| 关于提高实习生病史采集和病历书写质量的思考 |
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| 引用本文： | 桑爱民,周庆,戴林,吴彩霞,袁芳,陈晓庆.关于提高实习生病史采集和病历书写质量的思考[J].淮海工学院学报(社会科学版),2011,9(18):99-100. |
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| 作者姓名： | 桑爱民 周庆 戴林 吴彩霞 袁芳 陈晓庆 |
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| 作者单位： | 南通大学附属医院,江苏南通,226001 |
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| 摘 要： | 病史采集和病历书写是医学生实习期间必须掌握的基本临床技能,更是对学生临床诊断思维能力的考验和锻炼。提高实习生病史采集与病历书写质量,需要注重岗前教育,实习过程中应强化带教引导和指导责任,并经常开展病史采集和病历书写竞赛活动等。
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| 关 键 词： | 实习生 病史采集 病历书写 |
On Improving the Medical Interns' Ability of History-taking and the Writing Quality of Medical Records |
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| SANG Ai-min,ZHOU Qing,DAI Lin,WU Cai-xia,YUAN Fang,CHEN Xiao-qing.On Improving the Medical Interns' Ability of History-taking and the Writing Quality of Medical Records[J].Journal of Huaihai Institute of Technology,2011,9(18):99-100. |
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| Authors: | SANG Ai-min ZHOU Qing DAI Lin WU Cai-xia YUAN Fang CHEN Xiao-qing |
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| Institution: | SANG Ai-min,ZHOU Qing,DAI Lin,WU Cai-xia,YUAN Fang,CHEN Xiao-qing(The Affiliated Hospital of Nantong University,Nantong 226001,China) |
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| Abstract: | History-taking and medical records' writing is a fundamental technology that should be mastered by medical trainee in the course of internship;it is also the practice and examination of the students' clinical thinking ability.Improving the quality of history-taking and medical records depends on the pre-position education,and the enforcement of instruction and guiding responsibility.Occasional competitive campaigns are also suggested. |
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| Keywords: | intern history-taking writing of medical records |
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