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  標題:楊咏山往港進修表現佳獲讚賞
    

編者按:本院每年均派出部份年青醫生往內地、香港、台灣等地著名醫學中心接受專科培訓,他們在培訓期間,刻苦學習、認真負責的精神獲得培訓機構的認同。以下我們選登香港大學兒童及青少年學系黃嘉賢顧問醫生的來函,信中對本院兒科楊咏山醫生在瑪麗醫院進修期間之表現表示贊賞。黃嘉賢顧問醫生來函原文如下,另附中文翻譯版。

 

Performance Review of Nicole Ieong Weng San

Training period: January 2007 to January 2008

     Nicole has been working in our neonatal intensive care unit (NICU) and paediatric intensive care unit during the above-mentioned period. Her performance is outstanding and consistently far exceeds expectations. She has greatly contributed to our neonatal service over the past year. All of us enjoy working with her.

 

Nicole started off working in NICU and she was able to acquire basic skills and knowledge in management of common newborn problems within a very short time. She has the chance to perform most of the commonly encountered technical procedures in NICU, including endotracheal intubation, setting central and peripheral intravenous catheters, intra-arterial catheters, chest drain insertion, and cranial and abdominal ultrasounds. She has learned most of the commonly used skills in NICU. She could independently manage micropremies with birth weight down to 500gm.

 

     She has also mastered basic and advanced ventilatory support, including use of different modes of non-invasive and invasive ventilators. She learned the principles of advanced treatment of respiratory failure, namely use of surfactant replacement therapy, systemic steroid, high frequency oscillatory ventilation and nitric oxide therapy.

 

     She demonstrated eager willingness to learn, and she is enthusiastic in observing nursing procedures and paramedics practices. In her last month of her attachment, she was allocated to various specialty clinics as observers, so as to enhance an adequate exposure to general paediatric problems seen locally.

 

 She is hightly efficient, and can usually finish designated tasks in time and achieve outcome beyond expectations. She is consistently reliable and responsible. Her clinical skill is very good, and she can always interpret clinical signs and laboratory test results and react appropriately and promptly. She has good attitude in finding answers to clinical questions, and has shown efforts to search for updated medical evidence to support her clinical management. That is one of the most valuable attitudes that I always stress on.

 

     She has taken part in presentations including departmental grand rounds, journal clubs and teleconference with Standford University. She has also helped in presenting mortality and morbidity cases in perinatal audit meetings.

 

 She has always a smile on her face, despite having been working very hard during the past year, when our NICU was exceptionally busy. She was gentle and nice to everybody here, making her well accepted by all medical and nursing staff.

 

    She has great potential in further pursue and development in neonatal medicine, and I am sure she would be very successful under your leadership in the future development of neonatal service.

 

 

 

楊咏山醫生於2007年1月至2008 年1月期間在香港瑪麗醫院的NICU及兒科深切治療部進修。她的工作表現自始至終非常傑出,遠遠超出了我們的預期。在進修的一年中,與我們的同事合作無間,對新生兒科的服務作出了巨大貢獻。

 

楊醫生將NICU作為她進修課程的第一站,在非常短的時間裡掌握了處理新生兒常見病的基本技能,如能進行NICU常見的各種有創操作,包括氣管插管、置放中心及周圍導管、動脈置管、胸腔引流管、顱腦及腹訲超聲,她能獨立處理出生體重低至500克的早產兒。

 

楊醫生同時掌握了包括有創及無創通氣的各種方法,學習了呼吸衰竭的治療進展及原則,亦即表面活性物替代治療、系統性激素治療、高頻振動通氣及氮氧治療。

 

 她表現出強烈的學習願望,熱心觀察護理和醫療輔助處理的流程。在最後一個月,她被指派作為觀察者參與各臨床專科的實踐,以擴展她除當地常見普通兒科疾病以外的視野。

 

楊醫生工作效率高,工作踏實負責,常能在指定的時間內完成工作且工作成果超出預期,臨床技能非常好,理解臨床體徵和試驗室結果並作出正確及快速的反映。努力尋找臨床問題的答案,不斷尋求支持臨床決策的更新證據,而這正是我特別強調的難得的工作態度之一。

 

她參與了科室、期刊俱樂部及與斯坦福大學電話會議的演述。

 

去年NICU出奇地繁忙,但既使工作繁重,楊醫生臉上總是展現笑容,對每一個工作人員和藹的態度使她得到了全體醫生、護士的高度認同。

 

相信未來楊醫生在新生兒醫療方面一定會有更大的發揮和發展。

 

香港大學兒童及青少年科學系顧問醫生     黃嘉賢

 

 

 

 

 
   

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