(1) The defense questions of the subtropical high examination of internal medicine of traditional Chinese medicine over the years

The book you bought is a problem set of the old exam outline, and now there are no multiple-choice questions.

Now A 1, B 1, A2, A3, are all correct options.

If you are a graduate student, it is easy to engage in clinical work of traditional Chinese medicine for a long time.

The four classics account for about 15% of the total.

Examination questions

Each major has four subjects: basic knowledge, relevant professional knowledge, professional knowledge and professional practical ability, which are divided into four and a half days. The amount of questions in each subject is 100, and the questions are A 1, A2, B 1, A3, A4 and X.

(1) A 1 question (single sentence best multiple choice question)

The main morphological signs of cell necrosis are

First, mitochondrial swelling

nuclear fission

C, enhanced eosinophilia in cytoplasm

D, cytoplasmic lipid droplets increased.

E, autophagic vesicles increased.

(b) Type A2 questions (best multiple choice questions with case summaries)

A 35-year-old woman had a cold and sore throat three weeks ago and recovered two weeks ago. In the last 5 days, the pain in front of the neck was obvious, and a low-grade fever came to the clinic. Physical examination: t

At 37.8℃, the skin is anhidrosis, the thyroid gland II is large, the right lobe is hard, the tenderness is obvious, and the white blood cells are refused.

7.8× 109/ L. Clinical diagnosis is most likely.

First, the right thyroid cyst bleeding

B, thyroid cancer with bleeding

Chronic lymphocytic thyroiditis

D, acute suppurative thyroiditis

E. subacute thyroiditis

(3) Class 3)A3 questions (the best multiple-choice questions in the case group)

(1 ~ 3 * * are all dry goods)

The patient, a 35-year-old male, developed upper-middle abdominal pain 6 hours after eating and drinking, which spread radially to both sides of the waist and was accompanied by vomiting twice. He was full of content, and he felt thirsty and broke out in a cold sweat. Physical examination: t

38℃, cold limbs, pulse 1 16 beats/min, blood pressure 10/6.

KPa, abdominal distension, diffuse tenderness, rebound pain, total abdominal muscle tension, liver dullness, green net pioneer examination network has VIP group data of internal medicine, online question bank and examination software move dullness, and bowel sounds disappear.

1. According to the clinical manifestations of patients, the diagnosis that should not be considered is

First, perforated appendicitis

B, gastroduodenal ulcer perforation

C, strangulated intestinal obstruction

D, acute pancreatitis

E, acute pelvic inflammatory disease

2. The patient was diagnosed as acute hemorrhagic necrotizing pancreatitis by examination. If abdominal puncture is performed, the color of the liquid that may be extracted is

A colorless and transparent liquid.

Brown liquid

C, bile-like liquid

D, purulent liquid

Bloody liquid

3. The treatment policy should be

First, gastrointestinal decompression, closely observe the changes of the disease.

B, Chinese medicine and acupuncture C, rehydration and anti-inflammation.

D, emergency surgery

E, correct operation after shock

A4-type question (the best multiple-choice question in case series)

(1 ~ 3 * * are all dry goods)

18-year-old female, she felt weak after biting her front teeth for two years, and her teeth felt loose recently. Check that the looseness of the lower anterior teeth is degree ⅰ. The gums are red and swollen with tartar, and other gums are slightly swollen.

1. Collect medical history and focus on understanding.

First, whether there is a history of injury

B. Family calendar

C, bad habits

D, oral hygiene habits

E, with or without medication history

2. The main inspection items are

First, pulp vitality

B. X-rays

C, loose

D, peripheral blood picture

E, the degree of periodontal attachment loss

3. According to the above examination, the initial impression is periodontitis, which is helpful to further confirm the diagnosis.

