IIBJUmBB QUAN Lt HOAT DONG THUC TAP LAM SANG CUA HOC SINH DIEU DUdNG i BENH VIEN BENH NHIET Ddl TP H 6 C H I MINH ^•n•i^ PhamlhlUuin B^nh vi$n Bfnh Nhi^t Odi TP Ho Chi MM 1 Vai trd ciia Ihifc tap lam[.]
IIBJUmBB Lt HOAT DONG THUC TAP LAM SANG CUA HOC SINH DIEU DUdNG i BENH VIEN BENH NHIET Ddl TP H CHI MINH QUAN ^•n•i^ PhamlhlUuin B^nh vi$n Bfnh Nhi^t Odi TP Ho Chi MM Vai trd ciia Ihifc tap lam sdng tgi Bfnh vi^n Thvc t|ip lam sang (TTLS) 6r cdc b?nh vi?n la n$i dung khong the thieu chucmg trinh dao tgo sinh vito Y khoa, HSSV digu duong (DD) Npi dung chilm glhi p h ^ ni^a sd tiet va hpc phin chuong trinh dao tjo TTLS giiip nguoi hpc tilp z^n b^nh nhan, lam quen voi moi tru&ng b?nh vi|n, ling dyng kiln thiic y hpc, ren luy?n tay nghe TTLS DD CO y nghia quan trpng vi^c Unh thinh kiln thiic, thii dp, kj> ning cua hpc vien DD TTLS giiip cho HS dupc trii nghidm thyc tl vi?c phin tich sy tic dpng ciia moi truong doi voi siic khde nguoi, tham gia xii ly cac truong hpp c4p Cliu, hpc cic bifn phip tri bio vf ning cao siic khde, cac nguyen tic co bin, ky ning, qui trinh chim soc ngudi bfnh Myc tieu cua TTLS DD li giiip thyc hifn tdt ky thujt chim soc ngudi bfnh mi HS phii lam dupc sau thdi gian thyc tgp Npi dung TTLS DD dupc quy djnh boi myc tieu thyc tap cua tCmg mSn hpc, nhiing ky nang phii hpc, nhiing ky nSng HS ty thyc hi?n da thgo, nhitng ky nang ciin phai CO giao vien giam sat, dupc xay dyng tren chuong trinh khung cua nginh DD Hmh thtie TTLS DD tiiy thu^c vao myc tieu, npi dtmg mon hpc, nhung phii tuan thu quy chl chuong trinh dio tgo, npi quy ciia co s* y tl, dong thai phat huy tinh chu dpng, sing tao, linh hogt cia HS de hoan thifn nhthig kj^ ning chuin myc cua DD vien Quin 1^ hogt dOng TTLS DD li qui trinh vgn dyng cac chiic ning quin 1^ mpt each sang tgo dl to chiic v i dieu hanh toin bp cic hogt dpng co liSn quan din hogt dpng thyc tip Chit lupng, hi$u qui TTLS DD cic co so dio tgo y khoa phy thu0c vio miic dO thyc hifn cic npi dung lien quan din vifc xiy dyng chuong trinh thyc tap; t6 chiic thyc hifn, quin ly thyc t|p DDLS; dOi ngu cin bp, bic si, hudng dan TTLS DD; co sd vgt chat, thilt bi ky thugt, tii chinh phyc vy Wi^n bil ngiy 151712013 - Ngiy (tuy^ ding 15/7/2013 24 • TillP CHt THlfTBIGlAO DMC-S(! 