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01 September 2019, Volume 39 Issue 9 Previous Issue    Next Issue

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Improvement of innovation and humanistic attitude of undergraduates in preventive medicine based on “new barrel theory” Kou Ruirui, Liu Na, Ji Jing, Li Shibao, Zhao Xiulan, Ma Xufei, Li Shixue 2019, 39 (9):  641-646.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.001 Abstract ( 53 )   PDF (798KB) ( 24 )   Preventive medicine is a community service oriented science.At present,face to the new challenges in the field of medicine in China such as Non-communicable Chronic Disease,newly emerging diseases,aging population and pollution.This paper analyzes the problems existing in the capacity building and humanistic quality of preventive medicine undergraduates and application of the “new barrel theory”to explore the ways and strategies for strengthening the training of practical innovation skill and improve humanistic quality,which further emphasize the practice teaching and the humanities education in order to lengthen “short board”,reasonable planning practice teaching and the top-level design of humanistic education to strict “barrel hoop”,improve the construction of practical teachers and humanities teachers to consolidate the “bottom of the barrel”,strengthen the system construction and create a positive and healthy campus atmosphere strict “gap”,enhance the humanities education in order to make up the “hole”,give full play to the scientific research resources of colleges and universities “long board” advantage,comprehensively improve the quality of talent education of students who major in preventive medicine. References | Related Articles | Metrics

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Countermeasure of talent demand and professional construction of sports rehabilitation speciality Pan Yanxia, Gao Songling, Wang Shizhong, Zeng Yufang, Lin Cheng, Xu Guiqing, Pei Jun 2019, 39 (9):  647-651.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.002 Abstract ( 49 )   PDF (814KB) ( 15 )   The social demand of sports rehabilitation specialty in China was investigated through literature review,the enrollment websites of university and expert interviews.Meanwhile,the current educational situation of this specialty and existing problems,such as the unclear goal and the uneven quality of talent-training,were also discussed.On the base of above analysis,this paper puts forward on the orientation of the professional training goal and some countermeasures,providing talent support for achieving the goal of health China. References | Related Articles | Metrics

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Construction and reflection on integrated module course in basic medicine oriented by outcomes based education Jiang Wenxia, Yu Li, Chen Xiaoping, Zhang Qingfeng, Wang Fei, Xu Xiaojuan, Yin Lan, Ge Yan, Xu Xindong, An Maomao 2019, 39 (9):  652-656.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.003 Abstract ( 53 )   PDF (779KB) ( 52 )   Guided by the educational concept of outcomes based education (OBE),based on the bridge professional knowledge of pathology,medical microbiology,medical immunology as well as the pathogenesis and outcome of diseases in almost all organs and systems of human body in the teaching of basic medicine courses,aiming at their characteristics of response between knowledge points,broad contents and close connection with clinical practice,an English integrated teaching module of “Injury,Infection,Immunity and Repair” in basic medicine was constructed.The modular teaching proceeds from knowledge structure to reverse curriculum design,implements student-centered and diversified teaching and learning methods,and continuously improves teaching evaluation and guarantee system.It optimizes the shortcomings of traditional subject teaching system and organ system integration curriculum system,further improves the quality of medical education,promotes the construction of basic medicine,advances the globalization process of medical education,and cultivates more medical professionals for our country to adapt to the global development in the future. References | Related Articles | Metrics

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The STS teaching reform and evaluation in child and adolescent health course in vocational college Wu Jieshu, Ai Rujun, Lian Yanshu, Lin Xiaofang, Ding Ye, Xu Jin, Wang Zhixu 2019, 39 (9):  657-661.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.004 Abstract ( 32 )   PDF (784KB) ( 10 )   Objective To explore the effect of teaching reform guided by the concepts of science,technology and society (STS) in the teaching of child and adolescent health course in higher vocational college.Methods A total of 75 three-year students majoring in medical nutrition,public health management and health management of grade 2016 in Jiangsu Health Vocational College were selected as the research subjects.Guided by the STS concept,teaching content,teaching methods and assessment method were all reformed,and a self-designed questionnaire was used to evaluate the teaching effect after the course.Results After the reform,the number of practice courses,teaching forms and the types of assessment methods increased.Compared with classic theoretical teaching,students preferred examples,video,internship (growth measurement,growth evaluation,evaluation of learning fatigue),and “self-study +showing” teaching methods (Z values were -2.41,-2.73,-2.09,-1.99,-2.31,-1.99,all P<0.05).86.7% (65/75) of the students thought that the teaching method of “self-study + showing” can make students more involved in it,and 84.0% (63/75) of the students thought that the teaching method of “self-study + showing” can make students more active in learning.The theoretical test scores of students who participated in reform(83.46±5.38)were higher than the scores of those who did not participate in (72.80±5.67),and the difference was statistically significant (t=-8.18,P<0.05).Conclusions The reform of STS concept in the child and adolescent health course in higher vocational college has aroused the enthusiasm of students and improved the learning outcome. References | Related Articles | Metrics

