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    Admissions and Employment
    An investigation and analysis of the needs and impact of medical undergraduate enrollment publicity based on the freshmen′s perspective
    Wang Dan, Hou Jianlin
    2025, 45 (2):  81-84.  DOI: 10.3760/cma.j.cn115259-20240322-00294
    Abstract ( 63 )   PDF (823KB) ( 48 )  
    Objective To investigate the medical freshmen′s demand for enrollment publicity and its influence on them and to inform further optimization of medical undergraduate enrollment publicity. Methods The method of questionnaire survey was adopted. The questionnaire was designed by the researchers. From 2021 to 2023, a pre-admission survey was conducted on 2 526 undergraduate freshmen in Peking University Health Science Center, and 2 384(94.4%) actually participated in the survey. Descriptive statistics and χ2 test were used to analyze the survey results. Results Among the 2 384 freshmen, 2 146(90.0%) had been exposed to the enrollment publicity of the university, and 2 125(99.0%) of them believed that they benefited from it. As for the most needed publicity content, 1 986(83.3%) freshmen chose introduction of majors, 1 660(69.6%) freshmen chose development of disciplines, and 1 631(68.4%) freshmen chose employment prospects. As for the most preferred way of publicity, 1 106(46.4%) freshmen chose the recruitment publicity video, 1 004(42.1%) freshmen chose the senior teachers to preach. Among the freshmen, 131(5.5%) had never known about the school and major, and 64.1%(84/131) were satisfied; 385(16.1%) knew about it before high school, and 91.7%(353/385) were satisfied. There were 537(22.5%) freshmen knew about it in the first year of high school with a satisfaction of 87.7%(471/537), 564(23.7%) freshmen in the second year of high school with a satisfaction of 89.4%(504/564), 767(32.2%) freshmen in the third year of high school with a satisfaction of 86.4%(663/767).There was statistical difference among the satisfaction(P<0.05). Conclusions The publicity work of medical undergraduate enrollment covers a wide area and has a positive impact on students. Universities should focus on the introduction of majors, subject development and employment that students need most, and use promotional videos, seniors preach and other forms that students like. The earlier students get to know the school and major, the higher their satisfaction in admitting the major. Universities need to carry out publicity in advance to improve the publicity effect of enrollment.
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    A survey on the destination of graduate students of master of public health in China
    Wen Mingyue, Wei Ruinan, Jia Jinzhong, Zhu Rui, Li Yuexin, Lei Xiaohua, Lin Huangtao, Li Jingrui, Shi Peiyao, Jiang Wei
    2025, 45 (2):  85-90.  DOI: 10.3760/cma.j.cn115259-20230802-00081
    Abstract ( 43 )   PDF (856KB) ( 20 )  
    Objective To understand the current employment situation of master of Public health graduates and provide reference for relevant decision-making. Methods The data of master of Public health graduate students in the“National Medical Graduate Education Satisfaction Survey” in 2022 were selected for analysis, involving 932 graduate students from 56 universities. Descriptive analysis, χ2 test and Kruskal-Wallis rank sum test were used to compare the differences of work units, positions and salaries among graduate students with different characteristics, and ordered Logistic regression was used to explore the influencing factors of starting salary. Results Methods Of the 932 graduates, 688 have been employed, with an employment rate of 73.8%. Among the employed graduates, the proportion of working unit type CDC 232[(38.5%)] was the highest, and that of government agency [16(2.5%)] was the lowest. Professional and technical positions [350(58.3%)] accounted for the highest proportion, and teaching positions [19(3.2%)] accounted for the lowest proportion. 233 people with salaries between 2 001 and 5 000 yuan, accounting for the highest (38.8%), and 23 people with salaries below 2 000 yuan, accounting for the lowest (4.0%). There was a statistically significant difference in the destination of graduate students in differentuniversities and regions (χ2=9.86, P<0.05). The probability of graduate students in western universities directly joining the work force after graduation was higher [201(70.3%)], and that of graduate students in eastern universities was higher [119(9.7%)]. There were significant differences in the salaries of graduates in different university regions, working units and positions (all P<0.05). The salaries of graduates in eastern region, enterprises and scientific research positions were higher, and the differences in the starting salaries of graduates in different university regions were statistically significant (H=22.71, P<0.001), and the starting salaries of graduates in eastern region were higher. Conclusions The employment rate of graduates of Master of Public health is relatively low, and the employment units are mainly CDC and hospitals. They are engaged in professional and technical posts with relatively low salary. It is suggested that relevant measures should be taken to promote the employment of graduates of Master of public health.
