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    朱家角鎮社區衛生服務中心規培鄉醫感悟 ——蔡一虹
    2018年3月5日

            時間飛逝,兩年的執業助理醫師規培也即將進入尾聲。尤其記得剛入規培隊伍的我懵懵懂懂、磕磕絆絆到現在淡然處事,這兩年的規培教導了我許多,不知不覺中在行醫過程中也成長了許多,在為人、處事、行醫、思想等各方面也進一步提身。
            剛進入中山青浦分院規培的我有一絲忐忑,擔心耽誤事情,難以與老師同事好相處,但慢慢地醫院帶教老師、護士姐姐的熱情,讓我放下心中的擔憂,有時和藹有時嚴厲的帶教老師以及幽默親切的護士們手把手慢慢教導我,慢慢融入了這一醫院大家庭。        
            在臨床中,除帶教老師以外,各科主任、科內其他醫師和護士都很熱情,有求必應,耐心指點,對我的學習幫助很大。一些同我們一樣的規培的全科醫師,他們醫學基礎知識很扎實,在處理病人的速度與嚴謹以及在他們孜孜不倦的求知態度等各方面給我樹立了榜樣,讓我看到了自身差距,促使我不斷學習,不斷進步。科主任醫師和科內其他醫師通過系統講課、操作示范等方式培訓我們的臨床技能,老師會盡量給我創造實踐學習的機會;輪轉考核登記冊中要求的病種因個人有限,科室都會積極配合給我們所需病例;院里每月進行一次講課或病例討論,一些科室還會安排固定小講課,讓我受益匪淺;我也常常跟隨主任查房,在查房過程中觀察、學習,提高臨床診療、與患者溝通的能力。這樣下來,雖然很累,但是自己收獲卻很大。
            尤記得我在心內科輪轉中的一天,我和平時一樣跟著帶教師去查房,突然一個病房的一名家屬跑出呼叫醫生,護士們急急匆匆跑過去,主任醫師也跑了過去,原來一位老年患者心跳停止了,老師忙開始心肺復開始搶救,在這過程中,規培的我也被叫過去進行心肺復蘇,在這短短的急救中,我感覺患者的生命的流逝,老師們堅持不懈以及淡然對病人的用藥、下醫囑以及電除顫等搶救行為,護士們有條不紊的靜脈注射與用藥執行,這一系列有效措施,讓患者的生命從死神手里奪回來了,僅僅只有十多分鐘的搶救,讓患者重燃新生。這次搶救過程中,讓我明白,作為一名醫生,不僅僅需要扎實的臨床知識以及技能外,還要在面對各種情況時不能慌亂手腳,鎮靜謹慎也是我不可或缺的一部分。
            此外,在社區實踐以及醫院實行中,醫患溝通也是我們作為醫生需要掌握的一部分。在規培的過程中老師們往往提倡“多作換位思考,真誠關心患者”。一些看起來微不足道的動作可以換來病人高度的信任,比如查房時與病人握握手,幫病人掖一下被角,與患者溝通時打招呼等。要從細微之處體現“以人為本”的服務理念,這對提高醫患溝通能力有著巨大的推動作用。
            兩年的規培即將結束,在這過程中,受益匪淺,醫生的工作,任重道遠。今后我要加倍努力,積極工作,帶著規培所學習的一切踏上工作崗位。

    蔡一虹
    2017.11.16

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