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Study of the impact of whether completing the standardized residency training on the mental health of the residents trainees Liang Ying, Zhou Qingtao, Shen Ning, Sun Yongchang, He Xuan, Huang Yueqin 2019, 39 (9):  662-667.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.005 Abstract ( 47 )   PDF (804KB) ( 13 )   Objective Comparing the mental health of the residents who are undergoing standardized training and having completed standardized training.Methods An online questionnaire survey research was performed from January to February,2018.Experimental group (n=78) were the residents who were on the way of residency training in Department of Internal Medicine in Peking University Third Hospital at this time,while control group (n=80) were the residents who had completed the standardized residency training and passed the first-stage examination in the same institute on 2016 and 2017.General health and mental health status were compared between two groups by the online questionnaire survey with three scale tools,General Health Questionnaire-12 (GHQ-12),Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS).Results Residents in experimental group had greater GHQ-12 score,SAS standard score and depression severity index than those in control group[1.00(1.00,3.25) vs 0.00(0.00,1.75),Z=-4.11,P＜0.01;46.50(42.00,48.50) vs 42.00(38.00,47.00),Z=-2.98,P＜0.01;0.56(0.51,0.61) vs 0.54(0.39,0.60),Z=-2.42,P=0.02,respectively].Compared with control,the proportions of GHQ-12 score ≥3 and depression status were higher in experimental group (GHQ-12 ≥3:37.2% vs 18.8%,χ2=6.68,P=0.01;Depression:88.5% vs 62.5%,χ2=14.32,P＜0.01).Binary Logistic analysis showed that being in residency training was independently and positively associated with GHQ-12 score ≥3 (OR=2.58,P=0.04) and depression status (OR=5.05,P＜0.01).Conclusions Residents who are still in residency training are at high risk of depression status.Their mental health will be improved when they complete the standardized training and pass the test. References | Related Articles | Metrics

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Application of participatory teaching in maternal and child health care teaching Chen Chunyi, Zhou Hong, Wang Haijun, An Lin, Zhou Min, Luo Shusheng, Peng Zhenyao, Zhou Yu, Gao Yanqiu, Kang Chuyun, Zhang Xiaosong, Zhou Qianling, Wang Xueyin, Liu Zheng, Xu Xiangrong 2019, 39 (9):  668-672.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.006 Abstract ( 26 )   PDF (787KB) ( 19 )   Objective To research the effectiveness of participatory teaching in maternal and child health care teaching.Methods One hundred and fifty four undergraduate students Majoring in Preventive Medicine from School of Public Health,Peking University were selected as the subjects.Seventy six students in grade 2014 were selected as the experimental group and seventy eight students in grade 2013 as the control group.The experimental group used participatory teaching in small classes,while the control group used traditional teaching in large classes.Quantitative and qualitative research methods such as questionnaire survey and focus group discussion were used to evaluate the intervention effect of maternal and child health courses.Students' satisfaction and overall evaluation of the curriculum were compared and students' opinions and suggestions on participatory teaching in small classes were collected.Results The score of the experimental group in terms of overall satisfaction,good teaching,generic skills,clear goals and standards and appropriate workload were (4.24±0.78,4.05±0.57,4.07±0.55,3.90±0.57,3.49±0.78),which was higher than those in the control group (3.92±0.94,3.79±0.76,3.72±0.84,3.59±0.63,3.16±0.67) (all P<0.05).There were no statistically significant in the overall evaluation of the curriculum among the sub-groups in the intervention group (P>0.05).In focus group discussion,experimental group students had a better evaluation of participatory teaching in small classes and put forward suggestions for curriculum improvement.Conclusions Participatory teaching in maternal and child health care can help to improve student's curriculum experience,satisfaction and basic skills.The teaching effectiveness of each small class has good parallelism.Participatory teaching is feasible in maternal and child health courses. References | Related Articles | Metrics

