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Problems and thoughts of national clinical skills competition Liu Jing, Jiang Guanchao, Zhang Siqin, Wang Jianliu, Zhou Qinghuan, Chen Hong, Wang Shan 2017, 37 (2):  161-165.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.001 Abstract ( 33 )   PDF (1049KB) ( 18 )   Objective To analysis the problems of national clinical skills competition of medical undergraduates.Methods Summarize the participation of the competitions, and analyzes the questionnaires for teachers and students from 110 medical colleges nationwide.Results The results show that 134 colleges have participated in the past seven competitions. About 115 colleges participated in the competition each year.880 questionnaires for 110 colleges were delivered and 752 valid responses were received. Teachers and students think that the main problem of the competition is “it costs a lot of teachers, money and property”, “only a few students profit by it”,and “the results can not reflect the true level of colleges”, and so on. The satisfaction of the difficulty and breadth of the questions (5-point Likert scale) in the competition is from 3.5 to 4.0. The main problem is wide range of assessment, high difficulty and more quantity of questions.Conclusions The national clinical skill competition is widely accepted in China. It achieves the purpose of promoting the development of clinical practical education. But it also has some problems. To make clear the mission, comprehensively evaluates its function and improve proposition quality are the high points. References | Related Articles | Metrics

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Thought on the cultivation of rural health personnel Yin Xiaoli, Wang Debing, Guo Li 2017, 37 (2):  166-168.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.002 Abstract ( 35 )   PDF (886KB) ( 9 )   It has been exploring and still a challenge to cultivate rural health personnel as going down staying down and using well. In this paper, the main problems among cultivation and use of rural health personnel were analyzed. It suggested that the institutional guarantee and cultivation model should be reformed to make the health personnel going down staying down and using well, thus ensure and improve the health level of rural people. References | Related Articles | Metrics

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Study on the strategies of improving rural-oriented tuition-waived medical students' career intention Xiang Weinie, Wu Cihu, Xiong Wangxin, Jia Zonglin, Yang Yaofang, Niu Li 2017, 37 (2):  169-173.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.003 Abstract ( 23 )   PDF (903KB) ( 10 )   Objective To investigate and analyze the related factors that affect the career intention of rural-oriented tuition-waived medical students (RTMS) and put forward countermeasures to improve RTMS's career intention.Methods The changes and influencing factors of RTMS's career intention were investigated through structured questionnaire and in-depth interviews.Results RTMS's career intention decreased as grade increased after understanding Enrollment, employment policy, institutions of higher learning, education, career environment and subsequent career development which seriously restricted students' learning enthusiasm and initiative, restricting the implementation of national rural free medical student training policy effect and the construction of urban and rural grassroots health personnel.Conclusions System optimization for enhancing m RTMS's career intention are as follows: improving government enrollment and employment policies, strengthening college education, promoting general practitioners' social status and occupation protection in rural and urban grassroots health institutions. References | Related Articles | Metrics

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Analysis and appraisals of clinical medical students for “3.5+1+0.5” teaching model in a military medical university Lu Juan, Xie Changyong, Liu Bin 2017, 37 (2):  174-179.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.004 Abstract ( 24 )   PDF (923KB) ( 6 )   Objective To survey on advantage and disadvantage of “3.5+1+0.5” teaching model in some military medical university and give some suggestions.Methods Using self-made questionnaires, all 413 clinical specialties students of grade 2011 in some military medical university were surveyed on with their attitudes and opinions about the model and the courses in the last six months.Results The percent of participants who agreed with the teaching model was 47.2%(195/413), and 82.1%(160/195) of them thought the advantages were making up military quality, 76.9% (150/195) strengthening military training, 69.7% (136/195) promoting fames of graduates and 66.7%(130/195) studying practical skills before going to work. On the other hand, 67.9%(148/218) of them thought the disadvantages were that those took part in graduate management admission test cannot make up internship, 62.4%(136/218) of them thought there was no enough time to digest the clinical courses, and 41.9%(173/413) thought the courses in the last six months were too tight, especially those specialized in navy clinical medicine and navy general medicine, and the percentages were especially 94.6% (71/75) and 95.4% (41/43).Conclusions The implemented “3.5+1+0.5”teaching model had not been evaluated highly as expected among students. The sharp time contradictions between practice and postgraduate entrance examination may be the key reason of the lower level of students' satisfaction. Scientifically adjusting curriculum settings will contribute to truly display the role of the new teaching model. References | Related Articles | Metrics

