Archive

01 June 2019, Volume 39 Issue 6 Previous Issue    Next Issue

---

For Selected:

Download Citations EndNote Ris BibTeX

Toggle Thumbnails

Select

Basic medical education WFME global standards for quality improvement (the 2015 revision) Issued by World Federation for Medical Education; Translated by Secretariat of Working Committee for the Accreditation of Medical Education, Ministry of Education of the People's Republic of China 2019, 39 (6):  401-419.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.001 Abstract ( 56 )   PDF (1061KB) ( 40 )   The Basic Medical Education WFME Global Standards for Quality Improvement was published in 2003 by WFME which has a positive impact on the establishment of the accreditation system of the global medical education and the assurance of the quality of medical education in different countries and areas. The first revision of the WFME global standards was initiated in 2012 and formally published in 2013. The 2012 edition of WFME global standards was updated and revised again by WFME in 2015, and the 2015 edition comprises foremost the introduction and sections of annotations to the standards, whereas the standards themselves have only undergone limited changes. The set of the 2015 revision of WFME global standards are structured according to 9 areas including mission and outcomes, educational programme, assessment of students, students, academic staff/faculty, educational resources, programme evaluation, governance and administration. The standards are specified using two levels of attainment-- basic standard and standard for quality development, acknowledge regional and national differences in the educational programme, respect the specific profile and status of development of different medical schools, and strive for continuous development. WFME global standards helps the establishment of standards of each country or region. Related Articles | Metrics

Select

Effect of short-term oversea exchange program on medical humanities Du Weiwei, Zhang Lei, Sun Qiudan 2019, 39 (6):  420-424.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.002 Abstract ( 44 )   PDF (795KB) ( 18 )   Objective To examine the effect of short-term oversea exchange programs (SOEP) on medical humanities education. Methods The data is collected through study reports, questionnaires and interviews of 51 students majored in clinical medicine in Peking University Health Science Center who participated in SOEP in 2017. The data is analyzed by Nvivo 10 and SPSS 18.0 software. Results Totally 92.2% (47/51) of the students believe SOEP has positive effect on medical humanities education. The medical humanities education effects of SOEP are mainly shown in the following four aspects: enhance patient-centered service concept [88.2% (45/51)]; improve students' communication skills, including skills to communicate effectively and equally with the patient [82.4% (42/51)]; deepen understanding of medical purposes, ethical issues, and health laws etc. [70.6% (36/51)]; consolidate students' spirit to pursuit medical development and human health and happiness [82.4% (42/51)]. Analysis of study reports and interviews showed that SOEP let students understand different medical culture and medical humanity concept, deepen their awareness of patient-centered care; improve their communication skills while facing the challenge of new environment; start thinking seriously about medical purposes, professional morals, ethics, and health laws etc.; learn faith and principles from oversea senior doctors, and strengthen their pursuit of medicine. Conclusions SOEP played a positive role in developing medical students' humanity and educating comprehensive medical talents. References | Related Articles | Metrics