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Application of critical care ultrasound simulation teaching method in critical care medical education Li Chen, Wang Shupeng, Wang Hui, Ma Junyu, Wu Xiaoqing, Li Wen, Duan Jun 2019, 39 (9):  673-676.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.007 Abstract ( 60 )   PDF (797KB) ( 47 )   Objective To explore the application of critical care ultrasound simulation teaching in critical care medicine.Methods A total of eighty trainees from July 2016 to June 2018 in China-Japan Friendship Hospital were selected into two groups equally.Forty trainees were included in the traditional teaching group and taughtwith the classic teaching mode.Another forty trainees were included in the simulation teaching group with the simulation teaching mode.The theoretical examination and operational examination results of the two groups were compared.Results The theoretical and operational assessment scores of the simulated teaching group were higher than those of the traditional teaching group with statistically significance (45.25±2.45 vs 32.15±4.90,36.30±2.89 vs 26.85±2.66,all P<0.01).Conclusions The effect of simulated teaching of critical care ultrasound in the teaching of critical medicine is obviously better than that of traditional teaching methods. References | Related Articles | Metrics

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Application of cooperative scenario simulation training in junior nurse training in operating room Zhang Chunhua 2019, 39 (9):  677-680.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.008 Abstract ( 42 )   PDF (787KB) ( 21 )   Objective To explore the application effect of cooperative scenario simulation training in junior nurse training in operating room.Methods Totally 58 junior nurses in the operating room of Nanfang Hospital of Southern Medical University in 2017 were randomly divided into control group and experimental group.Thirty nurses in the experimental group was trained by cooperative scenario simulation training method,while twenty-eight nurses in the control group was trained by traditional centralized teaching method.after the end of three months of training,compare the training effect of the two groups.Results The scores of operation skills and comprehensive ability of nurses in the experimental group (96.74±1.33,95.33±1.14) were higher than those in the control group (88.52±1.23,83.28±1.74),with statistically significant (all P<0.05).The theoretical assessment scores of nurses in the experimental group (86.22±3.53) were higher than that in the control group (85.54±2.32),with no statistically significant (P>0.05).The satisfaction of nurses in the experimental group 90.0% (27/30),90.0% (27/30) in enhancing communication ability and clarifying roles and responsibilities were higher than those in the control group,and the differences were statistically significant (all P<0.05).Conclusions The cooperative scenario simulation training method can improve the examination results of the operational skills and comprehensive ability of junior nurses in the operating room,and improve the satisfaction of nurses to the training.It is an effective clinical training method. References | Related Articles | Metrics

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The application and effect evaluation of utilizing suture training membrane in the fundamental surgical skill training course Li Changlin, Yu Xuewei, Wan Wenkai, Yan Chen, Jia Huaicheng, Sun Jingchuan, Wang Liang, Yan Min 2019, 39 (9):  681-685.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.009 Abstract ( 30 )   PDF (1409KB) ( 16 )   Objective Surgical suture training membrane was used in the suture practice training and post-graduate training,in order to solve the problems in the basic operation and training of surgery,and to improve the quality of the “Basic principles and techniques of surgery” course.Methods A surgical suture training membrane was designed,and the students were divided into experimental group and control group.In the course of suture training,the experimental group was trained with suture training model suture training membrane,the control group were required applied traditional suture training model.The results of training intwo groups were evaluated by skill operation assessment and questionnaire survey.Results The skill performance of the experimental group(24.17±1.17)was higher than that of the traditional training group(22.33±1.00),the difference was statistically significant (t=5.59,P<0.01);The proportion of the experimental group with a learning experience of more than 35 points in the suture class was 66.7%(16/24),which was higher than the control group 41.7%(10/24),The difference between the two groups was statistically significant(χ2=1.87,P=0.032).Conclusions Surgical suture training membrane can guide students to master suture techniques and methods effectively,which is beneficial to improve the effectiveness of basic surgical skills training and students' interest in learning,and improve the quality of teaching. References | Related Articles | Metrics

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The application study in nursing students of the integration of teacher and students in bilingual teaching based on mobile learning Li Yinghua, Zhang Li, Hao Motong, Jia Xuejia, Zhang Qianqian, Wang Jiamin 2019, 39 (9):  686-690.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.010 Abstract ( 26 )   PDF (819KB) ( 10 )   Objective To assess the effect and student's experience of the integration of teacher and students in bilingual teaching based on mobile learning.Methods Design the integration of teacher and students in bilingual teaching based on mobile learning,and then implement it in 54 undergraduate nursing students of 2014 grade at Tianjin University of Traditional Chinese Medicine.Before and after the course,the learning outcomes were evaluacted by using general questionnaires,learning process questionnaires and intercultural competence evaluation scale.An interview was also implemented to explore the learning experience of 6 students by purposive sampling.Results The student's satisfaction about this course was 81.5%(44/54),and 61.1%(33/54)students were interested for English are increased,57.4%(31/54)students were interested in emergency and critical nursing.There were 59.3%(32/54) students who thought the important learning materials were the bilingual courseware of blue ink cloud platform,and there were 59.3%(32/54)students need 1h～2h prepare and preview.As for the students' transcultural ability,the score in foreign culture knowledge dimension was(16.47±5.82) before the course and(18.91±5.66) after.There was statistically significant difference (t=-2.18,P＜0.05).Conclusions The integration of teacher and students in bilingual teaching based on mobile learning can improve students' satisfaction,active attendance and learning interest. References | Related Articles | Metrics

