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The analysis of the advantages and disadvantages of Flipped classroom and its adaptability in the teaching of traditional Chinese medicine specialty 分析翻转课堂在中医专业教学中的利弊及适应性
Pub Date : 2020-02-01 DOI: 10.3760/CMA.J.ISSN.1673-677X.2020.02.006
Xin Zhao, Yue-yun Liu, Jia-xu Chen
In the process of teaching reform, the application of new methods and new models has a significant impact on learners' training. With the development of "internet + " thinking, the possibility of teaching innovation is greatly increased based on network and multimedia technology. Under this circumstance, the "Flipped classroom" has been rapidly introduced into the teaching practice of various levels and disciplines in China. The research on the connotation understanding, application reflection and Enlightenment of the Flipped classroom has become a hot topic in the educational circles. This paper explores the connotation, advantages and disadvantages of Flipped classroom, and through observation and practice in teaching, combined with the particularity of traditional Chinese medicine professional education, ponders on the transformation from classic teaching mode to new online classroom mode, expecting to be helpful tofaculty and educational theoretical researchers. Key words: Flipping classroom; Traditional Chinese medicine; Education; Adaptability
在教学改革过程中,新方法、新模式的应用对学习者的培养有着重要的影响。随着“互联网+”思维的发展,基于网络和多媒体技术的教学创新的可能性大大增加。在这种情况下,“翻转课堂”在中国迅速引入到各个层次、各个学科的教学实践中。对翻转课堂的内涵理解、应用反思及启示的研究已成为教育界关注的热点。本文探讨了翻转课堂的内涵、利弊,并通过教学中的观察和实践,结合中医专业教育的特殊性,对从经典教学模式向新型网络课堂模式的转变进行了思考,以期对教师和教育理论研究者有所帮助。关键词:翻转课堂;中医;教育;适应性
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引用次数: 0
Epidemiology teaching effect analysis for international students of clinical medicine 临床医学专业留学生流行病学教学效果分析
Pub Date : 2020-02-01 DOI: 10.3760/CMA.J.ISSN.1673-677X.2020.02.017
Lijuan Zhang, Qi Li, Jieping Zhang
Objective To explore the effect and potential problems of the traditional teaching mode on epidemiology English course for Bachelor of Medicine and Bachelor of Surgery students and attempt to propose the targeted recommendations and solutions. Methods To comprehend the satisfaction and recognition of the students about new teaching methods and the teaching effect based on the traditional teaching mode during the teaching practice of Epidemiology in English among MBBS students in Tongji University. Results As much as 16.7% of the students were not satisfied with the traditional teaching method, and thought the classroom atmosphere was monotonous. About 10.0% of the MBBS students were not satisfied with the teachers, and they thought that the teachers usually paid attention to their own lectures and ignored the students' responses in the class. Meanwhile, 93.3% of the students had interest in problem-based learning (PBL) teaching method compared to the traditional teaching method.Although about 43.0% of the students mastered epidemiology knowledge well, 30.4% of the students did not fully grasp the basic concepts of epidemiology. Conclusions The traditional teaching mode is not completely applicable to epidemiology teaching for MBBS students. A more reasonable course structure and new teaching methods play important roles in making up the deficiencies of traditional teaching. Key words: Epidemiology; Teaching method; Clinical medicine; Foreign student
目的探讨传统教学模式在医学学士和外科学士流行病学英语课程教学中的效果及存在的问题,并尝试提出针对性的建议和解决方法。方法在同济大学MBBS学生的英语流行病学教学实践中,了解学生对新教学方法的满意度和认可度以及在传统教学模式基础上的教学效果。结果高达16.7%的学生对传统的教学方式不满意,认为课堂气氛单调。大约10.0%的MBBS学生对老师不满意,他们认为老师通常只关注自己的讲课,而忽视了学生在课堂上的反应。与传统教学方法相比,93.3%的学生对基于问题的学习(PBL)教学法有兴趣。虽然约43.0%的学生较好地掌握了流行病学知识,但仍有30.4%的学生对流行病学的基本概念没有完全掌握。结论传统的教学模式不完全适用于MBBS学生的流行病学教学。更合理的课程结构和新的教学方法对弥补传统教学的不足具有重要作用。关键词:流行病学;教学方法;临床医学;外国学生
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引用次数: 0
The application of virtual cases in clinical diagnosis and treatment combined with PBL in diagnostic experiments teaching 虚拟病例在临床诊疗中的应用,结合PBL在诊断实验教学中的应用
Pub Date : 2020-02-01 DOI: 10.3760/CMA.J.ISSN.1673-677X.2020.02.003
Dengqin Wang, Guohong Song, P. Sui, Fan Zhang, Kun Liu, Tingyi Chen
