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Salute medical consciousness and provide healthcare service to people through a top design strategy Wang Weimin, Wen Liyang 2020, 40 (4):  241-247.  DOI: 10.3760/cma.j.cn115259-20200307-00281 Abstract ( 53 )   PDF (847KB) ( 47 )   The outbreak of COVID-19 pandemic at the change-over of winter and spring triggered some thoughts. This paper ponders from the following 14 aspects :(1) the healthcare providers performance annotated the spirit of contemporary medicine with their blood, sweat and life, worthy of praise; (2) effective comprehensive governance at the social level is the linchpin for running of modern society and the effective functioning of health; (3) the key to improving the effectiveness of prevention and treatment of emergent epidemic diseases lies in the trans-disciplinary coordination and an clear outcome-based goal; (4) the support for medical development should be strengthened, and the institutional guarantee of medical development should be implemented; (5) the reformation of medical education should focus on the remodeling of system structure and implementation mechanism with a clear design of top-level model; (6) modern medicine should adhere to the concept of evidence-based medicine as a solid foundation; (7) while emphasizing the original innovation of science, we should also attach importance to the training of innovation thinking mode; (8) medical research should strengthen the research of basic science and attach importance to the transformation of research achievements; (9) academic research, epidemic prevention and control are two arms of one body and they support, interact and supplement each other; (10) it is imperative to reform the system and mechanism of medical college training; (11) the establishment of medical colleges and the design of medical specialties should be coordinated and implemented at the national level; (12) establish a medical education accreditation system covering basic medical education, postgraduate medical education and continuing professional development; (13) scientifically design a qualification accreditation system for doctors, and thus to solve the problems of training and operation of clinical graduates and graduate postgraduate examination; (14) it is imperative to strengthen the scientific education of public health. References | Related Articles | Metrics

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A call for developing China's practice-based doctor of public health (DrPH) degree program Yan Hong, Zhuang Guihua, Ren Tao, Ma Le, Jiang Qingwu, Hu Yonghua, Meng Qingyue, Dang Shaonong, Yan Jianqun, Wang Xueliang, Lyu Yi, Zheng Zhijie, Zhu Shankuan, Jiang Yuhong, Xu Dong, Li Liming 2020, 40 (4):  248-251.  DOI: 10.3760/cma.j.cn115259-20200302-00235 Abstract ( 109 )   PDF (793KB) ( 102 )   Facing the epidemic of corona virus disease 2019 (COVID-19), it is necessary to find the solution to improve and strengthen the prevention and control system of the outbreak. As educators, we should also think about talents cultivation, especially the training of high-level applied talents as man of action in the field of public health, who possesses solid theoretical knowledge of preventive medicine, capacity of solving practical public health problems and emergency response, strong organizational leadership and broad international perspectives. Therefore, it is imperative to accelerate the establishment of the degree of the doctor of public health (DrPH) and merge the program into higher education curriculum of public health. This article mainly discusses the necessity and feasibility of establishing the degree of DrPH, and puts forward suggestions on its training Objective and training program, so as to promote the cultivation of high-level applied public health talents in China. References | Related Articles | Metrics

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Analysis on the enrolment scale of undergraduate medical education in China's regular higher education institutions and related policy suggestions Liao Kaiju, Hou Jianlin, Yu Chen, Xie A'na, Wang Weimin 2020, 40 (4):  252-255.  DOI: 10.3760/cma.j.cn115259-20190920-00776 Abstract ( 82 )   PDF (1049KB) ( 79 )   Objective By analyzing the overall situation of enrolment scale and the differences among different types of HEIs and different regions of undergraduate medical education of Higher Education Institutions (HEIs) in China in 2018, to provide basis for the optimization of enrolment scale. Methods Descriptive statistical analysis was applied to analyze the single HEI enrolment, the average enrolment, and enrolment of different provinces. Results Totally 180 HEIs admitted 70 480 medical undergraduate students in 2018, 5.1 students per 100,000 population, 392 students per school, the single enrolment size of 44 HEIs was more than 600 students. The average scale of ordinary HEIs is much higher than that of 985 and 211 Project HEIs. The overall size and relative size of enrolment vary greatly among different provinces. Conclusions The enrolment scale of undergraduate medical education needs to be expanded, and there still exist problems to be solved, such as large single HEI enrolment scale in many HEIs, obvious differences in the enrolment scale of different types of HEI and uneven distribution among provinces. References | Related Articles | Metrics

