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Cross-cultural adaptation of TeamSTEPPS Teamwork Attitudes Questionnaire and TeamSTEPPS Teamwork Perceptions Questionnaire Ye Xuechen, Zhu Yaxin, Lai Yanni, Yang Libin, Qu Bo 2018, 38 (6):  801-805.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.001 Abstract ( 262 )   PDF (1009KB) ( 161 )   The World Health Organization guideline about translation and adaptation of instruments was followed, including forward translation, expert panel, back-translation, pre-testing and cognitive interviewing, to implement a cross-culturally adapt TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) and TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) into Chinese version. After cross cultural adaptation, the Chinese version of T-TAQ and T-TPQ were similar to the original English version in terms of conceptual and semantic equivalence, and adapted to Chinese culture and language custom, which could be applicable to the teamwork assessment of medical personnel in China. References | Related Articles | Metrics

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Exploration of clinical training mode of sports injury rehabilitation therapists Huang Hongshi, Wang Yi, Shi Huijuan, Miao Xin, Ao Yingfang 2018, 38 (6):  806-808.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.002 Abstract ( 36 )   PDF (934KB) ( 17 )   The national fitness and competitive sports have been extensively carried out. The incidence of sports injuries and then the demand for sports rehabilitation have increased sharply. At present, there are great variations in the teaching plan, the selection of teaching materials, the curriculum design and capacity building of teachers in universities and hospitals, which makes it difficult for the training and education of the therapists to meet the needs of the clinical practice. In order to provide a reference for the training of the professional rehabilitation therapists of sports injury, the clinical training mode of the professional sports rehabilitation therapist from the Institute of Sports Medicine of Peking University Third Hospital is analyzed. References | Related Articles | Metrics

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An empirical study on the construction of psychosocial competence of medical college students by using the elective course of living skill education Gao Disi, Hu Yifei, Zhang Wenjing, Chen Tianqi, Ma Yinghua 2018, 38 (6):  809-814.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.003 Abstract ( 39 )   PDF (999KB) ( 19 )   Objective To know the effect of living skills education on medical college students' psychosocial competence, provide the reference for popularizing the living skills in medical universities. Methods A curriculum named living skills education and psychology health promotion was designed and conducted among undergraduates in Peking University Health Science Center before and after curriculum, the questionnaire survey was performed among 39 students who have taken this course, and their psychosocial competence levels were evaluated by school teenagers' living skill scale, CES-D and social anxiety scale scores. Results There were significant differences in students' school teenagers' living skill scale scores and social anxiety scale scores between before and after curriculum(all P<0.01).76.9%(30/39) students' life skills were improved,79.5%(31/39) of the students' psychological conditions were improved, and 51.3%(20/39) students' anxiety was relieved. Conclusions The living skills education and psychology health promotion curriculum can improve the psychosocial competence of students in medical schools, it is effective to promote the elective course of life skills in medical schools. References | Related Articles | Metrics

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Learning burnout and its influential factors in problem-based learning Pu Dan, Ni Juhua, Wu Liling, Wang Yun 2018, 38 (6):  815-819.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.004 Abstract ( 44 )   PDF (979KB) ( 37 )   Objective To investigate the learning burnout in problem-based learning and its influential factors. Methods The third-year undergraduate medical students, including 8-year track and 5-year track in Peking University were involved in this study. The scores of student performance, tutor performance and case quality were collected after cases learning. The students' attitude in PBL performance were surveyed with 3 in-house designed questions. The Learning Burnout Scale for college students was used before and after PBL. Correlation was analyzed between the learning burnout and 4 factors of PBL. Multiple linear regression analysis was used to clarify the influential factors with the learning burnout scores as dependent variable. The analysis of numerical data was conducted by using SPSS 16.0. Results The average scores of learning burnout in third-year undergraduate medical students was 52.85, which indicated the learning burnout was at low to moderate level. Significant correlation was found between the scores of learning burnout and the scores of students, tutors, cases quality and the attitude to PBL. Multiple linear regression analysis results showed 2 factors were of significance, that is students' attitude to PBL and the performance in PBL. Conclusions The attitude to PBL and the performance of students in PBL were the key influential factors which exert a significant influence on learning burnout. Students training along with PBL should be improved in medical education. References | Related Articles | Metrics

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The influence of perfectionism and self-regulatory mode on subjective well-being of military medical students Liu Na, Wang Hao, Wu Chao, Yao Lu, Zhang Yinling 2018, 38 (6):  820-824.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.005 Abstract ( 34 )   PDF (1014KB) ( 38 )   Objective To explore the relationship between perfectionism and subjective well-being of military medical students, as well as the moderating effects of regulatory mode, in order to provide theoretical basis and data support to effectively improve subjective well-being of medical students. Methods The general perfectionism scale、regulatory mode scale and Campbell index of well-being were used to measure perfectionism、regulatory mode and subjective well-being of the students from the Air Force Military Medical University. And the relationships among the three were analyzed. Results Striving for high-level goals dimension (r=0.247) and locomotion mode dimension (r=0.346) were both significantly and positively correlated with subjective well-being(both P<0.05), and minding mistakes dimension was significantly and negatively correlated with subjective well-being(r=-0.148,P<0.05). The interaction between striving for high-level goals and assessment mode is significantly related to subjective well-being(t=2.222,P=0.027), and the interaction between minding mistakes and assessment mode is also significantly positively related to subjective well-being(t=2.114,P=0.035). Conclusions The perfectionism and regulatory mode both have important impact on subjective well-being of the military medical university students, and the relationship between perfectionism and subjective well-being is moderated by regulatory mode. This suggests that teachers can improve the subjective well-being of military medical students from the aspects of perfectionism and subjective well-being. References | Related Articles | Metrics

