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The application of many facets Rasch model in the first stage clinical fundamental skills test of National Medical Licensing Examination phased examination 多面Rasch模型在国家医师资格考试分阶段临床基础技能考试第一阶段中的应用
Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN115259-20190822-00679
Yan Lu, Ying Zhang, Junfeng He, Jiewen Zou
Objective To evaluate the mastery of scoring standards by raters in 2018 clinical fundamental skills test of National Medical Licensing Examination phased the first stage, to explore the consistency between standardized patients (SP) and examiners' scores, and to provide more information for relevant research. Methods In 2018, based on the scores of communication capacity and humanistic care from 77 candidates in clinical fundamental skills test of the National Medical Licensing Examination phased the first stage in a randomly selected medical college, use the many facets Rasch model to calculate estimated ability of 77 candidates, analyze the internal consistency of raters and the leniency and strictness of evaluation. Results The results showed that the average estimated capacity of 77 candidates was 2.75 logits, and the most examinees' infit was less than 1.5.The average severity of the raters was -0.55, the severity of the examiners was -0.45, of the SP was -0.70, The difference was not statistically significant. Conclusions Raters have a good command of scoring standards, the overall standard is relatively loose.The scores of SP and examiners were consistent. Key words: National medical licensing examination; Rater error; Rasch theory; Many facets Rasch model; Standardized patients
目的了解2018年国家医师执业资格考试第一阶段临床基本技能考试评分员对评分标准的掌握情况,探讨标准化患者(SP)与考官评分的一致性,为相关研究提供更多信息。方法2018年,随机抽取某医学院校参加全国医师执业资格考试第一阶段临床基础技能考试的77名考生,以沟通能力和人文关怀两项成绩为基础,运用多面Rasch模型对77名考生的能力评估结果进行计算,分析评分者的内部一致性和评价的从宽从严程度。结果77名考生的平均估计能力为2.75 logits,大部分考生的infit小于1.5。评分者的平均严重程度为-0.55,审查员的平均严重程度为-0.45,SP的平均严重程度为-0.70,差异无统计学意义。结论评分者对评分标准掌握较好,整体评分标准较为宽松。SP和考官的分数是一致的。关键词:全国医师执业资格考试;评定等级的错误;拉希理论;多面拉希模型;标准化病人
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引用次数: 0
Exploration on building talent growth platforms for medical associations 构建医学协会人才成长平台的探索
Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN115259-20190723-00589
Wenying Xu, Jian Zhou, N. Chen, Zihuai Wang, Mengyuan Lyu, Lunxu Liu
Academic associations can enrich students' "econd classrooms" and improve their scientific research and collaboration capabilities. At present, there are many researches on academic associations, while few researches focus on medical academic associations. Based on the construction and development experience of the West China Thoracic Association of Students of Sichuan University, this article explores how to better build a talent growth platform for academic associations. The results show that the establishment of a continuous feedback mechanism, talent growth files, and a good cultural atmosphere can play a positive role in the development of medical academic associations. At the same time, the medical academic association can help members improve their scientific research ability and thinking ability, etc., as well as play an important role in the cultivation of medical talents. Key words: Medical students; Academic association; Growth of talents; Exploration
学术社团可以丰富学生的“第二课堂”,提高学生的科研和协作能力。目前针对学术协会的研究较多,而针对医学学术协会的研究较少。本文结合四川大学华西胸学生会的建设与发展经验,对如何更好地搭建学术社团人才成长平台进行了探讨。结果表明,建立持续的反馈机制、人才成长档案和良好的文化氛围对医学学会的发展起到积极作用。同时,医学学术协会可以帮助会员提高科研能力、思维能力等,对医学人才的培养起到重要作用。关键词:医学生;学会;人才成长;探索
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引用次数: 0
A call for developing China's practice-based doctor of public health (DrPH) degree program 关于发展中国公共卫生实践博士学位项目的呼吁
Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN115259-20200302-00235