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Investigation and analysis of medical radiologist in Zhejiang Province Zhang Yanping, Peng Wenxian,Yuan Jianhua, Xu Xiufang 2017, 37 (2):  180-183.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.005 Abstract ( 27 )   PDF (917KB) ( 9 )   To acquaint the situations of medical radiologist in Zhejiang Province, and provide reference for the educational program of Hangzhou Medical College, the present situations of 3549 radiologists from 320 hospitals were conducted through questionnaire survey in Zhejiang Province in 2015. The contents of the questionnaire covered numbers of radiologist, gender, job title, years of service, school of graduation. Suggestions to the construction and development of radiologists were proposed after the situations were analyzed. The survey showed that the numbers and trainings of medical radiologists in Zhejiang Province were insufficient. The results suggested, industry demand oriented, the enrollment scale of medical radiologist should be increased, and the quality of training should be enhanced progressively for the better future of the medical imaging industry. References | Related Articles | Metrics

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Characteristics and enlightenments of medical specialist training in Hong Kong Jiao Qingshi, Wang Chan, Bi Ke'nan 2017, 37 (2):  184-187.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.006 Abstract ( 46 )   PDF (901KB) ( 24 )   After decades of development, there is a complete and mature medical specialist training system in Hong Kong, which makes an important contribution to her medical and health sector development. This article introduced the Characteristics of Hong Kong's medical specialist training from management and organization, recruitment, process and content of training, examination and assessment, and employment.It also proposed the corresponding inspiration and policy recommendations, in order to provide reference for medical specialist training in our country. References | Related Articles | Metrics

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Qualitative research on the problems in the process of undergraduate education of preventive medicine Ren Yali, Shang Weifeng, Chen Wei, Xi Xiaoyan, Liu Ranran, Wei Youxiu 2017, 37 (2):  188-192.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.007 Abstract ( 55 )   PDF (1642KB) ( 16 )   Objective To explore the problems existing in the postgraduate education of preventive medicine and the corresponding solutions.Methods Qualitative method was adopted; professional teachers and administrators of preventive medicine of colleges and universities in Wuhan, relevant persons in charge and managers from the employers, and graduates of 2011~2013 of preventive medicine were selected as the research subjects. Semi-structured in-depth interviews were used among the research subjects. Then based on the interview outline, QSR Nvivo 10.0 software was used to code the interview material. These tree nodes were modified and merged again and again before they finally became the mature ones.Results The main problems existing in the postgraduate education of preventive medicine were as follows: unreasonable teaching methods and contents; lack of sense of identity among students, formalized practice; inappropriate assessment of students; the neglect of teaching because of the excessive importance attached to scientific research.Conclusions Teaching methods and contents should be improved. Colleges should guide students to form clear self-localization. Besides, in order to successfully manage the practice of preventive medicine, more importance should be attached to it by universities and teaching bases. What's more, the indicators and models of assessment of students should also be improved. Lastly, enough emphasis should be placed on undergraduate teaching which can also be improved by scientific research. References | Related Articles | Metrics

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Research and practice on the model of dual subject education of school-enterprise cooperation Zeng Qifei 2017, 37 (2):  193-197.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.008 Abstract ( 31 )   PDF (1093KB) ( 12 )   This paper expounds the connotation of the talent training model of the dual subject education of “school-enterprise cooperation and deep integration”,discusses how to implement the talent training model of the dual subject education of “school-enterprise cooperation and deep integration” from seven aspects, and proposes the existing problems and countermeasures in the current dual subject education of “school-enterprise cooperation and deep integration”. References | Related Articles | Metrics

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Research on the integration of ideological and political course and medical specialized course Guo Qi, Liu Xu, Zhang Jingyi, Chu Ming, Li Hong 2017, 37 (2):  198-202.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.009 Abstract ( 33 )   PDF (968KB) ( 11 )   This paper is an integrated teaching method of problem-based learning in education reform of the course of moral and law in Peking University Health Science Center. It investigates the feasibility and method of the integration of ideological and political course and medical specialized courses and provides the basis for the education reform of ideological and political in medical colleges by the way of discussing different types cases. References | Related Articles | Metrics

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The empirical research of university community activities in relation to students' self-development Lin Huangping, Liu Xinhua 2017, 37 (2):  203-207.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.010 Abstract ( 14 )   PDF (913KB) ( 9 )   This study did questionnaire to a medical college students for community activities in Fujian Provence. The outcome shows that the current community development is rapid, the students are willing to participate in community activities, medical students to participate in community activities for their own development, especially the humanities quality have a positive role, but some poor quality of club activities, lead to member turnover rate is higher, and association between different levels, and activity socialization degree is not high also restricted the further improve the effect of community. Of relevant factors further regression analysis found that students participate in community activities span does not significantly improve their ability, and students to participate in depth, degree of post significant influence on students' comprehensive ability to ascend. Therefore, innovation activities, change the way of activity content, broaden the scope of activities, to strengthen the material and human inputs, perfect the rules and regulations and optimize the internal structure is one of the effective methods to improve medical students' self-development. References | Related Articles | Metrics

