How should I study if I want to become a doctor?

If you want to be a qualified doctor, what should you master while growing up? When you become a doctor in the future, how can you master relevant skills as soon as possible? What qualities should you possess? (Take an orthopedic surgeon as an example)

One virtue: one should have good medical ethics and basic social ethics. It sounds like not many people can take the oath of medical students at all times, but they can't wipe out their conscience.

1. Don’t regard making money as a very important thing. Don’t blindly pursue economic interests. China is too big and there are too many poor people. It is impossible to blindly make money from them and use your scalpel to cut your patients into pieces. In the end, it is you who may be cut into pieces. Feng Jianshu, Department of Hand Surgery, Shijiazhuang Third Hospital

2. Don’t let patients thank you in person or scold you behind your back. The current medical environment is not very good, and few people respect us from the bottom of their hearts. As an upright orthopedic surgeon, you must be considerate of your patients and ask questions. Even if you have a little trouble, the patient may understand. If you have a bad attitude towards the patient, the patient may It will cause trouble out of nothing and make you uncomfortable.! Never let a patient look down on you, stand tall.

3. Respect all people, including your patients, co-workers in the ward, and many colleagues and junior nurses who are already in the department and don’t care about him. Start by learning from others with an open mind. , anyone (including nurses in the department) may have more clinical knowledge than themselves, and can cultivate a humble attitude;

4. As doctors, we must be confident when working!

5. Diligence, this is a must-have requirement for all interns. Teachers always like diligent students, so that you can establish a good image in the department and everyone will like you. In this way, if you If you make any mistakes, people will quickly forgive you. On the contrary, no one will pay attention to you.

6. Not only learn the theory and practice from the teachers, but also learn the teachers’ principles and methods of dealing with people.

7. Be patient and bear the burden.

8. Be brave enough to admit your mistakes (but not openly to the patient) and summarize them repeatedly. Don't look for reasons or excuses.

9. Promote others in a timely manner to win the favor of colleagues (somewhat despicable:))

10. Think quickly and speak slowly. Listen carefully to other people's perspectives during case discussions. Interns know their status clearly. Don't say too much, and don't be silent. This scale must be grasped. Otherwise, your internship will be a failure. Because the internship stage is a transitional stage, when facing patients, you must speak in moderation. If you have any questions, please consult your superior physician. Do not answer questions casually because your clinical knowledge is still limited. Sometimes this can lead to misunderstandings. But if you don't say a word, you will lose your ability to handle problems independently and lose many opportunities. Therefore, you must pay attention to your speech. Don't completely accept other people's opinions, and don't listen at all. Have your own opinions, read more, think more, and talk less.

11. We must learn the good work style of regular hospitals, pay attention to details, and do not give up the principles of orthopedic treatment because of acquaintances. If there is a problem, acquaintances will ignore it, and the only one who will suffer is you. You must strictly observe this at all times. Principle.

Two wisdoms: give full play to one's thinking ability, and cannot completely copy others' things. You must have your own ideas and opinions. Use your brain more, summarize more, read more, do more, and learn more. As for the content of learning, it is not just surgery. I think relevant knowledge is more important. Perioperative management, diagnosis and treatment selection, and prognostic evaluation of different treatment methods are all very important, especially now and in the future when knowledge is leaping forward. , new techniques, and new materials will bring new developments to all disciplines. In addition, it is not easy to learn to observe subtle and typical changes in patients. It is not easy to combine theory and practice. Orthopedics is a cutting-edge specialty in surgery. It is very challenging to be an orthopedic surgeon. You must constantly update concepts, new technologies, new methods, and new methods. theory. For theoretical knowledge, you must know that the master leads you in, and practice depends on yourself. You need to read over and over again. After reading too many books, some theories will be formed.

1. The theory of orthopedics. In this regard, "Practical Orthopedics" and "Bone and Joint Injuries" are both classics. 1. First of all, you must like orthopedics, take this as your career orientation, read professional books frequently, and achieve gains every day,

2. Anatomy is most important. I am familiar with and even like anatomy. When I was learning anatomy, I always felt that everything around the bones must be taken care of and taken into consideration. However, you must have a mental map of the 206 bones, more than 600 muscles, and nerves and blood vessels of the human body. The surgical approach must be memorized. Familiar anatomical knowledge will help you make on-the-spot judgments, surgical thinking, and improve surgical techniques, especially As an intern, your anatomy knowledge is richer than others, so the teacher will naturally be more at ease with you, and you will have the most hands-on opportunities. Moving toward clinical practice, anatomy should be reviewed more frequently. In short, without knowledge of anatomy, you cannot be a good orthopedic surgeon. Also, anatomy is too important for orthopedics. The orthopedic book lists the surgical approach before each operation, which is all anatomical knowledge. People who don’t understand or are unwilling to learn anatomy can only be surgeons, which has no future. I do anatomy. I think a good way is to draw a partial anatomy by yourself when you have nothing to do, and if you don't know how to do it, just read a book. Once you can leave calligraphy and painting, you will be fine in this area.