Hong-jian Yan, G. Zhuang, T. Ren, Le Ma, Q. Jiang, Yong-hua Hu, Q. Meng, S. Dang, Jianqun Yan, Xue-liang Wang, Yi Lyu, Zhijie Zheng, Shankuan Zhu, Yuhong Jiang, Dong-Hui Xu, Liming Li
Facing the epidemic of corona virus disease 2019 (COVID-19), it is necessary to find the solution to improve and strengthen the prevention and control system of the outbreak. As educators, we should also think about talents cultivation, especially the training of high-level applied talents as man of action in the field of public health, who possesses solid theoretical knowledge of preventive medicine, capacity of solving practical public health problems and emergency response, strong organizational leadership and broad international perspectives. Therefore, it is imperative to accelerate the establishment of the degree of the doctor of public health (DrPH) and merge the program into higher education curriculum of public health. This article mainly discusses the necessity and feasibility of establishing the degree of DrPH, and puts forward suggestions on its training objective and training program, so as to promote the cultivation of high-level applied public health talents in China. Key words: Postgraduate education; Doctor of public health; High-level applied talents of public health
面对2019冠状病毒病(COVID-19)的流行,有必要寻找改进和加强疫情防控体系的解决方案。作为教育工作者,我们还应该考虑人才的培养,特别是培养具有扎实的预防医学理论知识、解决实际公共卫生问题和应急能力、强大的组织领导能力和广阔的国际视野的高层次应用型公共卫生领域实干家人才。因此,加快设立公共卫生博士学位,并将其纳入高等公共卫生教育课程势在必行。本文主要探讨了设立DrPH学位的必要性和可行性,并对其培养目标和培养方案提出了建议,以期促进中国高层次应用型公共卫生人才的培养。关键词:研究生教育;公共卫生博士;公共卫生高层次应用型人才
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引用次数: 2
The application of role-playing method in geriatrics MBBS teaching 角色扮演教学法在老年医学MBBS教学中的应用
Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN115259-20191005-00823
Xian Yuan, Li Pan, Qiu-hong Qu, Bin Liu, Lei Ma, Qing-chun Dai, Lihua Zhang
Objective To explore the application of role-playing method in clinical teaching of geriatric medicine in MBBS(bachelor of medicine & bachelor of surgery). Methods Using the experiment control study. The totally 49 MBBS students from Kunming Medical University as the research object, they were randomly divided into experimental group (n=25) and control group (n=24), the experimental group adopts full English standardized patients (ESP) of role-playing teaching method in teaching, the control group using traditional teaching method of teaching, the theory achievement final exam and the form of a questionnaire to evaluate two kinds of teaching methods. Results There was no difference in the theoretical scores between the two groups [(81.43±1.43)vs(81.25±1.25), P=0.91], while the experimental group in the post-class questionnaire was better than the control group, and the difference was statistically significant [(6.71±0.71) vs (5.39±0.39), P<0.01]. The evaluation of teaching satisfaction and the satisfaction rate sum of the experimental group [87.5%(21/25)] were higher than the control group [82.6%(19/24)], with no statistically significant difference(χ2=2.909, P=0.573). Conclusions The role-play method used ESP to assisted clinical teaching, so it is an teaching pathway in Geriatrics training for MBBS students. Key words: Role-playing method; Bachelor of medicine & bachelor of surgery; Foreign students; Geriatrics
目的探讨角色扮演教学法在老年医学临床教学中的应用。方法采用实验对照研究。以昆明医科大学49名MBBS学生为研究对象,将他们随机分为实验组(n=25)和对照组(n=24),实验组采用全英文标准化患者(ESP)角色扮演教学法进行教学,对照组采用传统教学法进行教学,以理论成果期末考试和问卷调查的形式对两种教学方法进行评价。结果两组理论评分无差异[(81.43±1.43)vs(81.25±1.25),P=0.91],而实验组在课后问卷上优于对照组,差异有统计学意义[(6.71±0.71)vs(5.39±0.39),P<0.01]。实验组教学满意度评价及满意率之和[87.5%(21/25)]高于对照组[82.6%(19/24)],差异无统计学意义(χ2=2.909, P=0.573)。结论角色扮演教学法运用ESP辅助临床教学,是MBBS学生老年医学培训的一种教学途径。关键词:角色扮演法;医学学士和外科学士;外国学生;老年病学