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Theoretical reflection on the humanistic quality education evaluation system at the perspective of the psychological assessment Wang Jia, Hu Hua, Wang Yichao 2017, 37 (2):  208-211.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.011 Abstract ( 30 )   PDF (897KB) ( 10 )   To explore the application of psychological assessment technique in the humanistic quality education evaluation system. On the basis of longitudinal comparison during the projective test, implicit association test, computerized adaptive testing, psychological test, knowledge tests, we proposed that estimated methods in the humanistic quality education measurement system. The application of psychological assessment technique in the humanistic quality education measurement system was helpful to quantitative assessing the level in the medical students. References | Related Articles | Metrics

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Investigation on the current humanistic quality education of undergraduate nursing students Long Sulan, Long Fengyun, Ma Ling 2017, 37 (2):  212-216.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.012 Abstract ( 29 )   PDF (913KB) ( 7 )   Objective To understand the present situation of humanistic quality education for nursing students, analyze the existing problems, put forward the corresponding countermeasures and reform the nursing humanistic quality education.Methods Choose 700 students from grade 2010, 2011, 2012 Major in Nursing of Science and Technology College of Jiangxi University of Traditional Chinese Medicine by random sampling methods to conduct a questionnaire survey, there were 654 students who actually participated in the study.Results The school leaders, teachers and students pay not enough attention to the humanistic quality education; The curriculum of humanities quality education is unreasonable; the ways and methods of humanistic quality education are single; the humanistic quality education lacks the influence of the campus humanistic environment; the humanistic quality of nursing teachers is weak; the examination and evaluation of the humanistic quality education system is not perfect. In view of the present situation, the research group put forward the following strategies: Change educational concept, improve the importance of humanistic quality education; reform of nursing curriculum, highlight the characteristics of humanistic quality education; reform the teaching methods of Humanities, enrich the ways of humanistic quality education; create a strong atmosphere of humanistic quality education, highlight the function of campus culture; improve the teachers' humanistic quality, enroll more clinic doctors who have teaching experience into the teaching staff; reform the evaluation methods of humanistic quality education, construct a scientific and reasonable evaluation system of humanistic quality education.Conclusions In order to deliver more humanistic qualified nurses to the hospital, nursing education should keep pace with the times, renewing educational ideas constantly, reform personnel training mode, attach importance to the integration of professional education and humanistic education, strive to improve the comprehensive quality of nursing students. References | Related Articles | Metrics

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The current situation of communication between medical students and counselors and impact factors analysis Bian Yujie, Bai Haoming, Fu Yi, Zheng Yuying 2017, 37 (2):  217-220.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.013 Abstract ( 15 )   PDF (997KB) ( 9 )   Objective To explore new measures to improve the communication between the counselor and medical students,analyzing the problems and impact factors of them.Methods Select the five-year and eight-year medical interns as the research object. Through questionnaire and interviewing,this paper explores the problems of communication between students and counselors,and the data from the investigation are analyzed.Results 43.9%(79/180) of the students will not communicate with the counselor initiatively.52.8%(95/180) of the students complain that the counselor does not communicate with their own initiatively. Communication awareness,time,methods,the degree of trust of the students,the professional quality of counselors are the main factors influencing the communication between them.Conclusions The establishment of good communication will,improving communication skills,and enhancing the qualities of the counselors are the main measures to improve the status of communication. References | Related Articles | Metrics

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A relationship research of students' emotional problems and family environment and close relationship processing capacity in a medical college Cai Yunjiang, Yu Jiayuan, Zhao Xinyue, Zhou Yuqiu, Wang Xinlong, Su Hong, Cao Jianqin 2017, 37 (2):  221-226.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.014 Abstract ( 17 )   PDF (1224KB) ( 51 )   Objective To explore the relationship of students' emotional problems and family environment, and close relationship processing capacity in a college providing evidence for subsequent effective intervention techniques and methods.Methods Class random cluster sampling was conducted among 1810 university students as the research object. Using self-rating anxiety scale(SAS), self-rating depression scale(SDS), Liebowitz social anxiety scale (LSAS), family environment scale-Chinese version (FES) and relationships skills questionnaire (RSQ) evaluate all objects in a college.Results Anxiety, depression, and social anxiety was significant correlation each other (P＜0.001). Emotional variables with each factor of family environment, relationship skills were significantly correlated (P<0.01).Structural equation model analysis indicate that family environment direct effects on anxiety, also through the mediating variable (depression ) effects on anxiety; family environment direct effects on depression, also through the mediating variable (anxiety) effects on depression; family environment direct effects on social society, also through the mediating variable (anxiety, depression and relationships skills) effects on social society.Conclusions Bad family environment and the low level of relationship skills influent on the medical students' emotional problems, and significant correlation exists among emotional variables. Therefore, psychological health education work should pay attention to emotional symptoms, rather than a single emotional state. References | Related Articles | Metrics