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Exploration of college students' health education action based on Healthy China Construction Wang Chen, Duan Zhiguang 2020, 40 (4):  256-260.  DOI: 10.3760/cma.j.cn115259-20191008-00829 Abstract ( 102 )   PDF (835KB) ( 36 )   “Healthy China Action (2019-2030)” will popularize health knowledge and improve national health literacy as the first path to achieve healthy China. College students are important people who spread the concept of health and lead a healthy lifestyle, “Must establish the educational idea of Health First”. Students, teachers and colleges are responsible for the health of college students. The health education of college students is very important.This paper analyzes the necessity of college students' health education action and the challenge, and proposes the life and safety education action, health promotion actions, TCM health care action, popularization of scientific knowledge action advocated by college students' health education action. References | Related Articles | Metrics

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Enlightenment of the education system of all-round development of moral, intellectual, physical, artistic and labor in the training of new medical talents Wang Xu, Cui Yifan 2020, 40 (4):  261-264.  DOI: 10.3760/cma.j.cn115259-20190622-00497 Abstract ( 138 )   PDF (791KB) ( 81 )   The education system of all-round development of moral, intellectual, physical, artistic and labor is a popular expression of the basic law and logic of the development of high education, and has a very important inspiration for undergraduate education of medicine. Based on the analysis of the development trend of “new medicine” and identification of the close relationship between the internal demand of the current reform of healthcare system and the overall development of human beings, this paper puts forward the main ways of training medical talents in “new medicine” by virtue, wisdom, sports, beauty and labor. Under this requirement, medical colleges and universities should adapt to the goal of national health and the needs of social health care services, adhere to the concept of undergraduate education serving local economy and society, strengthen health education and comprehensive quality education, and focus on training new medical talents who meet the needs of society and develop in an all-round way. References | Related Articles | Metrics

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Exploration on building talent growth platforms for medical associations Xu Wenying, Zhou Jian, Chen Nan, Wang Zihuai, Lyu Mengyuan, Liu Lunxu 2020, 40 (4):  265-268.  DOI: 10.3760/cma.j.cn115259-20190723-00589 Abstract ( 52 )   PDF (796KB) ( 26 )   Academic associations can enrich students' “econd classrooms” and improve their scientific research and collaboration capabilities. At present, there are many researches on academic associations, while few researches focus on medical academic associations. Based on the construction and development experience of the West China Thoracic Association of Students of Sichuan University, this article explores how to better build a talent growth platform for academic associations. The results show that the establishment of a continuous feedback mechanism, talent growth files, and a good cultural atmosphere can play a positive role in the development of medical academic associations. At the same time, the medical academic association can help members improve their scientific research ability and thinking ability, etc., as well as play an important role in the cultivation of medical talents. References | Related Articles | Metrics

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Preliminary analysis of the outstanding teaching plans in the teaching competition of young teachers in medical colleges and universities Liu Yulei, Cui Guoqing, Guo Li, Zhu Bei, Zhang Weiguang, Wu Liling, Ao Yingfang 2020, 40 (4):  269-273.  DOI: 10.3760/cma.j.cn115259-20190329-00229 Abstract ( 146 )   PDF (806KB) ( 98 )   A teaching plan is the written form of the design and procedures for a class and is a guarantee of high-quality teaching. The best is selected from outstanding teaching plans in the teaching competition, which needs to be carefully considered from every aspect. Recently, many outstanding teaching plans selected in the national teaching competition came from the Peking University Health Science Center. This article is a preliminary analysis, exploring the methods of writing an outstanding teaching plan, in which the experience of Peking University Health Science Center was introduced. An outstanding teaching plan includes scientific, creative, brief, and artistic principles. The Peking University Health Science Center focuses on combining theory with clinical practice, encouraging interdisciplinarity, improving humanistic quality and scientific research ability, and broadening the international vision in writing a teaching plan. Hopefully, the summary of the writing experience and analysis of outstanding teaching plans would encourage improving the quality of writing a teaching plan and teaching a successful class in medical colleges and universities nationwide. References | Related Articles | Metrics

