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Pattern-Based Learning: An Educational Model for Radiology Assistants 基于模式的学习:放射科助理的教育模式
Pub Date : 2020-09-01 DOI: 10.22038/FMEJ.2020.50001.1342
H. Moonaghi, S. Alamdaran, A. Emadzadeh, B. Abbasi, Parmis Hoseini, E. Bakhtiari
Background: Studies show that planning, strategy making, and modeling have greater impact on the achievement of learners than other educational factors. The aim of the present study was to evaluate the changes in clinical competency of radiology residents by teaching and training educational models of radiologic Pattern recognition - diagnostic Approach - Feedback on diagnosis (PAF).  Methods: This semi-experimental study was performed at Mashhad University of Medical Sciences from 2018 up to 2020. The participants were 60 radiology residents divided randomly into two groups of 30 subjects in two educational centers. Eight training sessions were held at one of the two educational centers for teaching this model to assistants. Then, the clinical competency of residents was evaluated by four exams. In addition, residents' satisfaction was also determined by a confidential survey conducted by the university. The parametric tests were used for data analysis. p Results: Comparison of the scores of two groups in OSCE exam showed that in the second and third-year of being assistance, the scores of the intervention group were significantly better than the control group (P=0.02 & 0.05), but no significant difference was found between the two groups in the formative (qualitative) and multiple-choice question exams. About 82.7% of radiology residents were satisfied with this educational model. Conclusion: Pattern-based learning, including PAF, is a practical suggestion for problem-based learning in medical imaging. It can lead to improvement of the clinical competency in radiology residents, especially levels 2 or 3.
背景:研究表明,与其他教育因素相比,计划、策略制定和建模对学习者成绩的影响更大。摘要本研究旨在探讨放射学模式识别-诊断方法-诊断反馈(PAF)教育模式对住院医师临床能力的影响。方法:本半实验研究于2018 - 2020年在马什哈德医科大学进行。参与者是60名放射科住院医师,随机分为两组,每组30人,分别在两个教育中心接受研究。在两个教育中心之一举办了8次培训课程,向助理教授这种模式。然后,通过四项测试对住院医师的临床能力进行评估。此外,居民的满意度也是由大学进行的一项保密调查确定的。采用参数检验进行数据分析。p结果:两组OSCE考试成绩比较显示,在接受帮助的第二年和第三年,干预组的得分显著优于对照组(p =0.02和0.05),但在形成性(定性)和多项选择题考试中,两组之间无显著差异。约82.7%的放射科住院医师对这种教育模式感到满意。结论:包括PAF在内的基于模式的学习是医学影像学中基于问题的学习的一种实用建议。它可以提高放射科住院医师的临床能力,特别是2级或3级。
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引用次数: 0
Coronavirus and medical education: Getting change and turning to new education paradigm: the need for scaffolding learning in online training 冠状病毒与医学教育:改变并转向新的教育模式:在线培训中支架式学习的必要性
Pub Date : 2020-06-01 DOI: 10.22038/FMEJ.2020.48671.1331
L. Mosalanejad, Mehdi Dastpak, S. Ahmadi
Coronavirus pandemic has caused extensive changes in various fields. Education is one challenging and necessary dimension to be paid attention by policymakers and considered as a necessity. Due to changes in the methods and styles of providing medical education from face-to-face to virtual training, and due to its novelty in our country and several challenges ahead, it is necessary to take measures an effective support for better performance of students so that they can monitor their movement to achieve excellent training goals. This will be gained by supporting students’ performances and creating appropriate scaffolds for them. This article covers the needs for scaffolding, the manner and challenges and the related reasons. Also the necessity to be involved in teacher's activities is emphasized so that the quality of education at the present time may be improved.