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The role of problem-based learning in establishing rational clinical thinking in medical students Li Haichao 2018, 38 (6):  825-828.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.006 Abstract ( 39 )   PDF (1071KB) ( 40 )   Problem-based learning(PBL) is one of the core features of the second generation of medical education reformation, which plays an important role in the establishment of medical students' clinical thinking. To achieve this goal, certain preconditions are needed, and to adhere to the corresponding procedures and methods in the process of PBL. References | Related Articles | Metrics

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Impact of case-based learning to critical thinking disposition in medical students with different learning styles Lu Jiao, Wu Jiaying, Li Zhen, Hong Jianguo, Li Yachu 2018, 38 (6):  829-833.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.007 Abstract ( 52 )   PDF (1014KB) ( 26 )   Objective To investigate the impact of case-based learning (CBL) to the critical thinking disposition in medical students with different learning styles. Methods The medical students rotated in Department of Pediatrics in Shanghai General Hospital affiliated to Shanghai Jiao Tong University in 2016-2017 were randomly enrolled to the study. Their learning styles were assessed with Kolb learning style questionnaire before rotation. During the 6 weeks period of rotation, case-based learning was conducted. The critical thinking disposition was assessed with CTDI-CV questionnaire and compared before and after the rotation. The impact of CBL to the critical thinking disposition was compared in students with different learning styles. Results Accommodate style was the most common learning style, followed by convergent, while assimilate was the least common. There were no significant differences in critical thinking disposition, CBL assessment and academic performance between different learning styles. After CBL conducted, students with accommodate style had significant increased CTDI-CV score (238.82±26.04 vs 253.47±18.98, F=0.404, P=0.028); while students with divergent style has significant increased scores in critical thinking self-confidence and inquisitiveness (28.55±4.57 vs 32.00±5.71, t=2.680, P=0.023; 29.18±5.58 vs 31.55±6.23, t=2.729, P=0.021). Conclusions CBL could improve the critical thinking disposition in medical students with divergent and accommodate learning styles. Learning styles as an important individualized characteristic, should be considered when designing teaching strategy. References | Related Articles | Metrics

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The application of flipped classroom in undergraduate epidemiology teaching Jia Jingya, Zhang Yanping, Huo Xiaoxu, Miao Rujuan, Ma Fei 2018, 38 (6):  834-837.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.008 Abstract ( 27 )   PDF (983KB) ( 27 )   Objective To explore the application effect of flipped classroom in the epidemiological teaching for undergraduate, so as to obtain students' attitudes and evaluations of flipped classroom. Methods Totally 2 classes of preventive medical students of Grade 2013 in Tianjin Medical University were selected. They were divided into experimental group and control group, each class have 60 students. Flipped classroom was used in the experimental group while traditional teaching was used in the control group. The theory test scores, practice scores, case analysis scores and total scores of the two groups were compared to evaluate the teaching effect before and after the course. A questionnaire was used in the experimental group to investigate their attitudes and evaluations about flipped classroom. Results After the course was implemented, the theory scores (t=5.762, P<0.001), case analysis scores (t=7.525, P<0.001) and total scores (t=7.947, P<0.001) of the experimental group were higher than those of the control group, and the differences were statistically significant. Most of the students in the experimental group had positive attitude on the flipped classroom. Conclusions The flipped classroom education in undergraduate learning epidemiological teaching has shown a better learning outcome. Flipped classroom was highly rated by students who have accepted the teaching. Flipped classroom is an effective teaching, which can be used as a reference for further epidemiology teaching in undergraduate. References | Related Articles | Metrics

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The application effect of student centered micro-class autonomous learning in pathophysiology teaching Zhang Ling, Li Hongyan, Kang Jinsong, Li Yang, Meng Yan, Su Jing, Liu Yanan, Zhang Yong, Li Na, Sun Liankun 2018, 38 (6):  838-841.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.009 Abstract ( 17 )   PDF (953KB) ( 20 )   Objective To explore the application of student centered micro-class autonomous learning in pathophysiology teaching. Methods The experimental control study method was adopted. The experimental group adopted the “student centered micro-class” autonomous learning method,while the students in the control group adopted the traditional teaching method,and the teaching outcome was evaluated through questionnaire survey and examination.Results The rate of the students' feedback satisfaction of “student centered micro-class” was 80.9%, and 91.5% of the students think they can exercise their self-learning capacity. The average score and comprehensive analysis capacity of the students in the experimental group were significantly higher than that of the control group students (P<0.05), the difference was statistically significant. Conclusions The “student centered micro-class” autonomous learning helps to improve the medical students' interest in pathophysiology learning, enhance autonomy, exercise the comprehensive capacity of students, and significantly improve academic performance. References | Related Articles | Metrics