This is how anatomy is learned when there are no cadavers. This is the most basic thing. In my opinion, learning systematic anatomy and local anatomy is not enough. It is necessary to establish a three-dimensional anatomical structure in your own mind, but this is something that requires real effort.

3. Imaging. The development of modern science and technology has made X-rays, CT (open face, three-dimensional), and MRI films always surround orthopedic surgeons. If you don't understand these, it is impossible to become an orthopedic surgeon. And you need to learn some common measurement methods on the film so that you can implement them practically when watching the film.

4. Surgery, surgery is practiced, and the best way is to combine theory with practice. Do what you can do with confidence and learn more about the latest surgical developments. If necessary, look for more opportunities to go to a higher-level hospital for further training.

5. Biomechanics. This is the principle on which orthopedic surgery can be performed. This is related to the intraoperative operation and the patient's better recovery after the fracture. Another feature of orthopedics is the knowledge of biomechanics. With the exception of orthopedics, no surgical system requires knowledge of mechanics. Personally, I believe that in orthopedics, biomechanics is no less important than anatomy. Orthopedic surgery is mainly reconstructive surgery. Without knowledge of mechanics, it is difficult to restore function to the reconstructed limb. To give a simple example: a tibia and fibula are fractured, and after reduction and plastering, the superior doctor asks you to be an assistant to help lift the leg. This is the most basic job. However, with some people's support, the alignment can be maintained very well, and the patient has no obvious pain; with some people's support, not only the patient screams in pain, but the final alignment is not ideal. There is knowledge about mechanics in it, and of course you need to practice a little more and put what you have learned into use.

6. Systematic understanding of orthopedic devices. Orthopedic surgery can be said to be the most flexible and changeable in the surgical system. With the emergence of more sophisticated orthopedic instruments, many old methods are gradually being eliminated, so it is necessary to understand the latest developments.

7. Read some orthopedic magazines, such as "Journal of Practical Orthopedics", and if your English is good enough, go to international websites to see the latest news.

(2) Clinical practice

1. Be diligent and perform multiple operations, such as bone distraction, plastic surgery, and plaster casts. Don’t miss any opportunity, especially now, try to be an assistant as much as possible. . .Don’t always want to be the chief surgeon, but first understand how to be a good assistant. The interns only watched from the sidelines, but after seeing the orthopedic surgery, I could still remember the general steps. As for the operating table, sometimes I was more intuitive, and sometimes I looked stupid when I didn't understand an operation. On the operating table, I really didn’t know what to do the first time, but it was almost the same the second time.

2. Before the operation, look at the anatomical approach and the basic steps of the operation; during the operation, carefully observe how the superior doctor handled it; after the operation, review the book carefully and write down the operation record and take study notes. Any skills and lessons learned after surgery should be summarized at any time. Surgery is never finished. The most important thing is when should the surgery be performed and which method is used. This is important. So accumulate carefully and summarize a lot.

3. When dealing with every patient, you must have your own ideas and be diligent in thinking. Meet one case, diagnose one case, treat one case, and improve one step. "Cases are alive and surgeries are alive. Although medicine is an empirical subject, you must have your own ideas and ask more why. Maybe we will be awarded the Nobel Prize in Medicine in the future by orthopedics! Just use your brain more. Not only As an orthopedic surgeon, it’s the same as any doctor. Sometimes when you deal with too many patients of the same type or similar types, you’ll get paralyzed and think, well, it’s easy for me to have this problem too. , but I admire those who have dealt with hundreds of cases, including the first 101 cases, as if they were facing an abyss and walking on thin ice.

4.. Practice gives true knowledge. Don’t let go of every patient you encounter in clinical practice. Check more reference books and literature, including domestic and foreign literature. English is very important. You can’t understand the latest technology and progress without reading foreign literature.

5.. Strengthen communication. People with different majors in different hospitals can communicate more. Sometimes you will gain a lot, especially in trauma, which involves many specialist treatments. You should try to learn surgical knowledge during the rotation. Including common diseases related to orthopedics, thoracic surgery, and neurological surgery. When you really come to orthopedics, you will not only deal with your own specialty and ignore other associated injuries.

6. Ask more questions, especially for teachers who like to ask questions. This will help you improve even if you like them. But for teachers who don’t like to talk, you should talk less, otherwise you will bore them. .

7. As a resident, don’t just focus on surgery. Pre-operative and postoperative management of patients, and rehabilitation training are also a subject, and you should also study hard

< p>8. See more patients, especially those with neurological diseases, and conduct repeated physical examinations. You must be careful, pay attention to systematic physical examinations, and do not miss any useful signs. Especially for patients with severe trauma, you must be more careful. Patients who have been treated by other hospitals must also be carefully examined. Even patients treated by higher-level hospitals or superior doctors must be carefully examined again. For beginners, the most taboo thing about orthopedic trauma is that they can only see the trees and not the forest. That is, only the local fracture is seen, while the damage to other parts of the body and the damage to blood vessels and nerves caused by the fracture are ignored.

