4-向专科医生学习.pptVIP

Chris Jenkins, MD 克里斯.金肯医学博士 April 2012 Attitudes态度 The part of medicine that you can’t learn from a book 不能从书本上学到的医学部分 How to approach medicine如何走近医学 Professionalism 专业素养 Seeing the big picture 全面的看问题 Respect 尊重 Compassion 同情 Serving others 服务他人 Dr. Lisa Neff, DO When to Refer何时转诊 Conditions that need immediate referral 需要立刻转诊的情况 Myocardial infarction心肌梗塞 Need for surgery需要手术 Etcetera等等 Conditions that can be initially managed by GP可以由全科医生做最初处理的情况 Hypertension高血压 Diabetes糖尿病 Abdominal pain腹痛 Etcetera等等 Communicating with Specialists与专科医生交流 我们做了血液检查, 核磁共振, 大便常规和肠镜检查, 因此我们诊断你的腹涨是由于’脂肪沉积’. Communicating With Specialists与专科医生交流 What information will they want from me? 他们想从我这里知道什么？ Tests that should be done before referring 在转诊前需要做的检查 Pertinent history相关的病史 What can I expect from them?我能从他们那得到什么？ Copy of reports, lab results 辅助检查、实验室结果的复印件 Recommendations for future management 进一步处理的建议 Preventive Care预防性照顾 What can be prevented?哪些可以被预防？ Guidelines for blood pressure, lipids, etc. 血压、血脂等指南 Screening tests筛查检测 Colonoscopy结肠镜 Mammogram乳房X片 Pap smear宫颈瘤细胞筛查 Etcetera等等 Environmental exposures环境暴露 Smoke and ear infections吸烟和耳朵感染 Chemicals and lung disease化学制剂和肺部疾病 Etcetera等等 Office Procedures门诊操作 EKG 心电图 Laceration repair 撕裂伤缝合 Skin Biopsy 皮肤活检 Incision and drainage 切开引流 Joint injections 关节内注射 Colposcopy 阴道镜 Splinting/Casting 打夹板 Etc.等等 Here are some resources that are available for you to see the educational guidelines used by the American Academy of Family Physicians; WHO has data on diseases responsible for the greatest morbidity and mortality in China and other regions. You may also consult specialty sites for treatment guidelines The Role of Specialists向专科医生学习 眼科 足病科 牙科 肛肠科 这些招牌的顺序让 我有点儿焦虑 Objectives目标 Identify educational goals for specialist rotations确定专科轮转的教育目标 Dialogue between General Practitioners and Specialists to develop curriculum 全科医生与专科医生沟通后制定课程表 Examples实例