Chinese Journal of Medical Education最新文献

{"title":"The practice and enlightenment of research ability training for psychiatry residency in North America","authors":"Q. Wei, Yao Yao, Y. Qiu, Jingjing Cui, Lei-jun Li, Jinbei Zhang, Nianhong Guan, Xiaoduo Fan","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.02.019","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.02.019","url":null,"abstract":"Research training is important for the development of clinical competency of psychiatrists and psychiatry. This paper introduces the training experience of research capacity of psychiatrists in North America, such as reading report meeting, scientific research theory training, participation in scientific research projects, writing of funds application and papers, academic report, and analyzes the enlightenment to the training of research capacity of psychiatrists in China. To improve the policies and measures for the training of the scientific research capacity of psychiatrists, such as strengthening the requirements for scientific research training, improving the allocation of teachers, ensuring the time of scientific research training, making the curriculum of research training, making the incentive policies for scientific research participation, and participating in research practice, in addition to enriching the training methods and contents of scientific research capacity of psychiatrists. \u0000 \u0000 \u0000Key words: \u0000Residency training; Research capacity; North America; Enlightenment","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126654649","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":"Investigation and analysis on the cognition of pediatric residents' competencies needed for a successful practice","authors":"Pingping Li, Yijin Gao, Lei Yin, Wei Wang, Fangjie Jiang, Meihua Lu","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.02.016","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.02.016","url":null,"abstract":"Objective \u0000To analyze the pediatric residents' competencies aiming at providing references for improving the quality of pediatric resident training and remodeling post-graduate education. \u0000 \u0000 \u0000Methods \u0000One hundred and eighty-four pediatric residents from Shanghai Jiao Tong University School of Medicine Affiliated Hospital participated in this cross-section investigation from December 2018 to February 2019. Using the cognitive questionnaire of pediatric residents' post competency to investigate the resident. \u0000 \u0000 \u0000Results \u0000Up to 45.7%(84/184)of respondents failed to define the competency. Within the top 11 competencies pediatric residents ranked, there was only one item \"effective use of communication skills\" in communication ability, and its importance score (4.67 ± 0.63), and there was no entry in the medical humanities literacy ranking in the top 11. \u0000 \u0000 \u0000Conclusions \u0000The awareness rate of resident positions is not high. In the standardized training of residents, the cultivation of medical humanities and communication skills were weak. Staged and hierarchical pediatric resident competency evaluation criteria should be developed. \u0000 \u0000 \u0000Key words: \u0000Pediatrics; Resident physician; Competency; Cognition","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"172 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117339368","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":"Influence of academic degree on the result of clinical skill completion examination of standardized training for surgical residents","authors":"Yupeng Zhang, Ya-jun Wang, Lifen Chen","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.02.012","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.02.012","url":null,"abstract":"Objective \u0000To analyze the influence of different academic qualifications on the results of standardized training graduation exam of surgical residents, and to put forward corresponding suggestions for formulating training plans for surgical residents. \u0000 \u0000 \u0000Methods \u0000From 2014 to 2016, 1 387 surgical residents in Beijing were selected as the subjects for the study, and the related factors were analyzed retrospectively. According to the highest academic qualifications obtained by the candidates in the examination, the candidates are divided into bachelor group, master group and doctor group. Using the methods of difference analysis, chi-square test and logistic regression analysis, the scores of different modules of the 7-station and the passing rates of the three groups of candidates in clinical skill examination are compared. \u0000 \u0000 \u0000Results \u0000Among 1 387 candidates, 540 were in the bachelor group, 460 were in the master group and 387 were in the doctor group. There was a significant difference about passing rate among bachelor group 63.9% (345/540) , master group 74.2% (341/460) and doctor group 75.7% (293/387) (P 0.05). Multivariate ANOVA analysis showed that among bachelor group, master group and doctor group, the scores of assistant examinations [(73.90±8.25) vs (75.76±8.86) vs (77.26±8.25)], medical documents [(69.71±22.85) vs (66.86±23.19) vs (72.17±23.40)], case analysis [(83.82±10.18) vs (83.43±8.14) vs (85.18±7.84)], humanistic communication [(87.62±8.05) vs (87.86±23.19) vs (72.17±23.40)] have significant differences (All P 0.05). \u0000 \u0000 \u0000Conclusions \u0000The standardized training programs of surgical residents with different degrees should be different. In terms of training design, doctor degree students should mainly fill in the shortcomings such as surgical operation, and the training period of rotation can be reduced or exempted. The rotation period for master degree students should not be reduced, however, their traning plan should focus more on filling in the shortcomings. Bachelor degree students should conduct systematic clinical training in accordance with the training program. \u0000 \u0000 \u0000Key words: \u0000Residents; Standardized training; Surgery; Education; Skill examination","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121492121","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 