内科学 绪论-王吉耀【荐】.ppt

INTRODUCTION TO INTERNAL MEDICINE Jiyao Wang, MD. MSC. Professor Chair Dept. of Internal Medicine Shanghai Medical College, Fu Dan University How to learn 1. To combine internal medicine with basic scientific knowledge 2. To combine theory with practice Lectures Introduction Pathogenesis Pathology Pathophysiology Clinical features Diagnosis Treatment, Prevention Bedside Teaching What is expected of the physician No greater opportunity, responsibility, or obligation can fall to the lot of a human being than to become a physician. Tact, sympathy and understanding are expected of physician. Te be a good Doctor In the care of the suffering, physician needs technical skill, scientific knowledge, and human understanding. The combination of medical knowledge, intuition, experience, and judgment defines the art of medicine, which is essential to the practice of medicine. The patient-physician relationship Physicians need to approach patients not as “cases” or “diseases”, but as individuals who is human, fearful, and hopeful, seeking relief, help and reassurance. Ideal patient-physician relationship Based on: Thorough knowledge of the patient Mutual trust Ability to communicate Clinical Skills Taking informative history; Performing thorough physical examination; Using diagnostic tools judiciously, always asking whether the results will alter the management and benefit the patient. History taken In listening to the history, the physician discovers not only something about the disease but also something about the patient. The process of history-taking provides an opportunity to observe the patients behavior and to watch for features to be pursued more. thoroughly during the physical examination. To develop effective reasoning skills Information gathering (informative history, thorough physical examination ) Problem synthesis Hypothesis generation Decision making Learning of Essential Skills Inquiry skills Thinking skills Problem solving skills Deali