality of the operation. The navigation system used in orthopedic surgery of spinal internal fixation can help doctors to judge whether the nail is in the cone or not and whether there is nerve damage, which increases the safety factor of the operation.
Self-appraisal of continuing medical education 2 I studied in the laboratory of the First People's Hospital of Qujing City from September 20xx/KLOC-0 to February 25, 20xx. During this half year, I successfully completed my study plan. I not only enriched my inspection knowledge, but also improved my inspection skills. My overall feeling about learning is "busy" and "tired". Everyone works very hard and pays great attention to quality. My learning experience during this half-year study period is as follows:
First, it enriches inspection knowledge and improves inspection skills. Especially microscopic techniques, such as peripheral blood cell morphology, bone marrow blood cell morphology, urine sediment analysis, prostatic fluid analysis, xx analysis and so on. Other skills include bacteriology colony observation and identification, immunology manual technology, biochemical maintenance and calibration, and blood transfusion antibody screening.
Secondly, I learned many ways and means to acquire new knowledge (Internet, digital cameras, libraries, magazines, etc.). ). When I saw their better books, I went home and searched online. Many of them are obtained free of charge, such as national clinical laboratory operating procedures (worth more than 300 yuan), bacterial identification maps, bacterial identification manuals, hematology maps, hematology lectures and so on. At the same time, a large number of bacterial colonies and bone marrow slices were photographed.
Thirdly, I learned their methods to deal with all kinds of complicated inspection problems and successful inspection quality management mode. Learn from them that they are extremely responsible for their work, always treat every specimen to be tested with a cautious attitude, and seriously deal with difficult problems encountered in their work. For example, there is a patient with blood test type, and the agglutination of A surface is very weak. Both the slide method and the test tube method have been done, and the positive and negative stereotypes are inconclusive. Finally, it was sent to the blood transfusion department for micro-centrifugation, and there was no conclusion. Finally, the patient's report was stopped and the blood type was tested at the blood station. Another patient began to have a large number of immature cells in peripheral blood and abnormal bone marrow images, and began to suspect hematological diseases. A few days later, he drew blood again and found that the patient was obviously different from last time. This patient is a typical toxic granulocyte change.
Fourth, work hard, don't complain, and complete the tasks assigned by the teacher with good quality and quantity. Constantly sum up work, attach great importance to practice and theoretical study, study, summarize and improve, solve practical problems in work, always see your own shortcomings everywhere, have high standards and strict requirements, learn from others and make up for your own shortcomings.
Fifth, Director Zhang Ping is very good at management and pays attention to more details and costs. Once the clinical problems are found, the treatment plan and improvement measures are formulated in time. Director Zhang told me the layout and design ideas of the laboratory. Talk about the principles of dealing with departmental problems and the problems that should be paid attention to in the work. Talking about his years of management experience, he said that the key to the development of clinical laboratory lies in four aspects: "First, the management of directors;" Second, the director's positioning level of inspection instruments, equipment and reagents; The third is the business training and continuing education of department personnel; Fourth, participate in indoor and inter-room quality control. "
In short, I learned a lot of knowledge that I can't learn in textbooks. I will integrate these experiences into my teaching in the future, which will definitely stimulate students' interest in learning and achieve better teaching results.
