献给医学生们 | 助你在查房中幸存下来的五个小窍门
摘要: 查房(ward rounds)是医学生临床学习的重要环节,通过提前准备、主动参与和及时总结,可将其转化为宝贵的床边教学与实践机会。
- 提前到达病房,熟悉当日查房安排及患者情况,有助于做好充分准备并提前采集病史。
- 主动向医疗团队介绍自己,有助于获得更多的参与和指导机会。
- 随身携带笔、纸、听诊器及临床手册等必备物品,并记录所见病例以便后续复习。
- 在患者病历中书写记录不仅能加深理解,还能协助疲惫的住院医师,提升自身参与感。
- 查房结束后主动询问能否协助完成任务,有助于建立团队关系并获得更多学习机会。
小白老师说:Every medical student will attend hundreds of ward rounds during their time at university. These are often seen as mandatory a requirement, endured only to receive a signature of attendance. But they can be excellent opportunities for bedside teaching and examination practice, so here are some basic tips for how to make them worthwhile.
本文关键词:ward rounds 查房
How to survive ward rounds - top five tips
1. Arrive early
Don’t just arrive as the ward round is starting, you need time to prepare yourself.
Ensure you know exactly where on the ward the team will meet, who is running the ward round and what patients will be seen.
If it’s a surgical ward, watch the theatre cases the day before if you can or at the very least know about the procedures that were performed.
Arriving early gives you a chance to meet patients beforehand and take a quick history, which you can then present on the ward round.

2. Introduce yourself
Often students will just loiter around the nurses’ station and wait until somebody talks to them -be confident!
Tell the team your name and level of study when you get the chance, but don’t interrupt anyone to do so.
If they know your name, most doctors and surgeons are more likely to actively involve you in the ward round.
3. Be prepared
You need to carry the essentials – pen, paper and stethoscope are crucial.
The Oxford Handook of Clinical Medicine is a student favourite and is useful to have on hand if you need to find information quickly.
Ward rounds can last an age, so a small bottle of water and some sweets to boost your energy are useful things to carry.
Jot down cases you see and research them later as you will remember medical conditions a lot better if you can apply them to a patient you have seen.

4. Write in the notes
Writing in the patients’ notes can make an otherwise dull ward round more interesting.
You’ll be more involved, have the ability to ask more questions and you’ll be helping out a probably exhausted junior doctor.
5. Post ward round
If you have been diligent throughout then you should have got to know members of the team.
Ask the junior doctor what jobs need doing and if you can help in anyway.
You will likely be placed on the same ward for a series of weeks, therefore the more you get involved, the more likely teaching and learning opportunities will arise, which is after all why you are studying medicine. Whilst following a ward round like a lost puppy in my third year, I had the idea for a sketch (found below) reflecting the blunders that I have made as a medical student.

常见问题
医学生在查房中最常犯的错误是什么?
最常见的错误包括迟到、不主动介绍自己、缺乏准备以及被动跟随而不参与互动。
为什么建议医学生在查房时写病历?
写病历能让医学生更深入参与诊疗过程,同时帮助住院医师减轻负担,提升自己的临床思维和文书能力。
查房前需要做哪些准备工作?
应提前了解查房时间地点、负责医生、当日查看的患者名单,若为外科病房还需了解前一天的手术情况。
参考资料
How to survive ward rounds - top five tips
↗原文出处,提供查房实用建议