介绍澳洲大学中医课程（三）
吴宇琛
SUM WU

Sum Wu

Registered Chinese Medicine Practitioner

Bachelor of Health Science in Traditional Chinese Medicine (UTS)

Bachelor of Science Majoring in Psychology (UOW)

Specialising in pain management and mental wellbeing through Tradition Chinese medicine in combination with modern science in mental health, dieting and nutrition.

吴宇琛，澳洲政府注册中医师、针灸师，五龙岗大学心理学学士、悉尼科技大学中医系学士，擅长用传统针灸理伤手法和中药治疗各种新旧损伤痛症，特别采用中医中药和现代心理学、营养学相结合调理治疗各种慢性病和亚健康。

Last time I talked about learning Traditional Chinese Medicine at UTS as a first year student and how it was taught using Pinyin. Today I thought instead of talking about 2^nd year, this time I would focus on the University clinic and what it was like as an intern student.

上次我谈到了作为大一学生在悉尼科技大学学习中医和这门课程是如何使用拼音进行教学的过程，今天我觉得除了大二的课程之外，我想先跟大家聊聊我们大学运营的 中医诊所和学生在里面实习的经验。

As I mentioned before our course provided us with a very unique and invaluable learning tool in the form of the student clinic. This clinic was located inside the university at Broadway just opposite the ABC building on Harris Street. It was conveniently located in the middle of all our other classes so it was very easy to get there after class and for those that are unfamiliar with UTS, the university it located in the City with campus buildings spread between Broadway and China Town and our university library is next to Market City.

正如我之前提到的，我们的课程以学生中医诊所的形式为我们提供了一种非常独特且宝贵的学习工具。 这个诊所在Broadway校区，在Harris Street的ABC 大楼对面。 它位置很便利，位于我们所有其他课的教室中间，所以下课后很容易到达那里，对于那些不熟悉UTS 的人来说，这所大学在city里，校园建筑分布在Broadway和唐人街，我们大学的 图书馆在Market City旁边。

Why was the clinic special? Well for starters most university internships are generally towards the later years of the course and you would generally intern at an external facility like at an office or hospital etc. Instead of that we had our own clinic called the UTS Student Clinic. It operated like a proper clinic and business and was opened to the public. We took walk-ins as well as bookings and it is where we developed most of our practical knowledge that we learnt in the classrooms but most importantly it was a clinic that was almost purely run by the students from the first year through to the fourth year.

为什么这个诊所很特别呢？ 对于刚开始学习中医的学生来说，大多数大学的实习通常是在课程的最后几年，学生通常会在医院等外部的机构实习。 而我们大学有自己的诊所，叫 UTS 学生诊所，它像正规的诊所和企业一样运作，并向公众开放。 有walk in（没有预约而自行来诊）和预约的方式，这是我们把在课堂上学到的知识运用到实践中去的地方，但最重要的是，这是一个从第一年到第四 年几乎完全由学生经营的诊所。

I have mentioned a few times previously that we start the internship practically within the first few weeks of the course and I keep mentioning this because of how impactful the experience the clinic had on us and let us get a real taste of what it is like to operate a Chinese medicine clinic as a practitioner as well as administrative staff.

我之前曾多次提到，我们实际上在开始上课的前几周内就开始了实习，我一直提到这一点是因为诊所的经验对我们有非常大的影响，让我们真正体验到了作为一个 真正的中医师和行政人员来经营中医诊所的感觉。

So how did the clinic operate? Well, the clinic was opened throughout the year during the weekdays and would only close during public holidays and between the 2 semesters. As the clinic is run with the combined effort and manpower of teachers and 4 years total of students this is not an issue. The clinic days would be divided into morning and afternoon shifts and you would be allocated to one of them on a roster. The clinic opened up at 7:30am and runs till 1pm and the afternoon shift is from 12:30pm to 6pm. I don’t really remember how our rosters were set in the first 3 years but in the 4^th year we had 2 shifts each week until we met our intern quotas.