A. whole-body skull x-ray film

B. bacteriological examination of subgingival plaque

C, local histopathological examination

D, drug allergy test

E, endocrine examination

(5)b 1 type problem (standard compatibility problem)

(1 ~ 2 * * * Use alternative answers)

First, blood-borne

B. Origin of glands

C, damage

Odontogenic

E, iatrogenic

1. The main source of infection of neonatal osteomyelitis of jaw is (a)

2. The main source of infection of pyogenic osteomyelitis of jaw is (D)

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Special tips

]

From 20 1 1:

The types of professional and technical qualification examinations for clinical Chinese medicine, integrated traditional Chinese and western medicine, Chinese medicine and Chinese medicine nursing (***20 majors) are adjusted as follows:

(1) The original X-type questions were cancelled and A4-type questions were added in the technical qualification examination of clinical and integrated traditional Chinese and western medicine. The adjusted test questions are: A 1, A2, A3, A4, B 1.

(2) The original X-type examination questions are cancelled in the technical qualification examination of Chinese pharmacy (including junior bachelor, junior teacher and intermediate), and the adjusted examination questions are: A 1, b1;

(3) The examination questions of TCM nursing professional and technical qualifications (including junior teachers and intermediate teachers) are the same as 20 10, and the examination questions are A 1, A2, A3, B 1 and X. ..

⑵ Affiliated Middle School of Internal Medicine of Traditional Chinese Medicine.

Senior engineers of different majors will have different prices.

Some majors are generally between 5000 and 8000.

If it is in Guangdong, the affiliated price is around 7,000 yuan, and the affiliated price of some majors is 20,000 or even higher.

The level of affiliated fees is related to the professional and technical content. The higher the technical content, the more expensive the ancillary expenses.

⑶ Is this year's examination for the deputy senior title of internal medicine of traditional Chinese medicine nationwide or Qingdao?

In recent years, all provinces and cities have published their own volumes.

There is no qualified line in the advanced exam, and the score is used as a reference index for evaluation. The passing line of the semi-advanced examination has been determined. Those who pass the examination and meet other basic conditions may apply for qualification review. The exam results were valid that year.

Verb (abbreviation for verb) exam content

(1) Examination scope: The purpose of the examination is to examine the actual working ability of professional and technical personnel, and no examination books are specified.

(2) Examination majors: there are 70 examination majors. See the list of advanced professional and technical qualification examinations. The major applied for should be consistent with the major applied for evaluation.

(3) Examination form: The examination adopts the form of man-machine dialogue. Examination time 120 minutes. There are three types of questions: single choice, multiple choice and case analysis.

(4) What reference books are there for the examination of the deputy senior title of internal medicine of traditional Chinese medicine?

The fourth edition textbook of internal medicine of traditional Chinese medicine is better.

5] 20 16 online payment for the promotion of senior titles in internal medicine of traditional Chinese medicine.

Hubei:

Qualification evaluation of full and senior positions in health technology: papers and works published since taking office.

To publish a paper, you need to upload the cover, table of contents, text (no more than 3 sides) and back cover of the publication; Conference papers are required to upload the cover, contents and text of the conference exchange compilation (no more than 3 sides); The book requires uploading the front cover, the back cover, the table of contents (excerpts), the editorial board list and the representative text written by myself (1-3 pages). All papers are required to be the first author or correspondent author.

To apply for the post of chief physician (medicine, nursing and technology), you must have the following three items 1:( 1) and publish more than three papers with high academic level in authoritative journals;

(2) Personnel working in provincial medical and health units must have more than 6 papers with high academic level published in statistical source journals, at least 4 of which are published in important academic journals;

Personnel working in medical and health units at or below the municipal level must have more than 6 papers with high academic level published in statistical source journals, of which at least 1 paper is published in important academic journals;

(3) Meet two or more of the following conditions at the same time (Article 65438 +0 is a necessary condition):

(1) Personnel working in provincial medical and health units must have more than 5 papers with high academic level published in statistical source journals, of which at least 3 papers are published in important academic journals; Personnel working in medical and health units at or below the municipal level must have more than 4 papers with high academic level published in statistical source journals, of which at least 1 papers are published in important academic journals;

(2) A monograph with high professional value has been officially published (above the editorial board, I have written more than 30,000 words in relevant chapters). The number of people working in provincial medical and health units is limited to deputy editors or above, with more than 50,000 words);

(3) won the second prize of the provincial (ministerial) level scientific and technological progress award, the scientific and technological achievement award (limited to the top 5), or the third prize of the scientific and technological progress award (limited to the top 7).