96-8/2013 cho hogt d$ng TTLS Hifn nay, s6 lupng HS hpc nginh DD tii nhieu ca sd dao tgo khic din TTLS d bfnh vifn Bfnh nhift ddi (BND) vdi quy md Idn Tuy nhifn, dpi ngii y bic Sl, CO sd vit chit, s6 lupng bfnh nhan, cic lo^ bfnh, cic phuong tifn thyc hinh cua bfnh vifn cd gidi han VI vgy, can phii tiep tyc phit huy kinh nghifm cda giio vien hudng din TTLS, tranh thii sy tgo dieu kifn cda linh dgo bfnh vifn, ning cao y thiic trach nhifm cua bic si, dieu dudng khoa thyc tgp Vifc de xuit mft sd giii phip quin ly ning cao chit lupng TTLS ctia hpc sinh DD d bfnh vifn Bfnh Nhift ddi TP Ho Chl Minh li gdp phin thyc bifn nhiing myc tieu ndi tren Bfnh vifn BND thufc Sd Y t l TP Ho Chi Minh, chuyen khoa vl cic bfnh nhiem trilng v i truyin nhilm viing nhift ddi vdi chi tieu 550 giudng bfnh nfi tru (180 giudng cho bfnh nhan trf em, 370 giudng cho bfnh nhin ngudi Idn) II V6i 650 cdn b^, vien chuc, B?nh vi$n BND co dgi ngu cdn b$ khoa hgc, giao su, ph6 gido su, tien st, tti^c st, bdc sT chuyen khoa 1, co trinh dg chuyen mon vCtag vdng vd chuyen sdu, dgi ngu DD viSn, kf thu^t vien lanh nghi c6 tinh thin ldm vifc nhift tinh vd trdch nhifm, ndm vihig chuyen mon vd su dyng thdnh th^o cac trang thiit bi hifn d^i chin dodn, dieu trj, chdm soc bfnh nhdn Dgi ngii Y bac sT, DD vien dugc ddo tao chinh qui, dugc gido dyc tot ve y di]:c, ve truyen th6ng ngdnh nghe, c6 trdch nhifm, thuong yeu, t ^ tdm, t^n tyy, khdng ng^i cyc kh6, gian kho, tim toi nghien cthi hgc hdi de chdm lo cho ngucri bfnh Mft nhihig nhifm vy cOa Bfnh vifn BND hifn Id thyc hifn TTLS ci^a hgc sinh DD Ho^t dgng ndy da c6 nhilu ket qud, gdp phin hinh thdnh, nang cao trinh df chuyen mon, kf ndng nghe nghifp, thai dg vd y due cilia hgc sinh thyc tfp DD, ddp i^ng nhu ciu cung ihig DD vi6n cho cdc co sd y te vd ngodi nui5rc Tuy v|iy, so vdi yeu cau vd nhifm vy m6i, ho^it dfng TTLS cila HS DD d bfnh vifn BND c6n bit c$p, cd vi so lugng HS thyc tfp, ngi dung chuong trinh, phuang phdp qudn ly, kiem tra ddnh b Xdy dung ki hogch gid ket qua thyc tfp, sy phdi TTLS DD ddm bdo tinh khoa hgp giua Bfnh vifn v6i ca hgc khd thi Xay dyng ki sd dao tao hoach TTLS cho hgc sinh DD Cdc gidi phdp qudn ly phdi cdn cur muc tieu, chuang ndng cao chdt iuffng TTLS trinh ddo t90, tieu chuin DD cua hgc sinh BD d bfnh vien da dugc quy dinh Ke vifn BND ho^ch TTLS phdi phii hgp a Ndng cao nhgn thiec vdi ke ho^ch ehung cua ca dgi ngu cdn bd qudn ly, bdc sd dao t^o va ke ho^ch ho^t sT, DD hudng ddn TTLS cho dgng cua bfnh vifn BND hgc sinh DD Thyc tap la Trdn co sd ke ho^ch ehung budc quan trgng quy giua CO sd dao t^o vd bfnh trinh ddo t^o nghe nghifp vifn, don vj chuyen trdch ciia D6i vdi nghe nghifp Uen bfnh vifn BND s6 xdy dyng quan den chdm sde su:c khde kk ho^ch chi tiet vk sit lugng, ngudi, ho^t dgng thyc thdi gian, ngi dimg thyc tfp, tfp tai cang quan trgng ngudi hudng din, cdc h6 sa Vifc nang cao nhfn thuc lien quan, va