Archive

01 March 2019, Volume 39 Issue 3 Previous Issue    Next Issue

---

For Selected:

Download Citations EndNote Ris BibTeX

Toggle Thumbnails

Select

The enlightenment of planning in medical education development based on university career development path Chen Binbin, Zhang Xueyuan, Li Haifeng, Li Na 2019, 39 (3):  161-165.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.001 Abstract ( 36 )   PDF (784KB) ( 33 )   The formulation of development plan is a programmatic document to determine the development orientation, development goals and development strategies of colleges and universities in the coming years to realize the reform and development of colleges and universities. With the development of higher education in China, the role of formulating and implementing development plans in colleges and universities has become increasingly prominent. Formulating university development planning is a correct cognition and accurate evaluation of colleges and universities. Scientific planning can enable universities to obtain sustainable development strategies. Steady implementation of planning is the best way for colleges to truly achieve career development. In-depth study of the problems in development planning is conducive to the formulation of a scientific, rational and feasible development plan, truly embodying the connotative development goals of higher education, and exerting the role of planning to test and guide the effectiveness of the “double first-class” construction. The development of medical education has distinctive characteristics in higher education. Its development is not only related to the development of education, but also to the advancement of health. The development of Peking University's medical undertakings is in a good development opportunity. This paper explores the important role of the development and implementation of world-class university development plans to promote the development of universities. It focuses on the development plans of five comprehensive universities including medical education in China, and puts forward the enlightenment on the development of Peking university Health Science center. This paper clarifies the primary and secondary from the development planning strategy of comprehensive first-class universities, analyzes the status quo. References | Related Articles | Metrics

Select

Application of traditional education combined with evidence-based medicine in clinical education of pediatric ophthalmology Liu Jing, Bu Juan 2019, 39 (3):  166-169.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.002 Abstract ( 25 )   PDF (763KB) ( 17 )   Objective To explore the learning outcome of traditional teaching combined with evidence-based medicine model in the clinical teaching of pediatric ophthalmology. Methods Experimental control methods were used. Sixty students from the eight-year curriculum in Pediatric Ophthalmology Department, Peking University Third Hospital from 2012 to 2016 were selected as subjects. They were randomly divided into an experimental group and a control group, with 30 in each group. In the clinical teaching of pediatric ophthalmology, the experimental group used the combination of traditional teaching and evidence-based medicine, and the control group used classic teaching methods. The theoretical scores and the questionnaires of the two groups were compared to evaluate the teaching effects. Results The theoretical scores of the experimental group (93.4±1.12)were better than those of the control group(90.5±0.68)(t=12.75, P<0.05). The clinical scores of the experimental group( 98.6±0.58)were better than those of the control group(93.2±1.23) (t=21.47, P<0.05).The results of the questionnaire showed that the experimental group was more satisfied with the education experience than the control group. Conclusions The combination of traditional teaching and evidence-based medicine could lead students to learn and understand the basic knowledge of ophthalmology through traditional teaching, and to find clinical problems, to search references then to find best evidences model. The students' attention is paid mainly to patient they can use knowledge with a smart approach with the development of lifelong learning. References | Related Articles | Metrics

Select

Application effect of Seminar teaching method in biochemistry and molecular biology education Zhang Fan, Gao Yuan, Song Li , Xu Lihui, Shang Dandan, Sun Shaoguang, Nie Lei, Han Mei 2019, 39 (3):  170-172.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.003 Abstract ( 41 )   PDF (746KB) ( 19 )   Objective To evaluate the learing outcomes of Seminar teaching method in the field of biochemistry and molecular biology. Methods Experimental control method was used. Three hundred and twenty seven students from two classes of clinical medicine major in Hebei Medical University were selected as research subjects. A group of 157 students in class 1 was used as the experimental group, which the Seminar method was used before the class and then followed by routine lectures. A group of 170 students in class 2 was used as the control group with traditional routine lectures. The topic of the lecture in two classes is the structure and function of the protein. And then the test scores of the experimental group and the control group were compared . Results The test score of experimental group was (81.6±12.3) points, and the test score of the control group was (76.2±16.2) points. The difference was statistically significant (t=-2.75,P=0.006). Conclusions The Seminar teaching model is feasible and facilitate to creat a positive, attractive and active learning environment for students to transform passive learning into active one. It can improve the quality of teaching and to be applied in more education practice. References | Related Articles | Metrics

