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中华医学教育探索杂志最新文献

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Enlightenment of Taiwan medical education model on standardized medical residency training in Mainland China 台湾医学教育模式对大陆医师住院医师规范化培训的启示
Pub Date : 2020-02-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.02.023
Qing Zhou, Jianlin Gao
By comparing the medical education and post-graduate medical education models of Mainland China with those of Taiwan, and drawing on the successful experiences and concepts of Taiwan's medical education model, this study proposed some suggestions. For example, the institutional education of Mainland China should connect with standardized medical residency training; the medical students should pass the examination of licensed doctor when graduated, and participate in the training as legal practitioners and socialized trainees; the training of general medical ability should be strengthened in the early stage. We aim to provide a useful reference for improving the system and model of standardized medical residency training in Mainland China. Key words: Medical education; Education model; Standardized training for residents; Taiwan
本研究通过比较大陆与台湾的医学教育和研究生医学教育模式,并借鉴台湾医学教育模式的成功经验和理念,提出一些建议。例如,中国大陆的机构教育应与规范化的住院医师培训相结合;医学生毕业时应通过执业医师资格考试,并作为法律执业人员和社会化学员参加培训;早期应加强综合医疗能力的培养。旨在为中国大陆地区医师住院医师规范化培训制度和模式的完善提供有益的借鉴。关键词:医学教育;教育模式;住院医师规范化培训;台湾
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引用次数: 0
Employment quality of public health graduates and feedback from employing units in one school 某学校公共卫生专业毕业生就业质量及用人单位反馈
Pub Date : 2020-02-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.02.029
Jinpeng Xu, Jiale Sun, Jianqiang Xu
Objective To investigate the current status of the employment quality of public health graduates and feedback from employers. Method s The questionnaires covering employing fields, coherence between major and employment, ways to find job and feedback from employers were used. A total of 309 bachelor graduates majoring in public health from Grade 2011 to Grade 2016 were selected as study objects via random cluster sampling method. In addition, online and offline synchronization survey were adopted to collect employment data; SPSS 22.0 was used for analyzing the data. Employment quality of graduates from different specialties as well as feedback of employers were compared. Result s Bachelor graduates in public health had an employment rate of 100%; 19.75% (61/309) graduates in public health changed work place, while the most had a stable job; 50.10% (155/309) graduates had work relatively or fully related to their specialties. Bachelor graduates in public affairs management had a relatively high level of satisfaction in salary, welfare insurance and others (χ2=18.805, P=0.043). Employers were satisfied with the bachelor graduates generally, but also believed that their professional knowledge and innovation ability should be improved. Conclusion The overall employment quality of bachelor graduates in public health is good, but there is still room to improve the quality. The overall evaluation for graduates is high, and few organizations consider bachelor graduates of poor quality. In summary, schools should optimize course setting, cultivate comprehensive quality, and strengthen students' humanistic education. Key words: Public health; Graduate; Employment quality; Employing unit
目的了解公共卫生专业毕业生就业质量现状及用人单位的反馈意见。方法采用调查问卷,内容涉及用人领域、专业与就业的一致性、找工作的方式以及用人单位的反馈。采用随机整群抽样方法,选取2011~2016级公共卫生专业309名本科毕业生作为研究对象。此外,采取线上线下同步调查的方式收集就业数据;数据分析采用SPSS 22.0软件。比较了不同专业毕业生的就业质量以及用人单位的反馈。结果公共卫生专业本科毕业生就业率达100%;19.75%(61/309)的公共卫生专业毕业生换了工作地点,大多数人有一份稳定的工作;50.10%(155/309)的毕业生有与其专业相对或完全相关的工作。公共事务管理专业本科毕业生在薪酬、福利保险等方面的满意度较高(χ2=18.805,P=0.043),用人单位对本科毕业生总体满意,但也认为其专业知识和创新能力有待提高。结论公共卫生专业本科毕业生整体就业质量较好,但仍有提高的空间。对毕业生的总体评价很高,很少有组织认为学士毕业生质量较差。总之,学校应优化课程设置,培养学生的综合素质,加强学生的人文教育。关键词:公共卫生;毕业生;就业质量;用人单位
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引用次数: 0
Application of virtual-simulation laparoscopic training system in the teaching of general surgery skills 虚拟模拟腹腔镜训练系统在普外科技能教学中的应用
Pub Date : 2020-02-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.02.027
Su-zhen Zhu, Xuan Zhang, Ping Chen, Fengli Zhu, Xuelei Ji