cdng khai ke phdi dugc qudn trift ho^ch de cdc tap the, cd nhan todn bg can bf, nhdn vien bfnh vifn, hgc sinh bfnh vifn, t^o nfn y thiic thyc tfp DD biet di ty gidc, trdch nhifm qudn ly hgc sinh chii dgng phoi hgp thyc hifn TTLS DD Cdn bg, nhan Di qudn 1^ chit lugng TTLS vien trye tiep hudng din ciia hgc sinh DD, cin cd ki TTLS cin nhfn thiic rd de ho^ch chi tiet, cy thi vi tiep ren luyfn, dao t^o HS thyc nhfn, phan bo HS den thyc tfp DD cd dugc nhihig kien tfp, qudn ly dgy - hgc ldm thiic, ky ndng ciia ngudi sang, h ^ chl nhOug bit cfp, DD vien Chit lugng TTLS triing l$p hofc bi dgng, khdng cOa hgc sinh DD phy thuge dong bg giiia co sd ddo tgo vd khdng phdi chi d gido vien bfnh vifn hudng dan d cdc ca sd ddo V Ndng cao chdt lugng t^o md lien quan tdi dfi cdng tde hudng ddn, kiim ngu cdn bg qudn 1;;^, bdc si, tra ddnh gid hogt dgng thgc DD ciia bfnh vifn Cd nhu tgp, tgo dieu kifn thufn lgi vfy, mdi t^o dugc sy thdng cho HS dugc tiep cfn vdl nhat cao nhfn thiic va bfnh nhdn, ho so bfnh dn, hdnh dgng cua tfp the cdn bf phuang tifn, thiet bj chSm qudn ly, bac sT, DD ddi vdi Sde vd ky thuft DD Moi mft hgc sinh DD den TTLS thao tdc, k^ thuft, nghifp vy TAP CHt THI^BIGlAO DMC-5096-8/2013 • !S AN LY GIAO DUC ciia cdng tic DD phii hudng din cy the, chi tiet de hpc sinh nim chac If thuyet, thinh thao thyc hanh thao tic lim sing Ting cudng kilm tra, giim sat thyc tip, khdng dl xiy nhiing thieu sdt Idn lien quan din chuyen mdn, kf thuat, sy ph6i hpp hoic y ddc cua ngudi BD qui trinh thyc tip Td chtic dinh gii tnmg thyc, khich quan, cdng bing, can nfu rd uu diem, nhupc diem cda HS qui trinh thyc tip, tgo difu kifn de HS tilp tyc hpc tgp, ren luyfn dl trd thinh nhiing DD vien chuin myc Dli mdi dinh gii TTLS phu hpp vdi phuong phip dgy hpc, vdi xu the thdi dgi vi nhu ciu nhan lyc y tl cda xi hpi, theo chuin nghf nghifp Cd nhu vgy, mdi tgo dfng lyc hpc tip, ren luyfn cua HS, CO sd dio tao vi bfnh vifn thyc tip d Tdng cudng bdi du&ng chuyin mdn, nghidp vg cho dgi ngU gido vien cia trudng va gido vien kiem nhi$m hudng ddn hpc sinh Sy phit triln ciia KH y tf, nginh DD hpc li rit nhanh chdng Chuang trinh dio tgo nginh Y phii ludn cgp nhit, ddi mdi dl dap ting nhu ciu y tl ngiy cang cao cila xi hpi Vi viy, cic co sd dio tgo DD vien phai cip nh|it nhiing tri thilc chuyen mdn hifn dai Cic giio vien hudng dan d Bfnh vifn BND phii dupc cgp nhit thdng tin, bdi dudng kien thirc mdi ve DD hpc Ngudi hudng dan TTLS phii luon ty bdi duong v i dupc bdi dudng ve dgo ddc, chuyen mdn, nghifp vy su pham Trong hudng dan TTLS, GV cin phat huy vai trd tich cue