Objective To explore the effects of virtual cases in clinical diagnosis and treatment combined with PBL in diagnostic experiments teaching. Methods From March to July in 2018, totally 97 students from grade 2016, five years undergraduate clinical medicine in Jining Medical University were randomly selected and divided into the experimental group (48 students) and control group (49 students). The experimental group adopted virtual cases in clinical diagnosis and treatment combined with PBL teaching method , while the control group received traditional teaching methods.At the end of experimental class, the learning outcomes of students in the two groups was valued by questionnaire survey and examinations. Results The results of basic knowledge of diagnostics, case analysis and theoretical assessment in the experimental group were (66.7 ± 6.45), (14.3 ± 1.75) and (80.9 ± 7.36) respectively, which were better than those in the control group (62.3 ± 8.42), (13.2 ± 2.28) and (75.5 ± 9.31). The differences were statistically significant The results of questionnaire showed that compared with the control group, the students in the experimental group increased their interest in learning [39(81.2) vs 26(53.1)], their ability to collect medical history [44 (91.7) vs 32(65.3)], their communication and expression ability [40(83.3) vs 29(59.2)], their diagnostic analysis ability [38 (79.2) vs 24 (49.0)], their diagnostic thinking ability [41(85.4) vs 28(57.1)] and their satisfaction with the teaching mode [44(91.7) vs 28(57.1)], the difference was statistically significant (all P<0.05). Conclusions The application of virtual cases in clinical diagnosis and treatment combined with PBL was effective and feasible in diagnostic experiments teaching. It can improve the learning outcomes, so is better than the traditional teaching mode. Key words: Virtual clinical case; Diagnostic experiment; Teaching method; Problem-based learning
目的探讨虚拟病例在临床诊疗中的应用,结合PBL在诊断实验教学中的应用效果。方法2018年3月至7月,随机抽取济宁医科大学临床医学5年制本科2016级学生97名,分为实验组(48名)和对照组(49名)。实验组采用虚拟病例临床诊疗结合PBL教学方法,对照组采用传统教学方法。在实验课结束时,通过问卷调查和考试对两组学生的学习成果进行评价。结果实验组在诊断基础知识、病例分析和理论评价方面分别为(66.7±6.45)、(14.3±1.75)和(80.9±7.36),优于对照组(62.3±8.42)、(13.2±2.28)和(75.5±9.31)。问卷调查结果显示,与对照组相比,实验组学生的学习兴趣[39(81.2)比26(53.1)]、病史收集能力[44(91.7)比32(65.3)]、沟通表达能力[40(83.3)比29(59.2)]、诊断分析能力[38(79.2)比24(49.0)]有所提高。诊断思维能力[41(85.4)比28(57.1)]、教学模式满意度[44(91.7)比28(57.1)],差异均有统计学意义(P<0.05)。结论将虚拟病例应用于临床诊疗结合PBL在诊断实验教学中是有效可行的。它可以提高学习效果,因此优于传统的教学模式。关键词:虚拟临床病例;诊断试验;教学方法;问题式学习
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引用次数: 0
Research progress of the textbooks of basic courses of traditional Chinese medicine in colleges and universities of traditional Chinese medicine 高等中医药院校中医基础课程教材研究进展
Pub Date : 2020-02-01 DOI: 10.3760/CMA.J.ISSN.1673-677X.2020.02.014
Lichun Zhu, Jingwei Shu, Tingli Zhang
To understand the current situation and problems of the textbooks for Chinese medicine basic courses in colleges and universities of traditional Chinese medicine, and to provide some reference for the improvement and development of Chinese medicine education, related research articles since 2001 were collected and analysed. As the results, there are three main aspects of current research progress: the research of textbook content, the research of the design of textbook structure, the research of the orientation of textbook and textbook system. Among them, there are many studies related to textbook content, and the study content is also rich. But the research on the design of textbook structure, orientation and textbook system is limited and weak. As for each course, there are more studies on the textbooks of Foundations of Traditional Chinese Medicine and Diagnostics of Traditional Chinese Medicine, while less on the textbooks of Chinese Medicine and Formula of Traditional Chinese Medicine. Key words: Traditional Chinese medicine; Textbooks; Basic courses; Colleges and universities; Research review
