The patient does not want to act as - the little white mouse- It needs the patient to nod that the intern diagnoses the illness

The patient does not want to act as - the little white mouse- It needs the patient to nod that the intern diagnoses the illness
The patient does not want to act as - the little white mouse- It needs the patient to nod that the intern diagnoses the illness
"Unless begin January 1 next year, if wanting, participate in by clinical practice,must identities bright bright first? " On December 22, receive to intern Liu Qian (assumed name) that notifies ,Feel in the heart " It is chilly " (used after an attribute). Originally, " interim regulation on the management of clinical practice of the medical education " which Ministry of Public Health, Ministry of Education jointly printed and distributed, since January 1 next year, the hospital must tell to the relevant patient and agree before arranging for the intern to participate in the clinical practice. The reporter investigates to learn, the patient in the hospital is common to hold " repels " to the intern The attitude, " practice threshold " where and the new rule brings Let the intern hit and fear in the heart especially. As to this, the relevant person in charge of Municipal Health Bureau says, a link of studying universities and colleges' teaching in medicine that practise, as to the thing that students are very important, so the key can communicate with each other and understand during the doctors and patients. >>>The patient does not want to act as " The little white mouse of medical science " "We can go to the hospital to diagnose the illness carefully in order to let an expert give, certainly not hope to let the intern diagnose. " Topic in intern, reporter when being carried on the investigation in the hospital in December 22, a lot of patients answer like this. A patient lining up to see the doctor in municipal hospitals says, if is a small ordinary disease, it is all right for the intern to give and diagnose the illness, but serious disease he disagrees with letting the intern see firmly. "Inside the large hospital, the intern is numerous now. " Get blue and green medicine enclose Mr. Song, institute of subsequent visit, tell reporter whether he because traumatism make first surgery for the previous period, in hospital in one week, he can see the intern every day nearly. Generally, are all an expert of director's rank, four interns of strip three make the rounds of the wards, give patient check wound and inquire condition, show, show student. It is a blessing wounded on the leg, Mr. Song does not mind very much, but several pairs of eyes are stared at stared at, also let him feel awkward unavoidably. Mr. Song shows clearly, his bottom line can't be diagnosed for him by the intern. "My home is in Pingdu, large goes to the urban area far away, but is aimed at expert, they have diagnosed so many difficult and complicated cases after all. But intern have clinical and experience too little, I want to work as ' little white mouse ' that they practise. " About " intern " Topic,last reflection of citizen this newspaper too, be lasted two kinds basically, one kind thinks the intern " View and emulate " Having infringed one's own right of privacy, especially the patients of departments such as the gynaecology,etc.; Feel another type about the intern's diagnosis " Unsatisfied " . >>>The intern is anxious " Can't find a patient even more " In the face of the patient's refusal, most interns say, the mood of their all right understanding patient, but the new rule that will implement soon, let the intern hit and fear in the heart directly, is afraid that can not " find a patient even more " (used after a verb to indicate the completion of an action). Have already studied Liu Qian of the theory for 4 years in the medical college, has carried on the clinical practice in one year in a large-scale department of general surgery of general hospital of island city now. Liu Qian tells reporters, though they wear and wear the different from doctor chest card now, but the patient seldom notices, so can have an opportunity to participate in some and make a diagnosis and give treatment under the guidance of teacher by oneself. But once new rule is implemented, he must tell a patient first " I am an intern " ,Will suffer the patient's refusal under those most situations, chances to participate in practice will probably be fewer and fewer. "In fact under the a lot of situation, the intersection of all of us and subconscious cover up one's own practice identity. " The reporters, in the interview, many interns are all great to pour the misery. "We have already accumulated theory knowledge and basic practical experience in the school, carry on general making a diagnosis and giving treatment, especially have experts in the guidance nearby, it must be OK. " Xiao Chen practising in the central hospital of the city tells reporters, " intern " now Identity last hindrance,but if not grow not lasting practicing one of medical sciences, how to go to face a patient independently after graduating? >>>There are nearly 2,000 intern and reporter to interview from every large hospital in the island city and learn every year in every large hospital, the hospital undertakes to really practise the task that a doctor practises at present, with the increase of the students of medical college, the pressure is larger and larger, enclose several large-scale general hospitals of island city such as the institute, municipal hospital, market central hospital in especially blue and green medicine. "Especially beginning from last year, the intern admitting every year in the hospital increases sharply, one year of this year is up to nearly 700 people. " Educational department's director Li of the municipal hospital tells reporters. It is reported, nearly 2000 interns admitting every year in every large hospital in this city at present. "In fact patient's fear to the intern is totally unnecessary, because each one has joined the doctor who practised already in the medical theory study to accept system of the universities and colleges, and accepted that trains in series of the hospital. " Director Li says, especially all have a strict requirement for the intern in the large regular hospital, for example the intern could participate in the diagnosis to the patient under the leadership of teacher. "Certainly, we can understand too that the patient repels the intern's mood. " Director Li says, exactly based on the angle which respects the patient, the hospital has also set up the skills training room, invest a huge sum of money to buy the most advanced one " Imitate patients " ,The intern " Suit the remedy to the case " ,Then the computer makes accurate analysis, but this kind of result can accumulate the clinical experience than handling real patient's disease after all. "Present intern, will be probably a mainstay of the hospital. " As to this, the relevant person in charge of Municipal Health Bureau says, practises a link of studying universities and colleges' teaching as medicine, it is very important to students. So, the most key one is, can communicate with each other and understand during doctors and patients. The new regulation that would be implemented from January 1 next year, has paid standardizing in practising the activity, so long as intern can communicate more with patient, solicit, agree problem be can solved. Stone from other hills Set up " standardized patient " Tackle intern's predicament to the predicament which the intern faces, the clinical medical college of Chinese Medicine University of Zhejiang has set up " standardized patient " (standardpatient, is abbreviated as SP) Standing Test Centre more. The so-called SP, are also called " specialized simulation patient " ,Say popularly, they are patient's models. Its I getting healthy, through special study and train, can remarkably true to life Di " act " Many kinds of diseases " The patient " ,They cooperate with medical science grow, gather medical history, let medical science born at own health making the essential norm, checking, and make the disease diagnosis. Finally, the standardized patient grows and makes an appraise to medical science in the capacity of teacher, and provide the exam score according to the regulation. The seniors of clinical medicines of all of this schools and oral cavity medical science must pass this examination, could assign to more than 40 hospitals of the whole province to practise. This SP Test Centre divides into 10 stations (10 cubicles) together ,Including internal medicine department, surgery deal with, heart and lungs are replied Su, puncture technology, the intersection of catheterization and the intersection of skill,etc. and 12 clinical indispensable the intersection of examination of technical ability and event. SP had an examination and paid attention to even more course, but not the result, except lifelike simulation to clinical practice, also include cultural and educational care of the attitude toward patient, make sure,etc. in examination range. "This kind of examination is closer to reality, can investigate students' adaptability to changes. " Zhejiang the intersection of Chinese medicine and large second clinical medical college in charge of Vice President of teaching Yang chirp and is thought noon, employ " standardized patient " ,Can improve students and gather the medical history and ability to communicate with the patient better, improve students' clinical thinking ability and basic skill level. Fei Fei's intern's the Cui 's of reporter river is triumphant


|