influencing factors of post competency of public health practitioners in Xinjiang","authors":"S. Qu, Q. Yan, Lu Ding, Xianting Yong, Rong Li","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.02.018","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.02.018","url":null,"abstract":"Objective \u0000To understand the influencing factors of post competency of public health practitioners in Xinjiang and provide scientific basis for the training of public health talents in Xinjiang Medical College. \u0000 \u0000 \u0000Methods \u0000Questionnaires were distributed to 450 public health practitioners in 8 regions medical institutions(CDC, MCH and occupational disease hospitals, etc) in Xinjiang using stratified cluster sampling. The competency model of the collected questionnaire data is established and the influencing factors are explored. \u0000 \u0000 \u0000Results \u0000The survey results of 396 valid questionnaires show that the public health practitioners in Xinjiang have the characteristics of female [64.4%(255/396)], less than 40 years old [57.1%(226/396)], more middle and senior professional titles [58.3%(231/396)], and factor analysis is carried out on the six competency main factor scores of the subjects with different characteristics in Xinjiang. The professional titles, working hours , two factors have influence on the post competence (F=3.953, F=3.685, F=4.773, P<0.05). \u0000 \u0000 \u0000Conclusions \u0000The influencing factors of the post competency of Xinjiang public health practitioners obtained by this research are in line with the regional and economic characteristics of Xinjiang, and provide the basis and reference for the undergraduate and postgraduate education and training, job recruitment and post graduation education of public health major in medical colleges and universities. \u0000 \u0000 \u0000Key words: \u0000Xinjiang; Public health; Doctor; Post competency; Influencing factor","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121418240","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":"The practice and exploration on teaching laboratory construction of medical metrology","authors":"Chi Tang, Guo Wei, Juan Liu, Zedong Yan, Xiaoyu Ma","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.02.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.02.001","url":null,"abstract":"Aiming at the weakness of experimental teaching in the course of medical metrology, and improving the skill of medical metrology for students majoring in biomedical engineering, Air Force Military Medical University has demonstrated and built a special \"medical metrology laboratory\" for teaching. This paper mainly introduces the exploration and the construction of medical metrology teaching laboratory, including the construction principle, structure design, equipment configuration, condition construction, laboratory management and experimental training, in order to provide reference and help for the future development of medical metrology teaching laboratory construction in colleges and universities. \u0000 \u0000 \u0000Key words: \u0000Medical metrology; Teaching; Laboratory construction; Biomedical engineering","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115790765","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 preliminary study of assessment modes for clinical skills for the standardized residents training of radiology","authors":"Y. Hu, Xudong Zhao, Wei Zhang, Shupeng Yu, S. Tang, Xiao-min Wang","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.02.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.02.013","url":null,"abstract":"As an important part of clinical medicine, the content and process of the standardized residents training of radiology has its own characteristics. In this paper, the assessment procedures for clinical skills of standardized residents training of radiology in Liaoning Province, 2019, were retrospectively analyzed, including examiner settings, specific testing mode, contents of examination, and analysis of testing results, in order to provide more reasonable recommendations for the future assessments. \u0000 \u0000 \u0000Key words: \u0000Radiology; Standardized residents training; Clinical skills; Assessment","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122580763","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":"Literature analysis of teaching method reform in medical nursing baccalaureate program in China","authors":"Zhenzhen Yu, Yazhu Lin, Rong-Fang Hu","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.02.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.02.005","url":null,"abstract":"Objective \u0000To evaluate the effectiveness of different teaching methods of medical nursing in nursing baccalaureate program. \u0000 \u0000 \u0000Methods \u0000We searched papers published from January 2000 to December 2018 in Chinese Biomedical Literature Database, Wanfang Database, China National Knowledge Infrastructure, and China Science and Technology Journal Database on March 1, 2019. Studies were eligible according to the inclusion and exclusion criteria. The methodological quality of included studies was assessed according to the Cochrane Handbook for Systematic Reviews of Interventions 5.1.0 by two reviewers independently. The meta-analysis was conducted by Review Manager 5.3 software. \u0000 \u0000 \u0000Results \u0000Thirty-nine studies were included in this study and the quality all rated B. They are summarized as case-based learning teaching method of cooperative learning, situational simulative teaching method, problem-based learning teaching method, Internet-based teaching method, multiple teaching method and others, with 11 studies, 8 studies, 5 studies, 5 studies, 3 studies and 7 studies, respectively. Compared with the control group, teaching reform methods have achieved a certain teaching effect. However, there have some defects in the study design about group allocation, implement method and baseline comparison. \u0000 \u0000 \u0000Conclusions \u0000There are diverse teaching methods in Medical Nursing, these teaching methods