家庭医学的作用原则和能力 课件.ppt

Colposcopy, Exercise stress testing, Flexible sigmoidoscopy, and many more!阴道镜检查，运动负荷实验，纤维乙状结肠镜检查，还有更多！ ECG心电图 Exercise Stress Test运动负荷试验 Holter/event monitors动态心电监护 Cardioversion with defibrillator 除颤仪除颤 Colposcopy 阴道镜 Cryotherepy 冷冻 Thoracentesis 胸穿 Paracentesis 腹穿 Lumbar puncture 胸穿 Intubation 气管插管 Cardio-pulmonary resuscitation 心肺复苏 Endoscopy内镜 Vascectomy 输精管切除术 Circumscision 包皮环切术 Not only Treatment of Disease but also Prevention不但治疗疾病而且预防疾病 Cancer screening 癌症筛查 Vaccinations 预防接种 Lifestyle modification 生活方式的改变 Cooperation with other specialists - health care professionals与其他专科医生合作 The Importance of Post Graduate Training毕业后培训的重要性 Medical school alone is not enough仅医学院是不够的 Medical information is increasing rapidly医学信息飞速增加 GPs need to know how to diagnose and treat common diseases, not just book knowledge 全科医生需要知道如何诊断和治疗常见病，不仅是知道书本的知识 Residency provides住院医生培训提供： Development of diagnostic and procedural skills 诊断和操作能力的发展 Awareness of developments in other specialties 了解其它专业的发展 Knowledge of how to use the entire medical system to benefit their patients知道如何使用整个医疗体系以使病人受益 Understanding of whole person care: bio-psycho-social-spiritual model of health理解全人的照顾：健康的生物-心理-社会-精神模式 GP is New in Many Countries全科医学在许多国家是新生事物 New Specialty新的专科 Challenge of deciding what it will be like 决定全科医学的模式是一个挑战 Integrating GP with existing medical system 将全科医学和现有的医疗系统一体化 Gaining acceptance with doctors and patients 得到医生和患者的接受 Becoming an attractive specialty to medical students 成为对医学生有吸引力的专业 Consider Changes in the Medical System医学界在考虑的变革 Need for adjustments in the practice of medicine医疗领域里需要调整之处 More time per patient 每个病人更多的时间 History taking 采集病史 Accurate diagnosis and management of patient 准确的诊断和治疗 Preventive care 预防性照顾 Patient education病人教育，Etcetera等 Need adjustments in how doctors are reimbursed 医生收入来源需要调整 Complexity 复杂性 Time 时间 The Need for a Good Model一个好的全科医学模式的需求 Meets patients primary health care needs 满足病人初级卫生保健的需要 Profes