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A study on the status and correlation of professional commitment and career maturity of medical English major students Hao Jingjing, Hao Hongjun, Li Jie, Gu Junchao 2020, 40 (4):  274-278.  DOI: 10.3760/cma.j.cn115259-20190605-00443 Abstract ( 68 )   PDF (813KB) ( 35 )   Objective To detect the differences of professional commitment and career maturity of medical English majors from different sources, and analyze the correlation between them. Methods In November 2018, 206 four-year students from freshmen to senior of medical English majors in Xinxiang Medical University were selected as the subjects of this study. Questionnaires of College Students' Professional Commitment Scale and College Students' Career Maturity Scale were conducted to observe the potential difference of professional commitment and career maturity in gender, grade, one child family or not, urban or rural areas, whether adjusting majors and changing majors or not, and to analyze the correlation between them. Results The scores of professional commitment from freshmen to senior were (3.33±0.44), (3.23±0.27), (3.14±0.47), (3.30±0.43), respectively. There was no significant difference in professional commitment and career maturity among Medical English majors students in terms of gender, one child family or not, urban or rural areas, whether changing majors or not (all P＞0.05), however, there was significant difference in adjusting majors or not [(3.26±0.48)vs (3.45±0.46),P＜0.01]. There was no significant difference in professional commitment among different grades (F=0.403, P=0.751), but there was significant difference in career maturity (F=2.679, P=0.048). Apart from the negative correlation (r=-0.093,P=0.184)between continuing commitment and career maturity, emotional commitment, ideal commitment and normative commitment of professional commitment were positively correlated with career maturity (respectively: r=0.271,P＜0.01; r=0.368,P＜0.01; r=0.167,P=0.017). Conclusions Medical English undergraduates' professional commitment and career maturity show their own characteristics in different people. Colleges and universities should give targeted education and guidance, in order to train professionals better. References | Related Articles | Metrics

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Application of mixed learning based on WeChat platform in medical students' online public elective courses Zhang Juan, Han Xiaoyuan, Song Jinjun 2020, 40 (4):  279-282.  DOI: 10.3760/cma.j.cn115259-20190730-00614 Abstract ( 59 )   PDF (813KB) ( 49 )   With the rapid development of modern information technology, the hybrid teaching method based on WeChat learning in virtual space through video courseware and organizing question answering guidance in physical space has become a good choice for online public elective courses of medical specialty. In this paper, taking two network public elective courses offered by the Peking University Health Science Center based onWeChat public platform as examples, it expounds the design steps, teaching implementation process and teaching evaluation means of Hybrid Teaching mode, and evaluated the application effect. The results show that the mixed learning mode based on WeChat platform is beneficial to improve students' learning enthusiasm, help students to make a full use of fragmented time for learning, and thus improve the quality of teaching. References | Related Articles | Metrics

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The application of role-playing method in geriatrics MBBS teaching Yuan Xianglin, Pan Li, Qu Qiu, Liu Bin, Ma Lei, Dai Qingyuan, Zhang Lihua 2020, 40 (4):  283-287.  DOI: 10.3760/cma.j.cn115259-20191005-00823 Abstract ( 95 )   PDF (853KB) ( 39 )   Objective To explore the application of role-playing method in clinical teaching of geriatric medicine in MBBS(bachelor of medicine & bachelor of surgery). Methods Using the experiment control study. The totally 49 MBBS students from Kunming Medical University as the research object, they were randomly divided into experimental group (n=25) and control group (n=24), the experimental group adopts full English standardized patients (ESP) of role-playing teaching method in teaching, the control group using traditional teaching method of teaching, the theory achievement final exam and the form of a questionnaire to evaluate two kinds of teaching methods. Results There was no difference in the theoretical scores between the two groups [(81.43±1.43)vs(81.25±1.25), P=0.91], while the experimental group in the post-class questionnaire was better than the control group,and the difference was statistically significant [(6.71±0.71) vs (5.39±0.39),P<0.01]. The evaluation of teaching satisfaction and the satisfaction rate sum of the experimental group [87.5％(21/25)] were higher than the control group [82.6%(19/24)], with no statistically significant difference(χ2=2.909,P＝0.573). Conclusions The role-play method used ESP to assisted clinical teaching, so it is an teaching pathway in Geriatrics training for MBBS students. References | Related Articles | Metrics

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An empirical study on the homogenization of teaching quality under the dispersed clinical internship model based on cognition of medical students Fan Guanhua, Yang Mianhua, Lin Changmin, Huang Zhanqin, Chen Haibin 2020, 40 (4):  288-292.  DOI: 10.3760/cma.j.cn70-2018-0827-00679 Abstract ( 79 )   PDF (816KB) ( 36 )   Objective Based on the theory of cognitive apprenticeship, to explore the cognitive status of medical students in different types of hospitals in order to provide reference for ensuring and improving the quality of teaching. Methods A total of 251 medical students from grade 2012 who experienced clinical intern practice in 14 hospitals were selected as the research objects, and their training outcomes in teaching hospital was investigated by self-designed questionnaire. Results There was a significant correlation between the internship activities of medical students and their clinical capacity, humanistic quality, communication skill, team spirit and sense of responsibility for patients. Most of the disciplines have run a good implementation of the internship program, but there are significant differences between disciplines (t=-2.083, P=0.040). The implementation of affiliated hospital is better than that of the non-affiliated hospital. There is a positive linear relationship between the effective feedback from teachers and the improvement of students' capacity. Conclusions Under the dispersed pattern clinical internship model, the clinical ability of medical students can also be improved. For different kinds of teaching hospitals, there are homogeneity differences in the clinical intern implementation. The detailed feedbacks and concerns of teachers help medical students to adapt to clinical internship. Medical colleges need to strengthen the practice guidance of non-affiliated hospitals to promote the homogeneity of teaching quality. References | Related Articles | Metrics