冠状病毒大流行给各个领域带来了广泛的变化。教育是一个具有挑战性和必要的方面,需要政策制定者予以关注,并被认为是必要的。由于提供医学教育的方法和风格从面对面培训到虚拟培训的变化,由于其在我国的新颖和面临的一些挑战,有必要采取措施,有效地支持学生更好地表现,使他们能够监控自己的运动,以实现优秀的培训目标。这将通过支持学生的表演和为他们创造适当的脚手架来实现。本文介绍了搭建的必要性、方式和挑战以及相关原因。同时强调了参与教师活动的必要性,以提高当前的教育质量。
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引用次数: 0
The Effect of Logbook on the Clinical Training Aspects of Oral Medicine from the Perspective of Students and Faculties of Ahvaz School of Dentistry 从Ahvaz牙科学院的学生和学院看航海日志对口腔医学临床训练的影响
Pub Date : 2020-06-01 DOI: 10.22038/FMEJ.2020.47864.1326
Fatemeh Babadi, M. Shooriabi, Hamed Saberikia, M. Cheraghi
Introduction: Assessment of student clinical performance is one of the most difficult tasks of faculty members. Logbook is one of the most effective methods for educational assessment. The aim of the present study was to assess the efficacy of logbook from the viewpoints of Ahvaz dental students and faculty members of Department of Oral and Maxillofacial medicine. Methods: The present cross-sectional study was conducted on the 70 students and six faculty members of Department of Oral and Maxillofacial medicine, School of Dental Medicine, Ahvaz Jundishapur University of Medical Sciences. The questionnaire was prepared from previous studies and included four areas of necessity, quality, format, and implementation process and how to complete the logbook. Data were analyzed using descriptive statistical analysis, independent t-test, and SPSS ver.18. Results: The viewpoint of faculty members regarding the four features of logbook and the overall view of the logbook was more than the students. However, no significant difference was found between the viewpoint of students and faculty members. 50.7% of the students and more than 50% of the faculties considered the use of the logbook necessary to ensure consistent educational standards in clinical training. They also showed that the logbook meets all 50% of the educational standards both in format and implementation process. Conclusion: Faculty members and students showed a positive view of logbook, but positive overall view of the faculty members was more than the students. Therefore, reviewing the logbook is not necessary, but more familiarity with the logbook content seems necessary.
引言:评估学生的临床表现是教职工最困难的任务之一。日志是最有效的教育评估方法之一。本研究的目的是从Ahvaz牙科学生和口腔颌面医学系教员的角度评估航海日志的疗效。方法:对Ahvaz Jundishapur医科大学口腔医学院口腔颌面医学系的70名学生和6名教职员工进行横断面研究。该问卷是根据以前的研究编制的,包括四个领域:必要性、质量、格式、实施过程以及如何完成日志。使用描述性统计分析、独立t检验和SPSS 18版对数据进行分析。结果:教职工对航海日志的四个特点和航海日志的整体看法的看法多于学生。然而,学生和教职员工的观点没有发现显著差异。50.7%的学生和50%以上的教师认为使用航海日志是确保临床培训教育标准一致的必要条件。他们还表明,航海日志在格式和实施过程中都符合50%的教育标准。结论:教职工和学生对航海日志有积极的看法,但教职工对航海日志的总体积极看法多于学生。因此,复习航海日志是不必要的,但更熟悉航海日志的内容似乎是必要的。
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引用次数: 0
Nursing students’ information-seeking behavior in ESP courses: Do quality of education and reflective practice matter? 护理学生在ESP课程中的信息寻求行为:教育质量与反思性实践有关系吗?
Pub Date : 2020-06-01 DOI: 10.22038/FMEJ.2020.45189.1307
Majid Farahian, Farshad Parhamnia
Background: Quality of education plays a key role in the development of education. Having this perspective in mind the researchers explored the quality of ESP courses from ESP instructors point of views and investigated the role of quality of education of ESP courses in information-seeking behavior of the students. They also probed the possible relationship between EFL instructors reflective practice and the quality of ESP courses. Methods: 79 ESP instructors, were given the researcher- made quality of education in ESP and the English language teaching reflection inventories. At the end of the term, 317 nursing students received an information-seeking behavior questionnaire. To consolidate the findings, 15 volunteer students were interviewed. Results: Based on the findings, the quality of ESP courses as reported by ESP instructors was poor. As the responses to the questionnaire of quality of education in ESP revealed, the instructors reported that they do not have sufficient information on subject matters, the content of the lessons is not updated and is not motivating. It was also reported that not all language skills are included in the course and at the same time the teacher-centered courses are not communicative. Conclusions: It was disappointing to find that students are not encouraged to use resources other than their coursebook and their needs are not taken care of. The instructors reflective practice was also under the expected mean. It was also found that there was a significant correlation between EFL instructors reflective practice and the quality of ESP courses.
