Internal rules for interns, trainees and doctors undergoing training
1. Courtesy When you first meet the director or teacher, you should take the initiative to say “hello teacher” and “hello director”. Give up your seat in time to the director who has a certain age and hand over the case materials and other items. When you see hospital leaders, especially those in civilian clothes, stand up in time to greet or say hello, do not ignore them; when you do not know the “leader or chief”, try to be more enthusiastic, do not be cold.
Do not follow the casual name of the physicians in the department, such as Dr. Hu Yang Yang, the internal department called her “Yang Yang”, students should call “Yang Yang teacher” or “Hu teacher”; the department Dr. Gong Guiyu is called “Xiao Gong, Xiao Yu”, students should be called “Xiao Yu teacher”, or “Mr. Gong”; do not call him by his first name, not also called “Xiao Gong, Xiao Hu” and so on.
Image dignified stand like a pine, stomach and chest; especially clinical, teaching room, or answer the teacher’s questions, not crooked, loose span; not swaying from side to side, not half leaning on the wall or the edge of the table. Sitting like a bell, not like the old man lying on the tai shi chair; not buried head bent face, eyes and desktop manipulation 30-40cm. To have the essence, do not be listless.
Dress neatly and buttoned up. In the obstetrics and gynecology department, men do not wear seven-part pants, it is appropriate to wear long pants, do not wear slippers. The white coats are washed by themselves in time. The collars are too dirty, too black and too disgusting to hang there and will be thrown away.
When checking the room, follow your own teacher, do not leave the bed far away, like the crowds of spectators on the street.
2. Consciously obey the guidance of teachers at all levels, and strictly the three-level examination and reporting system. Consciously study medical regulations and abide by hospital rules and regulations.
3. On and off duty: daily shift change meeting starts at 7:50, all students stand in the line of sight of the director (do not hide behind the director) and listen carefully to the content of the shift change. When there are patient’s family members talking or talking on the phone on the ward side and corridor window side during shift change, and there is interference, you should gently walk over and whisper that “”doctors are on shift change, don’t interfere””; take the initiative to check the room and review whether the tasks in patient management are completed before the end of shift; interns and first-line physicians do not have a set time to leave work.
Every Tuesday and Friday in the fourth floor conference room for the whole department handover, starting at 7:50; Tuesday evening more business learning in the department, interns must attend and do the interns teaching records.
Follow the lead teacher on duty; when the lead teacher is on duty, students follow the shift until 22:00 at night; the duty is a 24-hour system, during which they are not allowed to leave their posts. Encourage more study in the ward, obstetrics and gynecology clinical emergency patients, most of which occur after work.
Rest room: pay attention to keep it tidy, use only personal slippers and place as few personal belongings as possible.
The daily work of obstetrics and gynecology is very trivial and often requires physicians to personally send various application forms, consultation forms, transport patients to other departments for examinations and consultations, and temporarily handle and collect various informed, leave orders and information from patients, etc. Interns should take the initiative to assist in completing the above work without excuses or evasions, and report the results of things to the teacher in a timely manner. When a thing is not done and you receive a new task, promptly explain what you are doing and the teacher will use his or her discretion.
Reading: Do not take office common books or books from the teacher’s own drawer, to other rooms, and borrow books from other teachers should be returned in a timely manner. Do not download film and video files to the office computer, try not to watch entertainment films on the section computer, and keep the computer desktop neat and tidy. Please keep the office neat and tidy. When you need to use dulcolax, Valium prescription paper, blood preparation sheets, etc., use a few, take a few, do not take a stack of use should be thrown on the table. Resident doctors in each office should consciously manage to supervise other doctors above and below them to comply.
Daily work: admission of patients, etc.: 1) new patients, interns should actively ask medical history, participate in physical examination and give medical advice, and try to write independently (within 24h for major medical records and within 6h for first-time course records). 2) analyze/report/record abnormal test reports in a timely manner, and track emergency test results (blood, urine, ultrasound, CT, etc.) in a timely manner. 3) perform diagnostic and treatment operations under the guidance of physicians, prescriptions, application forms (4) Ask the superior physician for discharge and medication change arrangement the day before, and must complete the medication change and stitch removal for all surgical patient wounds in the group, discharge medical record writing and pre-discharge checkup for discharged patients before going to work in the morning.
Be diligent in helping patients to get on and off the examination table in a timely manner, preparing hip wipes, disinfectant, swabs, test tubes, etc. for gynecological and vaginal examinations, and cleaning up the above items in a timely manner after the examination is completed. On the second day of admission to the department, you should take the initiative to do the above work, do not stand around from afar and wait for the teacher to call before you move. When you check the ward, you should quickly progress to the ward first, “ask” the patient’s family to leave the ward, turn on the lights, draw the curtains, the new air conditioner, etc. Do a good job of checking the ward and promptly take the fetal heartbeat meter to listen to the fetal heartbeat, etc.
Find the right time to ask questions, any question can be raised. When communicating with teachers and patients, look at each other with eyes, speak clearly, not in a hurry, do not recite to yourself. When explaining the condition to the patient, there is a pause, observe the reaction of the patient and the family, the main problem the patient understands, it is enough, do not require all aspects.