Objective To investigate the effect of virtual-simulation laparoscopic training system in the training of basic skills of endoscopic surgery in trainees with different clinical experience. Method s Eight refresher physicians, eight residents who received standardized residency training, and eight undergraduate interns in five-year clinical medicine were selected. All of them received the training of endoscopic operations with the laparoscopic training box and the virtual-simulation laparoscopic training system for 30 minutes every day for 4 weeks. Data analyses were performed using SPSS 19.0 and t-test was adopted to compare the scores before and after training among the three groups. Result s Before training, there were significant differences in endoscopic operations between the undergraduate intern group and the other two groups (P 0.05), and the undergraduate intern group had a significantly higher score of complex operations than did the standardized residency training group and the refresher physician group (P<0.05). Conclusion The virtual-simulation laparoscopic training system can improve the laparoscopic skills of clinical trainees at different levels, therefore, it is worth being promoted in the teaching of clinical skills. Key words: Virtual-simulation training system; Laparoscopy; Simulation teaching; Application
目的探讨虚拟模拟腹腔镜训练系统对不同临床经验的学员进行内镜手术基本技能训练的效果。方法选取8名进修医师、8名接受过规范化住院医师培训的住院医师和8名五年制临床医学本科实习生。所有患者均接受腹腔镜训练箱和虚拟模拟腹腔镜训练系统的内镜手术训练,每天30分钟,持续4周。采用SPSS 19.0进行数据分析,采用t检验比较三组训练前后的得分。结果培训前,本科实习组与其他两组在内镜手术方面有显著性差异(P<0.05),且本科实习组在复杂手术方面得分显著高于标准化住院医师培训组和复习医师组(P<0.05)。结论虚拟模拟腹腔镜训练系统能提高不同层次临床学员的腹腔镜技能,值得在临床技能教学中推广。关键词:虚拟仿真培训系统;腹腔镜检查;仿真教学;应用程序
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引用次数: 0
Application of multi-touch virtual anatomy system in the otolaryngology teaching 多点触控虚拟解剖系统在耳鼻喉科教学中的应用
Pub Date : 2020-02-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.02.028
Bingqi Liang, Yuqin Fan, Hao Wu, Jianqing Chen, Peihua Wang
The residents and low-grade resident trainees of the Department of Otorhinolaryngology Head and Neck Surgery of the Ninth People's Hospital of Shanghai Jiao Tong University School of Medicine were selected as subjects. In the multi-touch virtual anatomy system, the lecturers made the anatomical signs of otolaryngology head and neck surgery, and applied them through the training method. Then the teachers explained the three sub-specialties of the nose, throat, neck and ear in the multi-touch virtual dissection table. The teaching method can stimulate the learning interest because of its vivid three-dimensional sense. The characteristics of teaching and learning are beneficial to the cultivation of medical education teachers. In addition, the one-time investment of equipment breaks through the supply bottleneck of traditional anatomical consumables and promotes active learning among medical students. The multi-touch virtual anatomy system can effectively improve the teaching methods, facilitate the interesting teaching, and has broad application prospects in medical teaching. Key words: Multi-touch virtual anatomy system; Otolaryngology; Teaching; Application
选取上海交通大学医学院第九人民医院耳鼻咽喉头颈外科住院医师和低级别住院学员为受试者。在多点触摸虚拟解剖系统中,讲师们制作了耳鼻咽喉头颈外科的解剖标志,并通过训练方法加以应用。然后老师们在多点触摸虚拟解剖台上讲解了鼻、喉、颈、耳三个子专业。这种教学方法具有鲜明的立体感,能激发学生的学习兴趣。教与学的特点有利于医学教育教师的培养。此外,设备的一次性投资突破了传统解剖耗材的供应瓶颈,促进了医学生的积极学习。多点触摸虚拟解剖系统可以有效地改进教学方法,促进教学的趣味性,在医学教学中具有广阔的应用前景。关键词:多点触摸虚拟解剖系统;耳鼻咽喉科;教学;应用程序
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引用次数: 0
Application of case-based teaching in clinical immunology 病例教学法在临床免疫学中的应用
Pub Date : 2020-02-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.02.010
Xueqing Cui, Yurong Fu, Z. Yi
As an important course in medical laboratory science, clinical immunology is composed of advanced immunological knowledge and advanced testing technology, which are closely related to many disciplines, such as basic medicine, clinical medicine and so on. Medical educators introduced case-based teaching into clinical immunology, selected the typical, enlightening and interesting clinical cases, designed some reasonable questions for students majoring in medical laboratory science and improved students' participation via pre-class discussion and answering their questions during class, so as to help them study actively. Case-based teaching has been proved through practice as one of the important ways to improve the learning efficiency of medical students and promote their overall development, and it is a successful method for teaching reform. Key words: Case-based teaching; Clinical immunology; Medical laboratory science; Practice and exploration
临床免疫学作为医学检验科学的一门重要课程,由先进的免疫学知识和先进的检测技术组成,与基础医学、临床医学等多个学科密切相关,为医学检验科学专业的学生设计了一些合理的问题,并通过课前讨论和课堂回答提高了学生的参与度,以帮助他们积极学习。实践证明,案例教学是提高医学生学习效率、促进其全面发展的重要途径之一,是教学改革的一种成功方法。关键词:案例教学;临床免疫学;医学检验科学;实践与探索
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引用次数: 0
Application of formative evaluation based on Rain Classroom in clinical skills teaching 基于Rain课堂的形成性评价在临床技能教学中的应用
Pub Date : 2020-02-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.02.008
Zhishuang Yi, De-ling Li, Xiao-gan Jiang, Huanjun Gao, Hong-yi Xu
Objective To explore the effect of formative evaluation based on Rain Classroom on clinical skills teaching. Method s A total of 70 students in clinical medicine from Grade 2016 were enrolled and divided into experimental group (n=35) and control group (n=35). The experimental group adopted Rain Classroom combined with formative evaluation, while the control group used conventional teaching method and evaluation. Test scores of the two groups were compared and students' satisfaction was collected via questionnaire. T-test was performed using SPSS 17.0. Result The total score of clinical skills test in the experimental group was (84.11±7.76), which was significantly higher than that in the control group (74.37±12.58), and the difference was statistically significant (P<0.05). According to the questionnaire survey, the experimental group was significantly better than the control group in terms of enhancing learning interest, improving knowledge comprehension, clinical skills, clinical thinking and analytical ability, as well as better satisfaction towards teaching (P<0.05). Conclusion Formative evaluation based on Rain Classroom is helpful to improve the teaching effect on clinical skills and comprehensive abilities of students, so as to promote their overall development. Key words: Formative evaluation; Rain classroom; Clinical skills; Teaching effect
目的探讨基于Rain课堂的形成性评价在临床技能教学中的作用。方法选择2016级临床医学专业70名学生,分为实验组和对照组。实验组采用Rain课堂结合形成性评价,对照组采用常规的教学方法和评价。比较两组学生的测试成绩,并通过问卷调查收集学生的满意度。采用SPSS 17.0进行T检验。结果实验组临床技能测试总分为(84.11±7.76),显著高于对照组(74.37±12.58),差异有统计学意义(P<0.05),结论基于Rain课堂的形成性评价有助于提高学生临床技能和综合能力的教学效果,促进学生的全面发展。关键词:形成性评价;雨水教室;临床技能;教学效果
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引用次数: 0
Exploration of teaching model of laparoscopic surgery skills for medical interns 医学实习生腹腔镜手术技能教学模式的探索
Pub Date : 2020-02-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.02.015
Lijun Huang, Jia-feng Fang, Mei-hai Deng, Xiaofeng Yang, Hongbo Wei
Objective To investigate the teaching mode of laparoscopic surgery skills for medical interns and its effect. Method s New interns were randomly divided into experimental group and control group. The experimental group received the laparoscopic surgery skill training by learning Pick and Place (PP), Scrip Shear (SS), Suture and Knot tying (SK) and Tissue Isolation (TI), and they also received additional training of basic surgery skills before the training of laparoscopic surgery skills, while the control group did not receive the pre-training. Examines and questionnaires were conducted after the training. Result s There were no significant differences in laparoscopic skills between the two groups at the beginning of the training, but they all had obvious improvement after training (P<0.01). Compared with the control group, the experimental group did better in PP and SK (P<0.01), but no differences in SS and TI. The satisfaction rate of training model and skill improvement was 95% and 85% in the experimental group and control group. Conclusion Short-term program of laparoscopic surgery skill training could effectively improve intern's laparoscopic surgery skills, and the master of basic surgery skills is conducive to the learning of laparoscopic surgery skills. Key words: Teaching model; Laparoscopy; Training; Clinical practice teaching
目的探讨医学实习生腹腔镜手术技能的教学模式及效果。方法将新实习生随机分为实验组和对照组。实验组接受了Pick and Place (PP)、Scrip Shear (SS)、Suture and Knot tie (SK)、Tissue Isolation (TI)的腹腔镜手术技能训练,并在腹腔镜手术技能训练前进行了基础手术技能的额外训练,对照组不进行术前训练。培训结束后进行了检查和问卷调查。结果两组患者在训练开始时腹腔镜技术差异无统计学意义,但训练后均有明显提高(P<0.01)。与对照组相比,试验组PP和SK较好(P<0.01), SS和TI无显著差异。实验组和对照组对培训模式和技能提升的满意率分别为95%和85%。结论短期腹腔镜手术技能培训项目能有效提高实习生的腹腔镜手术技能,掌握基本手术技能有利于腹腔镜手术技能的学习。关键词:教学模式;腹腔镜检查;培训;临床实习教学
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引用次数: 0
Construction of post competency-oriented training system for ultrasound residents 超声住院医师岗位胜任力培训体系的构建
Pub Date : 2020-02-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.02.019
Lei Yu, Jiaan Zhu, Wan-lei Zhang, Junxue Gao, Li Yang, Wenting Fan
The standardized training of resident doctors is the main form of medical education after graduation. The standardization training of ultrasound doctors was guided by post competence, and was explored from the aspects, such as training target, teaching management, teaching method, teaching mode, and examination means. In this study, we adhered to the tutor responsibility system, and horizontal multi-module and vertical step-by-step teaching modes, made study plans according to local conditions, and improved the assessment system, so as to build a standardized and practical training system for ultrasound residents. Key words: Post competency; Ultrasonic medicine; Resident; Training system
住院医师规范化培训是毕业后医学教育的主要形式。以岗位胜任力为指导,从培养目标、教学管理、教学方法、教学模式、考核手段等方面对超声医生规范化培训进行了探索。本研究坚持导师负责制,采用横向多模块、纵向分步教学模式,因地制宜制定学习计划,完善考核体系,构建规范实用的超声住院医师培训体系。关键词:岗位胜任力;超声医学;居民;培训体系
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引用次数: 0
Study on the present situation, influencing factors and countermeasures of residents' body donation in China 中国居民遗体捐献现状、影响因素及对策研究
Pub Date : 2020-02-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.02.030
Hongfu Liu, M. Song, Luping Zhang, Zhongquan Chen
Body donation is the main source of human specimens preparation in medical universities and colleges. The low donation rate in China restricts the improvement of basic medical research and clinical treatment seriously. In the investigation, deep-rooted traditional concepts, unsound legal system, and inadequate government propaganda have become the major factors influencing body donation. Combined with the practice of body donation in the localities, this study puts forward some measures to promote the body donation, such as giving targeted publicity, promoting the concept of civilized funeral and burial, strengthening legislation, and simplifying the body donation process, which would lay the foundation for the development of medical education and research. Key words: Body donation; Influencing factor; Countermeasure
捐献遗体是医学院校人体标本制备的主要来源。中国捐献率低严重制约了基础医学研究和临床治疗水平的提高。在调查中,传统观念根深蒂固、法制不健全、政府宣传不到位成为影响遗体捐献的主要因素。本研究结合各地遗体捐献实践,提出针对性宣传、推广文明丧葬理念、加强立法、简化遗体捐献流程等促进遗体捐献的措施,为开展医学教育和研究奠定基础。关键词:遗体捐献;影响因素;对策
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引用次数: 0
Exploration and consideration on quantitative indicators of clinical final examination for standardized training of residents in dermatology 皮肤科住院医师规范化培训临床期末考核定量指标的探索与思考
Pub Date : 2020-02-20 DOI: 10.3760/CMA.J.ISSN.2095-1485.2020.02.022
Guoxing Zhu, Rongbiao Lu, P. Feng, Yang Xie, Chun Lu, W. Lai
Clinical final examination is an important link in the standardized training of residents in dermatology and quantification of evaluation indicators is one of the important parameters. In this study, the scores of clinical examinations of six candidates who participated in standardized training of residents in dermatology of Sun Yat-Sen University in June 2019 were taken as examples to explore the quantitative indicators of standardized and multi-station clinical final examinations. The indicators contained four stations and five links: skin pathological reading, skin biopsy, medical history collection and physical examination, medical record writing, and comprehensive questioning, which covered the main contents of the standardized training outline of residents in dermatology. Each evaluation indicator was refined and quantified. Finally, heuristic ideas were put forward, including a wider range of standardized and multi-station clinical examinations, introduction of new examination places, and utilization of information technology. Key words: Dermatology; Resident standardized training; Clinical examination; Quantitative indicators
临床期末考核是皮肤科住院医师规范化培训的重要环节,考核指标的量化是考核的重要参数之一。本研究以2019年6月参加中山大学皮肤科住院医师规范化培训的6名考生临床考试成绩为例,探讨规范化、多站临床期末考试的定量指标。指标包含皮肤病理阅读、皮肤活检、病史收集及体格检查、病案撰写、综合问询四站五环节,涵盖了皮肤科住院医师规范化培训大纲的主要内容。对各评价指标进行细化和量化。最后,提出了扩大规范化、多工位临床检查范围、引进新的检查场所、利用信息技术等探索性思路。关键词:皮肤病学;住院医师规范化培训;临床检查;量化指标
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引用次数: 0
期刊
中华医学教育探索杂志
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