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Five model essays on attending doctor's work plan
Model work plan of attending doctor 1
First, political and ideological aspects.
Adhere to the leadership of the * * * production party, adhere to the socialist road, seriously study theory and important theoretical ideas, and the spirit of the _ _ meeting, and the political and ideological level has been further improved. Conscientiously implement the four disciplines and eight requirements put forward by the Central Commission for Discipline Inspection and the five prohibitions and five regulations formulated by the Health Bureau. Carry out regular warning education on professional ethics, law-abiding and honesty. Strengthen the construction of professional ethics and implement a prevention and punishment system that pays equal attention to education, system and supervision. In the work, always adhere to the patient as the center, quality as the core, treat patients as relatives, and serve patients wholeheartedly. Establish the concept of practicing medicine in good faith and taking patients as the center, all general practitioners consciously resist unhealthy trends, conscientiously implement democratic centralism, hold scientific affairs meetings on time, and strengthen employees' democratic participation in department management. The main work is as follows.
1, effectively solve the problem of expensive medical treatment: it is the responsibility and obligation of every doctor to reduce medical expenses, reduce the economic burden of patients and use drugs rationally. By strengthening the management of departments, the proportion of drugs decreased obviously, which had a great impact in our hospital, which really benefited patients and reduced their economic burden. Compared with last year, the proportion of drugs continued to decline, and now it has reached 37.8%, which is lower than the proportion of 40% in hospitals. Strict implementation of the one-day settlement system has increased the transparency of medical expenses.
2. Strengthen the service concept of patient-centered and quality-centered: To do this, we must work hard to improve the level of medical technology and service attitude, work sincerely and earnestly, exchange ideas carefully and patiently, make friends with patients, and make positive publicity for us with patients' mouths. The patient information feedback system is adopted to communicate with discharged patients in time, so that the number of patients coming here to see a doctor is gradually increasing. In the current increasingly fierce competition in the medical market, it is necessary to strengthen situational education for department members, enhance employees' awareness of crisis, competition and responsibility, and establish a new concept of facing the society, patients, actively looking for markets and patients. Put all the patient-centered ideas through the whole process of all the work in the department. Stimulate the positive spirit of department members and enhance the cohesion of the department. Cultivate the spirit of departments and establish the overall image of medical workers, that is, the image of angels in white with first-class service, exquisite technology, dedication and civilized service.
3. Rational drug use, reasonable fees, and effectively reduce the economic burden of patients: rational drug use is not only manifested in symptomatic drug use, but also in rational drug use. We should not only strengthen the study of all kinds of knowledge about drugs, especially the study of side effects, but also communicate with pharmaceutical experts frequently to truly use drugs rationally. Under the premise of not affecting the treatment effect of patients, it is also the direction of our general surgery efforts to provide medical services with the least cost. Strictly implement the one-day settlement system, patiently and meticulously explain the problems raised by patients, so that patients can clearly see the doctor and clearly spend money.
4. Opening the website of general surgery of the Fourth People's Hospital of Changsha: In order to increase the transparency of the department, our department established the website of general surgery of the Fourth People's Hospital of Changsha at its own expense, which was widely publicized, so that patients had already known about the department and their own diseases before coming to the hospital, and achieved certain results.
5. In the form of all departments, strengthen the management of departments, manage departments with various systems, and strengthen the implementation of the three-level rounds system. The implementation of all systems has been recorded, and good results have been achieved in the review of the Director's Manual.
Second, the commercial aspect.
There are many emergencies in general surgery, and the turnover is fast. The utilization rate of hospital beds was 86.72%, slightly higher than last year. Compared with last year, the number of people discharged from hospital this year was 852, and last year was 885, which was 33 times less than last year. The reason is related to the separation of the two glands and the shunt of patients. Business income was the same as last year, with gross income ranking ninth in the hospital (557 1 153 yuan this year and 4,835,376 yuan last year, an increase of 15.22% over last year) and net income ranking sixth (this year1954,266 yuan, last year/kloc-). The benefit (balance) ranks sixth. The proportion of drugs decreased from 38.8% last year to 37.8%, which was lower than the 40% proportion stipulated by the hospital. Average length of stay 10.55 days, 0.63 days more than last year. Basically complete the indicators issued by the hospital. Actively carry out business learning, and the pass rate of the three basic training assessment reaches 100%. 96% patients were satisfied with the service of medical staff. Departments and teams strengthen the management of medical quality, so that the coincidence rate of admission and discharge, the coincidence rate of diagnosis before and after operation, the rate of Grade A medical records and the qualified rate of basic nursing are all indicators issued by the hospital. Put an end to the occurrence of medical accidents, the incidence rate is 0. Major rescues were completed in 4 cases (multiple rupture of small intestine, urethral rupture, cervical fracture 1 case, spleen rupture 1 case, hemorrhagic shock, rib fracture and left fibula fracture), and the rescue success rate of critically ill patients reached 100%. Actively carry out quality and cost control of single diseases. The utilization rate of component transfusion is 100%.