背景:教育质量对教育的发展起着至关重要的作用。基于这一观点,研究者从ESP教师的角度探讨了ESP课程的教学质量,并考察了ESP课程的教学质量对学生信息寻求行为的影响。他们还探讨了英语教师反思性实践与ESP课程质量之间可能存在的关系。方法:对79名专门用途英语教师进行问卷调查和英语教学反思问卷调查。在学期结束时,317名护理专业学生收到了一份信息寻求行为问卷。为了巩固研究结果,我们采访了15名学生志愿者。结果:根据调查结果,ESP教师报告的ESP课程质量较差。正如对ESP教育质量调查问卷的回答所显示的那样,教师报告说他们对主题没有足够的信息,课程内容没有更新,也没有动力。也有报道称,并非所有的语言技能都包括在课程中,同时以教师为中心的课程没有交际性。结论:令人失望的是,没有鼓励学生使用教材以外的资源,他们的需求没有得到照顾。教师的反思性实践也低于预期均值。研究还发现,英语教师的反思性实践与ESP课程质量之间存在显著的相关关系。
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引用次数: 1
Amendable challenges and barriers in clinical education from perspectives of surgical technology, anesthesiology students, and Clinical instructors of Mazandaran University of Medical Sciences 从马赞达兰医科大学外科技术、麻醉学学生和临床教师的角度探讨临床教育面临的挑战和障碍
Pub Date : 2020-06-01 DOI: 10.22038/FMEJ.2020.45712.1310
E. Nasiri, Meysam Heydari, Omid Zadi Akhuleh, N. Heydari, Seyyed Muhammad Mahdi Mahdavinoor
Background: Clinical education is the most critical component of surgical technology and anesthesiology student’s education. Therefore, this study was designed to determine the amendable challenges and barriers of clinical education from the viewpoints of operating room and anesthesia students and clinical instructors. Methods: In this descriptive cross-sectional study, 132 students (surgical technology and anesthesiology) and 17 clinical instructors of Sari Allied School were selected by consensus method. Data collection was performed using the Demographic and researcher-made questionnaire about the amendable challenges and barriers of clinical education. Data were analyzed by SPSS software version 20. Results: From the viewpoints of students, the most challenge and barrier was “lack of suitable space for clinical education”. Also, the most amendable barriers were “lack of clinical educators”. From the clinical educators’ perspective, the most challenges and barriers to clinical education were respectively; a large number of students in the ward and low motivation of students for teaching. Conclusion: The challenges and obstacles that can be corrected in clinical education from the perspective of surgical technology and anesthesiology students were the lack of instructors in the clinic. And from the point of view of clinical educators, there were a large number of students in the clinic; however, there was less motivation for students to learn. It is necessary to improve the quality of clinical education in these two fields and improve education.
