亲爱的同学,您好。为进一步提高小儿外科规培质量,请按照自己的实际情况如实填写此问卷。谢谢配合。
| 床号: | 姓名: | 住院号: | 入院时间: | 临床诊断: | |
| 患儿1: | ____________ | ____________ | ____________ | ____________ | ____________ |
| 患儿2: | ____________ | ____________ | ____________ | ____________ | ____________ |
| 患儿3: | ____________ | ____________ | ____________ | ____________ | ____________ |
| 患儿4: | ____________ | ____________ | ____________ | ____________ | ____________ |
| 患儿5: | ____________ | ____________ | ____________ | ____________ | ____________ |
| 患儿6: | ____________ | ____________ | ____________ | ____________ | ____________ |
| 值班时间: | 主班医师: | 急诊处理1: | 急诊处理2: | 急诊处理3: | |
| 夜班1: | ____________ | ____________ | ____________ | ____________ | ____________ |
| 夜班2: | ____________ | ____________ | ____________ | ____________ | ____________ |
| 夜班3: | ____________ | ____________ | ____________ | ____________ | ____________ |
| 夜班4: | ____________ | ____________ | ____________ | ____________ | ____________ |