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Calm thinking on case teaching of basic medical teaching at present stage in China Bao Jinfeng, Zhao Jianmin 2017, 37 (2):  227-230.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.015 Abstract ( 18 )   PDF (893KB) ( 9 )   Case teaching,as a teaching method,can increase bilateral exchanges,deepen comprehension,and improve the ability of analyzing and solving problems,etc. However,case teaching method also has many defects and limitations,especially at the five-year medical basic medical teaching in the present stage in China. It will affect the all teaching plan and aim if the case teaching method is used unsuitable. In this paper,through the analysis of the features,advantages and disadvantages of case teaching and traditional teaching methods in detail,in order to provide some ideas and suggestions for reasonable application of case teaching method in teaching in basic medical at present stage in China. References | Related Articles | Metrics

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The application of multiple teaching methods in anesthesia physiology teaching Mei Hongxia, Cao Hong 2017, 37 (2):  231-233.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.016 Abstract ( 22 )   PDF (889KB) ( 20 )   Objective To explore the application effect of multiple teaching method in anesthesia physiology teaching for undergraduate students of anesthesiology.Methods The multiple teaching method was applied into anesthesia physiology teaching for anesthesiology students of grade 2013 in Renji College of Wenzhou Medical University. There were 32 students from class 1 in experimental group and 31 students from class 2 in control group. The control group was taught by traditional teaching method while the experimental group was taught by multiple teaching method. Teaching effect was assessed through the questionnaire survey and test score after the teaching.Results The experimental group average scores (80.9±8.4) was superior to that of the control group (72.9±8.9). It showed statistical difference (P＜0.05). At the same time, 87.5% (28/32) experimental group students had a positive attitude towards multiple teaching method.Conclusions The multiple teaching method can stimulate students' interest in learning and help students to heighten their abilities of self-learning, analysis and synthesis. References | Related Articles | Metrics

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The application of project-driven teaching method in medical microbiology teaching Huang Qingsong, Niu Zhiguo, Deng Baoguo, Wang Peizhen 2017, 37 (2):  234-237.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.017 Abstract ( 12 )   PDF (901KB) ( 10 )   Objective Aim to study the efficiency of the project-driven teaching method in the teaching of medical microbiology.Methods A comparative study was carried out in 240 students enrolled in 2013 in the outstanding class of medical undergraduates of Xinxiang Medical University, and they were divided into experimental group and control group, each group contained 120 students.In the experimental group, the project-driven teaching method was carried out, and the traditional teaching method was carried out in the control group.After teaching, the teaching effects of the two groups were analyzed by questionnaire survey, general ability evaluation, case analysis and theoretical examination.Results The comprehensive performance and learning indexes of the students in experimental group were higher than those of control group(all P<0.05).Conclusions Through the application of project-driven teaching method, students'interests in learning were aroused, and students' self-conscious learning ability and innovation ability were improved and better teaching effectiveness of medical microbiology was obtained. References | Related Articles | Metrics

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Application of stereo teaching in surgical teaching Yi Jianfeng, Ye Zhenzhen, Pan Haibang, Dong Xiaopeng, Yi Hua, Huang Jianmei 2017, 37 (2):  238-242.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.018 Abstract ( 25 )   PDF (908KB) ( 10 )   Objective To investigate the application effect of stereo teaching in surgical teaching.Methods 80 students in grade 2012 of five-year program Chinese medicine major from Gansu University of Chinese medicine were randomly divided into two groups by single blind method. 40 students in experimental group were taught by stereo teaching, 40 students in control group were taught by multiple teaching. All students were checked by simulated medical licensing examination in double blind method, and a questionnaire survey was conducted. Data was analyzed by SPSS 19.0.Results The satisfaction scores of participation degree of teaching, teaching methods, examination difficulty, course arrangement and benefit in the experimental group was higher than the control group (all P<0.05). The differences of the other self evaluation scores except autonomous learning ability, logical thinking ability, learning confidence, understanding and mastery of basic knowledge in the experimental group after learning were statistically significant (all P<0.01). The scores and the improvement of the overall ability between two groups were statistically significant (all P<0.01).Conclusions Stereo teaching could improve students' learning drive, mastery and application of knowledge, core competence and the teaching effect of surgery. References | Related Articles | Metrics

