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    朱家角鎮社區衛生服務中心規培鄉醫感悟 ——吳勝男
    2018年3月5日

            今年1月9日,我和小伙伴們一同進入中山青浦分院進行助理全科醫師規范化培訓。
            剛來時還是寒冷的冬季,我的第一個輪轉科室是傳染科,記憶里那是一個寒冷又溫暖的科室,寒冷是因為天氣原因加上傳染科有自己的獨棟樓,地方大但病人少,每次脫下溫暖的羽絨服換上白大褂的時候我都能深深地體會冬天的溫度,不過科室里的老師們都特別好,耐心地教我傳染科的知識,同時也會關心我生活上的事情,讓我倍感溫暖。
            接下來去了大內科輪轉,這里的溫度明顯比傳染科高了許多,病人特別多,老師們都特別忙,我也跟著這里的節奏忙了起來,在問病史,寫病程的過程中,我能發現自己的很多不足,而老師們雖然忙碌,但他們還是很樂意耐心糾正我的錯誤,彌補我的不足。在查房過程中我能學習到老師是如何與病人及病人家屬溝通的,怎么對一個病人進行管理及治療,該如何處理化驗單、檢查單上的異常指標,讓我學會了該如何綜合處理一個病人。老師還會告訴我病人出院回社區后該怎么處理。我認為只要肯問肯學肯做,老師們都是很樂意為我們一一解答,手把手教我們的。
            期間我也有懈怠,覺得累了,不積極向老師學習了,老師自己忙,沒空管我的時候,我就處于放養狀態,這種狀態持續一段時間后我有了很明顯的失落、擔心、焦慮乃至抑郁,覺得自己很沒用,既不能為病人做什么,自己也學不到知識。不過后來我調整好了自己的狀態,清楚地知道自己是來這里做什么,應該怎么做了之后,上班有了積極性,即使累點苦點心里也是開心的。
            除了科室里的工作及學習之外,科教科還給我們安排了其他課程,每周一、周三下午都有本院的醫生來為我們講課,這樣的系統的理論學習讓我們鞏固了基礎理論知識,醫生老師也會在講課過程中將自己的臨床經驗傳授給我們,這樣的學習讓我們在臨床工作中更有信心,也為我今年順利通過執業助理醫師考試奠定了基礎。
            除了工作與學習,當然還少不了朋友,在這里我認識了很多學姐學長,有我們助理規培的也有全科規培的,學姐學長經驗比我豐富,由于年齡相似,向他們提問我覺得比向老師提問更自然,很多瑣事都能直接開口就問,他們也都很樂意跟我分享,他們是學長學姐更是朋友!
            現在我在中山醫院青浦分院規培也將近一年了,從剛開始的不認識不熟悉到現在,收獲頗多,受益匪淺,認識到自己的不足,擺正了自己的心態也結識了很多朋友,是大豐收的一年。接下去還有一年的規培,我會更多地學習與我們社區密切相關的知識,預防及康復管理是我接下去要學習的重點!希望規培結束的時候,我能成為一名真正的合格的全科醫生!                             

    吳勝男
    2017.11.16

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