内科学绪论(中英文).ppt

1．进入病房学习前，对照大纲和示教的重点病例复习内科学的相关章节，准备在病例讨论中提出和回答问题； 2．进入病房后尽快熟悉重点讨论的病例，争取第一时间采集病史，进行体格检查，考虑相应的诊疗处理措施，以备讨论； 3．注重理论联系实际，重点是培养临床思维能力。 床旁教学学习过程中几个需要注意的事项 4．尊重患者，对待患者要热情，富有同情心； 5．注重与患者及其家属的沟通，注意谈话方式，不刺激患者，对于不能回答的问题应找相应的病房医护人员来解决，不能敷衍了事或简单的回答“不知道”； 6. 体检时动作应轻柔，对危重患者，应事先征得床位医生及患者同意方能进行，必要时由床位医生陪同进行； ? 一个优秀的医生 扎实的医学知识、先进的医学科技 根据“循证医学”的原则办事 面对具体患者个体进行深入交流与互动 综合运用医学科学知识、社会知识、丰富的临床经验·····进行综合判断与决策 科学与人文精神 医学的科学与艺术（the science and art of medicine） 考核方式： 床旁示教占30%，书面考试占70%。 床旁示教考核由带教老师根据学生表现，从5个方面进行打分：纪律及对患者态度、病例讨论时回答问题情况、问病史、体格检查、病史书写等，每个病区评分总分为5分，共计30分。 结束时进行书面考试，总分70分，其中20分左右为与病例讨论及示教相关的病例分析题，50分为本学期上的大课内容。 * First Cochrane centre (in Oxford, UK) in 1992 and the founding of The Cochrane Collaboration in 1993. In particular, he stressed the importance of using evidence from randomised controlled trials (RCT's) because these were likely to provide much more reliable information than other sources of evidence. Cochrane's simple propositions were soon widely recognised as seminally important - by lay people as well as by health professionals. In 1987, the year before Cochrane died, he referred to a systematic review of randomised controlled trials (RCT's) of care during pregnancy and childbirth as "a real milestone in the history of randomised trials and in the evaluation of care", and suggested that other specialties should copy the methods used [3]. INTRODUCTION TO INTERNAL MEDICINE Internal Medicine Surgery Pediatrics gynecology Pathology Microbiology Genetics Biochemistry Pharmacology Pathologic-physiology Diagnostics Immunology How to Teach Internal Medicine Lecture (Bilingual teaching) Bedside teaching: including Respiratory system, Cardiovascular system, Gastrointestinal system, Kidney and urinary system, Endocrinology, Hematology, etc. Bedside Teaching Cardiovascular system： Heart failure(心衰)； CHD(冠心病)/ Hypertension(高血压)； Cardiomyopathy(心肌病)/ pericarditis(心包炎)； Arrhythmia(心律失常)； Respiratory system ： ARDS(呼衰)/COPD； Pneumonia(肺炎)； TB(肺结核)/