Select

The influence of narrative medicine teaching on the professional self-concept and professional values of nursing students Jin Zonglan, Chen Pingping, Wang Yan, Yang Qiaolan, Hu Shaohua 2019, 39 (6):  425-429.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.003 Abstract ( 60 )   PDF (806KB) ( 40 )   Objective To explore the influence of narrative medicine on the professional self-concept and professional values of nursing students. Methods A total of 216 4-year nursing students majoring in urology from January 2016 to December 2017 in the Department of Urology, the First Affiliated Hospital of Anhui Medical University were selected as subjects. Narrative medicine teaching was conducted among 216 students majoring in nursing in grade 2013 from four schools. The Professional Self-concept of Nursers Instrument (PSCNI) and Nurse Professional Values Scale-R (NPVS-R) were used to investigate the students when they entered the Department and before leaving the department, respectively, in order to compare narrative medicine. The influence of learning style teaching on professional self-concept and professional values of nursing students. Results After intervention, the total score of professional self-concept of nursing students increased from (72.15±4.49) to (93.55±3.99), with statistically significant difference (t=21.89,P<0.001).Among them, the leadership dimension increased from (8.90±1.61) to (10.65±1.37), the skill dimension from (12.33±1.72) to (13.55±1.30), the communication dimension from (11.75±1.51) to (14.60±1.22), the flexibility dimension from (17.75±2.08) to (21.47±1.24), the satisfaction dimension from (21.43±3.22) to (29.27±2.16), and the satisfaction dimension increased from (21.43±3.22) to (29.27±2.16). Dimensional scores increased the most, and all dimensions were P<0.05.After intervention, the score of the occupational value scale of nursing students increased from (85.08±5.14) to (101.25±4.38), with statistically significant difference (t=20.65,P<0.001).Among them, the dimension of care provision increased from (35.90±2.76) to (41.90±2.12), the dimension of behaviorism increased from (25.23±3.04) to (32.80±2.05), the dimension of responsibility / freedom increased from (15.48±1.95) to (18.95±1.41), and the dimension of trust significantly increased from (8.18±1.27) to (10.60±1.19), with a comparative average of P<0.05. Conclusions The clinical humanistic teaching method with the mode of narrative medicine strengthens self-concept of nursing students and improves their professional values. References | Related Articles | Metrics

Select

Origin and development of problem-based learning Mi Zhuolin, Zhang Daqing, Su Jingjing 2019, 39 (6):  430-436.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.004 Abstract ( 335 )   PDF (1016KB) ( 154 )   Problem-based learning (PBL) is an important teaching theory and model in the field of medical education, dating back to the mid-20th century. Under the scope of history of medical education, this paper introduces the historical background which fostered PBL, related important figures and events, and the process of its worldwide spread and practice, discusses the characteristic of PBL and its difference compared with the traditional teaching method, and clarifies certain misunderstanding held by academia, so as to provide reference to current medical education reform in China. References | Related Articles | Metrics

Select

Discussing the status of general theory teaching from the current situation of medical courses Zhang Jun, Qu Baozhe, Li Jinzhao, Tao Guizhou, Li Tianzhu, Lu Nimin 2019, 39 (6):  437-440.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.005 Abstract ( 35 )   PDF (775KB) ( 15 )   A questionnaire survey was conducted among 954 clinical medical undergraduates enrolled in 2016 of five medical universities in Liaoning Province. The current teaching situation of general introduction of related disciplines was investigated anonymously. In 5 medical colleges and universities, there is a widespread emphasis on the teaching of professional knowledge and skills, and neglect the teaching of medical discipline's own laws, characteristics and medical thinking. In the course arrangement, the total number of hours is obviously simplified, even in some relevant chapters of schools, there is no total hours. In the assessment of knowledge, there is hardly any examination of general theory, medical thinking and medical law. This paper makes a preliminary analysis of the reasons and discusses the relevant solutions. References | Related Articles | Metrics

Select

Exploration of airway management training system based on visualization technology Qian Min, Liu Weiping, Wei Bin, Ni Cheng, Xu Mao, Wang Jun 2019, 39 (6):  441-445.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.006 Abstract ( 60 )   PDF (800KB) ( 16 )   Airway management is an indispensable skill for residents. Integrating the visualization technology of airway management into the standardized residency training program can optimize the management process and strategy of difficult airway, and standardize the application of new airway management techniques. This paper introduced the status quo of airway management and training system, analyzed the characteristics and advantages of visualized airway management technology.Then the feasible schemes, related technologies and evaluation systems for establishing airway management training system based on visualization technology were discussed, with a view to further improve residents' airway management competences and ensure patients' safety. References | Related Articles | Metrics