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引用次数: 0
Enlightenment of the education system of all-round development of moral, intellectual, physical, artistic and labor in the training of new medical talents 德、智、体、艺、劳全面发展教育体系对培养新型医学人才的启示
Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN115259-20190622-00497
Xu Wang, Yifan Cui
The education system of all-round development of moral, intellectual, physical, artistic and labor is a popular expression of the basic law and logic of the development of high education, and has a very important inspiration for undergraduate education of medicine. Based on the analysis of the development trend of "new medicine" and identification of the close relationship between the internal demand of the current reform of healthcare system and the overall development of human beings, this paper puts forward the main ways of training medical talents in "new medicine" by virtue, wisdom, sports, beauty and labor. Under this requirement, medical colleges and universities should adapt to the goal of national health and the needs of social health care services, adhere to the concept of undergraduate education serving local economy and society, strengthen health education and comprehensive quality education, and focus on training new medical talents who meet the needs of society and develop in an all-round way. Key words: All-round development of moral, intellectual, physical, artistic and labor; New medical discipline; Education system; Personnel training
德、智、体、艺、劳全面发展的教育体系是高等教育发展的基本规律和逻辑的通俗表达,对医学本科教育具有十分重要的启示意义。在分析“新医学”发展趋势的基础上,认识到当前医疗体制改革的内在需求与人的全面发展之间的密切关系,提出了德、智、体、美、劳培养“新医学”医学人才的主要途径。在这一要求下,医学院校应适应国家卫生目标和社会卫生服务需求,坚持本科教育服务地方经济社会的理念,加强健康教育和综合素质教育,着力培养适应社会需要、全面发展的新型医学人才。关键词:德、智、体、艺、劳全面发展;新医学学科;教育系统;人员培训
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引用次数: 0
Exploration of college students' health education action based on Healthy China Construction 基于健康中国建设的大学生健康教育行动探索
Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN115259-20191008-00829
Chen Wang, Z. Duan
"Healthy China Action (2019-2030)" will popularize health knowledge and improve national health literacy as the first path to achieve healthy China. College students are important people who spread the concept of health and lead a healthy lifestyle, "Must establish the educational idea of Health First" . Students, teachers and colleges are responsible for the health of college students. The health education of college students is very important. This paper analyzes the necessity of college students' health education action and the challenge, and proposes the life and safety education action, health promotion actions, TCM health care action, popularization of scientific knowledge action advocated by college students' health education action. Key words: Healthy China; University; College students; Health education; Action
“健康中国行动(2019-2030)”将普及健康知识、提高全民健康素养作为实现健康中国的第一路径。大学生是传播健康观念、引领健康生活方式的重要人群,“必须树立健康第一的教育理念”。学生、教师和学校对大学生的健康负有责任。大学生健康教育十分重要。分析了大学生健康教育行动的必要性和面临的挑战,提出了大学生健康教育行动所倡导的生命安全教育行动、健康促进行动、中医保健行动、科学知识普及行动。关键词:健康中国;大学;大学生;健康教育;行动
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引用次数: 0
Study on ideological education model for postgraduates of clinical medicine 临床医学研究生思想政治教育模式研究
Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN115259-20190920-00774
Xueyan Jia, Lili Duan, Xing Chang, Dongwei Zhu, Linzhi Luo, J. Qiu