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Study on ideological education model for postgraduates of clinical medicine Jia Xueyan, Duan Lili, Chang Xing, Zhu Dongwei, Luo Linzhi, Qiu Jie 2020, 40 (4):  293-296.  DOI: 10.3760/cma.j.cn115259-20190920-00774 Abstract ( 116 )   PDF (828KB) ( 58 )   Running ideological and political education courses well,strengthening ideological and political education and improving students' medical humanistic spirit are the implementation of the spirit of the Nineteenth National Congress of the Party and the spirit of the National Conference on Ideological and Political Work in Colleges and Universities, as well as the important work content of training clinical medical postgraduates.In order to strengthen the ideological and political education of postgraduates and further reform the ideological and political curriculum of clinical postgraduate students,our institute adopts a series of measures to improve the level of ideological and political theory courses so as to improve the ideological and political education of postgraduates.This article elaborates on the concrete measures for the implementation of the Ideological and Political Curriculum in our college, analyzes the highlights and shortcomings of the curriculum, and explores the next improvement measures. References | Related Articles | Metrics

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Investigation and analysis of the current situation of clinical medicine academic graduate tutor guidance in an affiliated hospital of a university in Beijing Huo Gang, Tao Liyuan, Zhang Aijing, Yuan Wenqing, Gu Shixian 2020, 40 (4):  297-300.  DOI: 10.3760/cma.j.cn115259-20190711-00545 Abstract ( 50 )   PDF (795KB) ( 25 )   Objective To investigate the current situation of the guidance of academic graduate students from an affiliated hospital of a university in Beijing, and put forward some suggestions to improve the quality of tutor guidance. Methods In July 2018, 185 academic graduate students in an affiliated hospital of a university in Beijing were investigated by questionnaire, including 68 master's degree and 117 doctor's degree. The questionnaire includes the basic information of graduate students and tutors, the detailed information of tutors guiding graduate students, and the satisfaction of graduate students with tutors' guidance. Results The time interval of tutor guidance was one or two weeks, and 65.9%(122/185) of the graduate students received independent tutor guidance, but more graduate students70.3%(130/185)expected to receive tutor guidance in the form of tutor guidance group. There was a statistically significant difference between The time interval of tutor guidance and the number of SCI papers published by graduate students, the sum of influence factors, and the number of SCI papers above Q2( P<0.05). There was a statistically significant difference between the opportunity of academic communication provided by tutor and the number of SCI papers published by graduate students and the sum of IF( P<0.05). Graduate students had a high degree of satisfaction with the tutor's guidance in general, and a relatively low degree of satisfaction with the tutor's opportunity to provide international academic communication. Conclusions It's very important that strengthen the tutor responsibility system of graduate training, regularly assess the tutor's guidance of graduate students, encourage the joint guidance of graduate students in the form of tutor group;and increase the opportunity of academic communication to promote the improvement of graduate research innovation ability. References | Related Articles | Metrics

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Application of diversified evaluation methods in standardized training of anesthesiologists Ruan Xia, Pei Lijian, Li Xu, Zhang Yu, Yu Chunhua, Yi Jie, Huang Yuguang 2020, 40 (4):  301-305.  DOI: 10.3760/cma.j.cn70-2018-1210-00998 Abstract ( 66 )   PDF (1207KB) ( 41 )   Objective To study the application of diversified assessment system on standardized training of residents with different degrees in anesthesiology, so as to provide reference for improving their core competence. Methods Fifty-eight residents in anesthesiology department fromSeptember 2016 to August 2017 were selected, including 25 clinical graduate students in group A, 14 residents with doctoral degree in group B and 19 residents with Bachelor's degree in group C. Designed and built a diversified assessment system consisting of quarterly multiple choice question examinations, clinical work registrations system, irregular daily performance evaluations and annual OSCE clinical skills assessments. The five core competencies including medical knowledge, patient care, professionalism, communication skills and technical skills were evaluated by all these scores, and the radar chart of core competencies is drawn for each resident.Compared the differences of five core competencies among residents in different groups. Results There were no significant differences in the competency of professionalism[(4.27±0.75)vs(4.55±0.51)vs(4.32±0.67)] and patient care[(4.00±0.60)vs(4.17±0.64)vs(3.97±0.62)] among residents in 3 different groups(all P>0.05). There were significant differences in scores of medical knowledge[(4.13±0.36)vs(4.12±0.34)vs (3.72±0.44)], communication ability[(3.71±0.34)vs(4.02±0.24)vs(3.75±0.32)], technical skills[(4.15±0.27)vs(4.43±0.17)vs(4.19±0.18)] and total scores of competencies [(20.25±1.67)vs(21.29±1.41)vs(19.95±1.38)] (all P<0.05). By analyzing the shape and characteristics of radar chart of residents with different degrees, it can be found that the relatively weak communication skills of residents in group A is the most common (12 people in group A), in group B, the equal clinical competencies of residents is the most common (8 peoplein group B), the poor medical knowledge in group C is the most common (8 people in group C). Conclusions The diversified evaluation system is helpful for the comprehensive evaluation of the core competence of the standardized trainging residents; the performance of core competencies of residents with different degree is different, which needs to be focused on in the training process according to the different characteristics of the residents. References | Related Articles | Metrics