Self-evaluation of continuing medical education. I studied in the hemodialysis room of Oilfield General Hospital from February 3, 20x65438 to June 3, 20xx. First of all, I would like to thank the hospital leaders and the nursing department for providing me with the opportunity to go out for further study. Through this study in hemodialysis department of Oilfield General Hospital, I have greatly broadened my horizons, enriched my knowledge, enhanced my professional ability, defined my future study and development direction, and laid a solid foundation for my future study and improvement of my professional skills. After half a year's further study, I learned a lot of knowledge and skills about hemodialysis. Like an intern student, I humbly ask the teacher for advice and study and practice by myself. Under the patient guidance of the teacher and the education of the head nurse, I have mastered the nursing and operation of common diseases in hemodialysis. Such as puncture and nursing of arteriovenous fistula, nursing of temporary central venous catheter, nursing of hemoperfusion, nursing of hemodialysis, nursing of permanent deep venous catheterization, etc. Familiar with hemodialysis work, clear working procedures and direction, improve working ability. The following are some of my gains and experiences in my study and research:
Oilfield General Hospital has advanced instruments and equipment, a huge medical team and an independent and unique ward structure, creating a quiet and comfortable treatment environment for patients. All nursing appliances are marked with eye-catching signs, which are placed in a standardized and orderly manner, convenient and fast, and the bed is equipped with an induction sink to prevent cross-infection. Because of the complicated condition, rapid change and many complications of hemodialysis patients, their nurses have exquisite skills, high sense of responsibility and keen insight, high theoretical basis of nursing and skilled operation skills, and have a more rigorous, agile and decisive work style. Each of them is in charge of five patients, always closely observing the changes of patients' vital signs, not ignoring any symptoms, not relaxing any hemodialysis links, not missing any rescue opportunity, operating quickly and skillfully, and preventing mistakes and accidents. When they were working as nurses, they focused on strengthening the system of self-inspection and double check. Self-inspection refers to self-inspection after getting on the computer, and double-person inspection refers to the careful inspection of various treatment parameters by the team leader and the tube bed (according to the doctor's advice). Nurses in each class must master the condition of patients in charge of dialysis, so as to prevent patients from being unable to correctly judge and delay their condition due to changes in other diseases during dialysis. Strictly implement the notification system and educate the patients who use arteriovenous fistula for the first time. Strict aseptic technical operation and disinfection and isolation system. Disinfection of dialyzer 100 person-times, glove replacement 100 person-times, strict control of engineers' maintenance of the machine and disinfection of water treatment, to ensure that dialysate is in a safe range and ensure the dialysis safety of patients. Cultivate dialysate and dialysate regularly every month and monitor ph value. The sampling qualified rate of Daqing CDC and provincial CDC is 100%.
Hemodialysis is the main treatment for uremia patients. Dialysis patients actually lead a very abnormal life. They are "tied" to dialysis machines to a large extent, and they have to rely on medical equipment and medical staff to survive all their lives. The financial burden of patients and their families is heavy, and long-term pathological factors also make patients emotionally unstable and irritable. With the change of medical model, hemodialysis patients should be given not only psychological comfort, but also humanistic care, advocate the concept of people-oriented nursing service, and improve the quality of life of dialysis patients. The so-called "small hemodialysis room" actually carries all the hopes of dialysis patients and is also an indispensable treatment for acute renal failure and various poisoning patients.
As the saying goes, stones from other mountains can attack jade. The hospital leaders and nursing department sent me to the oilfield general hospital for further hemodialysis, with the aim of strengthening the dialysis treatment in our hospital. Now I will report my thoughts for your reference.
(A) to strengthen the quality control of nursing
Make clear the responsibilities, workflow and operation specifications of the dialysis center, and formulate dialysis risk plans and emergency plans. Study hard to make hemodialysis nurses master it skillfully. Problems encountered in the work are well documented and can be solved in time. Rules and regulations are constantly supplemented and improved in the work. Work shall be carried out in strict accordance with the rules and regulations and workflow, and the inspection system shall be strict, including the setting of patients' pre-flushing pipes, blood vessel puncture, dialysis treatment and treatment parameters, so as to ensure that more than two nurses are on duty in each shift to check each other, including whether there is blood leakage at the puncture site, whether the treatment parameters set by the machine are accurate, the dosage of anticoagulant and other drugs, and the patient's vital signs. Nurses strictly follow the operation process during the operation. When getting on and off the plane, the blood flow of blood drawn shall not exceed 100ml/min, and they shall be supervised and inspected at any time. For patients with semi-permanent intubation and temporary intubation, it is impossible to suck out pure heparin sealing solution and external medicine at the same time, and it is easy to make mistakes when sealing the tube. Notify the nurse in time and prepare now.