1. Continue to learn basic medical knowledge and strengthen basic training. The development of modern surgery changes with each passing day. At present, the development direction of surgery is mainly minimally invasive to improve the survival rate and quality of life of patients. At the same time, surgery is also a very practical medical discipline, which requires us to have excellent basic skills to be competent for all kinds of work. In the second half of the year, continue to do the following work: 1, standardize the writing of medical records; 2. Standardize physical examination; 3. Strengthen the operation of clinical skills; 4. Deepen the skills and awareness of aseptic operation;
5, further master all kinds of first aid technology, strengthen the training of rescue knowledge and skills for all kinds of major trauma and compound injury. To master the basic knowledge of clinical medicine more comprehensively and systematically, surgery is not an isolated subject, but closely related to internal medicine, gynecology, pediatrics and other disciplines, especially the knowledge of respiratory, digestive and cardiac medicine is the basis of surgical treatment. Strengthen the study of basic knowledge of various disciplines, master the diagnosis and differential diagnosis of common and frequently-occurring diseases, improve the level of clinical treatment, avoid misdiagnosis and mistreatment, and effectively prevent medical bad reviews.
Model work plan of attending doctor II
First, around the grand goal of building a well-off society in an all-round way, combined with the industry characteristics of the health system, do a good job in a down-to-earth manner.
1. It is our unshirkable responsibility to study hard, thoroughly implement the spirit of _ _, and make a feasible hospital development plan around the grand goal of building a well-off society in an all-round way and combining with the characteristics of this industry.
2. It is the guiding ideology of the overall situation of hospital work this year to take the important thought as the guidance, take the social demand, people's satisfaction and the needs of the hospital's own development as the standard, and do solid work.
Second, advocate the eight-character school motto of dedication and love for the hospital, pragmatic and enterprising, and comprehensively improve the humanistic quality of employees.
3. Advocate the eight-character hospital motto of dedication, love for hospital, pragmatism and enterprising, and strive to create a United, warm, dedicated, positive and pragmatic hospital cultural atmosphere.
4. Let employees deeply realize that the defect of humanistic quality has become an obstacle to the development of the hospital, and comprehensively improving the humanistic quality of employees is the basis and prerequisite for improving and improving the medical quality. Choose the latest dermatologist work plan.
Third, actively adapt to the needs of the market, society and the masses. Rebuild self-image and improve hospital competitiveness.
5. With the development of economy and the progress of social civilization, people put forward higher requirements for the service concept and service mode of life-related industries, and the connotation of medical quality has also been greatly expanded. It is not limited to the efficacy and safety, but includes the whole process and results of providing medical services. Therefore, humanistic care throughout the whole process of medical service should become the mainstream culture and thought of hospitals. When the time is ripe, the hospital plans to set up a customer service center to coordinate the work of patients before, during and after treatment.
6. We should adjust our thinking, choose the right starting point, change passive beating into active participation in the whole process of medical quality monitoring, and understand and solve problems from the perspective of reshaping our own image and improving the competitiveness of hospitals. Combine the comprehensive management with the establishment of the Aiwei Society, and strive to create a warm and comfortable medical diagnosis and treatment environment. Abiding by the law and continuing to do a good job in family planning is also an important part of the hospital's work this year.
7, update the concept, strengthen the hospital's self-promotion, especially the propaganda and reporting work of maternal and child health care institutions. It is necessary to combine the functions of maternal and child health care institutions and choose a variety of marketing strategies to let the people of the city know about our work, technology and services. When necessary, the hospital set up a marketing department to take charge of this work.