那么诊所是如何运作的呢？ 诊所全年在工作日开放，仅在公共假期和两个学期之间关闭。 由于诊所是由教师和大一到大四学生共同努力和经营管理的，所以这不是问题。 门诊日分为上午班和下午班，我们会被分配到值班表上的其中一个班次。 上午班 7:30 开门，营业至下午 1 点，下午班时间为中午 12:30 至下午 6 点。 我不太记得前三年我们的排班表具体是怎么安排的，但在大四这年，我们在诊所每周轮班两次，来达到实习的配额。

For the first 2 years we mostly just shadowed the attending practitioner who was on clinic duty that day and observed the consultation and acupuncture treatment. We would be in groups of 5-6 following 1 teacher while at the same time there would also be 2^nd,3^rd and 4^th year students working as well. The most we did was taking turns feeling the pulse and writing notes during the consultation. During acupuncture sessions it was strictly observation only in first year.

在前两年里，在诊所的大多数时间只是跟随当天值班的主治医生，在旁边观摩问诊和针灸治疗。 我们会以 5-6 人为一组，跟随 1 位老师，同时也会有大二、大三和大四的学生在一起工作，我们做的最多的就是在问诊期间轮流把脉、写病例。 在针灸课的时候，大一期间只能进行观摩学习。

The most fun part was when we had to prepare the herbal formula. So obviously we would be under constant supervision especially if it meant the students got physically involved but preparing the prescription is fairly simple. We enter the teacher’s formula into a computer which then generated a label with the prescription and patient details and after we packaged the herbs up we would stick the label on like similar to a pharmacy. Due to the large number of students and with other classes to attend, we only had to do 5 shifts per semester in the first year, the minimum quote was 25hrs which does not sound like a lot but we also spent more time in class then and by the final year we had at least 150hrs that year alone. In total we had almost 300hrs of internship where on average other courses would be between 100-180hrs.

在诊所实习的过程里最有趣的部分是我们准备草药处方的时候，这个工作相对比较简单，当然我们肯定会受到老师和高年级学生的持续监察和指导，特别是因为学生会参与其中。 我们将老师的处方输入电脑，然后产生一个带有处方和患者详细资料的标签，在中药包好以后，我们会像药房一样贴上标签。 由于学生人数比较多，而且还有其他课程，所以第一年我们每学期只需要进行5次轮班，最少25小时，虽然听起来不是很多，但我们在课堂上花费的时间也更多了，所以 到学期末，光是那一年我们就至少有150小时的轮班时间。 所以总共有将近300小时的实习时间，而其他课程平均时间在100-180小时之间。

From the 2^nd year onwards we would be developing and building on the previous year’s knowledge and we would also start to take on more duties. We had to do the consultation ourselves and then provide our notes to the teacher who would of course follow up with the patient to confirm our diagnosis. From the 3^rd year the Tuina clinic is solely run by 3^rd year students so in addition to our acupuncture and herbal shifts we would also be the ones doing all the massage using all techniques we learn from one of our teachers called Dale who was a Westerner with a very strong interest in doing research on ancient texts.

从大二开始，我们会在前一年的知识基础上拓展，也开始承担更多的职责做更多工作。 我们开始独立进行问诊，然后向老师提交我们写的病例，老师当然会跟进患者以确认我们的诊断。 从大三开始，推拿的治疗就完全由三年级的学生来管理，所以除了针灸和中药轮班外，我们还使用从一位名叫Dale 的老师那里学到的知识来为患者进行按摩治疗，虽然 Dale 是一位白人，但他对研究古代文献有非常浓厚的兴趣。

The 4^th year is when it really starts getting more serious as the operation of the clinic was pretty much handed over to us and I’m not just talking about seeing our own patients or carrying out the treatments but the administration and business side of maintaining the clinic as well. So prior to this each student is also rostered to work as the receptionist for the clinic throughout the course and we were essentially the face of the clinic to the public. We took bookings and finalised payments and at the end of the day we would balance the register and close up. The students rostered for the day are also responsible for cleaning the clinic and getting it ready for the next shift.

大四开始的实习开始变得更加严格和正规，因为诊所的营运管理几乎全部交给了我们，不仅仅是看我们自己的病人和进行治疗，而是要维持诊所的管理和业务等各方面。 所以在此之前，每个学生在整个课程中都被安排担任诊所的前台，所以我们基本上是诊所面向公众的代表。 从接待预约到付款，并在一天结束的时候结算收银并整理收工。 当天排班的学生也负责清洁诊所并为下一班做好准备。

In the fourth year we were responsible for the market and advertising (using the university’s funding) the clinic as well as come up with new plans and strategies with making sure the clinic continues to develop and grow into a better teaching tool. The class was split into different groups that oversaw different aspects of the clinic. There was the rostering team that was responsible for figuring out the shifts for everyone, marketing team and advertising teach that worked closely with each other to hold events and produce advertisements, daily management maintained the clinic as supervisors as well as improve performance and efficiencies in the clinic and then there was the disciplinary team that created the rules and handed out infractions.

