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ry ? 產(chǎn)鉗等 instrumental delivery ? 對疑難妊娠的認識:臍帶壓縮,胎心不好,胎盤剝離,粘連,臀位 evaluation for obstetric difficulties: cord pression, “bad strip,” placental abruption, placenta previa, placenta acreta / percreta, breech 兒科 ? 兒童生理 pediatric physiology ? 兒童及新生兒,氣道特征,早產(chǎn)兒大小,器官發(fā)育狀況,對藥物的敏感性,體溫控制,液體管理 airway characteristics, size, organ systems, sensitivity to drugs, temperature control, fluid management, ? 早產(chǎn)兒的特殊問題 issues with prematurity ? 兒科區(qū)域麻醉和疼痛管理 regional anesthesia and pain management ? 兒童心肺復蘇 pediatric resuscitation ? 兒童靜脈針 iv’s and lines ? 特殊手術:脊柱矯形,額面畸形,神經(jīng)外科 special cases: scoliosis surgery, congential abnormalities (facial, abdomen, chest, heart), neuro/vp shunts, pedi ortho 最低病例數(shù)量 (免翻譯) ? 40 vaginal deliveries ? 20 cesarean sections, 4 under general anesthesia ? 50 labor obstetric epidurals ? ? arterial lines, central lines, and swanganz catheters ? 100 pediatric cases (children under 12), including 15 infants ? 20 cardiopulmonary bypass cases ? 20 major vascular cases ? 20 intrathoracic (thoracotomy, thoracoscopy) ? 20 craniotomies, both vascular and nonvascular ? 10 major trauma cases ? 50 spinal blocks ? 50 peripheral nerve blocks ? 25 new pain patients 病例紀錄備案 ? 所有手術上 acgme 網(wǎng)登記 electronic records of clinical experience ? 沒有紀錄的,等于白做 if you didn’t write it down – you didn’t do it ? 案例不夠的要補做(本院或外院)offsite rotations are often necessary aba 住院醫(yī)生每年一次的階段性考試 (筆試)aba intraining exam ? 與訓練完成后真正筆試一樣 same as the board certification exam ? 300道多選題 300 multiple choice questions aimed at knowledge base ? 住院醫(yī)生期間不一定要及格,但要和同級人相當 scores expected for the appropriate level of training, ? 計算機分析答案后,把你的不足指出,按關鍵詞形式列出來,以便今后重點學習 missing keywords provided by puter ? 年年分數(shù)要提高 progress is expected as training advances ? 個人和醫(yī)院的分數(shù),和全國對比,列出百分比排名 individual and institutions are graded against national base important ? 大多醫(yī)院希望自己訓練的住院醫(yī)生在畢業(yè)當年通過筆試 most programs expect their graduating class to pass the exam aba 最后面試 aba oral exam ? 在通過筆試后完成 written exam has to be passed first ? 4道臨床活題,考交流,決策,應變能力 4 vignettes aimed at information collection and thought process, and decision making, munication, and adaptability ? 三次口試不過者,筆試需要重新考 the written exam will need to be repeated if the oral exam is failed three times 麻醉醫(yī)生訓練的管理機構(都是民間組織): th(推薦打開好范文網(wǎng)edical education (acgme): 注冊管理 7,800 個住院醫(yī)生訓練項目,其中麻醉 160 個。制定規(guī)章,手術指標等,直接監(jiān)察醫(yī)生訓練質量。the residency review mittee (rrc) : 把握訓練部門的綜合質量,確定某院或科室有沒有能力開辦或維持住院醫(yī)生項目。 the american board of anesthesiologist (aba):麻醉資格論證委員會,考核麻醉醫(yī)生的能力,發(fā)放資格證書。 the american society of anesthesiologists (asa):麻醉醫(yī)生的活動團體,推動教學,研究,和社會對麻醉專業(yè)的認知度,推動麻醉專業(yè)進展。 第三篇:個人述職述廉述職報告 個人述職述廉報告 市政府辦公室副主任科員 一年來,在各級領導的關心幫助和同志們的協(xié)助支持下,我時刻以一個共產(chǎn)黨員的身份嚴格要求自己,努力提高自身素質,認真履行工作職責,在廉政建設方面取得了一定進步?,F(xiàn)匯報如下: 一、努力提高思想道德素質,不斷