Model work plan of attending doctor 3
I graduated from clinic in _ _ _ and was promoted to attending physician in _ _ _. Looking back on my past work, study and life, I summarize as follows:
Being promoted to attending physician is the beginning of my independent work. In order to improve my diagnosis and treatment skills quickly, I have been working in the emergency department for the past two years. The exercise of emergency work has enabled me to quickly improve my understanding and rescue level of acute and critical diseases, and I can skillfully handle medical emergencies such as acute left heart failure, acute coronary syndrome, bronchial asthma attack, hypertension emergency, grand mal's disease, upper gastrointestinal bleeding and hemoptysis. At the same time, he can skillfully rescue cardiopulmonary cerebral resuscitation. In my work, I deeply understand the qualities and conditions that a qualified doctor should have. Strive to improve their professional level, constantly strengthen business theory study, read a lot of medical magazines and books, insist on writing reading experiences and summaries, actively participate in online forums for medical majors, and often participate in various academic conferences, thus broadening their horizons and expanding their knowledge. Timely application of new theories and technologies to guide business work, proficiency in common diseases, frequently-occurring diseases and new diagnosis and treatment technologies in various internal medicine systems, as well as handling common diseases and various critical and difficult diseases in various systems such as cardiac arrest, drug poisoning and coma. , and strictly implement the work system, diagnosis and treatment routine and operating procedures in the work, thus avoiding the occurrence of misdiagnosis accidents to the greatest extent. My belief is to do my best to do my job well and relieve the pain of patients. Clinical work can not be separated from scientific research, and at the same time, I hope I can make some innovations. I have carried out a series of studies on the theme of stroke. In view of the sequelae of limb paralysis after stroke, the age of onset is high and the cure rate is low, I applied for the topic "Clinical application of compulsory exercise therapy for stroke hemiplegia" and proposed to strengthen limb rehabilitation with compulsory exercise therapy. In rehabilitation treatment, I found that compulsory exercise therapy has a better effect on the recovery of upper limb motor function. However, there is little difference between the recovery of lower limb function and general rehabilitation treatment. Therefore, the related research of "clinical analysis of treadmill exercise therapy for stroke patients with hemiplegia" was put forward. Treadmill exercise was used to treat the affected lower limbs, and good results were achieved. After more than a year's efforts, the project was finally completed, which made me deeply understand the hardships of medical research in clinical promotion. Although my project has achieved phased results, the treatment of stroke is a long-term work, and I hope to make more achievements in the future work. Since taking office, he has paid attention to personnel training, actively carried out guidance work for junior doctors, trained junior doctors in various common internal medicine operations, standardized the three-level medical treatment system, improved the diagnosis and treatment level of common and frequently-occurring diseases of junior doctors, organized lectures in hospitals for many times, and standardized various routine operation skills, which really played a key role in business.
I hope that I can pass this promotion evaluation and make my business in by going up one flight of stairs an excellent doctor.
Model work plan of attending physician 4
I. Basic information of the department
General medical staff * * * 18: 120, 2 deputy chief physicians, 4 doctors, 2 nurses, 8 nurses and 2 drivers; There are three doctors on duty every day, the director of the department is in the administrative class, and the other two doctors are on duty in the main class and the deputy class respectively. There are specialized nurses and assistant doctors in charge of 120 home visits, and the main driver is on duty 24 hours a day to ensure that home visits can be made at any time. The clinic also has a consultation desk, and the consultation nurse is responsible for the consultation to facilitate the masses to see a doctor.
The emergency department is equipped with 4 warm beds, 17 observation bed, 9 sitting transfusion chair beds, and 1 debridement bed, so that 30 people can be infused at one time. Each observation room is equipped with a water dispenser, air conditioner and electric blanket, and the warm ward is also equipped with gauze, TV, tea cabinet, flowers and napkins, so that patients can feel at home after living in it.
Now that our department has a debridement room, small debridement, small tent closure, dressing change, suture removal and small resection can all be carried out in our department, which can reduce the pressure on the surgical ward and facilitate the masses to see a doctor.
Two. Main work in _ _ and 9 years
(A) the development of business work
1. At present, the doctors on duty in our department are divided into regular classes and deputy classes every day, and they are on duty 24 hours a day. The main shift is mainly responsible for the treatment of emergency patients, ensuring that doctors can see the glass at any time in the diagnosis room.
2. The deputy physician is mainly responsible for the house call on 120, as well as debridement and suture (in the absence of the deputy physician, the main shift is responsible), pleural effusion and ascites pumping, rapid resection, etc. So that the patient can come with the doctor.
3. Nurses have at least four shifts during the day and two shifts at night to ensure that patients can stay under observation for infusion for a long time, so that patients can get infusion in time. Nurses advocate light makeup, neat clothes, seven voices and six hearts service, and nurses are on duty 24 hours a day, which puts an end to the phenomenon of seeing a doctor at night and calling doctors and nurses everywhere.
4. There is a guide nurse on duty in the outpatient hall, wearing a red shoulder strap for the guide nurse, who is responsible for guiding patients, facilitating the masses to find a suitable clinic, and changing the phenomenon that ordinary people can't find a place to see a doctor and wander around.
