Do you still dare to live in Hutan Yue Mansion now?There was no information that indicated that Hutan Yue Mansion was uninhabitable, so there was no reason to think that they did not dare to live in Hutan Yue Mansion. There are better living facilities around the building. There are two first-class and above hospitals within a straight line of 3km (such as the hospital of the port of Dalian, which is 2.9 km away), two shopping malls, and a superior ecological environment. There are 39 parks within 3km, and the nearest one is only 417m away. At the same time, the transportation facilities were also relatively convenient. There were three subway stations (Hutan New District, Hutan Park, Xiuyue Street) within a straight line of 3km around. The rail transit was developed, and there were four bus stations within a straight line of 1km around. The educational facilities were also relatively complete. There were many kindergarten, primary school, and middle school within a straight line of 3 kilometers.
Medical career structured interview prediction questionsHere are some structured interview questions for medical careers:
** 1. Professional Knowledge **
1. Please describe the mechanism, diagnosis criteria, and current treatment methods of a common disease such as high blood pressure.
- There were many factors involved in the development of high blood pressure. From a genetic point of view, some patients had a familial hereditary tendency. In terms of environmental factors, high-salt diet, mental stress, and obese could all be induced. Its onset is related to the imbalance of the renin-antagonist-aldosteron-system (Raas). The increase in renin secretion will lead to an increase in the activity of the antagonic-converting-protein, which will lead to an increase in the production of Ang II, which will lead to the contraction of blood vessels and the increase in blood pressure.
- The diagnosis criteria was to measure the clinic blood pressure three times on different days without using anti-hyperbaric drugs, and the blood pressure was measured to be Systole Blood Pressure of 140 mm <anno data-annotation-id ="999c000 - 4445 - 4499-b99a-99999999999999"> Pressure </anno> and Diastolic Blood Pressure of 90 mm </anno>.
- The main treatment methods included lifestyle intervention, such as reducing salt intake, weight control, smoking and alcohol restriction, and increasing exercise. In terms of drug therapy, there were five types of antihypertensives commonly used, including diuretics (such as hydrogen thiazide), beta-receptor blockade agents (such as metoprolor), calcium channel blockade agents (such as nifedipine), Ang I converting electron receptor (such as captopril), and Ang II receptor antagonist (such as Losartan). Depending on the patient's specific conditions, the choice of single agent or combination medication was made.
2. If you encounter a patient with a suspected new infectious disease, how should you conduct the initial diagnosis and treatment?
- During the initial diagnosis, the first thing to do was to ask the patient's observational history in detail, including whether he had recently been to an area where infectious diseases were prevalent and whether he had come into contact with patients with similar symptoms. After that, a comprehensive physical examination would be performed, focusing on the patient's fever, cough, rash, and other symptoms and signs. In terms of laboratory tests, routine tests such as blood routine, C-reaction protein, procalcitonin, and specific tests for suspected infectious diseases, such as nuclear acid test (if it is a viral infection) or pathogen culture (if it is a bacteria infection, etc.) should be carried out.
- In terms of treatment, the patient should be immediately isolated in a separate ward to avoid contact with other patients to prevent the spread of the disease. Report to the relevant departments of the hospital and start the emergency treatment process of infectious diseases in the hospital. Treat the patient with the right symptoms, such as fever reduction and cough relief. At the same time, observe the patient's condition closely and wait for further examination results to confirm the diagnosis and adjust the treatment plan.
3. How to ensure that medical procedures (such as injections, surgeries, etc.) are sterile?
- For the injection operation, the first thing to do was to ensure that the injection environment was clean and that the operation was carried out in a special injection room. The operators should wash their hands, wear masks and hats, and strictly abide by the sterile operation procedures. Injections such as syringe and needle must be sterile. Before use, check whether the packaging is complete. The injection site had to be disinfected. Usually, it was disinfected with povidone or alcohol according to the standard disinfection range and method.
- During surgery, the operating theater had to be strictly cleaned and disinfected. The surgical instruments had to be sterilized by high temperature and high pressure or other effective sterilization methods. The surgeons had to undergo strict preoperative preparations, including changing surgical gowns and wearing sterile gloves. During the surgery, it was necessary to avoid contamination of the surgical area and maintain the sterile state of the instrument table and surgical field. Once it was found that there was a possibility of contamination, it was necessary to replace the relevant items in time.
** 2. Interpersonal relationships **
1. If you had a disagreement with a colleague on the treatment plan, how would you handle it?
- First of all, he had to remain calm and respectful. He had to recognize that colleagues might have different opinions based on different clinical experience or knowledge backgrounds. Then, I will have an in-depth communication with my colleagues. Both parties will explain the basis of their treatment plans, including the relevant clinical research results and guidelines. If there are still differences, we can consult the senior doctors or experts in the department for more authoritative opinions. Throughout the entire process, the patient's interests must be taken as the starting point to ensure that the final treatment plan chosen was the most suitable for the patient's condition.
2. When faced with an emotional patient's family member, how would you communicate with them?
- I will choose a relatively quiet and comfortable environment to communicate with the patient's family. First of all, I have to express my understanding of the family's feelings and let them know that I can understand their concern and worry for the patient. Then, he explained the patient's condition to the family members in a gentle and patient tone. He tried to use easy-to-understand language and avoid professional terms. During communication, they should actively listen to the family's thoughts and demands and give them enough time to express themselves. If the family members have questions or dissatisfaction with the treatment, they should answer in detail and inform the family members of our treatment plan and purpose, as well as the possible risks and prognosis, so as to enhance the family members 'confidence in the treatment.
** 3. Hot topics **
1. How do you view the application and development of medical artificial intelligence in the medical field?
- Medical artificial intelligence had a wide range of applications and huge development potential in the medical field. In terms of diagnosis, artificial intelligence could assist doctors in the diagnosis of diseases by learning a large amount of image data (such as X-rays, CT scans, etc.), improving the accuracy and efficiency of diagnosis, especially for the identification of some minor diseases. In terms of disease prediction, it could predict the risk of disease based on the patient's medical history, genetic data, etc., which was beneficial for early intervention. However, there were also some problems, such as data privacy protection issues, and the accuracy of artificial intelligence systems needed to be continuously improved to avoid misdiagnosis. At the same time, medical artificial intelligence could not completely replace doctors, but should be used as an auxiliary tool for doctors. A doctor's clinical experience and humane care still played an irreplaceable role in the medical process.
2. With the aging of the population, how could the quality of medical services for the elderly be improved?
- First of all, we must strengthen the training of geriatrics professionals, including geriologists, nurses, etc. They need to master the special physiological and pathological characteristics of elderly patients, as well as the corresponding treatment and nursing methods. Secondly, it was necessary to improve the medical facilities for the elderly. For example, hospitals and pension institutions should set up accessible facilities suitable for the elderly, and wards should be equipped with equipment to prevent accidents such as falls. In terms of the medical service model, a multi-disciplinary cooperative diagnosis and treatment model could be promoted. In view of the characteristics of elderly patients often suffering from a variety of chronic diseases, multi-disciplinary experts such as internal medicine, surgery, and rehabilitation departments could be organized to jointly formulate a customized treatment plan for elderly patients. In addition, community medical services for the elderly could also be strengthened and family doctor contracting services could be launched so that the elderly could enjoy basic medical and health care services in the community.
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