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    Nursing Education
    A mixed methods study on professional identity of undergraduate male nursing students
    Wang Yunyun, Yang Xilai, Tian Xiaoxue, Tian Xu, Fan Shuqi, Yuan Jingsong, Shen Xinrui
    2025, 45 (2):  91-95.  DOI: 10.3760/cma.j.cn115259-20240124-00087
    Abstract ( 34 )   PDF (813KB) ( 23 )  
    Objective To explore the current status of professional identity among undergraduate male nursing students, to inform professional identity education in universities. Methods The interpretive sequence mixed method design was utilized. A cluster sampling was used to enroll male nursing students of a medical university in Guizhou Province as research subjects in January 2024, using questionnaire survey method to understand the current situation of male professional identity, afterwards,purposeful sampling was used to select male nursing students for a semi-structured interview around male career perspectives and career planning, and coded by NVivo software, the Colaizzi method was used to extract themes. Results Among the 258 students who completed the questionnaire, the total score of professional identity of male nursing students undergraduates (58.90±11.80) was at an above medium level. In the qualitative study, 3 themes were extracted, including a significant difference in professional identity among individuals, the influence of teachers′ words and actions, and the gender advantage of male students in clinical work. Conclusions The professional identity of male nursing students is not high. Nursing educators should actively carry out professional identity education, pay attention to the role model of teachers, guide male nursing students to establish positive professional values, and enhance professional identity.
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    Talent Training Models
    Analysis of innovation and entrepreneurship education for college students based on competition projects under the background of new medicine
    Liu Xingting, Li Jingwei, Wu Jiayang, Wang Chengdi
    2025, 45 (2):  96-102.  DOI: 10.3760/cma.j.cn115259-20231111-00468
    Abstract ( 30 )   PDF (877KB) ( 20 )  
    Objective Relying on the China International ″Internet plus″ Undergraduate Innovation and Entrepreneurship Competition, investigate the project awards and the status of innovation and entrepreneurship education in medical colleges and universities, and provide reference for medical colleges and universities to carry out innovation and entrepreneurship education. Methods 1 362 medical awards in the first to eighth (From August 2015 to February 2023) China International ″Internet plus″ Undergraduate Innovation and Entrepreneurship Competition were taken as the research sample, and statistical analysis was conducted according to the competition category, number of school awards, topic selection characteristics, etc. Results The statistical results show that New Medical (Interdisciplinary Medicine) projects account for a notable share of the total national award-winning projects in the ″Internet Plus″ Undergraduate Innovation and Entrepreneurship Competition. The proportion was higher in the Higher Education Main Track[16.43%(1 108/6 743)] and Industry Proposition Track [11.75%(47/400)]. In contrast, it was lower in the Youth Red Dream Building Journey Track [7.70%( 125/1 623) and Vocational Education Track [5.75%(82/1 427)].The university with the highest number of gold awards has won a total of 20 gold awards in the high education main track, the youth red dream - building journey track, and the industry proposition track. Its achievements are particularly outstanding in the high education main track, the youth red dream building journey track, and the industry proposition track; In the medical category, biopharmaceutical and information technology service projects have a relatively large number of awards, accounting for 34.58%(471/1 362) and 21.15%(288/1 362) respectively. Conclusions Driven by competitions, medical colleges have a relatively high number of awards and overall good innovation and entrepreneurship education, but there are significant differences between different tracks and universities. It is suggested that innovation and entrepreneurship education for medical college students should be promoted under the interdisciplinary model of New Medicine (″Medicine+X″), fully considering the characteristics and needs of professional projects, forming an innovation and entrepreneurship education mechanism, and promoting the high-quality development of medical education in China.