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Application of three-dimensional visualization in clinical practice teaching of liver surgery Hao Huihui,Chen Chuang, Ding Zhilong, Xu Zhen, Wang Zheng, Hao Lijun, Xu Guiyun, Jiang Houwen 2017, 37 (2):  243-246.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.019 Abstract ( 19 )   PDF (1179KB) ( 19 )   Liver surgical diseases are characterized by its complicated condition, a variety of anatomical variation,and more difficult to understand the two-dimensional image,so it's necessary to change our traditional clinical practice teaching model. Three-dimensional visualization teaching is an effective teaching method. This article summarizes the application of three-dimensional visualization teaching in surgical clinical practice of liver surgery in our hospital. The results showed that the three-dimensional visualization teaching could improve the learning efficiency of the interns,inspire the students to study,deepen the understanding of liver surgery and contribute to the learning of liver imaging and future clinical work.The conclusion is that the three-dimensional visualization teaching is worth popularizing in the clinical practice teaching of liver surgery. References | Related Articles | Metrics

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Application of the teaching assisted platform based on QQ group in analytical chemistry in pharmacy Yu Jie, Wang Yingling, Wu Hongwei, Jin Pingning, Dong Li 2017, 37 (2):  247-250.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.020 Abstract ( 19 )   PDF (974KB) ( 8 )   Objective To investigate the application effect of the teaching assisted platform based on QQ group in analytical chemistry in Pharmacy.Methods 121 undergraduate students majoring in pharmacy from 2012 and 2013 two grades in Xinxiang Medical University were selected and divided into two groups randomly: the experimental group (60 students) and the control group (61 students). The teaching assisted platform based on QQ group was adopted in the experimental group, while traditional teaching method was adopted in the control group. This teaching platform was applied to analytical chemistry teaching for the purpose of the communication between teachers and students, tutor answer, collective lesson preparation, educational resources sharing and the evaluation of the online teaching effect, etc. The teaching effect of the two different teaching methods was evaluated by questionnaire survey and achievement analysis.Results According to the achievement analysis, the experiment group was better than the control group and the difference was statistically significant (P<0.05). According to the questionnaire survey, approval degree of the teaching assisted platform based on QQ group reached 100.0%.Conclusions The teaching assisted platform based on QQ group exhibited better results in analytical chemistry teaching. New teaching method was superior to traditional teaching method in teaching efficiencies. References | Related Articles | Metrics

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The effect of participatory learning supported by the real-time communication on culturing medical students' ability of critical thinking Qian Lingbo, Ai Heng, Zhou Xinru, Zhou Wenxia, Chen Shuting, Wang Jue 2017, 37 (2):  251-255.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.021 Abstract ( 13 )   PDF (973KB) ( 8 )   Objective To explore the effect of participatory learning supported by the real-time communication (Tencent QQ learning group) on culturing medical students' ability of critical thinking.Methods One hundred and seventeen students majoring medical imaging were divided into two groups, control group using traditional didactic method and test group using participatory learning supported by QQ learning group, to study physiology. Seven characters of critical thinking in students were evaluated by CTDI-CV questionnaire, and the teaching effect was examined by unit testing.Results The scores of comprehensive analysis, total scores and excellent rates of the unit examination were both significantly improved in the test group compared with control group (all P<0.05). Six characters of critical thinking and the total scores of CTDI-CV questionnaire survey were effectively improved in the test group compared with control group (all P<0.05).Conclusions Participatory learning supported by the real-time communication (QQ learning group) helps to improve the medical students' ability of critical thinking and the teaching effect of physiology. References | Related Articles | Metrics

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The change and transition of the adult medical education under the background of “Internet Plus” Wang Nianmin, Liu Aimin 2017, 37 (2):  256-259.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.022 Abstract ( 14 )   PDF (960KB) ( 13 )   Adult continuing education is an important support of the learning society which the people will learn or even pursue life-long education. Under today's internet era, adult medical education is facing the transformation and innovation of practical appeal. However, there are some problems which block the development of adult medical education such as idea lag, the rigid system etc. Adult medical education should adhere to the “people-oriented” concept, insist on the path of characteristics with organic combination of network education and traditional education development. References | Related Articles | Metrics