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Exploration on the training objectives and requirements of professional deoctoral degree in clinical medicine in China Zhang Chi, Jia Jinzhong, Jiang Yingying, Wang Tingting 2019, 39 (9):  691-695.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.011 Abstract ( 50 )   PDF (802KB) ( 25 )   This study used text analy method to analyze the training Objective and requirements of 31 clinical doctor degree professional authorization units,and to provide references for the comprehensive reform of professional degree graduate education.The research found that colleges and universities should strengthen policy interpretation and improve the adaptability of training Objectives and requirements,enhance the characteristics of training Objectives and requirements according to talent orientation,and refine specific items,strive for the maneuverabiliby of training Objectives and requirements. References | Related Articles | Metrics

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Analysis of blind evaluation results of master's degree thesis of clinical medicine in different culture types Li Yifeng, Li Niannian, Ye Ren, Zhao Jiayun 2019, 39 (9):  696-700.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.012 Abstract ( 26 )   PDF (779KB) ( 15 )   Objective To evaluate the results of blind evaluation of academic and professional training master's degree thesis after the implementation of the "unification of four certificates "training model for postgraduates majoring in clinical medicine,and to analyze the existing problems and deficiencies,and to explore improvement measures and countermeasures.Methods The data analysis method was used.A total of 304 master's thesis from 2015 grade of the First Affiliated Hospital of Anhui Medical University was selected as research material with the method of date analyzing.The results of blind evaluation were compared between academic and professional training types with SPSS 21.0 software.Results Through the rank sum test,the overall evaluation rank-average values of academic master's and professional master's degree thesis are 169.87,142.22 (Z=2.86,P<0.01),and the rank-average values of the academic master's and professional master's degree thesis in internal science are 63.92,50.39 (Z=2.50,P=0.019),the rank-average values of the academic master's and professional master's degree thesis in surgery was 59.32,45.32 (Z=2.35,P=0.012).Among the sub-indicators,the results of the thesis innovation,the workload of the thesis,the scientific research ability and the technical ability,the author's academic style,the topic selection of the paper,etc.the academic masters are better than the professional masters (all P<0.05).There are strong correlations between the eight evaluation indicators of the dissertation and the overall evaluation (all P<0.01).Conclusions The quality of the academic master's degree of the First Affiliated Hospital of Anhui Medical University is better than that of the professional master's degree.The postgraduate students have problems such as insufficient scientific research ability,low innovation,and lack of normative writing.The corresponding postgraduate training and reform measures should be formulated to improve the guidance ability of the tutor,strengthen the cultivation of postgraduate research ability and innovative thinking,and improve the quality of postgraduate training. References | Related Articles | Metrics

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Analysis of teaching effectiveness and influencing factors of medical simulation center in Shanghai Children's Medical Center Wang Shengjun, Zhang Hao, Li Bo, Lu Meihua, Li Biru 2019, 39 (9):  701-705.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.013 Abstract ( 37 )   PDF (787KB) ( 18 )   Objective Analyzing the teaching quality of a medical simulation center in Shanghai Children's Medical Center,and exploring pathway to further improve the quality of simulated teaching and to optimize the learing outcomes of simulation training.Methods In this study,all 340 students who participated in the training at Shanghai Children's Medical Center Medical Simulation Center from August 2018 to January 2019 were selected by simple random sampling.The cognition and evaluation of the teacher's teaching literacy,curriculum design,feedback discussion and training outcomes were evaluated.The description and analysis of the overall curriculum evaluation,using two independent sample t test method to analyze the difference between the quality of the self-made curriculum and the standard curriculum,using multiple linear regression method to analyze the influencing factors affecting the overall evaluation of the quality of the simulation programme.Results The simulation quality of the center was generally higher,the standard level of difficulty level and feedback was better than that of self-editing course,“the support of the tutor felling in the simulation teaching”,“the simulation teaching effectively improving the communication ability”,“the imitation of the real environment” and so on were nine aspects to evaluate factors that influencing the overall evaluation of the quality of the simulation course.Conclusions The eight factors including the support of the tutor,the improvement of communication skills and the imitation of the real environment are the main factors affecting the evaluation of the teaching quality.It is necessary to strengthen the training of teachers' comprehensive knowledge and simulation teaching ability,strengthen the feedback skill standardization and standardization training of self-edited curriculum teachers,further optimize curriculum design,simulation environment and resource application,improve the learning experience of students,and improve students' satisfaction. References | Related Articles | Metrics

