1 / 24

住院醫師六年的回顧與感想

住院醫師六年的回顧與感想. CVS R6 阮俊能. Contents. Why I chose to be a surgeon? What had I learned? Researches Plans in the future Acknowledgement Colleagues in the department My Family Suggestions. Why I Chose to be a Surgeon?. 外科醫師 Know nothing but do everything?

nura
Download Presentation

住院醫師六年的回顧與感想

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 住院醫師六年的回顧與感想 CVS R6 阮俊能

  2. Contents • Why I chose to be a surgeon? • What had I learned? • Researches • Plans in the future • Acknowledgement • Colleagues in the department • My Family • Suggestions

  3. Why I Chose to be a Surgeon? • 外科醫師Know nothing but do everything? • 內科醫師Know everything but do nothing! • 病理科醫師Know everything and do everything, but always too late! • 精神科醫師Know nothing and do nothing! • 放射科醫師See nothing and rule out everything! • 我在成大所見到的外科醫師 • Surgeons know everything and do something

  4. What Had I Learned? • R1~R2 records • R3~R6 records • Teach and Learn • Clerks & Interns • Nursing • Papers • Submitted & Accepted (3) • Rejected or not-yet-submitted (7) • Conference papers (23)

  5. R3 ~ R6 in Cardiovascular Surgery 2003 Aug. ~ 2007 May

  6. Adult Heart & Ascending Aorta Records in CVS NCKUH 2006,Aug 1~ 2007, May 31

  7. ECMO Records in CVS NCKUH 2004,Aug 1~ 2007, May 31

  8. Vascular Surgery Records as an Operator in CVS NCKUH 2003, Aug 1~ 2006, Oct.

  9. Congenital Heart Surgery Records as Operator in CVS NCKUH 2006,May 1~ 2007, June 6

  10. Palliative Congenital Cardiovascular Surgery Records in CVS NCKUH 2006,May 1~ 2007, June 6

  11. Teach and Learn • Clerks and Interns • Minimal requirements in CVS • 病例書寫 SOAP • Meeting preparations (晨會,科會..) • Nursing (SICU & General Ward) • Post-op care in CVS (adult & congenital) • Transplantation Care • Donor care • Recipient evaluatoin • Post-op Care

  12. Papers & Books (6) • 「成大醫學中心心臟移植患者治療實用手冊醫院--醫護人員指引」成大醫學中心移植小組 August 2005 • ECMO護理照顧準則「體外循環生命支持系統病人的護理」Nursing care of the patient with Extracorporeal Membrane Oxygenation（ECMO）國立成功大學醫學院附設醫院護理部 94年12月 • Jun-Neng Roan, et al. J Formos Med Assoc 2006;105(4):329-333. • Jun-Neng Roan, et al Emerg Crit Care Med. 2004;15(4):148-150. • Kan CD, Jun-Neng Roan, Yang YJ. Ann Thorac Surg 2006;81:742-4. • Ting-Tsung Chang, Tsuey-Yu Chang, Cheng-Chen Chen, Kung-Chia Young, Jun-Neng Roan, Yen-Chien Lee, Pin-Nan Cheng, and Hua-Lin Wu. . Journal of Clinical Microbiology 2001;39(9):3353-55.

  13. Papers unpublished (7) • Secular Trends of Primary Nosocomial Bloodstream Infection in a Surgical Intensive Care Unit of Medical Center • The Surgical Experience of Esophageal Atresia: To Minimize Occurrence of Anastomotic Stricture and GE Reflux • Esophageal Perforation Caused by Blast Injury- A Case Report and Literature Review • Abdominal septic aortic pseudoaneurysm caused by Campylobacter jejuni infection: a case report • Extra-anatomical Bypass for Pseudoaneurysm of Innominate Artery Infected by Melioidosis • Coronary Arteriovenous Fistula with Aneurysm Formation • Pneumoesophagogastroticus

  14. Conference Papers (23) • 地方月會(4) • 心胸外暨體外循環季會(8) • 心胸外學會(6) • 外科醫學會(4) • 世界外科醫學會 (1)

  15. Researches • 院內計劃 (R3) • Does the use of skeletonized internal thoracic artery as conduit of coronary bypass surgery compromise the vessel integrity?- Swine animal study Jih-Sheng Wen, Jun-Neng Roan, Chwan-Yau Luo • Cardiac transplantation (R6) • Therapeutic drug monitor of Mycophenolate mofetil • Markers of Cellular Rejection—CV +CVS

  16. Plans In the Future • Service • Surgery & Care • Heart failure (MVP, CABG..) • Heart Transplantation • Donor care protocol and education • Patient Care • Surgical techniques • Postoperation care • Data collection • Research MVP: mitral valve plasty, CABG: coronary artery bypass grafting

  17. Acknowledgement

  18. 外科部大家族 Mentors-2 Mentors-1 Mentors-1

  19. 外科部大家族 Nursing practioners Coordinators

  20. 感想與建議 • 在這競爭激烈的時代 • 各位學弟妹要更加努力學習 • 外科加護病房應分科照顧 • 醫療不是通識教育 • Pro-active > re-active • 及早發現問題intervention

  21. Emily Dickinson 1830-1886 • Surgeons must be very careful • When they take their knife! • Underneath their fine incisions • Stirs the Culprit-Life!

  22. 如果依 A, B, C, ...., X, Y, Z 字母排列的順序，一次給予 1, 2, 3, ...., 24, 25, 26 的配分

More Related