全科医生应掌握的技术和操作Kim Potter, MDIn His Image Family Medicine Residency ....ppt

1 Occipital Nerve Block * * This step gives the learner an idea of how long the skill or procedure normally takes, it role models patient interaction and it provides a holistic example. * * If a patient isnt available or if it is risky or embarrassing, you might want to use a simulator or standardized patient. You may need to guide the students hands to help them transfer the knowledge from their brains into their hands * * Kim Potter, MD In His Image Family Medicine Residency Program Tulsa, Oklahoma 全科医生应掌握的操作和手术 Patients need these procedures病人需要这些操作 We enjoy doing them我们喜欢做这些操作 They bring good sources of revenue这些操作是好的收入来源 我们为什么要做操作？ Based on training, interest and community needs建立在培训、兴趣和社区需要基础上 Out patient care门诊照顾 In patient care住院病人照顾 Common procedures常见操作 Rare procedures少见操作 Emergent / Urgent procedures急诊/紧急操作 Specific procedures requiring additional training要求额外培训的特殊操作 Procedures frequently needed in the community社区经常需要的操作 做什么操作？ Dermatologic Procedures皮肤科操作及小手术 Eyes, Ears, Nose, and Mouth Procedures眼、耳、鼻、口操作 Cardiovascular Procedures心血管操作 Respiratory Procedures呼吸系统操作 Gastrointestinal Procedures胃肠道操作 Gynecologic Procedures妇科操作 Obstetric Procedures产科操作 Urinary Procedures泌尿系统操作 Orthopedic and Musculoskeletal Procedures矫形外科和骨骼肌肉操作 Anesthesia Procedures麻醉操作 做什么操作？ Skin Biopsy1 皮肤活检 KOH examination 氢氧化钾检查法（真菌检查的一种方法） Soft Tissue Aspiration 软组织抽吸 Incision and Drainage2切开和引流 Wound care: Bites, Burns 伤口照顾：咬伤、烧伤 Skin Closure3皮肤缝合 Ingrown Toenail Removal嵌趾甲去除 Foreign Body4 Removal异物去除 Skin Lesion Removal5 皮肤病损去除 Subungual Hematoma Excision 指 (趾)甲下血肿切除 Topical Hemostasis 局部止血 皮肤科操作 Tympanometry鼓室压测量法 Ophthalmoscopy and other eye exam1检眼镜检查和其它眼部检查 Visual Evaluation视力评估 Corneal Foreign Body Removal角膜异物去除 Eye Irrigation眼部冲洗 Eye Trauma Stabilization 眼外伤处理 Eyelid Eversion睑外翻 Eyebrow Laceration Repair眉撕裂伤修复 Auricular Hematoma Evacuation耳血肿清除 Cerumen Impaction Removal2耵聍堵塞去除 Epistaxis control鼻出血控制