不改-代华平-明道讲坛-PCCM规范查房体系建设.pptx

不改-代华平-明道讲坛-PCCM规范查房体系建设.pptx

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呼吸与危重症医学科规范化查房体系建设;内科大查房(Medical Grand Rounds)的历史回顾与现???;查房体系;Rounds is the daily visit by the attending physician and team to all that physicians patients on the ward. Rounds are specific to individual attending physicians and their teams Rounding with an attending physician is an important part of medical on-the-job training and education, but its primary focus is immediate care for the patients on the ward. ;An important teaching tool and ritual of?medical education?and inpatient care present the medical problems and treatment of the patient doctors, residents and medical students Pt was tradit. present for the round and answer questions Most dept. at major teaching hospitals will have their own specialized, often weekly, Grand Rounds. Help doctors keep up to date in important evolving areas which may be outside of their core practice. Attending grand rounds is an important supplement to?medical school?and on-the-job?resident?training.;大查房(Grand Rounds);Grand rounds tends to present the bigger picture including experience with patients over many years and the newest research and treatments in an area Grand rounds tend to be open to the entire medical professional community Grand rounds can be distinguished from rounds ;The?tradition of Medical Grand Rounds at Johns Hopkins can be traced back to William Osler, the first professor of medicine, beginning in 1889. Although for a long time they have been amphitheater rounds, not bedside rounds, the patient and specific clinical problems have always been the focus of discussion. The objective is to demonstrate the best in the analysis and treatment of difficult clinical problems in real-life patients who often tell their own story. The patient remains our link between current research and modern therapeutics. 8 a.m. every Friday Hurd Hall;北京协和医院内科大查房历史;一个集思广益、解决患者诊治过程中的疑难问题 交流信息,利于医师之间相互学习 培养人才、增强凝聚力和展现协和内科魅力的平台 一份既有传承、又有发扬的协和文化遗产 一部记录医学大师成长的史册 张孝骞教授,80岁高龄,仍认真参加每一次内科大查房 ;根据2001年的统计 16例诊断不明,大查房后10例(63%)获得正确诊断 2

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