The growth of doctors mainly depends on their own efforts. And only through clinical practice to improve business techniques and skills, and through diligent self-study of professional theoretical knowledge and theories of clinically related disciplines to constantly enrich professional theoretical knowledge, can a doctor gradually become a qualified or competent anesthesiologist. Of course, the training of the organization, the teaching of teachers and the mutual consultation among colleagues and friends are also important conditions to promote their growth.
A qualified anesthesiologist must have the following basic qualities: noble medical ethics, comprehensive and solid basic theoretical knowledge, superb technology, diligent thinking, good at summarizing and dedication to the job.
1, noble medical ethics, medical style
Virtue is the first of the group education, is the basic virtue of being a person in the world, is the standard to distinguish right from wrong. Medical ethics should be used as a code of conduct and self-discipline for clinical anesthesiologists. Medical ethics requires anesthesiologists to have the heart of a benevolent person. As a benevolent person loves people, anesthesiologists must serve patients with a sincere and benevolent attitude. Doctors must be benevolent to give benevolent surgery, in order to get the love and trust of patients, and establish a deep friendship with patients, which is bound to increase the effectiveness of treatment. In today’s commodity economy, a few anesthesiologists mistakenly think that money is all-powerful and regard the noble medical career as a trading relationship, lacking emotional communication with patients. Anesthesiologists with good medical ethics are able to handle the doctor-patient relationship correctly, thus avoiding these things and greatly reducing the incidence of medical disputes.
The most important thing is that anesthesiologists should have a high degree of responsibility. Visit the patient before anesthesia to get a detailed and comprehensive picture of the condition. Carefully understand the surgical approach and the problems that may occur or be encountered during the operation, and carefully formulate the anesthesia plan as well as the preparation of items, instruments, anesthetic drugs and emergency drugs. Because anesthesiologists are faced with anesthesia patients who have lost the ability to adjust their consciousness, they have lost the ability to protect themselves and have to rely on the all-round protection and care of the anesthesiologist in order to safely pass through the operation period. There is a saying among anesthesiologists that is worth remembering, that is, surgeons “manage the disease” and anesthesiologists “manage the life”. Therefore, from the beginning of anesthesia until the patient is sent back to the ICU (or ward), we must be meticulous and take the patient’s safety as our responsibility, and stay by the patient’s side every step of the way, using our sense organs, not just looking at the instruments, but carefully observing the progress of the disease and dealing with sudden changes in the condition in a timely manner. Therefore, a high degree of responsibility, patience and – meticulous work attitude, is also an important element of medical ethics.
A modest and prudent working attitude without arrogance is also required by medical ethics. The ultimate success of the surgical treatment is the result of the cooperation of all the participants, including the surgeon, anesthesiologist and surgical nurse. As a member of this group, we should develop the virtue of modesty and prudence, and only by respecting others can we gain the respect of others.
Another requirement of medical ethics is honesty. The implementation of a case of anesthesia is often done independently by one person, the whole process is almost in a state of unsupervised that or with a student is no exception, so it is even more important to require the faithful performance of their duties. The anesthesia operation process should be meticulous, anesthesia records should also be detailed and error-free, objective and faithful record, so that the record is a true reflection of the work of anesthesia, in order to serve as clinical treatment, scientific research information and the basis for legal disputes. The anesthesia record sheet is a legal document, so the anesthesia record must be true and accurate.
Respect for teachers is also a virtue that a young anesthesiologist must have. A young anesthesiologist should respect his or her mentors and senior physicians in business, teaching and research in order to be loved and taught by them. Anesthesiologists should be humble to all colleagues of anesthesia-related disciplines and learn from them what is useful for the development of anesthesia business. The simplest example is that in the development of various businesses in pain, we should learn from orthopedics, oncology, imaging, neurology and surgery, psychology, Chinese medicine and other disciplines to explore and enrich our own theories and treatment techniques, and be good at thinking in order to improve.
2.Solid theory and superb technology
Basic theories include basic medical theories and basic theories of anesthesiology, to read through anesthesiology textbooks such as modern anesthesiology, anesthesiologists should not only be familiar with anesthesia-related anatomy, physiology and pharmacology, but also have the basic theories of medicine and surgery and knowledge of imaging, testing and other disciplines. And for pharmacology, not only should be proficient in anesthesia drugs, but also master the common clinical drugs related to cardiovascular diseases, etc. In other words, an anesthesiologist is a qualified doctor first and an anesthesiologist second.
