Hospitalist Fellow

1. Qualifications资质和条件:
• China Medical School graduate 中国医学院毕业
• Complete******** years residency training an******** medical licensein China完成 三年住院医师规范化培训,有中国医师行医资格
• 1 year, but no more than 3 year, experiences working in a tertiaryhospital is prefered; working experience in ER or ICU is aplus.1-2年三甲医院工作经验且是急诊和ICU工作的医生优先.
• Fluent English both in reading an********, an******** in oralcommunication.英文读写能力强,口语能沟通.
• Passe******** step 1 an******** 2 test with acceptable score is aplus通过美国医师资格考试的第一和第二部分者优先
• Goo******** skills an******** skills 人际沟通能力强
• A short statement about your strength, weakness an******** long termcareer goal 请准备一份自我陈述，描述您的优势、弱势和长期职业目标。
• 3 reference letters, one from co-worker, one from residency trainingprogram an******** from chairman of current department or any otherdepartments you have working relationship with.请准备3封推荐信，一封来自同事，一封来自您的规培项目负责人，一份来自您曾工作的科室科主任。

2. Job Descriptions工作描述:
2-1: Inpatient Care:住院部工作
• Hospitalist Fellow will provide independent patient care in ER-ICUan********-wards in Renj******** under supervision of teaching attendingfor the variety of patient populations. Understan******** provideevidence-base******** practice an********-centere********.在项目指导老师的督导下，驻院全科医生将独立在仁济医院急诊科病房和监护病房工作，处理病房内各种病例。理解并提供循证医学为基础的，以病人为中心的医疗照顾。
• Clinical duties include: 临床职责包括：
a. Every morn******** communicate in-person with night shift physiciansto get hand-out about new patient admitte******** an******** coverissues每日与接班医生当面交班，介绍病房收新病人入院等需要交接的情况
b. Admission of new pat******** complete H&P in a timelyfash******** make diagnosis an******** ******** order additionalnecessary diagnostic test or studies an******** management plan for theadmitte********; 收新病人入院，按时完成病史收集和体格检查，作出诊断和鉴别诊断，完善入院检查，定制病人住院管理计划。
c. Follow up existing patient on daily bas******** rounding onpat******** makes problems list an******** plan;每日随访在院病人，完成查房，完成问题列表和治疗计划
d. Atten******** roun******** daily basis to discuss all patients withproblems list an******** plan 跟随主治医生查房，讨论病人的问题列表和治疗计划
e. Communicate with teaching attending about any patient in questionsabout treatment plan; 与带教医生就病人治疗计划的相关问题进行沟通
f. Communicate with nursing staff about patient care plan an********issues relate******** the patient care; respon******** nursing staff,pharmacist an******** other 与护理团队沟通，讨论诊疗计划等与医疗相关的其他问题，就用药等问题给与护理团队回复。
g. Communicate with patient an******** family about care plan an********plan an******** up issues. 与病人及其家人沟通诊疗计划、出院计划和出院后随访事项。
h. Discharge pat******** include: make discharge plan, completereconciliation of discharge me******** an******** recommendation offollow up plan an******** discharge summary in a timely fash********communicate with patient an********.安排病人出院，订立出院计划，完成出院前药品协调性（药品重整）管理
i. Atten******** conference, morning reports or noon conference, etc.Fellows are require******** make a case for M&M conference eachmonth. 参与教学会议，晨间汇报会或午间会议。每月参加病例讨论会议，并做一次病例汇报。
j. Actively involves in hospital projects relate******** patient safetyan******** assurance. 参与医院关于病人安全和质量保证的项目
k. Conduct ACLS for all patient in the ER-ICU an********-Ward.在急诊科病房和急诊监护病房参与所有病人的高级生命支持

2-2: Specialty Rotation******** 专科轮转
• Hospitalist Fellow will work an******** patient care as first yearfellow in that specialty department under supervision of teachingattending in that department. 驻院全科医生将在指导老师带教下，参与专科轮转
2-3: Medical Consultation service会诊服务
• Hospitalist fellow will provide medial consultation for patients whoare primarily admitte******** other subspecialty department an********medial issues that will nee********-management by medicine service在需要共同管理病人时，驻院全科医生将为收入其他科室的病人提供医疗建议。
• The consultation service will include: 会诊服务包括
a. Perioperative cardiac risk assessment an********-operation clearance围手术期的心脏风险评估
b. Perioperative complication co-management 围手术期的合并症共同管理
c. Perioperative medication management 围手术期的药物管理
d. Diabetes an******** management for surgical patient 外科手术病人的糖尿病和高血糖管理
e. Aspiration pneumonia management an******** 吸入性肺炎管理和预防
f. Pulmonary embolism an******** ******** management an********肺栓塞和深静脉血栓的诊断、管理和预防
g. Hyponatremia an******** in cancer patient 癌症病人的低钠血症和败血症
h. Pain management 疼痛管理
i. Acute encephalopathy an******** management 脑出血和谵妄管理

• Communication with referring physician about clinical assessmentan******** recommendations. 与顾问医生沟通临床评估和治疗建议。
2-4: Clinic Rotation: 门诊轮转
• Hospitalist fellow will provide ******** evidence-base********patient-centere******** care for outpatient under supervision ofteaching attending. 在项目指导老师的督导下，驻院全科医生将独立在门诊工作
• Service will include:工作范围包括
a. Interpretation of diagnostic test an********, order necessary test asneede******** make diagnosis an******** plan for outpatients withvariety of medical conditions.诊断性检查的解释，根据需要开具检查，针对门诊病人的各种情况作出诊断和治疗计划
b. Take prevention an******** intervention approach to promote patienthealth wellness. 采取预防和早期干预的措施改进病人健康情况
c. Make appropriate referral to subspecialty for patient with morecomplex medical conditions. 当病人出现更为复杂的情况时合理转诊给相关专科
d. Recognize medical condition with red-flag an******** emergency casesan******** adequate referral an******** to tertiary hospital.识别病人突然出现的病情变化，安排会诊并转诊到三甲医院
e. Perform ACLS for cardiac arrest patient in clinic setting . 对门诊出现的心脏骤停病人实施高级生命支持