背景:临床教育是外科技术与麻醉专业学生教育的重要组成部分。因此,本研究旨在从手术室和麻醉学生以及临床教师的角度来确定临床教育中可修正的挑战和障碍。方法:采用描述性横断面研究方法,采用协商一致法选择Sari联合学校的132名学生(外科技术和麻醉学)和17名临床指导教师。数据收集使用人口学和研究者制作的关于临床教育可修正的挑战和障碍的问卷。数据采用SPSS软件20版进行分析。结果:从学生的角度来看,最大的挑战和障碍是“缺乏合适的临床教育空间”。此外,最容易改变的障碍是“缺乏临床教育工作者”。从临床教育工作者的角度来看,临床教育面临的最大挑战和障碍分别是;病区学生数量多,学生教学积极性低。结论:从外科技术和麻醉学学生的角度出发,临床教育中需要纠正的挑战和障碍是临床指导教师的缺乏。从临床教育工作者的角度来看,临床中有大量的学生;然而,学生学习的动力却少了。提高这两个领域的临床教育质量,提高教学质量是十分必要的。
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引用次数: 0
Dental Students' Viewpoints on traditional medicine course after presenting for the first time in Iran 牙科学生在伊朗首次上课后对传统医学课程的看法
Pub Date : 2020-06-01 DOI: 10.22038/FMEJ.2020.46540.1313
H. Abbaszadeh
Background: The traditional medicine constitutes an integral part of the culture of the Iranians. After Birjand dental school presented traditional medicine course for dental students for the first time in Iran, this study aimed to evaluate dental students' viewpoints about traditional medicine course. Methods: After approving optional traditional medicine course for dental students in the relevant councils of Birjand University of medical sciences, Birjand dentistry students' viewpoints were evaluated in two separate semesters through open ended questionnaires which their validity and reliability were confirmed. The questionnaires were designed on a five-point Likert scale. The mean of scores for each question and the mean of student scores on all 16 questions were calculated and by comparing with median, positive or negative viewpoints were evaluated. Results: In the first and second runs of course, only two questions (teachers' mastery on the content, student satisfaction from final and exam) scored above the median. In the first run of the course and totally,” student's willingness to repass course” acquired the least score. All of mean students’ score for sum of 16 questions were below than 3 in two runs of course. Students were generally dissatisfied with the inappropriate timing of classes, the high amounts of content, the impracticality of the subjects, and the lack of relevance to the field of dentistry. Conclusion: All of dentistry students had negative viewpoint to traditional medicine course in this form. It is recommended that ii is provided to dental students in a more practical way and as workshops.
背景:传统医学是伊朗文化不可分割的一部分。在伊朗Birjand牙科学校首次为牙科学生开设传统医学课程后,本研究旨在评估牙科学生对传统医学课程的看法。方法:在Birjand医科大学相关委员会批准了牙科学生的传统医学选修课程后,通过开放式问卷对Birjand牙科学生的观点进行了两个学期的评估,并确认了其有效性和可靠性。调查问卷采用Likert五点量表设计。计算每个问题的平均分数和学生在所有16个问题上的平均分数,并通过与中位数的比较,评估积极或消极的观点。结果:在课程的第一轮和第二轮中,只有两个问题(教师对内容的掌握程度、学生对期末和考试的满意度)的得分高于中位数。在课程的第一次运行中,“学生是否愿意复习课程”的得分最低。所有平均学生的16道题的总分在两次考试中都低于3分。学生们普遍对上课时间不合适、内容太多、科目不切实际以及与牙科领域缺乏相关性感到不满。结论:所有牙科学生对该形式的传统医学课程都有负面看法,建议以更实际的方式和研讨会的形式向牙科学生提供ii。
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引用次数: 0
Nursing Care and Postmodernism 护理与后现代主义
Pub Date : 2020-06-01 DOI: 10.22038/FMEJ.2020.46519.1314
Roghayeh Zardosht
As a historical era, postmodernism signifies transition from inflexible and logical positivism and entry into a new view to science. Postmodernism offers a number of nursing practice revise that including humanism, conditions, and borderless, multi-voice, view, and multicultural world, changes in meaning of knowledge, and life-long learning. Demographic changes, technological advances, ethnic and cultural diversity, poverty, and other issues have thus encountered nursing profession more than before with demanding challenges in the field of health care services. I personally believe that nurses� philosophical thinking can have significant effects on development of patient care programs. Under the influence of postmodern assumptions, nursing care can also put emphasis on plurality, respect for cultural and individual differences, relativism of truth or reality, constructive discourse, different views to special knowledge, positioning, as well as listening to different voices. Besides, postmodernists reject traditional of truth and any kind of centralism and work against consideration of a central truth in life.