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Construction and application of multi-dimensional teaching structure and quality control system based on the tripartite perspective of students, teachers and clinical medical school Wang Qingli, Cui Xiangjun, Yang Chengliang, Xu Wen, Diao Li, Wen Hanghua, Yang Huaijie, Xiang Kelan, Deng Jie 2019, 39 (9):  706-710.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.014 Abstract ( 38 )   PDF (811KB) ( 13 )   Objective To construct a multi-dimensional teaching structure and quality control system based on the tripartite perspective of students,teachers and hospitals,so as to improve the teaching quality of clinical medical college.Methods Grasp the three core problems of “learning,teaching and management”,promote students' learning through multi-dimensional reform of teaching mode,innovation of teaching contents,enrichment of teaching methods and optimization of education environment;implement the talent selection and training program of “selection-training-application-evaluation” to optimize teachers' teaching;establish the management and control feedback mechanism which is about dynamic tracking teaching quality,to improve hospital management,in this way,a multi-dimensional teaching structure and quality control system based on the tripartite perspective of students,teachers and hospitals are constructed.A total of 100 students of five-year clinical medicine major in my hospital in 2015 were selected as the research objects,and the students' attendance rate,theoretical examination results,operational examination results,classroom teaching satisfaction score,teaching quality score and teaching evaluation before and after implementation were compared.All 100 students were organized to improve themselves from the course learning.The system were evaluated in seven aspects:interest in learning,satisfaction with teachers' teaching methods and ability to cooperate well with teachers in fulfilling teaching tasks.Results Before and after the implementation of the system,there were significant differences in students' participation rate,theoretical test scores,operational test scores,classroom teaching satisfaction scores and teaching quality scores (F=453.71,137.67,131.78,250.75,189.86,all P<0.01),and there were significant differences in teachers' defects (χ2 = 26.05,30.30,15.16,9.15,7.75,10.62,all P <0.01);most students think that their interest in learning has been improved,communication with teachers is smoother,and they are satisfied with teachers' teaching methods.Conclusions The multi-dimensional teaching structure and quality control system based on the tripartite perspective of students,teachers and hospitals which can stimulate students' interest in learning,optimize the quality of teachers,improve the management efficiency,then control and improve the teaching quality from an all-round and multi-angle perspective. References | Related Articles | Metrics

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Inspiration from orthopedic residents training in Dutch Wang Yongqiang, Wu Zhouqiao, Zhou Hua 2019, 39 (9):  711-715.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.015 Abstract ( 47 )   PDF (817KB) ( 35 )   Medical education has been paid more attention in Dutch,publications in this field lead worldwidely.In Dutch,training system for orthopedic surgeon focused on selection of the residents,and ensured that every resident could work independently after competency-based training through Canadian Medical Educational Directives for Specialists (CanMEDS framework).Here the medical school education and postgraduate education of Orthopedic surgeon in Dutch were described,based on the fellowship of the first author in Holland and review of Dutch literature which focused on postgraduate medical training.It would be paid more attention on enrollment of residents,personalized training and assessment system.Some suggestions about orthopedic surgery training were made in order to support the remodeling of medical educational reform in China. References | Related Articles | Metrics

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Perspectives on the degree and curriculum system of public health education in the United States Jin Hui, Shen Xiaobing, Liang Geyu, Yang Peng 2019, 39 (9):  716-720.  DOI: 10.3760/cma.j.issn.1673-677X.2019.09.016 Abstract ( 41 )   PDF (787KB) ( 32 )   Taking public health undergraduate degree and public health master degree in the United States for example,this paper introduced the type of degree,construction mode,characteristics and reform direction of the curriculum system.Its diversified and cross-cutting degree,the construction of curriculum system according to accreditation criteria,competence-oriented comprehensive curriculum reform,focusing on peak experience and highlighting public health practice education,all provide reference for the development of public health and preventive medicine education in China. References | Related Articles | Metrics