To apply for associate chief physician (medicine, nursing and technology), you must have the following three items 1:( 1) to publish more than two papers with high academic level in authoritative journals;

(2) Personnel working in provincial medical and health units must have more than 5 papers with high academic level published in statistical source journals, at least 3 of which are published in important academic journals. Personnel working in municipal medical and health units must have more than 5 papers with high academic level published in statistical source journals, of which at least 1 paper is published in important journals. In the county (city, district) is a medical and health unit staff, must have a statistical source of publications published more than 3 papers with high academic level in this major. Health professionals and technicians working in township health units must have/kloc-0 or more academic papers published in statistical source journals (including papers read at provincial academic conferences);

(3) Those who meet the following conditions:

① Personnel working in provincial medical and health units must have more than 4 papers with high academic level published in statistical source journals, at least 2 of which are published in important academic journals. Personnel working in municipal medical and health units must have at least three papers with high academic level published in academic journals with statistical sources, of which at least 1 papers are published in important academic journals. In the county (city, district) is a medical and health unit staff, must have a statistical source of academic journals published more than 2 papers with high academic level in this major.

(2) won the third prize of scientific and technological progress award and scientific and technological achievement award (limited to the top 7) at or above the professional city (hall) level.

Tianjin:

Attending (managing) medical (pharmacy, nursing, technology) department: a. Staff working in first-class medical institutions, hospitals and health stations shall publish at least/kloc-0 papers by the first author or at least 2 papers by the second author in medical professional journals or provincial (city) level and academic conferences during their tenure as "departments".

B The staff working in first-class medical institutions and institutions other than hospitals and health stations shall at least summarize 1 article in medical professional journals or in academic conferences at or above the provincial (municipal) level.

Deputy Chief Physician (Pharmacy, Nursing, Technology): (1) The staff working in the first-class medical institutions, hospitals and health stations should read at least two papers by the first author in the academic journals of this major or at the annual meeting of medical majors above the provincial (city) level.

(2) Personnel working in first-class medical institutions and institutions other than hospitals and health stations shall publish at least 2 papers by the first author in academic journals of their own profession during their intermediate positions.

Chief physician (pharmacy, nursing, technology): (1) The staff working in the first-class medical institutions, hospitals and health stations shall publish at least 3 papers of the first author in the academic journals of this major during the sub-senior period. Or publish at least 1 papers of the first author in this professional academic journal and read at least 2 papers of the first author at national or international medical professional academic conferences.

(2) Personnel working in institutions other than first-class and first-class medical institutions, hospitals and health stations shall publish at least two papers by the first author in the professional core journals or at least three papers by the first author in the professional academic journals during their deputy senior positions.

Publish a paper and choose to be paper net to take you to experience the service! 100% of the recommended publications are official, and illegal publications, special issues, supplements and supplements with suffixes are never recommended. Open the green fast track (some periodicals can be expedited), 1-3 days to review manuscripts quickly, 1-3 months to read periodicals quickly!

[6] Does the chief metallurgical doctor have to report to the internal medicine department of traditional Chinese medicine?

Yes, professional title exams are all like this. You can change the scope of practice, but the title should be like this. Of course, internal medicine can also be subdivided. The internal medicine of traditional Chinese medicine is quite good, especially the subtropical high, which is even worse. You don't need to change anything else

(7) Excuse me: Can the attending physician of internal medicine of traditional Chinese medicine declare the deputy chief physician of acupuncture and moxibustion of traditional Chinese medicine?

It should be possible. "Regulations on the Evaluation and Promotion of Professional Titles of Health Technicians" does not explicitly point out that it is not allowed.