have certain advantages compared with traditional methods, and further research needed to be more rigorous in the teaching design. \u0000 \u0000 \u0000Key words: \u0000Medical nursing; Teaching methods; Literature; Research","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114599608","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 case experience method in the teaching of postgraduates' communication skill","authors":"Dong Jiang, G. Cui, Yuping Yang, Youliang Hao, Shuai Jiang, Xiao-feng Geng, Y. Ao","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.02.002","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.02.002","url":null,"abstract":"Objective \u0000To study the application effect of the \"case experience\" model in improving the adaptability and communication ability of medical graduate students. \u0000 \u0000 \u0000Methods \u0000A total of 90 professional postgraduate students who were internships in the surgical system of our hospital from April to September 2018 were selected as subjects. There were 45 cases for the experimental group and the control group respectively. The students in the experimental group self-directed and acted according to the medical conflict cases, experiencing the situation, and discussing the cause of the accident or dispute, and were consulted by the experts of the medical department. The control group directly studied the case text material. Questionnaires were used to analyze and compare the teaching effects of the two groups of students. \u0000 \u0000 \u0000Results \u0000Compared with the control group, there was a significant difference in the way the students in the experimental group chose to deal with physiotherapy conflicts: exercise forbearance[15.6%(7/45)vs 48.9%(22/45)], seek help[77.8%(35/45) vs 24.4%(11/45)], face to face[6.7%(3/45) vs 26.7%(12/45)], (P=0.024).84.4%(38/45)experimental group studentshad got a more reasonable treatment. \u0000 \u0000 \u0000Conclusions \u0000The \"case experience\" model allows students to more intuitively understand the causes of medical malpractices or disputes, and learn the methods and techniques of treatment to enhance the conflicts dealing and communication skills of medical graduate students. \u0000 \u0000 \u0000Key words: \u0000Case experience teaching; Clinical medicine major; Graduate students; Communication skills","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115926651","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 the method of disease spectrum-based in dermatology teaching","authors":"Chaofan Liu, Xing Zhou, D. Hu, Jinghao Lu, Lu-bing Zhu","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.02.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.02.010","url":null,"abstract":"Objective \u0000To explore the effect of using disease spectrum in dermatology education. \u0000 \u0000 \u0000Methods \u0000The disease spectrum-based teaching and the traditional teaching method were utilized to 100 undergraduate students enrolled in 2013 and 2014 and 124 postgraduate students and 50 doctoral students enrolled in 2016 majoring in clinical medicine at Shanghai Medical College of Fudan University from September to December 2017. A self-made related questionnaire was designed and distributed to these students. Then we analyzed the problems existing in the traditional method and compared the difference in the teaching effect between the disease spectrum-based teaching and the traditional one. Moreover, the suggestions for applying the teaching method of disease spectrum were also proposed by students. \u0000 \u0000 \u0000Results \u0000Approximately 62.0% (170/274) of the students believe that there are too many kinds of dermatoses while only a few of them were taught in the traditional method. Therefore, it is a great challenge for students or junior doctors to diagnose some dermatosis when facing a large variety of skin eruptions in clinical practice. Nearly 69.3% (190/274) of students were not familiar with the disease spectrum dermatology. Compared with the traditional teaching method, it is significantly more effective to memorize the dermatology knowledge by the disease spectrum-based method [(4.89±1.84) vs (6.75±1.75), P<0.01], and more helpful to comprehend the knowledge [(5.19± 1.99) vs (6.96±1.76), P<0.01] and to carry out clinical practice [(5.21±1.99) vs (6.89±1.88), P<0.01]. As high as 76.3% (209/274) of students believe that the method of disease spectrum has advantages in helping students to learn knowledge macroscopically and master more diseases. \u0000 \u0000 \u0000Conclusions \u0000The teaching efficiency of dermatology education can be improved via the disease spectrum-based method. \u0000 \u0000 \u0000Key words: \u0000Dermatology; Disease spectrum; Teaching method; Teaching effect","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115469018","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":"Exploration and effect of constructing teaching system in the non-affiliated hospital in clinical medicine professional certification","authors":"Ling Lan, Meizhou Fu, Fu-Min Dai, Dan-dan Du, Wenhai Yan, Xuemei Wang, Guangzhi Liu, Peichun Sun","doi":"10.3760/CMA.J.ISSN.1673-677X.2020.02.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-677X.2020.02.011","url":null,"abstract":"A perfect teaching system is the cornerstone for a non-affiliated hospital to undertake the teaching tasks of medical universities and to meet the requirements of higher medical education. The complete teaching management system, high-quality teaching operation system and effective teaching supervision system are the three keys to building and improving the teaching system. As a non-affiliated hospital, Henan Provincial People's Hospital explored and improved the teaching system from the above three aspects, and has achieved some results. \u0000 \u0000 \u0000Key words: \u0000Non-affiliated hospitals; Teaching system; Clinical medicine specialty; Exploration","PeriodicalId":427675,"journal":{"name":"Chinese Journal of Medical Education","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124141592","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}