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    Mental Health Education
    The mediating role of peer pressure and learning atmosphere in the relationship between medical students′ career calling and academic procrastination
    Guo Qingfeng, Tan Hongtao, Cui Ying, Zhang Yanxin, Zhao Chenxi, Cheng Xinhui, Meng Qinghui, Bo Hong
    2025, 45 (2):  103-109.  DOI: 10.3760/cma.j.cn115259-20231214-00577
    Abstract ( 26 )   PDF (874KB) ( 17 )  
    Objective To analyze the differences of academic procrastination among medical students with different demographic characteristics. To explore the moderating effects of peer pressure and learning atmosphere on the relationship between medical students ′ career calling and academic procrastination. Methods From July to August 2021, a total of 2 500 students majoring in clinical medicine and nursing from five medical colleges in China were investigated by using the career calling scale, academic procrastination scale, peer pressure scale and learning atmosphere scale. Descriptive statistical analysis, independent sample t-test, one-way ANOVA, Pearson correlation analysis, regression analysis and other methods were used to analyze the data. Results The total average score of academic procrastination was 2.62±0.85. The results of single factor analysis showed that the academic procrastination of female students was higher than that of male students (P<0.001); the academic procrastination of sophomores and juniors was higher than that of freshmen (P<0.001); the degree of academic procrastination of nursing students was higher than that of clinical medical students (P<0.001). The medical students who grew up under the neglected family upbringing style had the highest degree of academic procrastination, and the medical students who grew up under the authoritative family upbringing style had the lowest degree of academic procrastination (P<0.001). The degree of academic procrastination of non-only children was higher than that of only children (P=0.018); the degree of academic procrastination of medical students from non-rural areas was higher than that of medical students from rural areas (P=0.013); there was no significant difference in the degree of academic procrastination between student cadres and non-student cadres (P=0.309). The academic procrastination of medical students was negatively correlated with career calling (r= -0.203, P<0.01), peer pressure (r= -0.249, P<0.01) and learning atmosphere (r= -0.205, P<0.01). Peer pressure (β=0.479, P=0.008) and learning atmosphere (β=0.423, P=0.013) can play a moderating role between career calling and academic procrastination. Conclusions Medical colleges can reduce students′ academic procrastination and improve learning efficiency by strengthening medical students′ career calling education, creating a good learning atmosphere, and strategically using peer factors.
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    A study on the network relationship between educational environment perception, academic self efficacy, and learning engagementin the school of public health
    Li Wen, Han Wei, Yang Jianjun
    2025, 45 (2):  110-115.  DOI: 10.3760/cma.j.cn115259-20240207-00136
    Abstract ( 18 )   PDF (1548KB) ( 8 )  
    Objective Constructing a network relationship between the perception of educational environment, academic self-efficacy, and various dimensions of academic engagement, in order to provide specific support for improving academic engagement among students from the School of public health. Methods Convenient sampling method was used to enroll 964 students from the School of from the 2018-2022 cohort at Ningxia Medical University. Develop a questionnaire based on the comprehensive basic situation survey, educational environment perception scale, academic self efficacy scale, and academic engagement scale, and perform descriptive analysis, one-way ANOVA, and visual network analysis on the data. Results The scores of perceived educational environment, academic self-efficacy, and academic engagement among students from the School of public health were (58.94±24.03), (75.90±15.01), and (62.38±21.44), respectively. The visual network analysis results showed that learning ability is the most important dimension in the network relationship between educational environment perception and academic self-efficacy. There was a negative correlation between various dimensions in the network relationship between perceived educational environment and learning engagement. The relationship between all dimensions of academic self-efficacy and academic engagement was relatively close. Conclusions The scores of educational environment perception, academic engagement, and academic self-efficacy among students from the School of public health are relatively low, and are influenced by age and whether they are impoverished. This study preliminarily established the network relationship between educational environment perception, academic self-efficacy, and academic engagement, which has certain referential value in improving academic engagement among students from the School of public health.
