14-美国全科住院医师的一天[整理版].ppt

A DAY IN THE LIFE OF A FAMILY PRACTICE RESIDENT家庭医学住院医生的一天生活;Terminology专业名词;Education in the US:美国的教育 High school, lasting 4 years to age 18 高中，4年时间，直到18岁 University, lasting 4 years to age 22 大学，4年时间，直到22岁 Medical school, lasting 4 years to age 26 医学院，4年时间，直到26岁 Family Medicine Residency, lasting 3 years to age 29 家庭医学住院医生，3年时间，直到29岁 ;Three-year program3年计划;Three-year program3年计划;Three-year program3年计划;Three-year program3年计划;Three-year program3年计划;Three-year program3年计划;FIRST-YEAR RESIDENT (THE INTERN) 住院医生第一年（实习医生）;SOAP note SOAP记录法;Checking labs, studies, monitors核查实验室结果、文献、监护;Checking on your patients (pediatric/adult, medicine/surgery, ICU)检查病人（儿童、成人、内科、外科、ICU）;CODE BLUE!!!紧急呼叫;CODE BLUE!!!紧急呼叫;敷尺疗漂滨级诗锰瘁卧悬却瘤判滇酞拓细狭酶蛆赠饥因趾秤腿诺候寡谣懊14-美国全科住院医师的一天14-美国全科住院医师的一天;7:45 AM: YOU ARRIVE AT THE REPORT ROOM FOR ROUNDS 7:45 AM: 你到达医生办公室开始查房 YOU UPDATE YOUR SUPERVISING SENIOR RESIDENT ON YOUR PATIENTS 你向指导你的高级住院医生汇报病人的新情况 ;Team团队;计七膘涉嘘靠改指淖撰夸忱麓授匀闪僳舅钟梢败住致恕段他婆百嫉革担信14-美国全科住院医师的一天14-美国全科住院医师的一天;8:00 AM: YOU AND YOUR RESIDENT TEAM SET ASIDE TIME TO 8:00 AM: 你和你的住院医生团队留出时间： THANK GOD FOR HEALING感谢神的医治 TO PRAY FOR WISDOM祈求智慧 TO REFLECT THAT HE IS IN CONTROL 思想祂在掌握 TO ACKNOWLEDGE THAT ALL GOOD THINGS COME FROM HIM, INCLUDING MEDICINE 承认所有的好事情都来自于祂，包括医学。;8:30 AM: Residents read an up-to-date article regarding one medical problem per night and discuss with each other, led by seniors 8:30 AM: 住院医生每晚读一篇与医学问题相关的文章，然后在高年级住院医生领导下，与大家讨论。 Basics基础 Signs/Symptoms体征/症状 Etiology病因 Diagnosis (Differential, Work-up)诊断（鉴别诊断，实验室检查） Treatment治疗 Medications用药;9:00 AM: YOUR ATTENDING PHYSICIAN ARRIVES 你的主诊医师到达 THE TEAM QUICKLY UPDATES HIM ON THE STATUS OF THE PATIENTS团队快速向他汇报病人的病情进展 THE ATTENDING PHYSICIAN, SENIOR RESIDENT, AND INTERNS ROUND ON PATIENTS 主诊医师、高年级住院医生和实习医生巡查病人 ;Attending Rounds主诊医师查房;Rounds查房; 11:00AM: YOU AND THE OTHER 3 INTERNS RESUME CARING FOR YOUR INDIVIDUAL PATIENTS 11: