Chinese Journal of Medical Education最新文献

{"title":"Effect evaluation of airway crisis situation simulation laryngeal mask management","authors":"Ya Cao, Fang Ding, Yan Lu, Shangyi Gong","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.03.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.03.014","url":null,"abstract":"Objective \u0000To explore the application effect of the laryngeal mask in the simulation of the airway crisis situation in the standardized training of surgical residents. \u0000 \u0000 \u0000Methods \u0000July 2017 to June 2018, 48 patients in the anesthesiology department of our hospital were selected to be rotated and surgically trained, and divided into test group and control group of 24 people each. Test group: training for laryngeal mask placement in a simple task trainer; control group: training in laryngeal mask placement under crisis scenario scenarios. After the training, the two groups of students were compared with the theoretical achievement, and first-aid airway treatment ability under simulated clinical crisis events, including technical ability and non-technical ability. The questionnaires were sent to the participants for feedback. \u0000 \u0000 \u0000Results \u0000After the training, the theoretical scores of the test group and control group were not statistically different (88.0±4.2 vs 86.0±3.4, P=0.076). Compared with the control group, the test group had higher success rate of laryngeal mask placement [75.0%(18/24) vs 45.83%(11/24), P=0.039], higher score of problem-solving ability (6.4±0.5 vs 2.1±1.2, P<0.01) and higher overall satisfaction of teaching (4.1±0.5 vs 3.5±0.6, P<0.01). \u0000 \u0000 \u0000Conclusions \u0000The application of laryngeal mask in airway crisis situation simulation could effectively improve the emergency airway management ability of surgical resident standardized training students. \u0000 \u0000 \u0000Key words: \u0000Airway crisis situation simulation; Laryngeal mask placement; Emergency airway management; Residency standardized training","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128768113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A survey on the recognition and working intention responses of medical students to sinking resources reform","authors":"Shuhong Wang, Zesheng Sun","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.03.017","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.03.017","url":null,"abstract":"Objective \u0000To explore the cognition of medical students on the sinking reform of health resources and the influence of the sinking reform on the medical students' willingness to practice medicine. \u0000 \u0000 \u0000Methods \u0000From June 2018 to February 2019, 1 456 valid questionnaires were collected from 8 medical universities of Zhejiang province, and then descriptive analysis, ANOVA and ordinal logistic model were utilized to do empirical study. \u0000 \u0000 \u0000Results \u0000It was found that 44.3% (645 / 1 456) and 21.5% (313 / 1 456) of students, had a low awareness of the sinking reform. Medical students with information by public channels, health policy and anti-violence education have significantly enhanced reform awareness, support and perceived reform effect compared with those without relevant education and by private channel (P<0.05). Health policy education has significant impact on intention to practice medicine (OR=1.274, 95%CI: 1.043~1.557, P=0.018), but 53.2%(774/1 456) did not received policy education. but 53.2% (774/1 456) did not received policy education. 88.5%(1 289/1 456) interviewees regard incidence of healthcare workplace violence as high, with its negative impact on working intention(OR=0.658, 95%CI: 0.601~0.721, P<0.01), and positive effect for low-level hospitals (OR=1.111, 95%CI: 1.014~1.216, P=0.023). The improvement of legal environment shows no impact for working intention(OR=0.932, 95%CI: 0.831~1.045, P=0.229), but positive impact exists for low-level hospitals (OR=1.363, 95%CI: 1.213~1.532, P<0.01). \u0000 \u0000 \u0000Conclusions \u0000Medical students have low reform awareness with limited information through public channel, and insufficient health policy and anti-violence education. More attention should be paid to the impacts of healthcare workplace violence on medical students' working intention, which may be incentivized by more powerful law enforcement. \u0000 \u0000 \u0000Key words: \u0000Sinking resources reform; Medical students; Working intention; Healthcare workplace violence; Health policy education","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131543330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study on the influence of integrated basic medical system combined with two teaching methods on the critical thinking ability of clinical medical students","authors":"Caihua Zhang, L. Guan, Cong Li, Xiang Ren, Li Kong, Haiying Ma","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.03.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.03.006","url":null,"abstract":"Objective \u0000To discuss the effect of system-based integrated curriculum combined with problem-based learning, case-based learning (hereinafter referred to as system-based integrated teaching) in basic medical sciences in the cultivation of clinical medical students' critical thinking ability. \u0000 \u0000 \u0000Methods \u0000A total of 184 students from the 5-year clinical medicine scheme in Dalian Medical University were subjects, which include experiment group (n=89, system integrated teaching mode)and control group(n=95, traditional discipline-centered teaching mode). Critical Thinking Disposition Inventory-Chinese Version (CTDI-CV) was used to evaluate the critical thinking ability of students. \u0000 \u0000 \u0000Results \u0000The total score of the experiment group was significantly higher than that of control group (P<0.01). Open-mindedness, analyticity, inquisitiveness and cognitive maturity of the seven dispositions of experiment group were significantly higher than that of control group [(42.03±5.60)vs(39.98±5.47), (41.69±6.27)vs(39.43±5.89), (42.16±6.93)vs(39.61±8.13), (43.74±7.74)vs(40.32±5.63), all P<0.05]. There were statistical differences in 17 of 70 items of critical thinking ability of two groups (P<0.05). \u0000 \u0000 \u0000Conclusions \u0000System-based integrated course facilitates clinical medical students to improve their critical thinking abilities. \u0000 \u0000 \u0000Key words: \u0000Basic medicine; System integrated course; Medical students; Critical thinking ability; Teaching methods","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"237 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124611399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of three-dimensional visualization teaching in standardized residents training of pancreatic surgery","authors":"Chuang Chen, Huihui Hao, Houwen Jiang","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.03.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.03.013","url":null,"abstract":"Objective To explore the application effect of three-dimensional visualization teaching in resident training in pancreatic surgery. Methods A total of 68 trainees for standardized resident training in pancreatic surgery of our hospital were selected from January 2016 to June 2018. The traditional teaching method is used in the control group, while the three-dimensional visualization technology is used in the observation group on the basis of traditional teaching methods. Results There was no significant difference in the scores of basic theoretical knowledge examination, but the results of clinical knowledge and the excellent rate of imaging examination in the observation group were significantly higher than those in the control group [(80.4±10.0) vs (74.6±10.7), 76.5% vs 52.9%], the difference was all statistically significant (all P<0.05). The results of questionnaire survey showed that the satisfaction of the students in the observation group was significantly higher than that in the control group (94.1% vs 76.5%, P<0.05). Conclusions The application of three-dimensional visualization technology is helpful to iprove clinical examination results, imaging examination results and overall satisfaction. Key words: Three-dimensional visualization; Pancreatic surgical; Standardized residents training","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130862002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis on new procedures for health professionals' entry into medical practice in Russia","authors":"Hua Ma, Xiaoming Bi, Zhenhong Liu, Baofeng Yang, Depin Cao, Dianjun Sun","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.03.018","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.03.018","url":null,"abstract":"Since January 1st, 2016, Russia began to implement a new admission system for medical practice, that is, professional accreditation. Certificate of professional accreditation has replaced former professional certificate and become a new pathway for health professionals'entry into medical practice. The paper elaborates the time, stage, category and specific procedures for professional accreditation in Russia's health field, as well as its achievements and problems, and provides reference for experts and scholars in China's health field. \u0000 \u0000 \u0000Key words: \u0000Russia; Health professional; Admission to medical practice; Professional accreditation; Certificate of professional accreditation","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"237 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131874877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A survey on the knowledge and attitude to interdisciplinary-based medical postgraduate training among medical graduate students and tutors","authors":"Yuan Wei, H. Shi, Qing Wang, Jialei Xie, Xiao-Li Wang, Yangyu Zhao","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.03.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.03.009","url":null,"abstract":"Objective \u0000To investigate the current status of interdisciplinary medical postgraduate training, and medical graduate students and tutors' knowledge about and attitude to interdisciplinary-based medical postgraduate training. \u0000 \u0000 \u0000Methods \u0000Using convenient sampling method, an online questionnaire survey was conducted among 430 graduate students and 97 tutors from Peking University Health Science Center to investigate their experience of cooperation with other disciplines, as well as their views on the interdisciplinary-based postgraduate training and suggestions on the improvement of the training model. \u0000 \u0000 \u0000Results \u0000The results showed that 47.0% (202/430) of graduate students and 84.5% (82/97) of tutors reported having the cooperation experience with other disciplines. 98.8% (425/430) of graduate students and 99.0% (96/97) of tutors recognized the benefits of interdisciplinary to medical postgraduate training, including broadening students' knowledge and perspective, sharing resources, improving research methods, and the discovery of scientific problems. The proportion of having a corresponding experience showed that 53.9% (284/527) was much higher than that of expecting interdisciplinary cooperation [98.9% (521/527)] among participants. The first three factors restricting the training reported by the graduate students and tutors were lack of platforms for cooperation and exchange 65.6% (282/430), 71.1% (69/97), imperfect training system 63.3% (272/430), 71.1% (69/97) and insufficient awareness of interdisciplinary-based training 55.8% (240/430), 52.6% (51/97). \u0000 \u0000 \u0000Conclusions \u0000The benefits of interdisciplinary in medical postgraduate training has been widely recognized by students and tutors. However, improving systems and platforms for multi-disciplinary cooperation, and strengthening the interdisciplinary education concept are still needed to promote interdisciplinary integration and medical innovative talents training. \u0000 \u0000 \u0000Key words: \u0000Interdisciplinary; Medical postgraduate training; Survey","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127914021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on the current situation and countermeasures of practice teaching of full-time master degree program of public health","authors":"Nan Wang, Yang Li, Jinzhong Jia, Zhen Hu, Tianzhi Chen, Zhifeng Wang","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.03.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.03.011","url":null,"abstract":"Objective \u0000To investigate the current situation of practical teaching for master degree of public health, to identify existing problems, and putting forward feasible suggestions and opinions for the future training. \u0000 \u0000 \u0000Methods \u0000From 2014 to 2015, 422 students from 34 institutions of full-time master degree in public health were selected as the research objects, and questionnaire was used to investigate them from the aspects of practice unit and unit selection, practice mode, practice time, work content, assessment and satisfaction. \u0000 \u0000 \u0000Results \u0000Totally 74.2%(313/422) students chose centers for Disease Control and Prevention as their main places of practice; 41.7% (176/422) of practice units were arranged by tutors and 41.0% (173/422) of schools, but 36.5% (154/422) students thought that it was more reasonable to choose practice units on their own; 45.5% (192/422) students thought that it was the most reasonable to combine fixed departments and fixed units rotation mode; 19.9% (84/422) of the students' colleges require to practice for less than 6 months, all of them complete or over complete the practice, and 96.7% (118/122) of the students who practice for more than 12 months complete the practice; the main content of the students' practical work is mainly daily affairs, but 46.2% (195/422) of the students think that they should participate in the project research and Special research can improve their ability; students' overall satisfaction score for practical training is 3.80 points (full score 5 points). \u0000 \u0000 \u0000Conclusions \u0000There are some problems in the training, such as the type of practice base, the single choice way, the overall design of practice to be improved, and the lack of evaluation mechanism. Therefore, it is necessary to further strengthen the construction of practice base, improve the practice training program, and build the assessment and evaluation system, so as to ensure the practice quality of full-time master degree of public health and to improve the satisfaction of students. \u0000 \u0000 \u0000Key words: \u0000Master of public health; Professional practice; Teaching; Research","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128350631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current situation and problems of the quality evaluation of postgraduate education in clinical medicine","authors":"W. Yuan, Yanxin Song, Aijing Zhang, Gang Huo, Shixian Gu","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.03.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.03.010","url":null,"abstract":"By analyzing the current situation of the quality evaluation system of clinical postgraduate education in China from 1983 to 2017, this paper explores the main problems including the current evaluation object stratification, evaluation content is not comprehensive, evaluation index is not objective and evaluation method is relatively backward. From the practical level of clinical medicine postgraduate training unit, it is proposed that the evaluation subject should be properly adjusted, the evaluation object should be targeted, the evaluation content should be comprehensive and specific, the evaluation index should be objective and standardized, and the evaluation method should keep pace with the times. \u0000 \u0000 \u0000Key words: \u0000Clinical medicine; Postgraduate students; Quality evaluation; Current situation; Problems","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124947449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on construction of longitudinal research databases in medical education","authors":"Chen Man, Fei Xiao, Liu Zihua, Shao-yan Zheng, Gang Xin","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.03.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.03.001","url":null,"abstract":"As a tool of medical education research, longitudinal research database for medical education can effectively solve challenging and complex problems in medical education research by collecting measurement data of medical education outcomes and exploring the relationship between educational intervention and educational outcomes. As a continuous uniform recording and evaluation tool, longitudinal research database records the development of medical students' professional competency in the process from medical education to medical service, including the stages of basic medical education, post graduate medical education and continuing professional development, which is applied to evaluating medical education outcomes. The longitudinal database of medical education in China has not yet been established and needs to be accelerated to provide a reference basis for promoting medical education reform and improving medical education quality. \u0000 \u0000 \u0000Key words: \u0000Longitudinal study; Database; Medical education; Evaluation research","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"154 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123592304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application and effect of Xuexitong app based Flipped classroom in the course of physical diagnosis","authors":"Fei He, Jian-long Sheng, Bang-long Xu, Liping Wang","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.03.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.03.007","url":null,"abstract":"Objective \u0000To investigate the effect of Xuexitong app based flipped classroom in the course of physical diagnosis. \u0000 \u0000 \u0000Methods \u0000From September 2018 to January 2019, 120 students from the Second Clinical School of Anhui Medical University were divided into control and experimental group, receiving traditional teaching mode and Xuexitong app based Flipped classroom teaching mode, respectively. Academic self-efficacy, examination scores, and teaching satisfaction were compared between the groups. \u0000 \u0000 \u0000Results \u0000The rate of asking questions before and after class in the experimental group was higher than that in the control group [73.3%(44/60) vs 26.7%(16/60), 53.3%(32/60) vs 31.7%(19/60), P<0.01]. The test scores of students the experimental group were significantly higher than the control group[(76.0±9.9) vs (68.9±12.1), P<0.01]. Similarly, examination skill scores of students the experimental group were significantly higher than the control group [(76.3±9.1) vs (64.5±11.7), P<0.01]. After the course, academic self-efficacy in experimental group was significantly higher than control group [(79.3±8.5) vs (73.6±6.4), P<0.01]. In addition, students in the study group acquired higher satisfaction with teaching compared with the control group [(11.8±1.5)vs(9.1±1.9), P<0.01]. \u0000 \u0000 \u0000Conclusions \u0000Application of Xuexitong app based Flipped classroom in the course of physical diagnosis remarkably promoted the academic self-efficacy and teaching learning outcomes of trainees. \u0000 \u0000 \u0000Key words: \u0000Teaching; Mobile learning; Flipped classroom; Physical diagnosis","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125741697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}