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    Teaching Methods
    The practical application of immersive and participatory teaching in systematic anatomy for medical students
    Xu Fengyan, Liu Baoquan, Li Huiping, Sun Liang, Yang Huike, Li Xuemei, Chen Mingwei, Tian Jinwei
    2025, 45 (2):  116-120.  DOI: 10.3760/cma.j.cn115259-20240326-00314
    Abstract ( 35 )   PDF (811KB) ( 21 )  
    This study takes the five-year clinical medicine students admitted in 2022 at Harbin Medical University as an example to elaborate on the construction of an immersive and participatory teaching mode in systemic anatomy. This mode emphasizes student-centeredness, relies on the creation of multimodal digital resources as the foundation, and innovates assessment methods for teaching support. It is implemented through reshaping the three-class linkage teaching form, integrating diverse interactive teaching methods, and deepening the integration of political and virtue awareness education in situational experiences. The comprehensive final exam scores of 47 students were (82.08±9.48), with an excellent rate of 19.1%(9/47). Among the 48 students who participated in the questionnaire survey, 44(91.7%) were very satisfied with the course design; 42(87.5%) believed that the teaching method enhanced their subjective initiative in learning; 42(87.5%) felt that it facilitated knowledge acquisition and broadened their knowledge scope and depth; 44(91.7%) thought it promoted the connection between theory and clinical practice and strengthened clinical thinking; 41(85.4%) considered it highly beneficial for improving their ability to analyze and solve problems; and 43(89.6%) believed it enhanced their professional qualities and strengthened their conviction to pursue medical studies. The immersive and participatory teaching approach is conducive to cultivating the comprehensive abilities of medical students, with good application effects and increased teaching satisfaction among them.
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    The application of the hierarchical comprehensive training system in the teaching of primary surgery for open globe injuries
    Cui Ying, Shi Xiangyu
    2025, 45 (2):  121-124.  DOI: 10.3760/cma.j.cn115259-20240516-00491
    Abstract ( 20 )   PDF (826KB) ( 14 )  
    Objective To evaluate the effect of the hierarchical comprehensive training system in the teaching of primary surgery for open globe injuries. Methods A retrospective analysis was conducted on the use of the hierarchical comprehensive training system for the teaching of primary surgery for open globe injuries among residents rotating the ocular trauma department in the ophthalmology standardized training base of Beijing Tongren Hospital from January 2023 to December 2023. The experimental group used a hierarchical comprehensive training system that integrated theoretical lectures, video teaching, Wetlab training and clinical practice, while the control group used the traditional clinical apprenticeship teaching model. The teaching effect was evaluated by surgical assessment for both groups, and a questionnaire survey was conducted for the experimental group. Data analysis was performed using t-test and χ2 test. Results The average surgery time of the experimental group was significantly shorter than that of the control group [(27.0±1.5) minutes vs. (28.9±1.7) minutes, P<0.001]. The total score for the surgery assessment of the experimental group was significantly higher than that of the control group [(90.64±4.91) vs. (82.86±7.44), P<0.001]. The results of the questionnaire showed that students in the experimental group believed that the hierarchical comprehensive training system was helpful in adapting to microsurgery more quickly and improving the proficiency of basic operations (satisfaction rate was 100% for both). Conclusions The hierarchical comprehensive training system can effectively enhance the proficiency and level of surgical operation in primary suture surgery for open globe injuries among standardized training ophthalmology residents.