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Application of maker education combined with flipped classrooms in undergraduate teaching of orthodontics Li Qianli, He Yifan, Zhang Mingjie, Xu Yue 2018, 38 (6):  842-846.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.010 Abstract ( 25 )   PDF (1178KB) ( 27 )   Objective The study is to explore the combination of maker education and flipped classrooms in undergraduate teaching of orthodontics. Methods 90 senior five-year dental program students from 2015 grade in Sun Yat-sen University were enrolled and randomly divided into two groups. The experimental group had classes in a way of maker education combined with flipped classrooms, while the control group was taught by the traditional methods. The learning outcomes between two groups were assessed by the results of test scores and questionnaire surveys. Results The test scores of experimental group in case analysis and clinical practice are significantly higher than those in the control group(7.50 ± 1.57 vs 5.60 ± 1.75)、(7.45 ± 1.53 vs 6.20 ± 1.47), which is statistically significant (all P<0.05). The feedbacks showed that most experimental group students agreed with that the combination of maker education and flipped classrooms could motivate students self-learning capacity and clinical practical competence. Conclusions The teaching mode of maker education combined with flipped classrooms helps undergraduates to enhance interest in orthodontics develop capacity of clinical reasoning and skill. References | Related Articles | Metrics

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The effect of the note-taking based on mind map in the after-classlearning of medical nursing course Chen Yimin, Shen Ling, Zhuang Jiayuan, Hu Rong 2018, 38 (6):  847-850.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.011 Abstract ( 30 )   PDF (961KB) ( 26 )   Objective To evaluate the effect of note-taking based on mind map in the after-class learning of medical nursing course. Methods Two classes of all the 2015 grade full-time undergraduate nursing students in a Fujian Medical University were divided into the experimental class and the control class randomly. The experimental class adopted note-taking based on mind map ,while the control class used traditional note-taking for after class learning in medical nursing for one year. Self-directed learning instrument for nursing students (SDLINS) and the critical thinking disposition inventory-Chinese version(CTDI-CV) were used to assess students' abilities of self-directed learning and critical thinking. In addition, the scores of the final examination were compared at the end of the course . Results After the end of the course, the score of SDLINS in the experimental class (73.38±8.81) was significantly higher than that of the control class (70.10±8.46), as well as the scores of CTDI-CV (244.42±25.63) in the experimental class and (237.34±24.95) in the control class(t=2.978,P=0.003;t=2.163,P=0.032). However, the mean scores of the final examination in the experimental class and the control class respectively were (68.00±9.23) and (69.35±9.53) in medical nursing course, and the difference was not statistically significant (t=1.143, P=0.254). Conclusions The application of note-taking based on mind map note in after class learning can improve students' self-directed learning ability and their critical thinking ability. References | Related Articles | Metrics

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The exploration of construction of integrated intelligent medical simulation teaching platform Zeng Duo, He Manqing, Zhou Zhou, Han Ying, Zhang Chao, He Xiao, Xiong Maoqi, Pu Dan 2018, 38 (6):  851-854.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.012 Abstract ( 32 )   PDF (954KB) ( 24 )   As a component of intelligent education, the development of medical simulation is supported and promoted by the exploration of construction of integrated intelligent medical simulation teaching platform. A platform of integrated education is constructed based on the latest medical simulation concept, based on the integrated design framework of the information technology, intelligent technology and medical simulation depth fusion, well versed in teaching, learning, practicing, test, evaluation, management, through data collection, integration and analysis, making decision based on the data analysis, managment with intelligent assistant, form a real-time feedback of medical simulation evaluation, improve the efficiency of management and teaching, to realize the intelligent management and teaching of personalized, multi-dimensional interaction and sustainable development. References | Related Articles | Metrics

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Exploitation and application of the morphological experimental teaching materials in human cardiac conduction system Lou Yangyun, Zhu Zuming, Wang Zheng, Zhang Jianting, An Guofang, Sun Fengxia, Qian Lingbo 2018, 38 (6):  855-859.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.013 Abstract ( 10 )   PDF (1262KB) ( 8 )   Objective To creat a new set of morphology experimental teaching materials of human cardiac conduction system. Evaluate its application in practice. Methods The experimental subject was 120 students from medical undergraduate of 5-year programof clinical medicine and medical imaging major in a medical college, among which 60 students from 1 class of clinical medicine and 1 class of medical imaging were selected as the experimental group. The control group consists of 60 students from the same professional parallel classes. In the teaching of the cardiac conduction system, the experimental group was used new teaching materials, and the controls was used traditional teaching materials. Then the results of two groups of students' examination were compared to find potential benefits from use of new teaching materials. Results There were no statistically significant difference between the total scores of examinations from the two major in the control group and in the experimental group (all P>0.05), so the two major in same group could be studied together. The scores of real-time and 4-week examinations after class in the experimental group were all significantly higher than that of the control group. The scores of real-time examination in experimental group and control group were correspondingly less than the scores of 4-week examination after class in them (P<0.05). However, this difference in experimental group was more significant than that in control group. Conclusions The new teaching materials can promote medical students' learning of cardiac conduction system. References | Related Articles | Metrics

