医学英语查房详细培训课件.ppt

1、Contents 1.一条路线一条路线2.二个功能二个功能3.三个等级三个等级4.四个入口四个入口5.五个程序五个程序6.六个人物六个人物7.七个思路七个思路8.八个业务八个业务医学英语查房详细21.Significance-bilingualism医学英语查房详细32.Functions医学英语查房详细43.Tertiary system ground l 一级查房：经治医师查房，分晨、午、晚三次。普查全组病人，为“医患对话”。l 二级查房：主治医师查房，外称 Teaching Attending Rounds，每天一次。轮流检查所辖各组病人，除医患对话，尚需“医医对话”。大查房：great

2、 rounds 英美普及，除本科室外，其他相关科室均参加，国内称大型会诊讨论。医学英语查房详细54.Functions 纠错纠错医学英语查房详细6Missing 病史不全病史不全 Have you noticed his light color of his stool?Uh,Im sorry I havent.医学英语查房详细7Mistakes 检查不规检查不规 Dr Li,is there any rales that you heard in this patient?I heard no rales in this patient.Please listen to it again.C

3、an you hear fine moist rale?Yes,I got it.lD:Why didnt you hear it?(No response)You only paid attention to the front chest and neglect the auscultation on base of the back.医学英语查房详细8Misdirect 诊断不清诊断不清 Is it necessary for us to do a liver biopsy?Maybe its unnecessary.Sorry.You should answer me its nece

4、ssary because the confirmed diagnosis of hepatic lesion often depends on the liver biopsyin addition to ultrasound.However it will be decided by the director.医学英语查房详细9Misdeal 治疗不当治疗不当 I assume that you blocked the neurogenic phase with atropine.How did you block the hormonal phase?I put down a Levin

5、 tube,and the patient on constant gastric suction.This will keep the gastric contents from entering the duodenum and the production of secretin,which,in turn,would increase the liberation of pancreatic enzymes,thus adding to the insult.医学英语查房详细105.procedures 医学英语查房详细116.figuresl Director 主任主任 l Visiting physician 主治医师主治医师l Chief resident 住院总医师住院总医师 l Residents 住院医师住院医师l Interns 实习医师实习医师 l Patient 病人病人 医学英语查房详细12Requirements for play医学英语查房详细13THANK YOU14医学英语查房详细1516