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    The application of simulated medicine combined with problem-based learning to improve the teaching effects of standardized residency training for wound repair
    Lei Yonghong, Wang Ren, Zhang Lijing, Chen Youbai, Shu Jun, Li Xue
    2025, 45 (2):  125-129.  DOI: 10.3760/cma.j.cn115259-20240509-00468
    Abstract ( 25 )   PDF (845KB) ( 21 )  
    Objective To explore the effect of applying problem-based learning (PBL) combined with medical simulation teaching based on human models in the teaching of wound repair for resident physicians. Methods The experimental control method was used. From January to December 2022, 60 trainees undergoing standardized residency training at the First Medical Center of the People′s Liberation Army General Hospital were enrolled. They were randomly divided into an experimental group and a control group using a random number table method. The experimental group used PBL combined with simulation teaching method based on human body model, while the control group used traditional teaching combined with simulation teaching method based on human body model. After a 2-month wound repair teaching, the teaching effectiveness was evaluated based on assessment scores and questionnaire survey results, and relevant data was analyzed using a chi square test and t-test. Results There was no statistically significant difference in the theoretical exam scores of the two groups of trainees using skin flaps to repair wounds [(88.3 ± 5.1) vs. (87.9 ± 4.7), P=0.726]. The practical exam scores of the experimental group were higher than those of the control group, and the difference was statistically significant [(92.6 ± 5.1) vs. (80.4 ± 6.2), P=0.012]. The results of the questionnaire survey showed that the combination of PBL and simulation teaching based on human models was able to stimulate trainees′ learning interest, improve their self-learning ability, enhance their clinical application ability of skin flap design, master clinical skills, and cultivate innovation ability. The proportion of trainees in the experimental group who agree with it were higher than those of the control group [86.7% (26/30) vs.60.0% (18/30),90.0% (27/30 ) vs.50.0% (15/30),96.7% (29/30) vs.63.3% (19/30),90.0% (27/30) vs.50.0% (15/30) ], and the differences were statistically significant (all P<0.05). Conclusions The combination of PBL and medical simulation teaching based on human models helped improve the clinical practice ability of students to apply skin flaps in a short period of time, and was recognized by resident trainees, achieving the training goal of rapidly improving students′ ability to use skin flaps to repair wounds.
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    Educational Technologies
    The study of the characteristics and classification of online teaching behaviors of teachers in higher education institutions of traditional Chinese medicine
    Zhang Jie, Che Yiwen, Tan Xi, Yuan Na, Jiao Nan
    2025, 45 (2):  130-134.  DOI: 10.3760/cma.j.cn115259-20230925-00295
    Abstract ( 23 )   PDF (836KB) ( 11 )  
    Objective To explore the characteristics of online teaching behaviors among teachers at Traditional Chinese Medicine colleges and conduct a classification study, to inform the continual improvement of online teaching. Methods From February to April 2021, a survey was distributed online to 5 621 teachers involved in online teaching tasks from 24 independent higher education institutions specializing in traditional Chinese medicine across the country. A total of 5 225 responses were collected, resulting in a response rate of 93.0%. Descriptive statistical methods were used to obtain average scores for four behavioral characteristics. Correlation analysis was applied to explore the relationships between teaching behavior characteristics, and a two-step cluster analysis was employed to classify the teachers, comparing the online teaching behavior characteristics across different categories. Results The average scores for teacher online teaching behavior characteristics were: Academic Guidance (4.32±0.59), Course Design (4.32±0.66), Teaching Interaction (3.93±0.66), and Self-Evaluation (3.88±0.66). There was a positive correlation between the characteristics of online teaching behaviors. Based on these behaviors, teachers were classified as high-energy, long-term thinkers (2 153 individuals), expectation of returnees (2 278 individuals), and blindly compliant (794 individuals). Conclusions In online teaching behaviors, the characteristics of course design and academic guidance are more prominent; academic guidance shows a relatively close relationship with course design and teaching interaction. High-energy, long-term thinkers demonstrate scientific course design, active teaching interaction, rich academic support, and rational self-evaluation; expectation of returnees exhibit generalized course design, formalized teaching interaction, task-based academic support, and neutral self-evaluation; while blindly compliant teachers show simplistic course design, passive teaching interaction, singular academic support, and low self-evaluation scores.