为了解我国高等中医药院校中医基础课程教材的现状和存在的问题,为中医药教育的改进和发展提供参考,对2001年以来的相关研究文献进行了收集和分析。结果表明,目前的研究进展主要有三个方面:教科书内容研究、教科书结构设计研究、教科书定位研究和教科书体系研究。其中,与教材内容相关的研究较多,研究内容也较为丰富。但在教材结构设计、教材定位设计、教材体系设计等方面的研究还比较有限和薄弱。各课程对《中医基础》和《中医诊断学》教材的研究较多,对《中医》和《中药方剂》教材的研究较少。关键词:中药;教科书;基本课程;高等院校;研究评论
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引用次数: 0
Need analysis of professional Chinese learning for MBBS students and teaching countermeasures MBBS学生专业汉语学习需求分析及教学对策
Pub Date : 2019-12-01 DOI: 10.3760/CMA.J.ISSN.1673-677X.2019.12.011
Hao-Chun Pan
On the basis of summarizing the situation of Chinese teaching for foreign medical students, this paper analyzes the needs of professional Chinese learning for MBBS (Bachelor of Medicine and Bachelor of Surgery) students by referring to the demand analysis theory in English for specialized use. Through questionnaires and personal interviews, quantitative research and qualitative research were combined to analyze the Chinese learning needs of MBBS students. The results show that the Chinese studying interest and needs of MBBS students are concentrated in daily communication, doctor-patient communication and medical vocabulary. In teaching, practicality and authenticity should be paid more attention, and the improvement of listening and speaking ability will lead to the improvement of Chinese learning. Key words: Foreign medical student; Medical professional Chinese; Need analysis; Chinese learning; Countermeasures
本文在总结国外医科学生汉语教学现状的基础上,借鉴专业英语需求分析理论,分析了MBBS(医学学士和外科学士)专业汉语学习的需求。通过问卷调查和个人访谈,将定量研究和定性研究相结合,对MBBS学生的汉语学习需求进行分析。结果表明,MBBS学生的中文学习兴趣和需求主要集中在日常交流、医患交流和医学词汇方面。在教学中要注重实用性和真实性,听说能力的提高会带来汉语学习效果的提高。关键词:外国医学生;医学专业中文;需要分析;中国学习;对策
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引用次数: 0
Application of a step-by-step training model in endotracheal intubation skills for residents training 分步训练模式在住院医师气管插管技能培训中的应用
Pub Date : 2019-12-01 DOI: 10.3760/CMA.J.ISSN.1673-677X.2019.12.017
Xixi Jia, Chang-yi Wu, Jun Wang, Min Li, Mao Xu
Objective To explore the effective model to improve the skill of tracheal intubation and solve the trainees' skill heterogeneity. Methods Fourty-two trainees who scheduled for training in endotracheal intubation skills at Department of Anesthesiology, Peking University Third Hospital, during August 2016 to August 2017 were randomly divided into step-by-step training model group (n=21) and the traditional training model group (n=21). The endotracheal intubation skill of the two groups of trainees were assessed before and after the one year study. A questionnaire survey was conducted to obtain the satisfaction degree of the trainees in the two groups. Results The endotracheal intubation assessment score of step-by-step training model group and traditional training model group before the study were (52.8 ± 10.7, 53.1 ± 11.2, t=0.092, P>0.05), after the different model training, the score were (89.4±3.7, 77.1 ± 6.5, t=-7.526, P<0.05), the questionnaire survey showed that the trainees in the step-by-step training model group consider that the step-by-step training model is more favorable than the traditional training model in improving the teaching effect of endotracheal intubation. Conclusions The step-by-step training model can improve the trainees skill of tracheal intubation and solve the skill heterogeneity due to the different trainees source and ability. Key words: Step-by-step training model; Anesthesiology; Endotracheal intubation; Homogenization
目的探讨提高气管插管技能的有效模式,解决学员技能异质性问题。方法选取2016年8月~ 2017年8月在北京大学第三医院麻醉科接受气管插管技术培训的学员42人,随机分为分步训练模型组(n=21)和传统训练模型组(n=21)。在为期一年的研究前后,对两组学员的气管插管技术进行评估。通过问卷调查,了解两组学员的满意度。结果研究前分步训练模型组与传统训练模型组气管插管评估评分分别为(52.8±10.7,53.1±11.2,t=0.092, P>0.05),不同模型训练后评分分别为(89.4±3.7,77.1±6.5,t=-7.526, P<0.05);问卷调查显示,分步训练模式组学员认为分步训练模式比传统训练模式更有利于提高气管插管教学效果。结论分步训练模式能提高学员的气管插管技能,解决学员来源和能力不同导致的技能异质性问题。关键词:分步训练模式;麻醉学;气管插管;均质化
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引用次数: 0
Path of the national unified exam reform in medical graduate entrance examination 医学研究生入学考试全国统考改革的路径
Pub Date : 2019-12-01 DOI: 10.3760/CMA.J.ISSN.1673-677X.2019.12.018
Juan Bai