Medical skill is the skill to serve the patient, and to serve the patient well must be technically excellent. Rich clinical experience and skilled operation ability can only be obtained through long-term clinical practice. Practice makes perfect! Practice should begin with basic skills such as various nerve block puncture, endotracheal or endobronchial intubation, general anesthesia airway management, identification and control of anesthesia depth, various monitoring techniques and emergency resuscitation, various techniques of pain management, etc. Each operation should be mastered, and the operation process should be skillful and standardized. Only after mastering the basic skills can we be comfortable in all operations of anesthesia. Young physicians in the learning process should pay equal attention to theory and practice. The emphasis on that aspect can not be improved. Young doctors should consciously refrain from being empty-headed theorists or empiricists who lack innovation. In addition, young doctors should do some clinical research under the guidance of their mentors to master the basic methods of research, such as the format of writing papers and the method of collecting data. It is also necessary to personally participate in scientific experimental research, which can play a good role in improving oneself and eventually becoming a qualified anesthesiologist.
In terms of theoretical study, it is also necessary to learn how to effectively read professional literature and keep abreast of the latest academic developments at home and abroad. For example, regular reading of anesthesiology journals must be persistent. Focus on review journals. Because each journal is a topic, you can learn more about the content of each anesthesia topic, such as “Foreign Medicine? Anesthesia and Resuscitation, International Anesthesiology C1inic, Anesthesia and Analgesia, etc. in the United States. Good use of modern science and technology, such as the Internet has a large number of medical resources, if you can use it flexibly, master the computer, you can find out the information you need in a relatively short time. And can enhance the relevance of learning, in order to improve learning efficiency.
3, diligent thinking, good at summing up and the ability to respond sharply to unexpected events in anesthesia and surgery
When anesthesia and surgery encounter unpredictable events, the anesthesiologist should have a cool head and be prepared both psychologically and materially. Drugs, instruments and other items must be properly prepared before the implementation of anesthesia, so that in the implementation of anesthesia can be calm, accurate judgment and proper treatment, so as not to delay the valuable treatment time. The analysis and summary of experience afterwards should be given enough attention, which are rare assets to guide the clinical work, and are even difficult to see in the books. For each case of unexpected events, should be repeatedly combined with the theory of careful discussion, be sure to improve.
4.Love for work and good interpersonal relationship
Anesthesiologists are neither surgeons nor physicians, but the discipline of anesthesia is a secondary clinical discipline as well as surgery and internal medicine. The work done by anesthesiologists is the main indispensable component of the surgeon’s treatment measures, leaving anesthesia, the surgeon will not be able to give surgical patients treatment of disease, the discipline can not develop. Anesthesiologists have to ensure that patients pass through the perioperative period safely and painlessly, so they are also called internal medicine doctors in the field of surgery. However, for a long time in the past, surgeons wrongly believed that patients’ diseases were cured by their own surgery and did not respect anesthesiologists; and anesthesiologists had an inferiority complex, thinking that the anesthesiology department was under the command of surgery, so they did not respect their own positions and were unwilling to engage in anesthesia, or even changed their careers to do surgeons, causing instability in the anesthesia team. In fact, the development of the two disciplines is mutually reinforcing. Now this misconception has been corrected, and in 1989 the Ministry of Health document designated clinical anesthesia as a clinical secondary discipline. At the same time, higher requirements have been put forward for anesthesiologists. On the one hand, anesthesiologists should have solid basic theoretical knowledge to make accurate and comprehensive assessment of the patient’s preoperative and postoperative conditions, and on the other hand, they must make judgments and administer effective treatment measures as soon as possible for the complicated physiopathological phenomena that occur during surgery. In addition, anesthesiologists are the main force in the development of pain medicine nowadays. Therefore, as a competent anesthesiologist. It is important to recognize the importance of your position. However, the prerequisite for all of this is, first and foremost, a love for the profession.
The entire process of surgical treatment of disease is a multidisciplinary collaboration. In terms of completing an operation, anesthesiologists should also have good mutual aid and collaboration with each other. Because during surgical anesthesia, if there is a surgical patient emergencies, often need the assistance of higher-level doctors or other anesthesiologists, not to mention that modern anesthesiologists should also establish a good cooperative relationship with all surgical disciplines. Completing a patient’s anesthesia requires careful preoperative analysis with surgeons or gynecologists and other doctors to develop a proper anesthesia plan, close cooperation during and after surgery, and the ability to properly handle any disagreements encountered with an unobtrusive attitude and mutual respect, together assisting the patient safely through the perioperative period. Therefore, good interpersonal relationships are also an integral part of the treatment of disease that cannot be ignored.
The above points are crudely discussed, and it is not easy to fully achieve them in clinical work if you can. In conclusion, the growth of young doctors depends mainly on their own efforts, but of course, the training of the organization, the teaching of teachers and the consultation among friends are also objective conditions that contribute to their rapid growth into a competent anesthesiologist.