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A preliminary study on the relationship between entrustable professional activities and resident's competency Qi Xin 2020, 40 (4):  306-310.  DOI: 10.3760/cma.j.cn115259-20191008-00827 Abstract ( 138 )   PDF (839KB) ( 128 )   Standardized training for residents emphasizes competency-based medical education, but the existing competency framework has many Entrustable professional activities is to evaluate the comprehensive ability of the residents in the daily workplace with the key clinical behaviors familiar to the faculty and the residents as the carrier. Entrustable professional activities has a clear step-by-step training goal, which is helpful for the residents to regulate their time for autonomous learning and standardize their professional activities. Through the corresponding relationship between entrustable professional activities and competency, we can deduce the competency of the residents and provide targeted feedback and guidance.This paper discusses the relationship between the entrustable professional activities and the competency of residents, so as to provide a new evaluation model for standardized training for residents and better evaluation of the competency of residents. References | Related Articles | Metrics

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The application of many facets Rasch model in the first stage clinical fundamental skills test of National Medical Licensing Examination phased examination Lu Yan, Zhang Ying, He Ju, Zou Jiewen 2020, 40 (4):  311-315.  DOI: 10.3760/cma.j.cn115259-20190822-00679 Abstract ( 46 )   PDF (816KB) ( 39 )   Objective To evaluate the mastery of scoring standards by raters in 2018 clinical fundamental skills test of National Medical Licensing Examination phased the first stage,to explore the consistency between standardized patients (SP) and examiners' scores, and to provide more information for relevant research. Methods In 2018, based on the scores of communication capacity and humanistic care from 77 candidates in clinical fundamental skills test of the National Medical Licensing Examination phased the first stage in a randomly selected medical college, use the many facets Rasch model to calculate estimated ability of 77 candidates, analyze the internal consistency of raters and the leniency and strictness of evaluation. Results The results showed that the average estimated capacity of 77 candidates was 2.75 logits, and the most examinees' infit was less than 1.5.The average severity of the raters was -0.55, the severity of the examiners was -0.45, of the SP was -0.70,The difference was not statistically significant. Conclusions Raters have a good command of scoring standards, the overall standard is relatively loose.The scores of SP and examiners were consistent. References | Related Articles | Metrics

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Construction and reliability and validity analysis of satisfaction scale for medical graduates Zhang Chi, Li Xin, Jia Jinzhong, Huang Tianren, Liu Deping 2020, 40 (4):  316-320.  DOI: 10.3760/cma.j.cn115259-20190909-00735 Abstract ( 102 )   PDF (1328KB) ( 77 )   Objective To construct the satisfaction scale for medical graduates and evaluate its reliability and validity. Methods Totally 2 961 full-time postgraduates from Guangxi Medical University were investigated in September 2017. Exploratory factor analysis was used to construct dimensions and evaluate the validity. Confirmatory factor analysis was used to verify the scale's fitness. Results A total of 31 items were included in the scale. The overall Cronbach's α coefficient was 0.972. Five common factors were extracted by the principal components method and the cumulative contribution rate reached 81.09%. The results of confirmatory factor analysis showed that χ2/df was 4.451 (95%CI=4.321~4.558), root mean square error of approximation (RMSEA) was 0.062 (95%CI=0.058~0.069),other value-added fitness indicators were all over 0.9;the standardized load of each item was over 0.71 and had statistical significance(t>1.96, P<0.05). Conclusions The scale has good reliability,validity and applicability. It can be used as a tool to evaluate satisfaction for medical graduates. References | Related Articles | Metrics