Select

Application of visual method in molecular biology experiment teaching Zhi Xiuling, Shao Hongxia, Pan Luanfeng, Wang Songmei 2019, 39 (3):  173-175.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.004 Abstract ( 52 )   PDF (742KB) ( 25 )   This paper describes a growing importance of experimental teaching of molecular biology in the training of medical students, analyzes and challenges in the teaching of molecular biology experiments, and presents the feasible approaches to improve the teaching of molecular biology experiments by visual teaching method, and the virtual technology. It is expected to build a new mode of molecular biology experimental teaching. References | Related Articles | Metrics

Select

Application and evaluation of multi-touch virtual dissection system in experimental teaching of surgery Lin Xiuhua, Zhang Bin, Weng Shangeng, Ou Rongwen, Zhuang Xiaopeng, Lin Yaling, Shen Jianzhen 2019, 39 (3):  176-180.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.005 Abstract ( 49 )   PDF (780KB) ( 23 )   Objective To combine anatomage table technique of multi-touch virtual anatomy system (virtual autopsy table) with case-based teaching, and the evaluation was done in appendicectomy of surgical experiment. Methods A total of 72 subjects were selected from the 2015 class “5+3” clinical students of Fujian Medical University were divided into two groups. The students in the experimental group were used cooperate with multimedia and CBL case teaching +AT teaching method. The students in the control group used multimedia and CBL case teaching + traditional teaching method. The two groups of teaching effects were evaluated objectively at the end of study. Results The theoretical knowledge score of the experimental group (81.50+ 9.11) was superior to that of the control group (76.75+5.43), the difference was statistically significant (t=2.686,P=0.01).The results of clinical examination in the experimental group (87.75+4.97) was also higher than those in the control group (82.50+0.90), the difference was statistically significant (t=3.597,P<0.01).The multimedia and CBL case teaching + AT teaching method can promote mastery and use of knowledge[100.0%(36/36)], and support capacity building for self-regulated learning[97.2%(35/36)] and clinical reasoning.It also can encourage teamwork[100.0%(36/36)], inspire innovative thinking [91.6%(33/36)]. There was no significant difference between the two groups in raising learning enthusiasm and improving learning efficiency. Conclusions The application of AT teaching can improve the teaching quality of the basic experiment of surgery, and the students are more motivated and satisfied. References | Related Articles | Metrics

Select

Investigating the value of education conducting base in graduated students teaching of breast surgery department Lin Yan, Wang Changjun, Song Yu, Huang Xin, Cao Xi, Jiang Yingzi, Sun Qiang 2019, 39 (3):  181-184.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.006 Abstract ( 51 )   PDF (763KB) ( 14 )   Objective This paper explores the application effect of teaching guidance database as a carrier in assisting breast surgery traing of postgraduates. Methods From January 2016 to January 2018, 16 clinical postgraduates majoring in surgery were selected. There were eight randomly selected to use the education conducting base to assist the teaching, that is, to add the learning content of the guidance to the regular teaching; the other eight graduate students joined the conventional teaching method, that is, to participate in the training of admission and the special lecture twice a week after admission. After the end of the teaching, the results of the two groups were compared, and a simple questionnaire survey was conducted among the experimental group. Results Questionnaire survey results of the experimental group showed that most of the students gave positive evaluation to the traditional teaching mode assisted by the conducting base learning; the objective assessment scores and subjective perception scores of the experimental group were higher than those of the control group, and the difference was statistically significant (all P<0.05).The assessment scores of experimental group by teacher (9.12±0.23) was higher than those of the control group (7.56±0.62), the difference was statist cally sigefiant (t=1.65,P<0.001). Conclusions The assistant teaching mode based on conducting base is better than the traditional teaching mode in breast surgery training, which is conducive to achieving teaching objectives and better realizing the purpose of training excellent talents. References | Related Articles | Metrics