5. The environment of the infusion area has been improved, and various warm tips have been posted on the wall of the corridor. The observation room has a water dispenser, an electric blanket, a new high-grade bed, a new quilt and new sheets, so that after the patient moves in, it will be cool in summer, warm in winter and thirsty, and the patient will feel at home after moving in. Every bedside wall of the infusion room is equipped with a computer pager to ring the bell, so that patients can reach out and ring the bell directly after infusion or something happens, which has changed the situation of the old hospital.
6. 120 after the establishment of the ambulance center, it will be on duty 24 hours a day with two drivers on duty. The main shift is responsible for house calls, and the deputy shift is responsible for auscultation. Regular doctors, nurses and drivers are responsible for home visits every day. If there are two distress calls or emergencies at the same time, activate the co-driver, and two ambulances will be on standby at the hospital 24 hours a day to ensure that the ambulance phone rings three times and someone answers the phone. Put an end to the phenomenon that patients can't find a driver or wait too long for help in the past. Since May this year, the management of ambulance vehicles has been strengthened. Now it is stipulated that ambulances should be parked in hospitals, and drivers should check the condition of vehicles every day, clean the sanitation inside and outside the vehicles, so as to keep ambulances in a good standby state. Re-establishing the new image of 120 first aid has changed people's views on 120, and the social benefits have been continuously improved.
Based on the above factors, with the joint efforts of all medical staff, the emergency department has been recognized by the society, and the number of patients is increasing day by day, making the number of patients in our department (_ _ _ _ _ _) * *19776 (5060 cases per day). And during the observation, the number of transfusion 1 1066 (average daily check-in) was * * 568, 120 * * 466 (average daily 12), pleural effusion was 67 and ascites was 48. The economic and social benefits of our department have increased steadily.
(B) developed a variety of systems and posted them on the wall, specifically
1, first consultation responsibility system, intestinal outpatient system, responsibilities of doctors at all levels, infectious disease reporting system, medical safety system, emergency room system, fever outpatient system, debridement room system, etc.
2. Improve the rescue process of several critical diseases, such as upper gastrointestinal bleeding, left heart failure, shock, arrhythmia, organophosphorus poisoning, etc.
Model work plan of attending doctor 5
First, medical care.
In order to further strengthen the management of medical quality and attach importance to the quality training and professional ethics education of medical staff, a medical quality supervision group was established, which is divided into internal medicine system, surgical system, outpatient service and medical technology, and is responsible for standardizing and supervising any work related to medical quality in the clinical, outpatient service and medical technology departments of the hospital.
(1) Clinical departments
Focus on the quality of medical records (including inpatient medical records and archived medical records), the rational use of antibiotics, and the prevention of medical errors and accidents. And organize medical quality supervision team to discuss and formulate inspection and assessment rules and reward and punishment system.
1, quality of medical records: In strict accordance with the Code for Medical Records Writing in Fujian Province (revised edition _ _), further standard requirements are put forward for the writing of inpatient medical records, course records and related materials.
(1) Organize a steering group to check the quality of current medical records irregularly every month and compare them.
(2) Spot check and compare the quality of archived medical records every 3 months.
2. Rational use of antibiotics: According to the Management Measures for Rational Use of Antibiotics (Trial) formulated by shishi city Hospital in September, 20001,supervise whether clinicians use antibiotics rationally. Refer to Section III Evaluation of Rational Use of Antibacterials in this book.
① Indications and contraindications for use.
② The principle of preventive application of antibiotics.
3, the course of antibacterial treatment.
4. Therapeutic dose and route of administration of antibacterial drugs.
5. Combined medication and incompatibility. .
3, prevent medical errors, accidents and disputes
① Many loopholes and hidden dangers in computer printing medical records are found in previous medical records. In order to truly and timely record the patient's condition changes, it is stipulated that the admission record, the first course record and the operation record can be printed by computer, and the course record must be written in pen.
(2) Emphasis should be placed on the examination and registration of death cases, the discussion and registration of important and difficult cases, the rescue registration of critically ill patients and the true and accurate records of doctors' logs.
4, department organization learning diagnosis and treatment norms and related laws and regulations.
(2) out-patient department
1, further improve the outpatient function of each department, and do a good job in pre-inspection and triage of infectious diseases.
2. Set up and arrange an expert column in the outpatient department, and announce the professional expertise and visiting time of experts, so as to facilitate patients to see a doctor.
3. Organize quality inspectors to discuss and formulate inspection and assessment rules and reward and punishment system. Organize inspectors to inspect and evaluate outpatient medical records and prescriptions on a regular basis (1-3 months) in accordance with Fujian Medical Records Writing Standard (revised in May) and Management Measures for Rational Use of Antibacterials (for Trial Implementation).
(3) Medical technical assistance department
Organize the medical quality supervision team to discuss and formulate the contents and methods of inspection and assessment and the formulation of rewards and punishments.
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