(2) Providing quality services
Establish a people-oriented nursing management model and strengthen service awareness. After patients start dialysis, they often have a lot of stress, such as the risk, pain and freedom of dialysis, the influence of the disease itself on the body, the cost of dialysis, the change of family relationship and so on. And their psychological problems are depression, anxiety, despair, and some even hate society and medical staff. Friendly and patient language communication can make patients feel safe, explain dialysis knowledge carefully, eliminate patients' fear, explain the dialysis effect of other patients and enhance patients' confidence in treatment. Try to reduce the burden of patients, make dialysis plans for them, and try to make them not dwell on the pain of disease and the length of life, but pay attention to the quality of life and laugh at life. Dialysis patients have long-term contact with medical staff and have strong dependence on medical staff. At the same time, I am familiar with the staff, treatment environment, dialysis procedures and methods, and even regard the hemodialysis room as my second home, and have obvious awareness of participating in management. In this regard, we communicate with patients at any time, explain and explain the new progress of hemodialysis treatment, and take the initiative to solicit opinions. When other diseases occur, contact patients actively for treatment and establish a smooth medical channel. Provide contact information, contact in time when encountering problems, let a family member accompany seriously ill patients, let patients feel family, increase their sense of security, reduce psychological pressure, and better cooperate with treatment. When there is no family to accompany us, we also assume the responsibility of family, handing water, feeding and helping.
(C) to strengthen the management of work details
Work hard and seriously. Hemodialysis is risky. As a nursing operator, we should establish a correct and positive awareness of nursing risks, strengthen the concept of legal system, give full play to subjective initiative, control and avoid risks to the maximum extent, improve nursing quality and better serve patients. During dialysis, blood pressure is measured and recorded every hour, and vital signs are measured and monitored at any time when the condition changes. Some patients, especially those prone to hypotension during dialysis, need to be closely observed and their blood pressure should be measured every 5 minutes. Dialyzer parameters should be adjusted in time, such as temperature, conductivity, ultrafiltration rate and blood flow. Concentrate on your spirit and energy at work, and a little negligence may cause patients' losses and accidents. Diabetic patients are prone to hypoglycemia because of sugar-free dialysis, so we should pay attention to the changes of consciousness, especially when sleeping. Because the edema is reduced after dialysis and drainage, and the skin at the puncture site is slack, it is easy to cause needle eye bleeding or needle removal, especially in winter, when the patient's arm is in the quilt, it often bleeds instantly and in a large amount. In addition to diligent observation, we should also explain the patient well and call in time if there is any abnormality. Analysis of how to observe blood sugar and prevent hypotension in hemodialysis for diabetic patients, and take preventive measures to ensure the adequacy of dialysis.
Self-evaluation of continuing medical education. The three-month rehabilitation study is coming to an end, and I am about to join the new rehabilitation business in our hospital to serve the patients in our county. I am honored to attend this valuable further study. This learning opportunity is very rare, and it is the first year of the excellent doctor training program in lower hospitals in Hebei Province.
My unit is the Rehabilitation Department of the First Hospital of Qinhuangdao City, which is the most advanced unit of rehabilitation medicine in Qinhuangdao City. Average daily medical visits 100. The department is equipped with advanced rehabilitation instruments, including doctors 1 1 and technicians 18. The proportion of graduate students is as high as 64.5%. Their clinical skills are mature, knowledgeable and experienced, which has benefited me a lot. There is a case consultation in the department at noon every day. First, the doctor who presided over the discussion reported the medical history, then the interns, senior doctors, residents, attending doctors and technicians expressed their opinions in turn, and then the deputy director or chief physician in charge of the system to which the case belongs summarized and put forward the final diagnosis and treatment opinions. In the discussion, the atmosphere was harmonious, seeking truth from facts and attaching importance to evidence-based medical evidence. The opinions expressed were well-founded, which opened my eyes and taught me how to make a comprehensive analysis of a case, rehabilitation plan and clinical inquiry, and finally make the best diagnosis and treatment method.