This article was actively response to the new requirement on career needs and practical capacity building among clinical medical professional master degree, especially in the background of medical education. The article firstly analyzed the necessity of the reformation of medical graduate entrance examination in China. Second is the main content and characteristics of the US MCAT reform. On the basis of above research, the article purposed the realistic pathway of the national unified exam remodeling in medical graduate entrance examination. Assessment objectives of exam organically linked with the training objectives of professional competence of doctors, refine the objectives of the competency test and in the test development practice emphasizes the concept of "case oriented, problem oriented" . Key words: Cooperation of medical education; Professional degree in clinical medicine; Postgraduate; The national unified examination; Professional competency
本文积极响应临床医学专业硕士学位特别是医学教育背景下对职业需求和实践能力建设的新要求。文章首先分析了中国医学研究生入学考试改革的必要性。二是美国MCAT改革的主要内容和特点。在上述研究的基础上,本文提出了医学研究生入学考试国家统一考试改革的现实路径。将考试考核目标与医生专业能力培养目标有机联系起来,细化能力测试目标,在测试开发实践中强调“以案例为导向,以问题为导向”的理念。关键词:医学教育合作;临床医学专业学历;研究生;全国统一考试;专业能力
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引用次数: 0
An investigation and study on trainees of standardized residents' training programe in field of scientific research attitude and behavior 规范化住院医师培训项目学员科研态度与行为的调查研究
Pub Date : 2019-12-01 DOI: 10.3760/CMA.J.ISSN.1673-677X.2019.12.014
J. Yang, Peixin He, Xue Jiang, Ran Lu, Nan Wang, Haining Wang
Objective To investigate the current situation of the scientific research attitude and behavior of residents who are receiving standardized training, and providing reference for training clinicians with both standardized clinical ability and scientific research literacy. Methods Forty-seven residents receiving standardized training at departments of internal medicine of Peking University Third Hospital were investigated in December 2018, the scientific research questionnaires were distributed to analyze their scientific research attitude and behavior. Results There were 53.2% (25/47) of the residents are or willing to carry out scientific research. There were 38.3% (18/47) of the resident's scientific knowledge mainly comes from self-learning, the average time of reading medical literature in one week was 80.9% (38/47)for residents within 3 hours. 29.8% (14/47) and 21.3% (10/47) think that statistical analysis and research direction choice is the main weakness. Up to 12.8% (6/47) of the residents cannot raise scientific questions on clinical work, 10.6% (5/47) cannot organize and analyze literature, 25.5% (12/47) cannot choose the appropriate research methods to solve clinical questions and 19.1% (9/47) never write research papers independently. Conclusions The residents' scientific research attitude is not positive enough, the learning and practice in arising scientific questions, analyzing literature, solving questions and writing papers are insufficient. University-affiliated hospitals should actively explore the development of scientific research capacity training systems that conform to the characteristics of hospitals and the individual developement of residents. Key words: Resident physician; Scientific research attitude; Scientific research behavior; Influencing factors
目的了解正在接受规范化培训的住院医师科研态度和行为现状,为培养兼具规范化临床能力和科研素养的临床医生提供参考。方法对2018年12月在北京大学第三医院内科接受规范化培训的住院医师47名进行调查,发放科研问卷,分析其科研态度和行为。结果有53.2%(25/47)的居民表示愿意或愿意开展科学研究。38.3%(18/47)住院医师的科学知识主要来自于自学,每周平均3小时内阅读医学文献的时间为80.9%(38/47)。29.8%(14/47)和21.3%(10/47)认为统计分析和研究方向选择是主要弱点。12.8%(6/47)的住院医师不会对临床工作提出科学问题,10.6%(5/47)的住院医师不会整理和分析文献,25.5%(12/47)的住院医师不会选择合适的研究方法来解决临床问题,19.1%(9/47)的住院医师从未独立撰写过研究论文。结论居民科研态度不够积极,在提出科学问题、分析文献、解决问题、撰写论文等方面的学习和实践不足。高校附属医院应积极探索发展符合医院特点和住院医师个体发展的科研能力培养体系。关键词:住院医师;科研态度;科研行为;影响因素
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引用次数: 0
Study on the influential factors of subjective well-being for international medical students 国际医学生主观幸福感影响因素研究
Pub Date : 2019-12-01 DOI: 10.3760/CMA.J.ISSN.1673-677X.2019.12.010
Rujia Wang, P. Sun, Mingyu Zhang, Yang Hai, Xing Ma, Yanchao Li, Depin Cao