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The design and practice of situational training program of pediatric doctor-patient communication in medical students Wang Xiujuan, Wang Aihua, Li Xiaodan, Li Caifeng, Sun Ning, Yan Chunmei, Li Xia 2017, 37 (2):  260-264.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.023 Abstract ( 22 )   PDF (917KB) ( 15 )   Objective To explore effective ways to cultivate the ability of doctor-patient communication of medical students.Methods Students from grade 2009 to grade 2010 of seven-year medical program from Capital Medical University were recruited as subjects. In the teaching activities, the clinical problems were transformed into a series of scenes through clinical scenario training which focused on training pediatric students' skills to face and deal with clinical communication problems. The research included the training case preparation stage and the training implementation stage. Anonymous questionnaires were distributed to the medical students after training program to evaluate the teaching results and the results of grade 2009 and grade 2010 were compared with statistical method.Results The results showed that the training design was reasonable and the students learned what they needed. The differences between the satisfaction of students of the two classes were statistically significant (all P<0.05), and the satisfaction evaluation score of students of grade 2010 were higher than that of grade 2009.Conclusions Through the development of the training program, the satisfaction of students was improved. This practice was based on the combination of clinical problems and scenario simulation with innovation, practicability and generalization, and helped the medical students to improve the ability of communication between doctors and patients. References | Related Articles | Metrics

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Effects of mind mapping applied to clinical teaching on competency of registered nurses of nursing students Cheng Mei, Wu Yulong, Ni Tianhui, Zhang Fang, He Xiuxiang 2017, 37 (2):  265-269.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.024 Abstract ( 22 )   PDF (915KB) ( 8 )   Objective To investigate the effects of mind mapping applied to clinical teaching on the competency of registered nurses of nursing students.Methods Using the convenience sampling method, 182 internship nursing students in Grade 2012, Binzhou Medical University were selected as the object of study. They were devided into experimental and control group. The experimental group was intervened by clinical teaching model based on mind mapping, while the control group adopted the traditional clinical teaching model. A general condition questionaire and competency inventory for registered nurses (CIRN) were used to test the two groups.Results Factors such as urban and rural sources mainly affected registered nurses competency. The score of CIRN for experimental group was significantly higher than those of control group.Conclusions Clinical teaching model based on mind mapping helps to improve the registered nurses competency of nursing students. References | Related Articles | Metrics

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Application of group assessment in the teaching of pediatric nursing of nursing students in secondary vocational schools Cen Huihong, Zhang Meizhen, Wu Anjing 2017, 37 (2):  270-273.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.025 Abstract ( 13 )   PDF (900KB) ( 4 )   Objective To explore the effect of group assessment under the condition of limited teachers in secondary vocational schools.Methods 498 nursing students from 2012 grade in a secondary vocational school were selected as the subjects. In the pediatric nursing course skills assessment, the content of the examination was contextualized and evaluated by group method. The results included nursing skills and observation, review of two aspects of the score, which accounted for 70% of the nursing operations, observation points accounted for 30%. Compare the time spent and the number of teachers between group test and traditional way. At the same time, investigation was made in the experimental group with the self-made questionnaire.Results Group assessment can reduce the amount of teachers and time, 77.1%(374/485)students considered group assessment can promote introspection and 86.8%(421/485)students thought it can promote them join team action.Conclusions Group assessment can be used as one of the ways to promote and apply the evaluation of nursing operation in technical secondary schools, it is an efficient assessment in secondary vocational schools which are resource shortage. References | Related Articles | Metrics

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A survey and analysis on the cognitive status of clinical medical students and nursing students to patient Lai Xiaoyan, Jiang He, Li Jingxuan, Zhang Shuai, Liu Angzhi, Cheng Ling 2017, 37 (2):  274-277.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.026 Abstract ( 16 )   PDF (900KB) ( 6 )   Objective To investigate the cognitive status of clinical medical students and nursing students for patient safety and analyze the difference between them, and to supply reference for the patient safety education.Methods Using convenience sampling method, 533 students in Tianjin and Shijiazhuang were investigated by a self-designed questionnaire.Results The patient safety cognitive total score was (3.29±0.50), the scores of three dimensions from high to low were attitude (3.67±0.56), behavior and practice (3.37±0.60), knowledge (2.93±0.77). The overall cognition and three dimensions score of the clinical medical students were all lower than those of the nursing students,they all showed statistical difference (all P <0.01). The overall score of the clinical medical students was (3.09±0.52), and the scores of three dimensions were (2.63±0.81), (3.53±0.57) and (3.26±0.62). The overall score of the nursing students was (3.41±0.45), and the scores of three dimensions were (3.12±0.67), (3.76±0.52) and (3.45±0.57).Conclusions There was a great difference between the clinical medical students and nursing students for patient safety cognition, especially in the knowledge, behavior and practice. The medical school and teaching hospital should strengthen the patient safety education, and explore the inter-professional education for improving the cognition of the medical students. References | Related Articles | Metrics