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A WeChat platform-based “internet plus” model in the teaching of laboratory medicine Zhu Liyan, Huang Xiaofen, Cai Wenping, Hu Yiming, Lai Yanan, Wang Meiling, Zheng Xiaoqun, Ji Jingzhang 2018, 38 (6):  860-864.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.014 Abstract ( 27 )   PDF (2657KB) ( 23 )   Along with the progress of medical education reform and the development unceasing advancement, requirements of laboratory medicine talents training in colleges and universities are also aiming higher. In order to adapt developments trend of the specialty and the training needs of modern medical talents, combining with the teaching reform of the Ministry of Education and the actual conditions of the society, this study introduces the new learning model of “internet plus”, building the capacity of students to explore and practice at a higher level, and broadening the basic theory of the professional, assisting colleges and universities to cultivate more applied talents possessed comprehensive ability. With the multi-field application of WeChat platform and the popularity of network teaching, the use of “internet plus” model to carry out teaching practice has been gradually achieved. A new laboratory medicine teaching mode based on WeChat public platform, adhering to the theory of “anytime, anywhere, anyone”, achieve the goal of sharing of teaching resources rapidly, breaking the limitations of time and space, reduce the burden of teachers, improve the quality of education. References | Related Articles | Metrics

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Application and assessment of SOAP notes on the evaluation of medical student in pediatric department Sang Tian, Liu Xiaoyu, Wang Yuyan, Qi Jianguang, Zhang Xin 2018, 38 (6):  865-869.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.015 Abstract ( 81 )   PDF (1170KB) ( 41 )   Objective To evaluate the current status of medical students' documentation of patient medical records and to investigate their feedback of the assessment. Methods The subjective-objective-assessment-plan (SOAP) notes are documented by 41 students of grade 2012 in grade five of 8-year clmical medicine major of Peking University Health Science Center, who were rotating in pediatric department were checked by two teachers. Students were required to complete the SOAP note within 30 minutes of a real patient. The completeness, appropriateness, and accuracy of SOAP notes were also analyzed. Reliability was checked by Cronbach's α score. A questionnaire was conduted to collect feedback from students. Results No documentation of patients' names and date was observed in 48.8% and 53.7% of the 41 SOAP notes reviewed. Forty students described all four parts of the notes except that one student didn't fill any content in part four (plan). The ratio of average score to total score of subjective, objective, assessment and plan was6.80, 5.69, 3.35, 3.92, respectively. It was worth noting that in the self-perception part of feedback, the total score (23.30±2.71) of those who feel unsatisfied with their performances was higher than that (21.56±2.18) of the satisfied ones. The difference was statistically significant (t=2.133,P=0.039). Furthermore, the rank of SOAP was highly related to the ranks of other forms of exams. Conclusions The most significant problems with completeness were the omission of patients' names and date. The items that need to be improved in SOAP writing are basic information and important negative medical history, symptoms, and meaningful sub-items for differential diagnosis. References | Related Articles | Metrics

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A comparative study to evaluate the minimally invasive surgery training for postgraduates' laparoscopic skills Hu Cheng'en, Du Peizhun, Lu Lu, Fu Yan, Qin Yunyun, Qin Lunxiu, Huang Guangjian, Gao Jiming 2018, 38 (6):  870-873.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.016 Abstract ( 15 )   PDF (985KB) ( 11 )   Objective To explore the value of minimally invasive surgery training for postgraduates' laparoscopic skill. Methods Totally 60 undergraduates or surgical students were divided into experimental and control group, with 30 cases in each group. The experimental group received minimally invasive surgery training including theory teaching and operation training. The control group did not receive special teaching but self-learning during internship stage. The effect of teaching was evaluated by examination and questionnaire. The data were analyzed through Chi-square and t-test test. Results Before the learning of minimally invasive surgery courses, the examination scores of the experimental group and the control group were quite similar. After the minimally invasive surgery learning, the examination scores of the experimental group were significantly higher than that before the training (P<0.001), and the results were significantly higher than that of the control group (P<0.05). Conclusions The implement of minimally invasive surgery training promotes the mastery of the theoretical knowledge of minimally invasive surgery and improves the operational skill of endoscopic surgery. References | Related Articles | Metrics

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Problem analysis and countermeasures of emergency doctor's BLS skills in Hubei Province Jin Xiaoqing, Li Huiping, Jiang Weiyan, Zhao Yan 2018, 38 (6):  874-878.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.017 Abstract ( 21 )   PDF (1411KB) ( 17 )   Objective To understand the basic life support skills of emergency doctors in Hubei Province. Methods To analyze the assessment of the basic life support site in the Hubei First Aid Skills Competition and the reasons for the loss of emergency doctors. Results The emergency doctors' breathing judgment during cardiopulmonary resuscitation (CPR) and automatic extracorporeal defibrillator (AED) operation has the highest deduction point. The identification of the indications before and after the electric defibrillation operation have most error, and the correct rate is less than 50%. The average score of CPR + AED operation of emergency doctors was (64.52±9.18) and the pass rate was 72.7%(24/33). The average score and pass rate of secondary hospitals were lower than those of tertiary hospitals. The average defibrillation score was (62.55±10.42) and the pass rate was 57.6%(19/33). The average score of the secondary hospitals was lower than that of the tertiary hospitals, and the pass rate was higher than that of the tertiary hospitals. Conclusions The basic life support skills of emergency doctors in Hubei Province are not ideal. The corresponding training and assessment mechanism should be established to improve the first-aid skills of emergency doctors. References | Related Articles | Metrics