作为一个历史时代,后现代主义意味着从僵化的逻辑实证主义向科学观的转变。后现代主义提供了一系列护理实践修正,包括人文主义、条件主义和无国界、多声音、多视角、多文化世界、知识意义的转变和终身学习。因此,人口变化、技术进步、种族和文化多样性、贫困和其他问题比以往更多地遇到了护理行业在医疗保健服务领域面临的严峻挑战。我个人认为护士�� 哲学思维可以对患者护理计划的发展产生重大影响。在后现代假设的影响下,护理还可以强调多元性、尊重文化和个体差异、真理或现实的相对主义、建设性话语、对特殊知识的不同看法、定位,以及倾听不同的声音。此外,后现代主义者拒绝传统的真理和任何形式的中心主义,反对对生活中的中心真理的考虑。
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引用次数: 1
Surveying training needs of nursing staff of Razi Hospital, Torbat Heydarieh Iran through ISO 10015 standard in 2018 2018年通过ISO 10015标准对伊朗Torbat Heydarieh Razi医院护理人员培训需求进行调查
Pub Date : 2020-06-01 DOI: 10.22038/FMEJ.2020.46705.1317
Fateme Shalbaf Zadeh, H. Moonaghi, A. Emadzadeh, H. Baseri, Seyed Reza Moallem, S. M. M. Bazaz
Background: Nurses are the largest group of medical caregivers in the world. Having highly capable nurses in a healthcare system is directly associated with more favorable outcomes for patients. The rapid development of new medical procedures and equipment necessitates constantly developing new skills and competencies. Thus one of the effective means towards their efficient training is to identify and assess their educational needs. The purpose of this investigation is to study educational needs of nurses by ISO 10015 method. Methods: A descriptive survey research was designed surveying all of the nursing staff of Razi Hospital of Torbat Heydarieh. At the first stage of the study, necessary competencies and skills were identified using two methods of Delphi and job analysis, and then educational needs assessment was done according to ISO 10015 steps. The tools used were researcher designed questionnaires and their reliability and validity were tested by achieving a Cronbach's alpha of 83.9%, and by content validity method, respectively. Data analysis was done using version 16 of SPSS software. Results: Three hundred and sixty-one skills were identified and were categorized into three categories of general (48 skills), specialized (303 skills), and management (10 skills). Nurses had acceptable competencies in 312 of the identified skills, while there were educational and structural gaps found in 8 general, 36 specialized and 5 management skills, as well as the solutions to overcome the gaps were proposed by a group of experts. At the end, 7 general, 33 specialized and 5 management skills were identified and recorded as knowledge gaps. Conclusion: In this study we found out that the specialized skills are the most important educational needs (ABG interpretation, ventilator settings, and cardiac arrhythmias for nurses; and staff and patients’ needs assessment for head nurses) followed by general nursing skills (hemovigilance), and management skills (quality management). The identified knowledge gaps were considered in planning for the future trainings of the study population.
背景:护士是世界上最大的医疗护理人员群体。在医疗保健系统中拥有高能力的护士与患者更有利的结果直接相关。新的医疗程序和设备的快速发展需要不断发展新的技能和能力。因此,对他们进行有效培训的有效手段之一是确定和评估他们的教育需要。本调查的目的是采用ISO 10015方法研究护士的教育需求。方法:采用描述性调查法,对托尔巴特·海德里耶市拉齐医院全体护理人员进行调查。在研究的第一阶段,采用德尔菲和职业分析两种方法确定必要的能力和技能,然后根据ISO 10015步骤进行教育需求评估。采用自行设计的调查问卷,信度和效度分别采用Cronbach's alpha为83.9%和内容效度法进行检验。数据分析采用SPSS软件第16版。结果:共识别出361项技能,并将其分为三类:一般技能(48项)、专业技能(303项)和管理技能(10项)。专家小组对312项技能的胜任能力进行了分析,发现8项普通技能、36项专业技能和5项管理技能存在教育和结构上的差距,并提出了克服差距的对策。最后,确定了7项一般技能、33项专门技能和5项管理技能,并将其记录为知识差距。结论:在本研究中,我们发现专业技能是护士最重要的教育需求(ABG解释、呼吸机设置和心律失常;工作人员和患者需求评估(护士长),然后是一般护理技能(血液警惕)和管理技能(质量管理)。在规划研究人群的未来培训时,考虑到已确定的知识差距。
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引用次数: 0
What is the most important factor affecting Professors evaluation by students 学生评价教授最重要的因素是什么
Pub Date : 2020-06-01 DOI: 10.22038/FMEJ.2020.15675
T. Ghaffari, Fahimeh Hamedirad, Ahmad Darvishi