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Research on the function evaluation of postgraduate award system Liu Fang,Duan Liping 2017, 37 (2):  278-281.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.027 Abstract ( 9 )   PDF (895KB) ( 11 )   This paper introduced the general situation of graduate students award system of Peking University Health Science Center and the ideological education function of this award system.. It also analyzed the present situation and effect of each function about this award system. It made us thought deeply on how to further improve the function of the reward system. We tried to use variety of methods to promote the reward system to play more functions, such as flexible and perfect guide, broaden the protection by government and universities, encouraging incentives though training and practice etc.All of which served for the promotion of graduate education and comprehensive reform of graduate education. References | Related Articles | Metrics

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Application of role-playing teaching method in respiratory internal medicine teaching of Traditional Chinese Medicine postgraduate Zheng Yanlong, Zhu Zhengang, Chang Li, Liu Chaowu Zhong Xinchun, Di Guanlin 2017, 37 (2):  282-285.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.028 Abstract ( 11 )   PDF (900KB) ( 7 )   Objective To study the application effect of role-playing teaching method in respiratory internal medicine teaching.Methods The reach objects were 60 TCM internship postgraduates in the respiratory of First Teaching Hospital of Tianjin University of TCM. They were divided into two groups. The control group had 30 postgraduates and used traditional teaching, while the experimental group also had 30 postgraduates and used role-playing teaching. After internship, the effect of role-playing teaching method was gained by theory examination, clinical ability assessment and questionnaire survey.Results There were no significant differences between the experimental group and the control group students in the theory scores before and after the internship(all P＞0.05), experimental group was better on clinical ability improvement(t=7.354, P＜0.05). Questionnaire survey results showed that experimental group was better than control group on improvement of self-learning ability and ability to solve practical problems. In addition, the difference in knowledge digesting and doctor-patient communication was statistically significant(all P＜0.05). However, difference of teaching method acceptance between two groups was not statistically significant(t=0.158, P>0.05).Conclusions Role-playing teaching method can motivate the students' subjective initiative,improve the ability of clinical practice and was more helpful to the clinical thinking training of TCM postgraduate. References | Related Articles | Metrics

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Clinical practice of postgraduate education model combining with residency standardized training Li Ming'e 2017, 37 (2):  286-290.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.029 Abstract ( 17 )   PDF (972KB) ( 21 )   Objective To understand the effect of clinical practice in postgraduate education model combing with residency standardized training.Methods In this study, 28 clinical postgraduate students in 2014 grade were selected, which 14 students asObjective group, and other 14 as control. After clinical practice, the professional theory knowledge, professional skill, morel quality, clinical rotation performance appraisal and medical record were assessed in each group.Results The results showed that 10 months later, there were difference in two groups of the moral character, each department rotation of examination and the medical record review.Conclusions The education model of postgraduate students combined with residency standardized training can improve the comprehensive ability of the students. References | Related Articles | Metrics

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The structural equation modeling analysis of the intentional needs of trainees in general standardized training Song Jumin, Jiang Runsheng, Li Weiming, Mao Yiqing, Zhou Mei, Wu Linxiong, Tian Bo, Zhang Yao 2017, 37 (2):  291-297.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.030 Abstract ( 17 )   PDF (1175KB) ( 15 )   Objective To explore the situation of trainees in Yunnan general standardized training through teaching quality, learning state, satisfactory and intentional needs. Then study the influence factors of their intentional needs.Methods A questionnaire survey and group interview were been took to collect data. We collected a cluster sampling of 6 general practitioners clinical training bases with a total of 225 trainees, the structural equation model was used for statistical analysis.Results Of the 225 questionnaires delivered, 219 (97.30%) returned ones were valid. The results of the model fitting goes well. The teaching quality is apparently negatively influencing the learning state (β=-0.360,t=-3.457,P<0.05) but has a noticeably positive influence on the satisfaction (β=0.236,t=2.173,P<0.05) as well as the intentional needs (β=0.287,t=2.796,P<0.05). The learning state obviously indicates a negative influence on the intentional needs (β=-0.301,t=-3.384,P<0.05) while the satisfaction leaves a positive influence on the intentional needs (β=0.272,t=3.240,P<0.05).Conclusions The intentional needs of trainees are interlinked with teaching quality,learning state and satisfaction. Improving teaching quality could facilitate the ease of learning burnout as well as the increase in trainees' satisfaction with training. But if the learning burnout gets severer,the intentional needs in the training would turn to be more constrained. Thus,the intentional needs of students in training could be enhanced. During elevating the satisfaction level,a higher intention of participation would be ignited. References | Related Articles | Metrics