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Practice and reflection on surgical training of the national college student clinical skills competition Fang Jiafeng, Su Jing, Huang Lijun, Deng Meihai, Wei Hongbo 2018, 38 (6):  879-882.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.018 Abstract ( 12 )   PDF (987KB) ( 24 )   Based on the training experience of Sun Yat-Sen University in joining the national college student clinical skills competition, this paper summarized the methods and experiences of competition clinical skills training and generalized them into the daily clinical skills teaching. It proposes the combination of cultivation of teaching team and elevation of medical students’ skills, optimizes clinical skills training method and applies the objective structured clinical examination system into evaluation of teaching efficacy, hoping to provide reference for clinical skills training and teaching. References | Related Articles | Metrics

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Bibliometric analysis of SCI literature based on objective structured clinical examination Liu Xiaoping, Cai Shuhan, Li Li, Chen Zhiqiao 2018, 38 (6):  883-888.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.019 Abstract ( 32 )   PDF (2367KB) ( 30 )   Objective To conduct bibliometric analysis of SCI literature based on Objective structured clinical examination (OSCE), and lay the foundation for subsequent research. Methods SCI literature based on OSCE were obtained from Web of Science, and the publication year distribution, literature type, country/region distribution, journal distribution, citation, co-authorship of OSCE and research contents were analyzed. Results The amount of studies based on OSCE is increasing year by year, and the most common type of these literatures is article. Most of these literatures were conducted by authors from developed countries or regions. Most of the literatures were published in journals of medical education. However, a lack of cooperation or networking existed among these researchers in OSCE. OSCE was mostly applied in students majored in clinical medicine. Conclusions SCI literature based on OSCE in developed countries or regions has increased yearly, these literatures focused more on assessment of clinical skills of undergraduates of clinical medicine, and there was relatively less cooperation among researchers. References | Related Articles | Metrics

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Application of combining virtual case with standardized patient in neurological clerkship teaching Guo Yan, Lin Yanan, Zhang Bingwei, Ji Xiaofei, Sun Xiaopei 2018, 38 (6):  889-892.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.020 Abstract ( 51 )   PDF (991KB) ( 27 )   Objective To evaluate the effect of combine virtual case with standardized patient in neurological clerkship teaching. Methods 127 undergraduates majoring in clinical medicine of grade 2014 in the First Clinical College of Dalian Medical University were divided into two groups randomly, combining virtual cases with standardized patients group (n=63) and traditional teaching group (n=64), respectively carrying out the neurological clerkship teaching. Test and questionnaireresults are collected and the results are compared. Results Total scores of combining virtual cases with standardized patients group was significantly higher than the traditional teaching group (85.52±3.78 vs 80.56±4.52,t=-6.704,P=0.000). This method acquired great popularity among the students and is helping in increasing the interest of study, self-learning ability, clinical reasoning, basic theories comprehension and the confidence in future clinical work(P<0.05). Conclusions This study has achieved better practical effect by using virtual cases and standardized patients in neurological clerkship, and got higher evaluation by students than the traditional method. References | Related Articles | Metrics

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The evaluation of effect of staged target training model on nursing students Zheng Yan, Tian Yun, Deng Pingji, Qin Biyong 2018, 38 (6):  893-898.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.021 Abstract ( 16 )   PDF (3826KB) ( 9 )   Objective To explore the influence of staged target training model on comprehensive performance、core competence and critical thinking ability of nursing students. Methods By using the experimental control method, 102 nursing undergraduates who were interned in People's Hospital of Shiyan city from June 2017 to February, 2018,majoring in nursing in the four-year program of Hubei University of Medicine were selected as subjects, and were randomly divided into the control group(n=51) and the experimental group(n=51).The control group received traditional training model and the experimental group adopted the staged target training model. The two groups were graded on the core competence assessment questionnaire, critical thinking scale before practice and after 2 months, 4 months, 8 months of clinical practice; The comprehensive performance of two groups was assessed before and after 8 months of clinical practice. Results Under the interaction between intervention patterns and time, there were statistically significant between two groups in core competence, critical thinking ability and comprehensive performance(all P＜0.05). Conclusions The implementation of the staged target training model in clinical practice of nursing students can effectively improve students' comprehensive performance,core competence and critical thinking ability. References | Related Articles | Metrics