Background: The purpose of this study was to identify differences and similarities in teachers' and students’ viewpoints about the factors affecting this evaluation.Methods: In this cross-sectional study, 70 teachers and 148 students (34.86 % females and 65.13 males) of Tabriz University of Medical Sciences were selected by convenience sampling. Data were gathered using a questionnaire which included demographic characteristics of teachers and students, separately. For comparing opinions of teachers and students in four general factors, mean and standard deviation were calculated. Results: There was no significant difference between the mean score of students' and teachers' viewpoints considering factors related to teachers' individual - personality characteristics and theoretical - clinical conditions of education . But a significant difference was observed between their mean score regarding factors related to practical course and educational activities . Conclusion: According to results, teacher's educational activities were considered the most effective factors. Keywords: University Teacher Evaluation, Teaching Evaluation, Teaching
背景:本研究的目的是找出教师和学生对影响该评价因素的观点的差异和相似之处。方法:采用方便抽样的方法,抽取大不里士医科大学教师70人、学生148人(女34.86%,男65.13%)进行横断面研究。数据收集使用问卷调查,其中包括教师和学生的人口统计特征,分别。比较教师和学生在四个一般因素上的意见,计算平均值和标准差。结果:学生与教师在考虑教师个体人格特征、教育理论与临床条件等因素时的观点均分无显著差异。但在实践课程和教育活动相关因素上,他们的平均分存在显著差异。结论:根据研究结果,教师的教育活动被认为是最有效的因素。关键词:高校教师评价,教学评价,教学
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引用次数: 0
Evaluation of Clinical Faculty Members' Satisfaction with Implementation of Health System Reform Plan in Iran: A study at the Ahvaz Jundishapur University of Medical Sciences 临床教师对伊朗卫生体制改革计划实施的满意度评价:一项在Ahvaz Jundishapur医学科学大学的研究
Pub Date : 2020-05-25 DOI: 10.22038/FMEJ.2020.45074.1304
A. Gilavand, Y. Mehralizadeh
Background: One of the most important factors in assessing the success of a health system reform plan is the periodic review of the satisfaction of health care providers. Hence, this study was conducted to evaluate the clinical faculty members’ satisfaction with the implementation of the health system reform plan in Iran. Methods: This research is a descriptive and cross-sectional study. The research population of this study included all clinical faculty members employed in the university, 90 of whom were randomly included in this study. A 13-item researcher-made questionnaire was used to assess their satisfaction. Results: The mean score of general satisfaction was 2.17 ± 0.56. The highest dissatisfaction was related to the way of payment of salaries and benefits (93.4%) and the highest satisfaction was related to work hours and work shifts after implementation of the health system reform plan (16.7%) compared to before. In addition, variables of age (P = 0.019) and type of employment (P = 0.027) of clinical faculty members had a significant effect on their satisfaction with the implementation of the health system reform plan. However, the effect of other variables was not significant (P <0.05). Conclusion: Based on the results of this study, the satisfaction of clinical faculty members with the implementation of the health system reform plan was at an undesirable level. It is necessary to pay more attention to the dimensions in which people had the highest dissatisfaction in future planning aimed at periodically monitoring this plan and resolving potential problems.
背景:评估卫生系统改革计划成功与否的最重要因素之一是对卫生保健提供者满意度的定期审查。因此,本研究旨在评估伊朗临床教师对医疗体制改革计划实施的满意度。方法:本研究采用描述性和横断面研究。本研究的研究人群包括在该大学工作的所有临床教职员工,其中90人随机纳入本研究。一份由研究者制作的13项调查问卷被用来评估他们的满意度。结果:总体满意度平均得分为2.17±0.56分。对薪酬福利发放方式的不满程度最高(93.4%),对工作时间和轮班的满意度最高(16.7%)。此外,临床教师年龄(P = 0.019)和就业类型(P = 0.027)变量对其对卫生体制改革方案实施的满意度有显著影响。其他变量的影响均不显著(P <0.05)。结论:根据本研究结果,临床教师对卫生体制改革方案实施的满意度处于不理想的水平。有必要更多地关注人们在未来规划中最不满意的方面,以定期监测该计划并解决潜在问题。
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引用次数: 3
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Future of Medical Education Journal
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