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The exploration and application of “Internet Plus” teaching and learning platform in residents standardized training Yu Qing, Zheng Yuying, Yan Zuoqin, Bao Weihua, Zheng Jianmin, Qian Lei 2017, 37 (2):  298-301.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.031 Abstract ( 25 )   PDF (903KB) ( 15 )   Objective To explore the practice and effective of “Internet Plus” teaching and learning platform in resident standardized training.Methods The conceptions, measures and achievements of the “Internet Plus” teaching and learning platform in resident standardized training have been analyzed by multiple learning platform modes.Results The practice of “Internet Plus” platform in resident standardized training is effective in both teaching and learning aspects.Conclusions Internet technology makes revolutionary changes of knowledge dissemination methods. During the standardized training of residents, it is challenge of how to make use of the advantages of internet technologies to change the traditional teaching modes, adaptation the fragmented learning demands, promoting residents learning effects. References | Related Articles | Metrics

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The implementation of chief resident system in trauma and orthopedic Wang Yanhua, Ma Mingtai, Huang Wei, Wang Tianbing 2017, 37 (2):  302-306.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.032 Abstract ( 21 )   PDF (913KB) ( 12 )   Chief resident system is a effective way to cultivate qualified physician and traumatic orthopedic specialists, and chief resident is the necessary phase in the course of orthopaedic trauma surgeon training. Due to its disease variety, and often need emergency treatment, so the traumatic orthopedic requires chief resident need to have some special abilities. This paper combined with the implementation of chief resident system in traumatic orthopedic and traumatic orthopedic professional features to explore traumatic orthopedic chief resident training speciafications. The author believes that the scientific and regular implementation of chief resident system, will help to improve the comprehensive quality of the chief resident and cultivate the completely developed traumatic orthopedic specialists. References | Related Articles | Metrics

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The application of problem-based learning teaching method in the standardized training of residents of otolaryngology Wang Zhongqiao, Si Fengzhi, Gao Yan, Zheng Yan 2017, 37 (2):  307-311.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.033 Abstract ( 18 )   PDF (909KB) ( 18 )   Objective To explore the effect of clinical teaching model and traditional teaching model on the clinical teaching effect of standardized training for residents in otolaryngology.Methods 27 residents in the standardized training program were selected as the study object. 15 students in experimental group adopt PBL teaching method and 12 students of control group accept the traditional teaching method. Knowledge assessment and a questionnaire survey were conducted to the two groups for comparing and analyzing the practical teaching effect.Results The theoretical examination and skill test in gender, age before the practice has no statistical difference(all P>0.05). After the practice, the theoretical examination showed no statistical difference (P>0.05),but the skills test scores of the experimental group was higher than that of the control group, it showed statistical difference (P＜0.05).The experimental group was higher than that of the control group in the aspects of improving the learning ability, independent thinking ability, innovative thinking ability, practical ability, knowledge of clinical application ability, comprehensive analysis ability. They all showed statistical difference (all P<0.05).Conclusions The PBL teaching method can better motivate students' clinical study enthusiasm and initiative, can improve students' sense of responsibility, and can improve students' comprehensive clinical quality. The model is worth popularizing in teaching. References | Related Articles | Metrics

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Analysis for the influencing factors of item difficult in China's National Medical Licensing Examination Yang Fangli, He Jia 2017, 37 (2):  312-316.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.034 Abstract ( 17 )   PDF (911KB) ( 19 )   In this paper, an analysis was presented based on ordinal logistic regression that illustrates what is the relationship between “expert judges”(or student) and influencing factors of item difficulty. The results of the study show that test purpose and cognitive skills primarily influence “expert judges”. However, the patterns shown by the student data are effectiveness of the incorrect alternative responses, connective between current practice and test content, negative questions mostly influence students. Although work from this study is limited, it suggests that the prediction item difficulty will fare well when relevant studies are conducted. References | Related Articles | Metrics

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The result and analysis of qualification assessment for full-time teaching of middle-aged and young clinical teachers Wang Zhiqiang, Yue Sifeng, Wu Xulong, Zhang Siqin, Jiang Guanchao, Zhang Xiaorui 2017, 37 (2):  317-320.  DOI: 10.3760/cma.j.issn.1673-677X.2017.02.035 Abstract ( 19 )   PDF (943KB) ( 15 )   Objective Evaluate the level of clinical theory and skill of middle-aged and young teachers in Peking University People's Hospital currently, in order to direct the training of teachers.Methods 35 middle-aged and young teachers in Peking University People's Hospital participated in assessment through voluntary signing up. The assessment was divided into four parts. After that, FAQ's had been analyzed and the methods and strategies had been put forward.Results The result of participants is satisfactory generally. But there is a little difference between participants with different professional title and specialty for total score and result of each part.Conclusions It is necessary to take standardized training to the middle-aged and young teachers. Meanwhile, qualification assessment should be conducted regularly. After all, the level of clinical teaching in Peking University People's Hospital will be improved. References | Related Articles | Metrics