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The exploration of cultivating postgraduates for professional master degree of medical technology Wang Fengqing, Wang Qing, Duan Liping 2018, 38 (6):  899-902.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.022 Abstract ( 87 )   PDF (985KB) ( 92 )   It was analyzed present situation and problem of advanced and complex personnel training in medical technology, and introduce the practical experience about cultivating postgraduates for professional master degree of medical technology as a pilot college for comprehensive reform of professional degree. It is suggested to improve the medical technology professional degree system and guarantee the smooth development of talents. Based on the national conditions, it should be promoted in the cultivation of advanced and complex talents in medical technology by using experience of other countries for reference. References | Related Articles | Metrics

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Exploration of the employment distributions of medical professional degree masters of Xuanwu Hospital before and after the integration with standardized residents training Li Yue, Jia Jianguo, Wang Yajun 2018, 38 (6):  903-906.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.023 Abstract ( 16 )   PDF (992KB) ( 14 )   Objective To explore the employment distributions of three-year medical professional degree masters of Xuanwu Hospital before and after the integration with standardized residents training. Methods This study used data analysis method and questionnaire survey method. The employment data of 327 three-year medical professional degree masters of Xuanwu Hospital of Capital Medical University from 2012 to 2017 were statistically analyzed, and the differences before and after the integration were compared. 74 graduates of 2017 were surveyed by questionnaires in order to obtain their employment status and the factors which influenced their successful employment. Results Before integration, from 2012 to 2014, the graduates employment ratio in Beijing hospitals declined year by year. In 2015, the ratio was obviously improved than that of 2014.In the next 2 years, the ratios both fell compared to 2015,and were both below the pre-integration levels. The survey of graduates in 2017 showed that the majority of students were employed in tertiary hospitals, with a 98.6% of employment satisfaction, and integration was considered as an important factor for the employment by these graduates. Conclusions The integration led to the reform of training methods, emphasized the cultivation of application ability, improved students' practical abilities and to a certain extent promoted their employment. References | Related Articles | Metrics

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Preliminary study on the construction of teaching staff after the combination of clinical medicine and cultivation Zhang Xue, Yang Chao, Zhao Ye, Ma Ying, Zhao Li, Shao Shujuan, Wang Shaowu 2018, 38 (6):  907-910.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.024 Abstract ( 18 )   PDF (950KB) ( 24 )   After the connection between the postgraduate training of the master's degree in clinical medicine and the standardized training of resident doctors, in order to ensure and improve the quality of the professional training, the organization of teaching staff is innovatively adjusted in The Second Affiliated Hospital of Dalian Medical University. Try to introduce the post tutor system into the whole process of training and pilot the “double tutor system”. Research is carried out on the terms of appointment, job responsibilities, training assessment and guarantee incentives. Exploring ways to optimize the construction of the teaching staff after the connection between the master and the student. References | Related Articles | Metrics

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A new opportunity for the development of residency standardized training system in perioperative medicine model Qian Min, Ni Cheng, Zeng Hong, Gu Shixian, Wang Jun, Guo Xiangyang 2018, 38 (6):  911-915.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.025 Abstract ( 16 )   PDF (1004KB) ( 14 )   The quick development of perioperative medicine requires expanded qualifications and capabilities for the physicians participated in perioperative management. It provides a new opportunity and orientation for the reform of residency training. By analyzing the practice of resident training in perioperative management at home and abroad, we elucidate the necessity and feasibility to integrate perioperative management training system into the current residency standardized training framework. Its clinical practice, training objectives and contents, teaching methods, curriculum frameworks and evaluation systems are explored in order to develope a set of scientific and practical training models for perioperative talents. The training system is expected to reserve high level and innovative perioperative medical personnel, and promote the practice and development of the perioperative medicine. References | Related Articles | Metrics

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Research on the value of process evaluation of residents' standardized training in department of radiology based on the network study platform Liu Ying, Lang Ning, Yuan Huishu 2018, 38 (6):  916-920.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.026 Abstract ( 41 )   PDF (1236KB) ( 21 )   Objective To improve the effect of standardized residency training in radiology department by establishing WeChat learning platform, image teaching system and RIS-based report scoring and reporting feedback system, and adopting the process-based evaluation model, making multiple assessments at different time points and giving feedback. To explore whether the daily reports writing and doctor's scores can be used to evaluate the learning effect by analyzing the correlation between report score, the relearning time and the examination results. Methods The experimental control method was adopted. Twenty-seven trainees who participated in standardized training in Peking University Third Hospital were selected, including 12 trainees in 2017 as the experimental group and 15 trainees in 2016 as the control group. Two groups of trainees were similar in composition. In training, the experimental group was adopted the network learning platform teaching model, while the control group was adopted the traditional teaching model. After the training, results of X ray and CT were compared between the experimental group and control group. Results of different trainees in the experimental group were compared. Correlations between scores, relearn time and exams, one-stage mock examination were analyzed. Results The average scores of X ray: (85.7±6.9) in the experimental group and (80.0±7.7) in the control group, there was statistically significant difference in X ray scores (t=-1.988, P>0.05). The average scores of CT were (86.8±5.7) in the experimental group and were (81.1±7.5) in the control group, there was statistically significant difference in CT scores (t=-2.198, P<0.05). The experimental group was divided into two groups according to the source of trainees. There were differences of X ray examination, CT examination and one-stage mock examination between two groups (all P<0.05). Correlation analysis was made between the proportion of median score, superior doctor's score, median report relearning time and X ray and CT examination. The scores of X ray and CT examination were negatively correlated to the proportion of median scores, and relearning time, and were positively correlated to the scores of superior doctors. The relearning time after examination was negatively correlated to the results of one-stage mock examination. Conclusions The process evaluation model based on network learning platform improves the effect of standardized resident training and the ability to master professional knowledge. The correlations between scores, relearning time and examination results indicate that the daily report writing and the doctor's scores can be used to evaluate the learning effect. At the same time, the role of rating should be strengthened and the quality of report writing should be improved in the further. References | Related Articles | Metrics

