實習醫生的兩大法寶

在醫學論壇上看到討論“臨床見習和實習時看什麽書”，看到推薦華盛頓手冊，不由參加了一下討論，給一點自己的心得，希望對今年開始的同學們有幫助。

如果是見習，華盛頓手冊也許就夠了。但是如果真正開始實習，我覺得這個還是不行。這本書隻是給出疾病的大體診斷標準和治療方向，覆蓋麵廣但是細節是不夠的，當然這是一個掌握平衡的問題，畢竟不是哈裏森內科學。

大多數住院醫生實習的醫院，都有uptodate的，這個是一個非常非常有用的網站，總結最新的研究結果，從診斷，治療，前景都有專門的分析，還附有詳細的reference。如果對某個疾病有疑問，棘手的治療，藥物的效果總結，這個網站無疑是首選。

另外，口袋裏放書，不如放PDA，epocrates軟件我覺得我們中國住院醫生每個人都應該注冊一個，藥物的計量（成人/兒童/肝腎調節用量），毒副作用，相互作用，市場價格，藥理機製，都在裏麵了，而且每過一段時間就會更新。這個軟件還有詳細齊全的實驗室檢查結果分析資料，疾病症狀和治療，常用的計算公式，等等。在值班的晚上收病人，和護士在電話裏給醫囑，真是救命的，嗬嗬。有時候開會無聊，也掏出來複習複習疾病名字，診斷。

有了這兩個法寶，回家再看看哈裏森，我覺得其他的書都沒有什麽必要，嗬嗬。

PS:
some prgrams including mine offer free PDA with epocrates installed already,so i didn't pay for it. make sure ask the program after match, so that you don't waste money.:)

if your program does not pay for it, i will stronly suggest get one anyway, most program refund the money because residents have education allowance every year.

http://www.epocrates.com/,

above is their website, they have free download so you can try it out.

they do have requirement for PDA, listed in the website, as well as different price range.

[sunydays]

It is better to have PDA cell phone, or Blackberry, not a sepearate PDA. Before entering the residency, I wodered if to buy a PDA, hestitated for a while. Finally decided to buy a PDA phone, I like the PDA phone lot. Double function in one item.

Although my program gives us a iPOD Touch, I barely use it. Too much to carry during on call. One cell phone, one PDA, one pager. too much.

[PsychyDoctor]

Good Point. Uptodate is pretty good. Actually, American Board of Family medicine https://www.theabfm.org/ is also a good site to check practice guideline. Even I am in the different specialty I still use Uptodate and abfm a lot as my references. Enjoy your residency! Also, both sites are good for step3 study reference.

[zhaoju2000]

收藏了！

[青海子]

休假近一個月,又要回國了.看了許多,覺得在病人角度,一個專科醫生的是更具有意義的.不過,情況似乎也有例外,優秀的專科醫生,好比一個優秀的戰士,能起到的作用如放在戰役的角度,卻也有限.魯迅先生棄醫從文的,也是這種考慮.但如今就不必如此,能把先進的體製和概念引入國內,那簡直是大功德了.

[落花飄零]

hehe, it's not your area, no wonder you are confused.:)

[selang2]

what are you talking about