在大四我们也负责诊所的市场和广告推广（使用大学的资金），并提出新的市场计划和策略，以确保诊所继续发展并成长建设为更好的教学工具。 我们全班被分成不同的小组，负责监督诊所的各个方面。 其中包括排班团队负责确定每个人的轮班时间，行销团队和广告团队密切合作以举办活动和制作广告，日常管理人员作为主管维护诊所并提高绩效和效率，然后是纪律小组制定规则并处理违规行为 。

I was on the daily management team and helped put together a set of guidelines and list of duties everyone must perform as well as created the role of a shift supervisor who would help keep everyone in line. We also created guidelines on how to allocate treatment beds and booking practices as in the previous years they did not have a good enough system and made bookings a bit messy.

我当时在日常管理团队中，帮助制定了一套指导方针和每个人必须履行的职责清单，并设立了值班主管的岗位，帮助整个小组保持一致不出问题。 我们也制定了如何分配治疗床位和预约的指南，因为前几年他们没有足够完善的系统，导致预约有点混乱。

One of the most memorable changes me and my team made involved a prior incident with a student and blood letting. This particular student was very fond of blood letting as a treatment and one time during 3^rd year they made such a bloody mess so we had to specifically introduce new rules for them. Usually during blood letting we would, after sterilising the area, lance the acupuncture point and express out some blood which was very good for reducing heat instantly and sometimes we would combine it with some cupping to draw out more blood especially on the back. This mean that there would be some blood contaminated glass cups which we had to dispose of into a biohazard container for cleaning and sterilising via 3^rd party company. This particular incident traumatised some of the students working that day as they found 15-20 glass cups completely filled with thick jelly like blood and was inappropriately discarded on the treatment equipment trolley and the general waste bins in the storeroom. Obviously, the student responsible was reprimanded and as such my team came up with more stringent safety and disposal protocols to prevent this from happening again.

我和我的小组最难忘的经历之一是之前发生的学生放血治疗事件。 这位同学非常喜欢放血作为一种治疗方法，有一次在大三的时候他们弄得一团糟，我们不得不专门为他们引入新规则。 一般放血的时候，我们会在消毒完治疗部位后，刺破穴位挤出一些血，这种治疗对于去除热气非常有好处，有时会结合拔罐继续抽出一些血，尤其是背部。 这意味着会有一些被血液污染的玻璃罐，我们必须将其丢弃到生物危害容器中，以便透过第三方公司进行清洁、消毒和销毁。 为什么这件事让一些当天在诊所工作的学生受到了创伤？ 因为他们发现有15-20个玻璃杯子完全装满了浓稠的凝结的果冻状血液，并且被不恰当地丢弃在治疗设备手推车上和储藏室的普通垃圾箱里。 所以，造成这件事的负责学生受到了惩戒，所以我的小组提出了更严格的卫生处理守则以防止这种情况再次发生。

Overall the entire 4 years intern experience was the of the best times I had at uni as it not only provided important practical experience it also showed me firsthand what it would be like to run my own clinic.  We saw many patients during the 4 years and got to know some of our patients very well and I believe it is an experience that you will be hard pressed to find in another course.

总的来说，整个四年的实习经验是我在大学度过的最美好的时光，因为它不仅提供了重要的实务经验，也让我亲身体验了经营自己的诊所是什么样子。 在这四年里，我们接待了许多病人，并且对一些病人有了非常深入的了解，我相信这是我们在其他课程中很难找到的经历。

如有疑问想咨询小吴医师，可以在微信或whatsapp搜寻0404836368，加小吴医师微信或whatsapp，也可以发短信或致电0404836368作语音留言，小吴医师有空就会回复。

（吴宇琛中医师，澳洲政府注册中医师、针灸师，五龙岗大学心理学学士、悉尼科技大学中医系学士，悉尼好思维松轩药行主治中医师，本文仅供参考，具体诊疗应咨询专业 人士。）