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1、我在美国做医生（I'madoctorintheUnitedStates）I'madoctorintheUnitedStatesItishardforustobearesidentdoctorintheUnitedStates,andpeoplewhohavetoexperienceitcanexperienceit.Here'smylifeatamiddlelevelstatemedicalschoolintheUnitedstates.Intheearlymorning,whenthestarsarestill
2、winking,I'mgettingup.Thetubehimselftoonegroupofpatientsseenonthedaybeforetheinsideproblems,theexaminationandconsultation,thepatient'sresponsetotreatmentshouldbeawareof,cannevertrusthisstudentsandinternssaid,becauseofthewrongmessageaccordingtotheothersmadethew
3、rongjudgmentisthefaultoftheirown,andahospitaldoctorisnotwrong.AttendCory'smorningmeetingat7o'clock,listentothereportofthelastresident,andparticipateinthediscussion.Duringthisperiod,itisverylikelythatoneortwopatientshavebeenadmittedintotheirgroup.After8o'clock
4、,Iwasbusyuntil8a.m.onthesecondday.Duringthisperiod,Iwasresponsibleforeverything.Emergencydepartmentandoutpatientdepartmenttocollectpatients,MICU,CCUandotherdepartmentstotransferofpatients,otherdepartmentstoconsultation,allisonething,butalsotothetimetodointheg
5、rouprounds,listentothestudentsandinternsonthedayofthehealthplanfordoctorrounds.Sothedoctorcheckedtheroom,Iwillineachpatientrecordforaperiod,andviewtheinternunderthedoctor'sadvice,urgingthemtocallallthenecessaryconsultationdoctor,toensuretheimplementationofthe
6、plan.Fornewpatients,eachpatientshouldcarefullyread,makethemostpossiblediagnosis(Workingdiagnosis),proposetreatmentprograms,instructionstointernsunderthedoctor'sadvice.Weshouldalsoconsiderthedifferentialdiagnosis,anddoallthenecessaryexaminationconsultation,soa
7、stoavoidmisdiagnosis.Hospitalrequirementswithin24hoursmustcompletemedicalrecords,soalsointhepatient'sgap,seizethetimetowritemedicalrecords.Ifpatientsneedtodoanykindofintubation,whetherthecentralvein,arteryortrachea,allkindsofpuncture,whetherjoint,chest,abdomi
8、nalcavityorspine,isalsomything.Intheevening,weshouldbegintothinkaboutthemorningmeetingtomorrow.Ourdepartmentregulations,eachresidentmustbewithinseconddaysofthemorningmeetingof3medicalreco