4. When there is a hint of a medical conflict (especially if the intern makes a mistake in changing medication and other dispositions, or if there is a mistake in the description of the condition), do not rush to let the patient know, do not make a loud noise, do a little aftercare, and then immediately report to the teacher truthfully. Should have the ability to improvise.
5. Moral cultivation Respect patients and protect privacy; save water, electricity and paper. Have a sense of justice, respect for teachers and diligent learning, and team spirit.
6. Attendance: leave of absence due to sickness or accident must first go through the leave application procedures; within one day, approved by the department head, within two days, approved by the hospital’s department of science and education, and more than three days (including three days) agreed by the department of science and education and submitted to the school’s academic affairs office for approval. Saturdays and Sundays are allowed to leave the hospital for rest after completing their own work.
Departure from duty (if otherwise arranged by the medical office): promptly report to the supervising teacher and teaching secretary (Dr. Guo Peifen in obstetrics and Dr. Ding Yali, attending physician in gynecology). When you report to the department, you should go to Dr. Guo first, and when you rotate to the gynecology department, you should report to Dr. Ding and register yourself in “Obstetrics and Gynecology” – “Teaching” – “Internship Life Registration”.
7. During the internship and training period, the teacher will temporarily adjust the work position according to the clinical needs (such as temporarily participating in another operation or temporarily doing some chores).
8. During the internship, you must be basically familiar with and master the diagnosis, differential diagnosis and treatment of common obstetrics and gynecology diseases and emergency diseases. The contents that must be mastered are: ectopic pregnancy, postpartum hemorrhage, miscarriage (uterine fibroids), normal delivery
9. Teaching methods: lectures, nightly visits, teaching visits, case discussions and other forms.
10. Assessment: 1) Place the internship manual in the department and fill it out at any time; complete 3 complete medical records (format refer to the unified textbook of diagnostics or this manual, 1 copy to the Department of Obstetrics and Gynecology) and 2 application forms (ultrasound/ECG/radiology/pathology/surgery notification form); all three should be submitted to the teacher for revision and grading 7 days before leaving the department. 2) Theory examination paper. 3) Skills operation: four-step palpation during labor (in case of antepartum hemorrhage) and listening to Fetal heart sounds; operation and evaluation of obstetric fetal heart monitoring; disinfection and sheeting of cesarean section; disinfection and sheeting of gynecological cavity surgery position and operation area; operation and evaluation of cardiac monitoring; check-up 2 days after natural delivery; check-up and analysis 2 days after cesarean delivery; procedure of obstetric vaginal examination; nebulized inhalation and oxygenation; observation, dressing change and folding of wounds (perineum and abdomen); steps and complications of abortion/cleaning of uterus.
When the teaching secretary, Pei-Fen Guo, signed out of the department, the question of the assessment was, which patient were you most impressed with during your internship in obstetrics and gynecology, and why? Dr. Guo will ask some questions based on your description.
11. Study method: Familiarize yourself with the basic situation of the case, and any problems should be followed up to the end (write them down in a notebook as you go, not on one or two blank sheets of paper) and handed over to a specific person. Organize medical paperwork in the evening or study on your own. Ask at least 1 professional question per day.
It is recommended to see patients during the day and squeeze in some reading at night. It is recommended to find a place by yourself after saying hello to the teacher and read a professional book for 1 hour in peace and quiet.
Obstetrics and gynecology internship guidance outline
(Refer to the internship manual developed for the Department of Anesthesia by the Academic Affairs Office of Guangzhou Medical College in 2008)
Purpose and requirements
Through the graduation internship of obstetrics and gynecology, further linking theory with practice, mastering the policies and regulations of perinatal health care; basically mastering normal delivery, normal puerperium and newborn; mastering the diagnosis, treatment and prevention of common diseases and critical illnesses in obstetrics and gynecology.
Time allocation
The internship in obstetrics and gynecology is about 4 weeks. The specific time will be arranged by the internship hospital.
Internship content
(I) Obstetrics and Gynecology
1, master the steps and technical operations of prenatal examination, including blood pressure measurement, four-step technique to check the fetal position, listening to fetal heart sounds, external pelvic measurement, as well as the focus of observation and precautions for each period of pregnancy.
2. To master the diagnosis and outpatient treatment of ectopic pregnancy, pregnancy complications and comorbidities, and to master the admission criteria.
3. To master the diagnosis and management of early pregnancy.
(II) Gynecology
1. Master the operation steps and precautions of gynecological examination.
2. Master the diagnosis and management principles of common diseases in obstetrics and gynecology, such as miscarriage, inflammation of female reproductive system, functional uterine bleeding, and common female genital tumors.
3. Master the diagnosis and differential diagnosis of emergency abdominal diseases in obstetrics and gynecology, such as ovarian torsion, ectopic pregnancy and acute pelvic inflammatory disease.
4. Understand various diagnostic and treatment operations in obstetrics and gynecology, such as smear of various vaginal secretions and exfoliated cells, cervical biopsy, electrocautery, cryotherapy, tubal lavage and hysterosalpingography.
(iii) Requirements
1. 1 complete medical record for each person in our department last time, with the same content requirements as internal medicine except for gynecological conditions. It is required to complete the medical records and other medical documents in a timely manner.
2. Under the guidance of the teacher, act as assistant or operator for various surgeries (minor surgeries).
3. The intern doctor will follow the supervising teacher to manage the hospital beds (the number is variable) and receive guidance from the supervising physician.
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