9. Stay in the hospital more at night. The emergency room is your best chance to practice. Don't be too timid and take action when it's time to take action.

10. Visit the department. Random events in the operating room. If you are always in the department, you will have more opportunities to perform operations, and even become a first aid when there is a shortage of manpower.

11. Don’t rush to establish a professional direction. You must first know, even if you have seen most surgeries from the neck to the heel. Orthopedics has a lot of content, a wide range, all over the body, and there are no surgeries performed by orthopedic surgeons. Therefore, if an orthopedic surgeon wants to be very comprehensive, good at all diseases, and good at all surgeries, it is very difficult. It is more difficult to become an orthopedic surgeon, generally more than Other specialties require much more time. Nowadays, many hospitals or individual doctors divide orthopedics into small parts, and each person only deals with a small part. You just need to refine this part. Aren’t there many people who are famous now because of their spine?

12. Start with small things. Don’t do it carelessly because you think that small things like dressing a wound or dressing a wound don’t matter. There is a lot of knowledge, but fortunately medicine can train surgeons to be cautious about their work; start from the basics, and don't think that a debridement and suturing operation is too small to not do it. It can learn the real basic skills of surgery;

13. Don’t think of large hospitals as soon as you graduate. Grassroots training will benefit you throughout your life. This article is aimed at the fact that many young doctors in some large hospitals currently do not have much opportunity and time to have a comprehensive exposure to the knowledge of various fields of orthopedics. They often rotate for a few months, up to half a year or a year, and may be settled soon. direction, there must be insufficient basic training and weak basic skills. Nowadays, in many tertiary hospitals, the quality of attending doctors is indeed very poor. In relatively grassroots hospitals, the department groups are not so detailed, and all kinds of diseases and injuries can be seen, and there are more opportunities to practice on your own. Each has advantages and disadvantages. The former, the training may be relatively formal, the latter, it is good for the accumulation of experience, broadening the mind, and comprehensive thinking. Therefore, if you do not work in a larger hospital, it is not necessarily a bad thing. First, Your point of view is the authority, and others will listen to you. Second, the operation cannot be carried out without you. The disadvantages are: first, it is difficult to make progress; second, there is no room for any mistakes, even slight inflammation of the incision.

14 Don’t be reluctant to study after you know how to do surgery. After working for two years, you should read more books and re-read some books. After several years of practice, I believe that ordinary surgeries can be performed. However, what have you experienced after these few years? Is the surgery beautiful and the postoperative results are good? The same surgery was performed a few years ago and now. Do you have different feelings about being a surgeon? I believe that not every doctor is the same. This is the difference, which can also be said to be the difference in qualifications. Some people can be excellent surgeons, but they may not be able to be excellent internal medicine physicians. Doctors, and vice versa, a good physician may not necessarily be suitable for being a surgeon. In addition to diligence and interest, there are other factors involved. To give a simple example, I wonder if you have ever practiced orthopedics or surgery. During the operation, when your surgeon is operating, do you know when to adjust your retractor? Which direction and angle do you want to adjust? Do you know what you should do and what you shouldn't do? Do you feel like you have no one to rely on? Our teacher also told me that general surgery can probably be performed after several years of practice. However, the effect of the surgery, whether it is beautiful, how much bleeding, whether the complications are present and their severity, all have a big impact. There is a difference

15. You must know the comparison and cannot blindly follow it.

Three-body: The body is the capital of human beings. Orthopedics is not something that ordinary weak men can endure. You should always pay attention to exercising your body in your spare time. In fact, during exercise, you can not only exercise your body, but also relax your tense nerves, make friends, and serve clinical purposes.

Simei: Pay attention to the fact that every operation is a process of creating perfection. Disease is the devil. How to minimize the damage and consumption during the operation to achieve the ability to remove the disease. A successful operation is a process of creating beauty. Strong understanding of two-dimensional and three-dimensional graphics. Of course, if you happen to like abstract thinking, are good at using your mouth rather than your hands, etc., it does not mean that you cannot do orthopedics, but it may be a little more difficult to do (this is just a generalization, not an absolute).

Five Labors: The ability to work must be courageous to climb to higher peaks based on personal abilities, and do not always stay in the status quo. In this process, not only the improvement of personal abilities is gained, , and gained infinite pleasure and satisfaction.

Don’t give up, don’t abandon. High-intensity, fast-paced work, pressure from patients and within the hospital will make you breathless, and you will feel like you have no end in sight. Unless you're dawdling, this will be painful. When you compare with your peers outside, you will feel that you have paid much more, but your income is much less than them, which will cause you a huge psychological imbalance. Without the support of interest and the pursuit of one's own ideals (or dreams), it is difficult not to give up. As for not giving up, in fact every doctor will encounter difficulties, whether in diagnosis or on the operating table, please don't give up and believe that you can solve the problem. In fact, ten years of hard study are preparations for this time.