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探讨病历书写对实习医师思维能力的培养
引用本文:刘春玲,邓应梅,肖蓓.探讨病历书写对实习医师思维能力的培养[J].中国病案,2008,9(8):14-15.
作者姓名:刘春玲  邓应梅  肖蓓
作者单位:首都医科大学宣武医院病案统计科,北京市,100053
摘    要:病历书写是临床实践中不可缺少的工作,也是实习医师必须掌握的临床技能。重视实习医师的病历书写质量是培养优秀的临床医师的重要过程。实习医师应养成良好的思维习惯,学习科学的思维方式,并融汇于临床实践及病历书写中,不断开拓临床视野,提高综合业务素质。

关 键 词:病历书写  临床思维  实习医师

Discussion of the writing medical records in cultivating the thinking of interns
Liu Chunling,Deng Yingmei.Xiao Bei.Dept,of Medical Records Statistics,Xuanwu Hospital,Capital Medical University,Beijing ,China.Discussion of the writing medical records in cultivating the thinking of interns[J].Chinese Medical Record,2008,9(8):14-15.
Authors:Liu Chunling  Deng YingmeiXiao BeiDept  of Medical Records Statistics  Xuanwu Hospital  Capital Medical University  Beijing  China
Institution:Liu Chunling,Deng Yingmei.Xiao Bei.Dept,of Medical Records Statistics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China
Abstract:Medical records writing is indispensable in the clinical practice,and it is also the clinical skills that interns must have.Emphasizing writing quality of interns is an important process to train excellent clinicians.Interns should cultivate good habits of thinking,study scientific ways of thinking and to integrate clinical practice and medical records in writing,and constantly open up clinical perspective,to increase the overall quality of business.
Keywords:Medical records writing  Clinical thinking  Intern
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