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    Effect of a 3D surgical training system in patella fracture surgery teaching for orthopedic residents
    Xue Mingdi, Sun Yudong, Wang Honglin, Zhou Hong, Yang Jiaming, Sun Wei, He Shuming, Wang Yi, Xie Mao, Ye Zhewei
    2025, 45 (2):  135-140.  DOI: 10.3760/cma.j.cn115259-20231213-00574
    Abstract ( 18 )   PDF (871KB) ( 7 )  
    Objective To explore the effect of a 3D surgical training system in the teaching of patella fracture surgeries to orthopedic residents. Methods A total of 24 participants from the standardized residency training program at Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, from September 2022 to September 2023, were selected and assigned into two groups using a random number table method, with 12 in the experimental group receiving the course using 3D surgical training system and 12 in the control group receiving traditional instruction. The teaching effectiveness was evaluated using knowledge examination, skills assessment, and satisfaction surveys. T-tests and chi-square tests were used for data analysis. Results In knowledge examination, total scores for the experimental group were (81.42±4.68) and (75.42±6.52) for the control group, with a statistically significant difference (t=2.59,P=0.017). In skills assessment, there were no significant differences between the experimental group and the control group interms of the duration of fracture reduction was (20.25±5.26) minutes for experimental group and (23.67±4.83) minutes for control group , the number of fluoroscopies use was (2.75±1.06) times for experimental group and (3.00±1.28) times for control group, and intraoperative blood loss was (97.92±10.10) ml for experimental group and (100.40±7.82) ml for control group (P>0.05). The time taken for the tension band was (32.92±6.20) minutes for the experimental group and (38.42±3.63) minutes for the control group, a statistically significant difference (t=2.65, P=0.015). The overall surgical duration was (86.17±11.42) minutes for the experimental group and (100.20±12.22) minutes for the control group, with a statistically significant difference (t=2.90, P=0.008).After completing all assessment components, the control group participants joined the experimental group′s course and participated in a satisfaction survey.satisfaction survey showed that 22(91.7%) were willing to recommend the teaching method, and 20(83.4%) found the teaching method impressive. Conclusions The application of the 3D surgical training system helped improve the theoretical knowledge acquisition of orthopedic residents in patella fracture surgery training and reduced the overall surgical time, and achieved high levels of teaching satisfaction and effectiveness.
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    Graduate Education
    Design and practice of blended learning in advanced mathematics and linear algebra for graduate students majoring in epidemiology and health statistics
    Zhang Wenlong, Yuan Wei, Chen Wen, Gu Jing, Lai Yingsi
    2025, 45 (2):  141-145.  DOI: 10.3760/cma.j.cn115259-20231229-00638
    Abstract ( 24 )   PDF (804KB) ( 16 )  
    To improve the teaching effectiveness of the advanced mathematics and linear algebra course for graduate students majoring in epidemiology and health statistics, a blended teaching approach combining “exemption test + online self-learning + offline integrative lectures” was designed and implemented. Seventy-eight graduate students major in epidemiology and health statistics at Sun Yat-sen University were included as the subjects for this blended teaching approach. The learning outcomes, effectiveness, course satisfaction, and the course′s contribution to their research projects were assessed through questionnaires and examination results. The results showed that all non-exempt students passed the two in-class tests and the final exam. Additionally, 61 students (88.4%) were satisfied with the offline integrative lectures, and 64 students (92.8%) found the course beneficial for their research. For graduate students specializing in epidemiology and health statistics who have varying levels of mathematical proficiency and limited time, the blended teaching model of “exemption test + online self-learning + offline integrative lectures” has proven effective in helping them grasp the knowledge related to advanced mathematics and linear algebra. This approach has also been well-received by the students.
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    Standardized Residency Training
    Investigation and analysis of clinical practice guarantee mechanisms in standardized training base for residents in Guangdong Province
    Yao Yao, Chen Lu, Qu Qi, Yu Jingfei, Wu Shaolin, Li Shangrong
    2025, 45 (2):  146-151.  DOI: 10.3760/cma.j.cn115259-20240110-00038
    Abstract ( 23 )   PDF (859KB) ( 11 )  
    Objective To understand the establishment and implementation of the clinical practice guarantee mechanisms of the standardized training bases for residents in Guangdong Province, and to provide a basis for the relevant departments and training bases to further adjust the management system and teaching methods of residency training. Methods From April to July 2023, 60 residency training bases in Guangdong Province were enrolled, and the creation of their clinical practice guarantee mechanisms, the passing of physician qualification examination, the registration of practice, the acquisition of prescription right, the clinical frontline duty, and the authorization of healthcare system authority were investigated through questionnaires, and the impact of different batches, different sizes, and whether or not they are affiliated with university hospitals on the establishment and implementation of the clinical practice guarantee mechanisms were statistically analyzed by using non-parametric tests. Results Ten training bases have formulated a clinical practice guarantee system for residents, and all 60 training bases have realized the ″one person, one account″ medical system account management with corresponding authority. Across the province, the percentage of residents who have passed the medical qualification examination out of the total residents in training is 62.31%, with the first batch at 64.60% and the second batch at 68.80%, significantly higher than the third batch at 48.42%, all P<0.05. Furthermore, training bases with 11-20 specialties have a pass rate of 69.15%, and those with 21 or more specialties have a rate of 63.67%, both higher than bases with 1-10 specialties, which have a rate of 53.82%, all P<0.05. Affiliated hospitals have a significantly lower percentage of residents with prescription rights who have passed the medical qualification examination (40.70%) compared to non-affiliated hospitals (64.67%), P<0.05. Conclusions The training effect of the standardized residency training system has initially become evident, but the construction of clinical practice assurance mechanisms at various training bases needs further strengthening. This includes timely professional registration, prescription rights approval, and management of front-line clinical duty. The implementation of clinical practice guarantees at training bases still requires regulatory standardization at the legal level, systemic advancement by provincial administrative authorities, and targeted management improvements at the training bases.