You are a major in Chinese medicine and have a certain foundation in Chinese medicine. Coupled with your love and research on acupuncture, I believe you already have relevant theoretical knowledge and operational skills. And some practical experience.

However, if the deputy senior professional title needs to be determined or promoted by the dual leaders of the Ministry of Health and the provinces, municipalities and autonomous regions, the deputy chief physician and his equivalent position shall be audited by the Health Bureau of the provinces, municipalities and autonomous regions and reported to the Ministry of Health for approval. More demanding.

Your related research or papers in the field of acupuncture may be weak, which is what you need to strengthen.

Finally, I wish you all the best.

⑻ Summary of the five-year promotion workload of the deputy senior title of internal medicine of traditional Chinese medicine.

Importance of responsibility, service and management.

There is no model essay.

The following is for reference,

Mainly write down the main work content, how to work hard and the achievements, and finally put forward some rationalization suggestions or new efforts. . . . . . .

Work summary is to let the superior know what contribution you have made and reflect the value of your work.

So you have to write a few points:

1, your understanding of the position and work 2, what did you do specifically?

3. How did you work hard and what things did you solve with your brain? Even if it's nothing, write something difficult. How did you solve it through hard work?

4. What abilities or knowledge do you need to improve in your future work?

5. The superior likes people who take the initiative to work. You should make all the preparations in your work, that is, the preparations in advance are as follows for your reference:

Summary is a comprehensive and systematic overall evaluation and analysis of the situation over a period of time, and analysis of achievements, shortcomings and experiences. Summary is a kind of applied writing, which is a rational thinking about the work that has been done.

Basic requirements of summary

1. Summary must have an overview and a description of the situation, some simple and some detailed.

2. Achievements and shortcomings. This is the main content of the summary. The purpose of summing up is to affirm the achievements and find out the shortcomings. What are the achievements, how big, how to use them and how to achieve them; How many shortcomings there are, what aspects they are manifested in and how they are produced should be clearly written.

3. Lessons learned. In order to facilitate the future work, we must analyze, study and summarize the previous work experience and lessons to form theoretical knowledge.

Summarize the precautions:

1. We must seek truth from facts, the achievements are basically not exaggerated, and the shortcomings are basically not narrowed. This is the basis of analysis and learning lessons.

2. Clear organization. This sentence is fluent and easy to understand.

3. Be detailed and appropriate. There are important things and minor things, so when you write, you should highlight the key points. The problems in the summary should be divided into primary and secondary, detailed.

Basic format of summary:

1, title

2. Text

Introduction: overview, overall evaluation; Summarize the full text.

Subject: analyze the shortcomings of achievements and sum up experiences and lessons.

Conclusion: Analyze the problem and make clear the direction.

Step 3 sign

Signature and date.

Levies, deputy chief physician registration conditions

Deputy chief physician registration conditions:

1, graduated from medical college, worked in primary medical institutions at or below the county level, and worked as an attending physician for at least seven years;

2, graduated from medical university, engaged in attending physician work for not less than five years;

3, obtain a master's degree in medicine, engaged in the work of attending doctors for not less than four years;

4, get a doctorate in clinical medicine, engaged in the work of attending physician for not less than two years;

5, clinical medical postdoctoral staff after completing the postdoctoral research work, the establishment of postdoctoral mobile station.

(9) Extended reading under the condition of subtropical high in internal medicine of traditional Chinese medicine:

department manager

Refers to the administrative director of the hospital department, not the title;

associate chief physician

The deputy chief physician is a professional title, and the level is equivalent to that of an associate professor of medical college.

Some deputy chief physicians were also rated as "associate professors" or "professors".

Undertake certain scientific research and teaching tasks.

