【正文】
alty will also increase in the future we should all be proud to be a part of it. ? 很清楚,危重病人的數(shù)量在接下來(lái)的數(shù)年里將顯著增加,但是 ICU醫(yī)生不可能平行增加,我們要為此做好準(zhǔn)備,我相信我們會(huì)適應(yīng)這種變化,危重醫(yī)學(xué)是十分有趣的專(zhuān)業(yè),我相信還將有許多有趣點(diǎn)被發(fā)現(xiàn),其重要性也將在將來(lái)不斷被開(kāi)掘,我們應(yīng)該為此自豪 第三十三頁(yè),共四十頁(yè)。 一種新的職業(yè) hospitalists醫(yī)院里工作的家庭醫(yī)生 --另一種挑戰(zhàn) ? The hospital, which began tracking data, found that the hospitalists were able to decrease the number of code blues by almost 80%. Data also showed that they improved length of stay, cost per case and the rate of ICU bed diversions. ? “Hospitalists could take care of many ICU patients, with intensivists taking care of the sickest ones,〞 said Derek C. Angus, MD, chair of critical care medicine at the University of Pittsburgh, during an SCCM presentation. ? “It’s threatening to intensivists, but frankly I think it’s the only way if we think we need to keep the same number of ICUs.〞 ? There’s another factor: “On any given day, only a fraction of patients cared for in the nation’s ICUs require primary care delivered by physicians with specialized, advanced training in critical care medicine,〞 says Timothy G. Buchman, MD, professor of surgery, anesthesiology and medicine at Washington University in St. Louis. 第三十四頁(yè),共四十頁(yè)。 Stress in UK intensive care unit doctors Br J Anaesth 2024。 89: 873177。 81 …… 3% were bothered by suicidal thoughts. The most stressful aspects of work were bed allocation, being overstretched, effect of hours of work and stress on personal/family life, and promising standards when resources are short. Logistic regression revealed mental health problems were predicted by 174。ve stressors: `lack of recognition of one39。s own contribution by others39。 `too much responsibility at times39。 `effect of stress on personal/family life39。 `keeping up to date with knowledge39。 and `making the right decision alone 第三十五頁(yè),共四十頁(yè)。 第三十六頁(yè),共四十頁(yè)。 第三十七頁(yè),共四十頁(yè)。 結(jié) 語(yǔ) ? 重癥醫(yī)學(xué)需要廣泛的臨床和根底知識(shí)結(jié)構(gòu),沒(méi)有個(gè)人可以完全掌握,所謂“尺有所短、寸有所長(zhǎng)〞 ? 有志于從事重癥醫(yī)學(xué)專(zhuān)業(yè)的醫(yī)師,無(wú)論其有著怎樣的專(zhuān)業(yè)背景,都能在這片廣闊的天地里大有作為 ? 中醫(yī)、西醫(yī) ? 內(nèi)科、外科 ? 呼吸、麻醉 ? 而我們要做的,只是充分發(fā)揮自己的優(yōu)勢(shì),同時(shí),汲取身邊同事的專(zhuān)長(zhǎng) 第三十八頁(yè),共四十頁(yè)。 謝 謝 第三十九頁(yè),共四十頁(yè)。 內(nèi)容總結(jié) ICU醫(yī)師的背景與專(zhuān)業(yè)優(yōu)勢(shì)。事業(yè)成長(zhǎng)青藍(lán) **共,指引輔導(dǎo)有舵工。 RICU/CCU/EICU/NICU。呼吸、麻醉 第四十頁(yè),共四十頁(yè)。