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The application of intubating laryngeal mask airway guided tracheal intubation in non-anesthesia residents during the rotation of anesthesiology Qiu Huanrong, Hong Fangxiao, Tian Ming, Xue Fushan 2018, 38 (6):  921-924.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.027 Abstract ( 23 )   PDF (995KB) ( 13 )   Objective To investigate the application of intubation laryngeal mask airway in the non-anesthesia residents during rotation of anesthesiology. Methods Thirty non-anesthesia residents in anesthesiology department were selected at Beijing Friendship Hospital of the Capital Medical University. They were required to perform the operation of bag-mask ventilation, laryngoscopic tracheal intubation, and insertion of intubating laryngeal mask airway and tracheal intubation through it. The success rates of insertion were recorded. Residents' perceptions were assessed on both methods. Results Thirty residents successfully placed the laryngeal mask for ventilation. Tracheal intubation along intubating laryngeal mask airway was successfully performed in 93.3%(28/30) patients as compared with 63.3% (19/30) in group of direct laryngoscopy (χ2=14.0, P<0.05). It showed that residents preferred intubating laryngeal mask airway more to traditional direct laryngoscopy for providing better learning skills with statistical differences (all P<0.05). Conclusions The use of intubating laryngeal mask can help non-anesthesia residents being trained with better intubation skills in the clinical rotation of anesthesiology. References | Related Articles | Metrics

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Analysis on the current situation and problems of medical resident standardization training base clinical skill center in Zhejiang Province Fang Caimei, Liu Wen, Ding Hanjie, Ma Yahui, Shen Jie 2018, 38 (6):  925-929.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.028 Abstract ( 35 )   PDF (962KB) ( 30 )   Objective To survey the current situation of medical resident standardization training base clinical skill center in Zhejiang Province, to discuss the main problems exist in the development and operation of clinical skill center, and provide the experience and basis for further optimize the construction and management of clinical skill center. Methods By using Delphi Method and self-designed questionnaire to investigate the current situation of the construction and operation of medical resident standardization training base in whole province. Results The national base area is mostly 600～2000 square meters. Most provincial bases are less than 1000 square meters. It is insufficient and unreasonable for the arrangement of fulltime managers in the skill center. Most teachers are relatively fixed. The curriculum system is lack of systematization. The using condition is uneven level. The level of information construction is general. Conclusions This paper proposed to strengthen the staffing of full-time managers, improve the level of information, build the core faculty team, to optimize the curriculum and training program as well as to set up a stable and long-term investment mechanism. References | Related Articles | Metrics

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Evaluation indicators of teacher's post competency for the standardized residents training in Zhejiang Province Hu Supei, Fang Caimei, Zheng Jianjun, Shen Jie, Liu Wen 2018, 38 (6):  930-934.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.029 Abstract ( 42 )   PDF (998KB) ( 38 )   Objective To explore the teacher's post competency indicators for the standardized residents training system in Zhejiang Province, in order to provide references for the refined management of teachers. Methods A total of 2053 trainees,156 managers and 3141 teachers from 93 bases of Zhejiang Province were surveyed by self-designed questionnaires. Results Professional accomplishment of teachers, followed by professional knowledge were recognized as main indicators of teacher's post competency by trainees. Teaching abilities, followed by professional abilities were recognized as main indicators of teacher's post competency by managers. Professional knowledge were recognized as main indicators of teacher's post competency by teachers themselves. The ability to publish research papers regularly、the ability to guide students' lives and the ability of teaching evaluation and feedback were agreed by all 3 categories of participants as unvalued teacher's post competency. Conclusions This study formed the evaluation indicators of teacher's post competency, which can reflect the competencies required by teachers well. It can provide some references for the selection、training and evaluation of teachers. References | Related Articles | Metrics

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Analysis and reflection of clinical skills test results in medical licensing examination of assistant physician Xi Zheng, Zhang Dongqi, Lu yan, Jia Ruojun 2018, 38 (6):  935-939.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.030 Abstract ( 22 )   PDF (1142KB) ( 17 )   Objective To provide new reference for improve medical Licensing examination of assistant physician. Methods The data related to the clinical skills test of medical licensing examination of assistant physician during 2014~2017 were collected and analyzed and the situation in 2016 was emphatically analyzed. Results The pass rate of different educational background groups were basically stable, and the longer education history of the applicants, the higher the pass rate in same year. The pass rate of those who had taken more than once examination were higher than those first. The overall level of mastery of each test module was stable among years. Conclusions The pass rate and mastery of clinical skills test complies with the test design. The examination played an important role in improving and guiding clinical practice ability of assistant physicians. References | Related Articles | Metrics

