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tion 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 necessaryaba 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,以便今后重點(diǎn)學(xué)習(xí) missing keys 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)年通過筆試 most programs expect their graduating class to pass the examaba 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(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(推薦打開好:)e accreditation council for graduate medical 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)練部門的綜合質(zhì)量,確定某院或科室有沒有能力開辦或維持住院醫(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。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?zhèn)€人述職市政府辦公室副主任科員一年來,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。現(xiàn)匯報(bào)如下:一、努力提高思想道德素質(zhì),不斷強(qiáng)化思想道德修養(yǎng)一年來,我把個(gè)人思想道德建設(shè)放在突出位置,采取得力措施,切實(shí)抓好。一是加強(qiáng)黨性鍛煉,在政治思想上要求進(jìn)步,始終不渝堅(jiān)定共產(chǎn)主義理想信念,從政治上、思想上、組