In the course of daily study, I systematically studied the nervous system, trauma, peripheral nervous system, facial features examination methods and the diagnosis and rehabilitation of related diseases. Because I had little contact with rehabilitation knowledge before, I really didn't understand it at first. Because I used to focus on traditional physical therapy, I always used the principles of Chinese medicine to explain rehabilitation, which caused a wrong starting point. The director of the department did a lot of work for this purpose, and gave me a serious and popular explanation, which made us understand the principle of rehabilitation medicine and explained the disease phenomenon by using the principle. And compared the familiar common diseases and frequently-occurring diseases, which made me have a deeper understanding and read many typical cases. More than 30 diagnosis and treatment plans were written, and more than 60 patients/kloc-0 were examined. For some difficult and rare diseases, we have a preliminary understanding and laid a solid foundation for further study and research in the future.
During my further study, I focused on the rehabilitation diagnosis and treatment scheme of nervous system and bone injury system, and systematically studied various evaluation, physical therapy, occupational therapy and language therapy in rehabilitation medicine, and got a more comprehensive understanding of this. Although the equipment imported from our hospital may not be able to carry out in-depth technology in this field, with the development of the hospital, there will definitely be a big breakthrough in the progress of medical equipment. The purpose of my study in this field is to prepare for the near future, and at the same time, I am familiar with more knowledge and expand my knowledge, which is very beneficial to my future work.
The department implements the three-trial system, checks at different levels, and minimizes misdiagnosis and missed diagnosis. First, the doctor on duty writes the initial report, then the chief physician and deputy chief physician do the initial examination, and finally the senior chief physician does the final examination. For difficult cases, we discuss them together, express our opinions and finally agree. This reporting procedure is very reasonable, and it is also absolutely responsible for patients, and the work is rigorous. It is also very worth learning.
In addition to case consultation and discussion at noon every day, I also attended every postgraduate lecture. Although I didn't go to graduate school, I was very happy to take graduate students here to listen to the teacher's lectures, and I learned a lot of knowledge, as well as the work experience summarized by the teacher, and learned their rigorous attitude towards medicine. In the daily study, I have a basic understanding of the rehabilitation principle while learning the principle theory and combining with the actual operation. At the same time, I participated in the writing of daily reports. After writing the report, I have a deeper understanding of the disease and am familiar with the daily diseases and the norms of report writing.
Besides professional study, I also realized the teachers' serious and responsible attitude towards patients. They have a large number of patients. Every teacher has a large number of patients seeking medical treatment every day, but when they meet patients who come to seek medical treatment, they always patiently explain them. In the diagnosis, I don't just finish the task, but consider the further treatment of patients, answer the questions of clinicians, and put forward reasonable diagnosis opinions and suggestions after careful consideration. These are all things I need to learn further.
Three months is very short, but I have gained a lot. However, time is limited and learning is endless. I realized that if I want to be an excellent rehabilitation doctor, I still have a lot to learn. In my future work and life, I will continue to take every opportunity to study, strive for better service for patients and contribute to the development of the hospital. Finally, I sincerely thank the hospital for giving me this opportunity to study. Secondly, I would like to thank all the teachers in the rehabilitation department of Qinhuangdao First Hospital. Thank you!