cua ngudi hpc, dim bio tot nhat ca ba myc tieu: Iden thurc, ky nang, thii dO Diy li hinh thiic hpc dupc ip dyng hogt dfng thyc tip ndi ehung v i TTLS DD ndi rieng: hpc tip tich cyc (active learning), hpc tip tir hinh dpng (action learning), hpc tip tir sy trii nghifm (expriential learning), hpc tip tir sy phin bbi (reflective learning), hpc tip qua dy in (project learning) e Tdng cudng phdi hop cdc ca sd dao tgo DD quan ly hgc sinh Chit lupng TTLS DD tgi cic bfnh vifn li qui trinh ket hpp thong nhit, ddng bp giila co sd dio tao vi CO sd thyc tip Co sd thyc tgp cung phii cd quyen dupc cung cip toin bp chuang trinh, npi dung, chuin kiln thurc vi ky ning dio tgo dl td chiic thyc hinh DD Bfnh vifn cti cic giao su, tiln si, bic si, DD vien cd uy tin chuyen mdn tham gia giang djiy tgi cic co sd dao tgo, xiy dyng chucmg trinh, dinh gii chuin dau vio v i diu Dio tgo nhan lyc nganh y cin phii cd sy phdi hpp chit che gifia CO sd dio tgo vi bfnh vifn, dl sin phim dio tgo dip dng t6t nhu ciu cham soc, bio vf, chiia bfnh cho nhin din Vi viy, vifc kit hpp vifn - trudng vdi md hinh "bfnh vifn co sd dio tgo y" vi md hinh "co sd dio tgo y bfnh vifn" li md hinh dang dupc phit triln rpng rii d nudc ta vi thi gidi Vi viy, quin \f HS DD TTLS tgi Bfnh vifn BND Ithdng phii la sy "khoin tring", mi phii ludn cd sy phoi hpp, cfng d6ng trich nhifm tir hai phia, Ket luan: Nhihig thay doi nhanh chdng ciia KHCN, ddi s6ng x i hpi vi nhu ciu chim sde sure khde cda nhin din di lim cho dio tgo nhin lyc nginh DD phii ddi mdi ve myc tieu, chuong trinh, n$i dtmg, phuong phip dio tgo, kiem tra dinh gii, dd cd hogt dpng TTLS tgi bfnh vifn Nhiing kit qui t6 chdc TTLS cho hpc sinh DD thdi gian qua cd y nghta rit quan trpng nhim thyc hifn yfu cau vi nhifm vy dio tgo Nhdng giii phip dl' xuit trfn khdng chi ip dyng vdi cdng tie TTLS DD tgi bfnh vifn BND mi cd the ip dyng d6i vdi cic co sd dio tgo vi bfnh vifn cd hoin (Xem ulp trimgSO) 26 • TAP CHl THifr B| GlAO DVC - Sfi 96 - 8/2013 ... thyc hifn TTLS ci^a hgc sinh DD Ho^t dgng ndy da c6 nhilu ket qud, gdp phin hinh thdnh, nang cao trinh df chuyen mon, kf ndng nghe nghifp, thai dg vd y due cilia hgc sinh thyc tfp DD, ddp i^ng... dyng ki sd dao tao hoach TTLS cho hgc sinh DD Cdc gidi phdp qudn ly phdi cdn cur muc tieu, chuang ndng cao chdt iuffng TTLS trinh ddo t90, tieu chuin DD cua hgc sinh BD d bfnh vien da dugc quy dinh... the, cd nhan todn bg can bf, nhdn vien bfnh vifn, hgc sinh bfnh vifn, t^o nfn y thiic thyc tfp DD biet di ty gidc, trdch nhifm qudn ly hgc sinh chii dgng phoi hgp thyc hifn TTLS DD Cdn bg, nhan