Select

The current situation and thinking of the research skills development for postgraduates specialised in clinical medicine Xu Hao, Lu Jihong, Yu Yanyan 2019, 39 (6):  446-449.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.007 Abstract ( 116 )   PDF (782KB) ( 56 )   Objective To explore the current situation of the research skill training for postgraduates with specialized degree in clinical medicine and to attempt to propose the targeted recommendations and solutions, ensuring the quality of the training work. Methods There were fourty three students from the Class of 2017 at Peking University First Hospital were enrolled in the present study. Quantitative questionnaire and individual interview methods were used during the data collection in order to evaluate the current research abilities of these students and to provide feedbacks for the adoption of improvement measures of research skill. Results There were seventy-two percent (18/25) of students with master degree and 83.3% (15/18) with doctoral degree complained the heavy working load as residency the pressure from study and the lack of time and energy. As much as 80.0% (20/25) of graduates with master degree complained the deficiency in the development of training for research skills and the incapacity of scientific thinking'. Meanwhile, approximately 44.0% (11/25) of master degree students and 55.6%(10/18)of doctoral degree students faced challenge to initiate research program the methods forHaving research thinking, but can't find the entry of research,44.0%(11/25) of master degree students and 50.0%(9/18) of doctoral degree students had statistical analysis problem and 44.0%(11/25) of master degree students and 38.9%(7/18) of doctoral degree students had the English writing skills problem.Most of the postgraduates hoped to get research training. Conclusions The scientific research ability of students with specialized degree in clinical medicine needs to be improved through the rational scientific research curriculums and highly effective management methods. References | Related Articles | Metrics

Select

An investigation of research activities and published papers for nursing master students Ma Chunhua, Luo Yanhua, Zhou Ying, Li Tao, Zhou Wei 2019, 39 (6):  450-454.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.008 Abstract ( 32 )   PDF (822KB) ( 9 )   Objective To test the research and publication, and to explore the factors influencing the quantity of publication by nursing master students. Methods The questionnaire survey was used to test the research activities and publication in 198 nursing master students from 15 Schools of Nursing. Results Of 198 master nursing students, here were 13.1%(26/198)master nursing students joined university research program, 51.0%(101/198)joined province leveled research program and 60.6%(120/198)participated academic conferences at the different levels. The total number of published papers for master students was 374. Nursing master students published papers in Chinese core journals, core journals of science and technology, and general journal accounting for 28.3% (56/198), 44.9% (89/198), 54.0% (107/198), respectively. 3.0% (6/198) student got certificates of patents. The multiple linear regression analysis showed that grade, part-time, institutional environment, students' endeavor, research interest, and influence from advisor impacted the number of publishing papers for nursing master students. These variables explained 43.9% of the total variances. Conclusions Nursing master students take part in the limited research activities, and the number of published papers is enhanced. The effective measures targeting at these influence factors are developed for students, such as more chances for them to join research activities, strengthening research interests, rigor research rules, training and monitoring students' research behavior, role modeling of advisors. References | Related Articles | Metrics

Select

Literature analysis of the application of the full-range tutorial system in the standardized residents training in China Zhou Linli, Wang Yi, Xu Zhihua, Wang Qian, Yao Yao 2019, 39 (6):  455-460.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.009 Abstract ( 79 )   PDF (813KB) ( 39 )   Objective To analyze the application status of the full-range tutorial system in the standardized residents training in China. Methods Literature about tutorial system applying in the residents training in the Chinese literature network full-text database, Wanfang database and Weipu journal full-text database from database building up to September 2018 were collected and read to summarize and analyze. Results A total of 98 papers from 66 hospitals were included, of which 50 hospitals have developed the full-range tutorial system. The main contents of the thesis mainly focused on three aspects, the problem of current standardized training (28 papers), the necessity and function of the full-range tutorial system (71 papers) and the implementation mechanism of the tutorial system (63 papers). Sixteen studies indicated that positive effects on improving the quality of trainees or the satisfaction of teachers and students were found after implementation of a full-range tutorial system execution. Conclusions There are still many problems in the students, teachers and hospitals in standardized residents training in China. The implementation of the full-range tutorial system may help to solve the related problems. However, effective implementation mechanism building is an essential condition for the effect of the full-range tutorial system in standardized residents training. References | Related Articles | Metrics