Running ideological and political education courses well, strengthening ideological and political education and improving students' medical humanistic spirit are the implementation of the spirit of the Nineteenth National Congress of the Party and the spirit of the National Conference on Ideological and Political Work in Colleges and Universities, as well as the important work content of training clinical medical postgraduates.In order to strengthen the ideological and political education of postgraduates and further reform the ideological and political curriculum of clinical postgraduate students, our institute adopts a series of measures to improve the level of ideological and political theory courses so as to improve the ideological and political education of postgraduates.This article elaborates on the concrete measures for the implementation of the Ideological and Political Curriculum in our college, analyzes the highlights and shortcomings of the curriculum, and explores the next improvement measures. Key words: Ideological and political education; New model; Postgraduate students of clinical medicine
办好思想政治教育课,加强思想政治教育,提高学生的医学人文精神,是落实党的十九大精神和全国高校思想政治工作会议精神,也是培养临床医学研究生的重要工作内容。为了加强研究生的思想政治教育,进一步改革临床研究生思想政治课程,我院采取了一系列措施,提高思想政治理论课的教学水平,以提高研究生的思想政治教育水平。本文阐述了我校《思想政治课》实施的具体措施,分析了课程的亮点和不足,并探讨了下一步的改进措施。关键词:思想政治教育;新模型;临床医学研究生
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引用次数: 0
Preliminary analysis of the outstanding teaching plans in the teaching competition of young teachers in medical colleges and universities 医学院校青年教师教学竞赛优秀教学方案初步分析
Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN115259-20190329-00229
Yulei Liu, G. Cui, Li Guo, Bei Zhu, Weiguang Zhang, Li-ling Wu, Y. Ao
A teaching plan is the written form of the design and procedures for a class and is a guarantee of high-quality teaching. The best is selected from outstanding teaching plans in the teaching competition, which needs to be carefully considered from every aspect. Recently, many outstanding teaching plans selected in the national teaching competition came from the Peking University Health Science Center. This article is a preliminary analysis, exploring the methods of writing an outstanding teaching plan, in which the experience of Peking University Health Science Center was introduced. An outstanding teaching plan includes scientific, creative, brief, and artistic principles. The Peking University Health Science Center focuses on combining theory with clinical practice, encouraging interdisciplinarity, improving humanistic quality and scientific research ability, and broadening the international vision in writing a teaching plan. Hopefully, the summary of the writing experience and analysis of outstanding teaching plans would encourage improving the quality of writing a teaching plan and teaching a successful class in medical colleges and universities nationwide. Key words: Medical colleges and universities; Teaching plan; Teaching competition; Young teacher; Teaching quality
教案是课堂设计和程序的书面形式,是高质量教学的保证。在教学竞赛中,从优秀的教学方案中选出最好的,需要从各个方面仔细考虑。最近,北京大学医学部在全国教学竞赛中入选了许多优秀的教学方案。本文在初步分析的基础上,探讨了制定优秀教案的方法,并介绍了北京大学医学部的经验。优秀的教案包括科学性、创造性、简洁性和艺术性原则。北京大学医学部注重理论与临床相结合,鼓励学科交叉,提高人文素质和科研能力,拓展国际视野撰写教案。希望通过对教案写作经验的总结和对优秀教案的分析,对全国医学院校提高教案写作质量,成功办好一节课起到一定的推动作用。关键词:医学院校;教学计划;教学竞争;年轻的老师;教学质量
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引用次数: 0
Application of mixed learning based on WeChat platform in medical students' online public elective courses 基于微信平台的混合学习在医学生网络公开选修课中的应用
Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN115259-20190730-00614
Juan Zhang, Xiao Han, J. Song
With the rapid development of modern information technology, the hybrid teaching method based on WeChat learning in virtual space through video courseware and organizing question answering guidance in physical space has become a good choice for online public elective courses of medical specialty. In this paper, taking two network public elective courses offered by the Peking University Health Science Center based on WeChat public platform as examples, it expounds the design steps, teaching implementation process and teaching evaluation means of Hybrid Teaching mode, and evaluated the application effect. The results show that the mixed learning mode based on WeChat platform is beneficial to improve students' learning enthusiasm, help students to make a full use of fragmented time for learning, and thus improve the quality of teaching. Key words: WeChat platform; Hybrid teaching method; Network public elective course