Physician titles: resident (teaching assistant), attending physician (lecturer), deputy chief physician (associate professor) and chief physician (professor)

Approved by:

First, the primary health technical personnel are promoted to the intermediate level and reported to the county (city) Health Bureau (sub-bureau) or the health administrative organ at the corresponding level for approval; Intermediate promoted doctors (or equivalent positions) shall be appraised by the unit and recommended to take the unified examination, which shall be examined and approved by the health bureaus of the regions and municipalities under the jurisdiction of the province and reported to the health bureaus of the provinces, municipalities and autonomous regions for the record.

When a physician is promoted to an attending physician (or equivalent position), it shall be reported to the local and provincial health departments for examination and approval, and reported to the local health departments of provinces, municipalities and autonomous regions for the record; The promotion of the chief physician and deputy chief physician (or equivalent position) shall be reported to the Health Bureau of the province, city and autonomous region for examination and approval, and reported to the relevant leading organs of the province, city and autonomous region and the Ministry of Health for the record.

The promotion of health technicians in local enterprises and institutions affiliated to the central ministries and commissions shall be handled by the relevant ministries and commissions. No ministries or health administrative departments are not perfect, and the relevant ministries and commissions shall entrust the local authorities to examine and approve according to the above procedures.

Two, by the Ministry of health and the provinces, municipalities and autonomous regions under the dual leadership of the Ministry directly under the unit, identified or promoted deputy chief physician and its equivalent position, by the provinces, municipalities and autonomous regions health bureau audit, reported to the Ministry of health for approval.

Chief physician is a kind of doctor's title, which is the highest level in the current doctor's title and belongs to the positive high level. Short for "Director". Generally preceded by a surname, such as director Li. In the hospital, it should be distinguished from the "department director". The director of a department refers to the administrative director of a department in a hospital, not the title; The chief physician is a professional title, and his level is equivalent to that of a professor in a medical school. Some chief physicians are also rated as "professors" and undertake certain scientific research and teaching tasks.

Those who meet Article 3 and the following conditions can be promoted to chief physician, chief pharmacist, chief technician and chief nurse:

1. Proficient in the theory of undergraduate (this major, the same below), master the development trends of undergraduate technology at home and abroad, and be able to absorb the latest scientific research results and apply them to practical work (Chinese pharmacy majors must be proficient in the theory of traditional Chinese medicine and study classic medical works);

2. Have rich clinical or technical work experience, be able to master undergraduate technical operation skillfully and solve complex and difficult problems. Proficient in mastering more than one foreign language (Chinese medicine, Chinese medicine personnel do not need it for the time being), and have a high level of scientific papers or works;

3. Be good at guiding the overall business of undergraduate course and cultivating senior talents in medical treatment, teaching and scientific research;

If a doctor violates the provisions of this Law and commits any of the following acts in his practice, the health administrative department of the people's government at or above the county level shall give him a warning or order him to suspend his practice for more than six months and less than one year; If the circumstances are serious, his practice certificate shall be revoked; If the case constitutes a crime, criminal responsibility shall be investigated according to law:

(a) violation of health administrative rules and regulations or technical operation norms, resulting in serious consequences;

(two) due to irresponsible delay in the rescue and diagnosis and treatment of critically ill patients, resulting in serious consequences;

(3) Causing a medical accident;

(4) Signing a certificate of diagnosis, treatment and epidemiology or a certificate of birth or death without personal examination and investigation;

(5) Concealing, forging or destroying medical documents and related materials without authorization;

(six) the use of unapproved drugs, disinfectants and medical devices;

(seven) not in accordance with the provisions of the use of * * * products, toxic drugs for medical use, * * and radioactive drugs;

(eight) experimental clinical treatment of patients without the consent of patients or their families;

(nine) the disclosure of patient privacy, causing serious consequences;

(10) taking advantage of his position to ask for or illegally accept patients' property or seek other illegitimate interests;

(eleven) in the event of natural disasters, infectious diseases, sudden heavy casualties and other emergencies that seriously threaten people's lives and health, do not obey the command of the administrative department of health;

(12) Failing to report the epidemic situation of medical accidents or infectious diseases, and the patient is suspected of being injured or dying abnormally.