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Quality analysis of national English test for doctor of medicine based on two kinds of educational measurement theory Zhang Quanhui, Zhang Ying 2018, 38 (6):  940-943.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.031 Abstract ( 26 )   PDF (955KB) ( 25 )   Objective To analyze the quality of national English test for doctor of medicine from 2015 to 2017 using the Rasch model of item response theory (IRT) and the classical test theory (CTT), then compare the consistency of the results. Methods 40 607 papers of national English test for doctor of medicine from 2015 to 2017 were selected as the research materials. The reliabilities, difficulties and discriminations of the examinations were analyzed using the Rasch model of IRT and CTT respectively. Then the consistency of the results was analyzed. Results IRT analysis results showed that the parameters fit well with the Rasch model, the maximum information functions were all＞25.00,the estimated errors were all <0.20, and the difficulties were all between -0.70 and 0.70. CTT analysis results showed that the reliabilities of the three annual papers were all ＞0.80, the difficulties were all between 0.31 and 0.63, and the discriminations were all between 0.12 and 0.29. The results of the two theoretical analyses were highly correlated. Conclusions The three years' tests can evaluate the application abilities of candidates' medical English well. In terms of parameter estimation and error analysis, Rasch model is more accurate than CTT, and Rasch model should be used more in the subsequent examination evaluations. References | Related Articles | Metrics

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Application of the multi-view recording system in evaluating students' technical skills in the fundamental of nursing course Wen Xin, Zhang Fengying, Feng Xianqiong, Qiu Chujin, Zhang Weihua 2018, 38 (6):  944-947.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.032 Abstract ( 17 )   PDF (956KB) ( 10 )   Objective To explore the application effect of the multi-view recording system in evaluating students' technical skills in the fundamental of nursing course. Methods Ninety nursing undergraduates and twenty-eight nursing clinical instructors from a top nursing school in Sichuan Province were enrolled. When students' technical skills were evaluated, the multi-view recording system was applied to help the students to record their operation videos and the nursing teachers were allowed to evaluate students' technical skills online. After the examination they were investigated with a self-developed questionnaire. Results Nursing students and teachers on the evaluation of the multi-view recording system were positive, most of them would rather use the multi-view recording system for operational examination than the traditional exams. There were statistical differences between nursing students and teachers on the followed items “Willing to improve operational skills through various means”, “The system can increase the fairness of the examination”, “The system can saves more time than traditional exam”(all P<0.05), and there was no significant difference on the other items. Conclusions Application of the multi-view recording system in evaluating students' technical skills can save human resources and use less time and also, reduce the anxiety of nursing students during the examination. References | Related Articles | Metrics

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Enlightenment of “Temporary License” in US or “Provisional Registration” in UK to China's Medical Licensing Examination Zhang Dongqi, Xi Zheng, Feng Pan, Dong Can 2018, 38 (6):  948-951.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.033 Abstract ( 24 )   PDF (954KB) ( 26 )   China's Medical Licensing Examination is the legal entrance exam for medical students to obtain medical license. Currently, there is no legal protection for medical students' clinical practice, and the contradiction between clinical practice and legal practice still exists. Different systems on medical graduates' clinical practice in the US, the UK and China are compared and analyzed in this paper, and the enlightenment of “temporary license” or “provisional registration” is a potential approach to solve the problem in China. References | Related Articles | Metrics

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Analysis of the core competence evaluation index system of master of nursing specialist abroad Zhou Xiaonan, Li Yonggang, Zhou Chenxi, Li Xiaoxue, Wang Jian, Li Zheng 2018, 38 (6):  952-956.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.034 Abstract ( 51 )   PDF (1016KB) ( 28 )   There have been many relevant studies on the core competence evaluation index system of master of nursing specialist in China. However, there is no explicit and unified definition or evaluation indes for the core competence assessment index. This article summarizes and evaluates the core competence assessment index system of master of nursing specialist abroad in regards to degree cultivation and qualification requirements, and thus to provide reference for construction of an explicit and unified core competence evaluation index system of master of nursing specialist for China. References | Related Articles | Metrics

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The establishment of an accreditation system for medical practice admission in Russia Ma Hua, Bi Xiaoming, Zhang Yong, Liu Zhenhong, Cao Depin, Yang Baofeng 2018, 38 (6):  957-960.  DOI: 10.3760/cma.j.issn.1673-677X.2018.06.035 Abstract ( 21 )   PDF (1139KB) ( 13 )   Great changes have taken place in Russia's medical education system in recent years. In order to meet the requirements of European higher medical education, cultivate high-quality medical talents meeting the needs of the 21 Century, and improve medicare and healthcare quality for Russian residents, professional accreditation, a new admission procedure for the accredited medical personnel, has been introduced since January 1st, 2016. The paper elaborates the regulation basis, accreditation body, operation modes, implementation methods for professional accreditation in Russia's health field and provides reference for experts and scholars in China's health field. References | Related Articles | Metrics