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ry ? 產(chǎn)鉗等 instrumental delivery ? 對(duì)疑難妊娠的認(rèn)識(shí):臍帶壓縮,胎心不好,胎盤(pán)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(duì)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(wèn)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(fù)蘇 pediatric resuscitation ? 兒童靜脈針 iv’s and lines ? 特殊手術(shù):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(jì)錄備案 ? 所有手術(shù)上 acgme 網(wǎng)登記 electronic records of clinical experience ? 沒(méi)有紀(jì)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(bǔ)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(xùn)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(jí)人相當(dāng) scores expected for the appropriate level of training, ? 計(jì)算機(jī)分析答案后,把你的不足指出,按關(guān)鍵詞形式列出來(lái),以便今后重點(diǎn)學(xué)習(xí) missing keywords provided by puter ? 年年分?jǐn)?shù)要提高 progress is expected as training advances ? 個(gè)人和醫(yī)院的分?jǐn)?shù),和全國(guó)對(duì)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(xùn)練的住院醫(yī)生在畢業(yè)當(dāng)年通過(guò)筆試 most programs expect their graduating class to pass the exam aba 最后面試 aba oral exam ? 在通過(guò)筆試后完成 written exam has to be passed first ? 4道臨床活題,考交流,決策,應(yīng)變能力 4 vignettes aimed at information collection and thought process, and decision making, munication, and adaptability ? 三次口試不過(guò)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(xùn)練的管理機(jī)構(gòu)(都是民間組織): th(推薦打開(kāi)好范文網(wǎng)edical education (acgme): 注冊(cè)管理 7,800 個(gè)住院醫(yī)生訓(xùn)練項(xiàng)目,其中麻醉 160 個(gè)。制定規(guī)章,手術(shù)指標(biāo)等,直接監(jiān)察醫(yī)生訓(xùn)練質(zhì)量。the residency review mittee (rrc) : 把握訓(xùn)練部門(mén)的綜合質(zhì)量,確定某院或科室有沒(méi)有能力開(kāi)辦或維持住院醫(yī)生項(xiàng)目。 the american board of anesthesiologist (aba):麻醉資格論證委員會(huì),考核麻醉醫(yī)生的能力,發(fā)放資格證書(shū)。 the american society of anesthesiologists (asa):麻醉醫(yī)生的活動(dòng)團(tuán)體,推動(dòng)教學(xué),研究,和社會(huì)對(duì)麻醉專業(yè)的認(rèn)知度,推動(dòng)麻醉專業(yè)進(jìn)展。 第三篇:個(gè)人述職述廉述職報(bào)告 個(gè)人述職述廉報(bào)告 市政府辦公室副主任科員 一年來(lái),在各級(jí)領(lǐng)導(dǎo)的關(guān)心幫助和同志們的協(xié)助支持下,我時(shí)刻以一個(gè)共產(chǎn)黨員的身份嚴(yán)格要求自己,努力提高自身素質(zhì),認(rèn)真履行工作職責(zé),在廉政建設(shè)方面取得了一定進(jìn)步?,F(xiàn)匯報(bào)如下: 一、努力提高思想道德素質(zhì),不斷