Objective To analyze the influencing factors of subjective well-being of medical students, which provides a reference for improving the subjective well-being of medical students and improving their learning adaptability. Methods From March to August in 2018, a total of 264 foreign students from two medical colleges in Heilongjiang Province were selected as research subjects. The subjective well-being scale and cultural adaptation strategy scale were used to investigate international students. Happiness scores were analyzed using descriptive statistics, chi-square test, and logistic regression methods. Results The subjective well-being score of medical students was (45.69±8.23), and the proportion of medical students who felt "happy" and "unhappy" in life was 87.5% (231/264) and 12.5% (33/264) respectively. There were significant differences between "cultivation time" and "cultural adaptation strategy" , and the scores of subjective well-being (all P<0.05). Conclusion Most medical students have higher subjective well-being, and the time-length of their stay in China and cultural adaptation strategy is the influencing factor of their subjective well-being. Key words: Foreign medical student; Cultural adaptation strategy; Subjective well-being; Cross-cultural adaptation
目的分析医学生主观幸福感的影响因素,为提高医学生主观幸福感,提高医学生的学习适应能力提供参考。方法2018年3 - 8月,选取黑龙江省两所医学院校的264名外国留学生作为研究对象。采用主观幸福感量表和文化适应策略量表对留学生进行调查。采用描述性统计、卡方检验、logistic回归等方法对幸福感得分进行分析。结果医学生主观幸福感得分为(45.69±8.23)分,感到生活“快乐”和“不快乐”的比例分别为87.5%(231/264)和12.5%(33/264)。“培养时间”、“文化适应策略”、主观幸福感得分差异均有统计学意义(P<0.05)。结论医学生主观幸福感较高,在华时间长短和文化适应策略是影响医学生主观幸福感的因素。关键词:外国医学生;文化适应策略;主观幸福感;跨文化适应
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引用次数: 0
Comparison of the effects of different standardized training modes for general practitioners in ophthalmology 不同标准化培训模式对眼科全科医生培训效果的比较
Pub Date : 2019-12-01 DOI: 10.3760/CMA.J.ISSN.1673-677X.2019.12.020
Fen-fen Yu, Li-Hun Huo, Yihua Su, Yongchong Chen, S. Gan
Objective To compare the effects of different standardized training modes for general practitioners in ophthalmology. Methods A total of 34 general practitioners who were trained in the ophthalmology base of the First Affiliated Hospital, Sun Yat-sen University from July 2017 to September 2018 were randomly divided into the prior-medical technology group and the prior-outpatient group. Mini-CEX was conducted respectively when they were enrolled in the department and two weeks after completion of the training. The difference in scores between the two groups was compared using a completely random independent sample t-test. Results The difference between enrollment (19.71±1.57) and half a month later (39.41±1.91) was statistically significant in Mini-CEX of the prior-medical technology group (t=-32.889, P<0.01). The difference between enrollment (19.65±1.69) and half a month later (34.71±2.62) was also statistically significant in Mini-CEX of the prior-outpatient group (t=-19.922, P<0.01). The improvement of the scores of the two groups were (19.71±2.57) and (15.06±3.77) respectively, the difference was statistically significant (t=4.203, P<0.01). Conclusions For general practitioners who receive short-term standardized training in ophthalmology, better training effect can be achieved by prior-medical technology room training (auxiliary examination room and treatment room) than prior-outpatient training. Key words: General medicine; Resident; Ophthalmology; Standardized training; Mini-clinical evaluation exercise (Mini-CEX)
目的比较不同标准化培训模式对眼科全科医生的培训效果。方法选取2017年7月至2018年9月中山大学第一附属医院眼科基地培训的34名全科医生,随机分为前医技术组和前门诊组。Mini-CEX分别在他们入职时和培训结束后两周进行。使用完全随机独立样本t检验比较两组之间的得分差异。结果前医疗技术组Mini-CEX入组(19.71±1.57)与半月后(39.41±1.91)比较,差异有统计学意义(t=-32.889, P<0.01)。前门诊组Mini-CEX入组(19.65±1.69)与半月后(34.71±2.62)比较,差异也有统计学意义(t=-19.922, P<0.01)。两组患者的改善评分分别为(19.71±2.57)分和(15.06±3.77)分,差异有统计学意义(t=4.203, P<0.01)。结论对于接受眼科短期规范化培训的全科医生,术前医学技术室培训(辅助检查室和治疗室)比术前门诊培训能取得更好的培训效果。关键词:全科医学;居民;眼科;标准化的培训;小型临床评估练习(Mini-CEX)
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引用次数: 0
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Chinese Journal of Medical Education
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