First of all, I would like to thank the leaders of the institute for giving me such a good opportunity for further study. I know this opportunity is really hard to get. Thank you for your trust and expectation. During my further study, I always remember the entrustment of the hospital leaders, asking more questions, doing more work, communicating with the teachers, and trying to seize this opportunity for further study and improve myself. After three months' training of rehabilitation doctors, I have mastered the knowledge of rehabilitation therapists' treatment technology, rehabilitation doctors' diagnosis and treatment technology, department management mode and rehabilitation ward management in Shandong Jiaotong Hospital. The specific situation is reported as follows:
1. Learning situation: During my further study in PT room, OT room, ST room and ward of rehabilitation department, I strictly abided by the rules and regulations of hospitals and departments, and mastered the functional evaluation, training plan and clinical application of the rehabilitation treatment technology of hemiplegia, paraplegia, cerebral palsy and amputation. This study focuses on the rehabilitation of patients with stroke, brain injury and paraplegia, that is, taking all measures to prevent the occurrence of disability, reduce its impact, and make patients return to normal social life to the greatest extent. The best period of limb function rehabilitation for patients with stroke and brain trauma is within three months after onset, during which rehabilitation can accelerate the progress of limb function recovery. The sooner rehabilitation treatment, the better. As long as the patient is conscious and his vital signs are stable, he can start. In short, the effective recovery period is within 6 months after onset; If the course of disease exceeds 1 year, the rehabilitation effect and the speed of limb function recovery will be reduced. Therefore, it is necessary for medical staff in various departments to cooperate with each other to do early intervention for patients with stroke and brain injury. In addition, we should do a good job in publicity, so that patients, their families and medical staff can cooperate with each other and actively participate in rehabilitation training, so that they can recover as soon as possible and return to their families and society.
In addition, I also actively participated in the lectures of our department, and had the honor to participate in the two-week national training course on rehabilitation technology held in Jinan, and carefully studied and photographed the advanced rehabilitation technology of well-known experts in the field of rehabilitation at home and abroad. Well-known experts include Professor Hu from Fuxing Hospital of Capital Medical University, Professor from China Rehabilitation Research Institute, Professor from Jiangsu Provincial Hospital, Professor from Shandong Provincial Hospital, Professor Yue Shouwei from Qilu Hospital, Professor Li Tieshan from Affiliated Hospital of Qingdao Medical College, and Professor from Shandong Jiaotong Hospital. Through my study, I have broadened my horizons and increased my knowledge, and my understanding of rehabilitation medicine has also risen to a new height.
2. Importance and social benefits of rehabilitation department: Among the patients with "three paralysis", some patients can't take care of themselves, although they have saved their lives. Patients not only can't participate in social labor, but also need someone to accompany them. If rehabilitation medicine can be used to treat patients in time, it can greatly alleviate the pain of the disabled, the elderly and patients with various chronic diseases in the acute phase and early recovery, make them take care of themselves, return to their families and even society as soon as possible, and relieve the worries of patients and their families.
Through the study, I became more clear about the necessity of rehabilitation medicine, which is the need of patients. The more advanced medicine, the more developed economy, the greater the demand for rehabilitation, which is a major trend of medical development. Many tertiary hospitals have established rehabilitation branches in our hospital. For example, Qilu Hospital. Patients in our hospital (neurology, neurosurgery, orthopedics, etc.). ) need to recover a lot, don't worry about the source of the disease, can increase the hospital's economic income, and further improve the visibility of our hospital.
3. Setting of Rehabilitation Department: Established in 1998, this department is the first clinical rehabilitation institution in the province that integrates treatment, rehabilitation, training, consultation, research and prevention of hemiplegia, paraplegia and cerebral palsy. It is also the only cooperative unit of China Rehabilitation Research Center in the provincial capital cities of China, and the A-level key discipline of Jinan Health Bureau. Subordinate institutions: neurological rehabilitation ward, rehabilitation training hall, rehabilitation evaluation room, exercise therapy room (PT), occupational therapy room (OT), speech therapy room (ST), cognitive therapy room, dysphagia treatment room, rehabilitation clinic, acupuncture and massage physiotherapy room, hyperbaric oxygen department and fumigation treatment room. This topic is the key topic of the hospital which is building a rehabilitation building. Finally, thank you again for giving me this learning opportunity. I think through my efforts and the help and support of leaders and colleagues, I will definitely make due contributions to the rehabilitation of our hospital.
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