Select

Comparison and analysis of the capabilities of different types of residents in a residency institution Zeng Qingqi, Liu Jing, Gao Jie, Zhou Tao, Cui Yue, Wang Jianliu 2019, 39 (6):  461-465.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.010 Abstract ( 23 )   PDF (794KB) ( 17 )   Objective To understand the instructors' evaluation of the capabilities of residents, and analyze the homogenization of the capabilities of different types of residents during residency training program. Methods Totally 254 instructors were investigated about residents' capabilities between November 2017 to June 2018. Results Totally 377 residents were evaluated and showed imbalance capabilities, among which, teaching skills and professional knowledge and clinical skills were defects. There were statistically significant differences between the different types of residents in terms of individual ability and total score. After controlling for education and grades, logistic regression results showed staff (OR=2.106, 95% CI=1.185～3.745), eight-year medical students (OR=3.121, 95% CI=1.836～5.306) and medical graduate student (OR=1.374, 95% CI=0.976～1.934) had better capabilities than the residents from other hospitals. Conclusions The capabilities of different types of residents were not homogeneous. Only defining the same identity in laws, providing the same resources and implementing the same standards in training, can the homogenization of residency program be achieved. References | Related Articles | Metrics

Select

Study on the evaluation of cognitive ability model of medical comprehensive written examination for National Medical Licensing Examination in rural general practitioners Feng Pan 2019, 39 (6):  466-469.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.011 Abstract ( 15 )   PDF (944KB) ( 10 )   Objective Verification of designed cognitive ability model of medical comprehensive written examination for National Medical Licensing Examination in rural general practitioners by sample data and to provide suggestion on future improvement. Methods Confirmatory factor analysis is applied to test the fitness and to improve the designed cognitive model for various subject contents. Results The designed model is improved by altering western medicine understanding to application and traditional Chinese medicine application to understanding. Fitness indexes are above standard level (>0.95). Conclusions Most part of the designed model is supported by candidate data (>80%). High correlation between latent variables could explain the alternation of the model. The improved model is both scientific and reasonable. Suggestions are provided to better define the cognitive levels and to enhance SME training. References | Related Articles | Metrics

Select

The evaluation of pain training effect of clinical nurses He Miao, Wang Xiuli, Feng Yi 2019, 39 (6):  470-474.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.012 Abstract ( 23 )   PDF (832KB) ( 12 )   Objective To explore the effect of pain training on pain management knowledge, attitude and behavior of clinical nurses. Methods The data of 55 nurses before and after pain training in Beijing grade A tertiary hospital were collected by using “Pain Knowledge and Attitude Questionnaire (KASRP)” with self-controlled design to evaluate the effect of clinical nurses' pain assessment pain management knowledge and attitude. Results The median of pain management knowledge and attitude of nurses before the training was [20(18,24)] and only 25.5% (14/55) of the total nurses passed the training. The median was [22(21,25)]. The number of passers-by rose from 14 to 26, accounting for 47.3% (26/55) of the total number of trainees. The difference was statistically significant before and after training (P<0.001). The scores of each dimension of the pain knowledge and belief questionnaire before and after training were statistically significant (all P<0.001) except for the dimension of “comprehensive drug use”. Conclusions The implementation of pain training has a positive effect on improving the knowledge level and attitude of clinical nurses. In the future, comprehensive pain training should be carried out according to the specialty characteristics of different departments to further strengthen the pain knowledge, skills and attitude of clinical nursing staff, so as to improve the quality of nursing. References | Related Articles | Metrics

Select

The curriculum reform of interdisciplinary biomedical graduate program at University of Pittsburgh School of Medicine and it's inspirations He Yongtao, Zhao Hang, Qin Yongjie, Huang Guoqiong, Xu Dixiong 2019, 39 (6):  475-480.  DOI: 10.3760/cma.j.issn.1673-677X.2019.06.013 Abstract ( 53 )   PDF (936KB) ( 42 )   The reform background, design principle, content, and teaching method of interdisciplinary biomedical doctor program were introduced in this paper. The curriculum characteristic including systematic integration of core content, emphasis the cultivation of core ability of scientific research, flexible adoption of different teaching method, implement strict PhD qualification exam and other components, were analyzed. Based on above content, the reform proposals such as clear training goal, systematic design the curriculum content, breaking the course barrier, systematic integration of curriculum content, emphasis the ability of scientific research, establishment of technical curriculum, strengthen the training of teaching assistant, enhance teaching skill and so on, were recommended to graduate education in China. References | Related Articles | Metrics