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    Application of standard image displayed on the same screen in musculoskeletal ultrasound teaching in standardized residency training
    Qiao Min, Xia Binglan, Xiong Chunjin, Shen Dejuan
    2025, 45 (2):  152-155.  DOI: 10.3760/cma.j.cn115259-20240118-00065
    Abstract ( 19 )   PDF (789KB) ( 11 )  
    Objective To explore the application effect of standard image displayed on the same screen during ultrasound scanning in musculoskeletal ultrasound teaching. Methods A trial control method was used. From September 2021 to August 2023, 24 residents who underwent standardized residency training in the ultrasound department of Subei People′s Hospital of Jiangsu Province were selected as study subjects. They were equally divided into the study group and the control group using the random number table method. The study group students were taught using the same screen display of standard image and ultrasound scanning method. The control group students were taught using the traditional method. The teaching effectiveness was evaluated through musculoskeletal knowledge and skills assessment, as well as student questionnaire surveys. T-test and Fisher exact test were used to compare the results of the two groups. Results The knowledge assessment scores, skills assessment scores, and teaching satisfaction scores in the study group were higher than those in the control group [(86.25±2.14) vs. (81.33±4.91), (88.50±3.06) vs. (81.08±4.66), (4.49±0.39) vs. (3.68±0.59)], all P <0.05. Conclusions The same screen display of standard image and ultrasound scanning method for musculoskeletal teaching is helpful for residents to quickly and accurately master musculoskeletal imaging techniques and is well-received by residents.
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    Medical Education Assessment
    Construction of an indicator system for standardized clinical training base of assistant general practitioners in Beijing
    Li Hui, Li Haijin, Mu Yunnong, Liang Mingyang, Shao Shuang, Du Juan
    2025, 45 (2):  156-160.  DOI: 10.3760/cma.j.cn115259-20240126-00095
    Abstract ( 20 )   PDF (803KB) ( 11 )  
    Objective To establish an indicator system for standardized clinical training base of assistant general practitioners in Beijing. Methods From September 2023 to December 2023, an indicator system was constructed based on the CIPP (context, input, process and product) model, using the Delphi method. Twenty experts were selected for consultation from the professionals who engaged in clinical teaching management and general practice standardized training base evaluation in Beijing. The index weight and consistency rate (CR) were calculated by analytic hierarchy process. Results The questionnaire recovery rates of the three rounds of consultation were all over 0.7. The expert authority coefficients were 0.90,0.91,0.91, and Kendall′s W values were 0.244,0.059,0.129 (both the first round and the third round had P<0.001). The coefficient of variation (CV) of importance and feasibility of all items in the three rounds of consultation were less than 0.25. The constructed evaluation index system includes 5 first-level indicators (qualifications and conditions, teaching organization and system, teaching staff, operation management, quality monitoring), 12 second-level indicators and 32 third-level indicators. The CR of each level of indexes was <0.1. Conclusions The evaluation indicator system of standardized clinical training base for assistant general practitioners in Beijing based on CIPP model is scientific and authoritative, which can provide basis for objectively evaluating the homogenization construction and management effect of clinical training base.
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