随着现代信息技术的飞速发展,基于微信的视频课件在虚拟空间学习,在物理空间组织问答指导的混合教学方式,已经成为医学专业在线公共选修课程的良好选择。本文以北京大学医学部基于微信公众平台开设的两门网络公共选修课程为例,阐述了混合教学模式的设计步骤、教学实施过程和教学评价手段,并对应用效果进行了评价。结果表明,基于微信平台的混合学习模式有利于提高学生的学习积极性,帮助学生充分利用碎片化时间进行学习,从而提高教学质量。关键词:微信平台;混合式教学;网络公共选修课
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引用次数: 0
Salute medical consciousness and provide healthcare service to people through a top design strategy 致敬医学意识,通过顶级设计策略为人们提供健康服务
Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN115259-20200307-00281
Wei-min Wang, Li Wen
The outbreak of COVID-19 pandemic at the change-over of winter and spring triggered some thoughts. This paper ponders from the following 14 aspects : (1) the healthcare providers performance annotated the spirit of contemporary medicine with their blood, sweat and life, worthy of praise; (2) effective comprehensive governance at the social level is the linchpin for running of modern society and the effective functioning of health; (3) the key to improving the effectiveness of prevention and treatment of emergent epidemic diseases lies in the trans-disciplinary coordination and an clear outcome-based goal; (4) the support for medical development should be strengthened, and the institutional guarantee of medical development should be implemented; (5) the reformation of medical education should focus on the remodeling of system structure and implementation mechanism with a clear design of top-level model; (6) modern medicine should adhere to the concept of evidence-based medicine as a solid foundation; (7) while emphasizing the original innovation of science, we should also attach importance to the training of innovation thinking mode; (8) medical research should strengthen the research of basic science and attach importance to the transformation of research achievements; (9) academic research, epidemic prevention and control are two arms of one body and they support, interact and supplement each other; (10) it is imperative to reform the system and mechanism of medical college training; (11) the establishment of medical colleges and the design of medical specialties should be coordinated and implemented at the national level; (12) establish a medical education accreditation system covering basic medical education, postgraduate medical education and continuing professional development; (13) scientifically design a qualification accreditation system for doctors, and thus to solve the problems of training and operation of clinical graduates and graduate postgraduate examination; (14) it is imperative to strengthen the scientific education of public health. Key words: COVID-19; Medical education management; Top-level design; Comprehensive social governance; Medical education reform
在冬春交替之际,新冠肺炎大流行的爆发引发了一些思考。本文从以下14个方面进行了思考:(1)医护人员的表现用他们的血汗和生命诠释了当代医学精神,值得称赞;(2)社会层面有效的综合治理是现代社会运行和健康有效运行的关键;(3)提高突发传染病防治效果的关键在于跨学科协作和明确的结果导向目标;(4)加大对医学发展的支持力度,落实医学发展的制度保障;(5)医学教育改革应着眼于体制结构和实施机制的重塑,明确顶层模式的设计;(6)现代医学应坚持以循证医学为坚实基础的理念;(7)在强调科学原始创新的同时,还要重视创新思维模式的培养;(8)医学研究应加强基础科学研究,重视研究成果的转化;(九)学术研究与疫情防控是一体的,相互支持、相互作用、相辅相成;(10)改革医学院校人才培养体制机制势在必行;(11)医学院校的设置和医学专业的设计应在国家层面协调实施;(十二)建立涵盖基础医学教育、研究生医学教育和持续专业发展的医学教育认证制度;(13)科学设计医生资格认定制度,从而解决临床研究生的培养和运行以及研究生的研究生考试问题;(14)加强公共卫生科学教育势在必行。关键词:COVID-19;医学教育管理;顶层设计;社会综合治理;医学教育改革
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引用次数: 0
期刊
Chinese Journal of Medical Education
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