Select

Application effect of training the trainer mode in teaching ability cultivation of clinical teachers Li Ping, Cai Qinyi, Lu Yaohong, Wang Daozhen, Tao Minfang 2019, 39 (3):  185-188.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.007 Abstract ( 39 )   PDF (767KB) ( 15 )   Objective To evaluate the application effect of training the trainer (TTT) mode in improving the teaching quality of clinical teachers. Methods This study used experimental control、questionnaire survey and personal interview method. Twenty clinical teachers from the Sixth People's Hospital affiliated to Shanghai Jiaotong University were selected and randomly divided into group A and group B. At first, TTT training was conducted only in group A, and 26 fourth-grade students of the 5-year program of clinical medicine were surveyed using the Stanford faculty development program 25 questionnaire (Chinese version) to know the teaching effects of teachers both from group A and group B. Then, TTT training was conducted in group B to investigate the difference in the scores before and after TTT training. At last,semi-structured interviews were conducted with 20 clinical teachers and 3 experts to get their evaluations of TTT training result. Results After TTT training only in group A, the scores of the teaching ability were (3.40±0.03) points and (3.14±0.02) points respectively for clinical teachers in group A and group B, and the difference was statistically significant (t=7.17, P<0.01). The scores of the teaching ability of teachers in group B before and after the TTT training were (3.14±0.02) points and (3.31±0.02) points respectively, and the difference was statistically significant (t=5.65, P<0.01). Clinical teachers and teaching experts agreed that TTT training can help improve the teaching ability of clinical teachers. Conclusions The TTT training content in this study has applicability and can improve the teaching ability of clinical teachers to a certain extent. Other medical colleges can refer to and train clinical teachers in their own environment. References | Related Articles | Metrics

Select

Investigation on clinical internship status quo of eight-year medical program students in gynecology and obstetrics department of Peking University Third Hospital Zhang Chunyu, Wang Yan, Liang Huamao 2019, 39 (3):  189-192.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.008 Abstract ( 39 )   PDF (791KB) ( 23 )   Objective To investigate the clinical internship status quo of eight-year medical program students in gynecology and obstetrics department of Peking University Third Hospital, and to give further targeted suggestions. Methods Questionnaire survey was used in this study. The clinical internship status quo of 35 eight-year medical program students in gynecology and obstetrics department of Peking University Third Hospital were surveyed by self-compiled questionnaires, and the related data was analyzed. Results There were 57.1% (20/35) of students believe that there were difficulties during the internship, and the major difficulties were complicated and trivial knowledge points, relatively short time to learn regulated content, too theoretical professional knowledge to understand and patients' refusal attitude to clinical training. There were 85.7% (30/35) of the students were willing to preview, and 94.3% (33/35) of them were willing to review, the textbooks or recommended reading materials were students' favorite forms of preview and review. Conclusions There are still some difficulties during the internship in gynecology and obstetrics department for eight-year clinical program students, and most of them have high acceptance of acquiring knowledge in extracurricular time. In the future, we can adopt more flexible internship modules, add online courses besides and appropriately adopt simulation tools. A sequential curriculum system should be established by reasonably utilizing the extracurricular time, in order to improve the overall outcome of clinical internship in gynecology and obstetrics department. References | Related Articles | Metrics

Select

Practice and reflection on pain medicine education Yu Yaoqing, Chen Jun 2019, 39 (3):  193-196.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.009 Abstract ( 46 )   PDF (783KB) ( 26 )   Pain medicine is a newly developing scientific field that integrated diverse medical knowledge. There is no consolidated scientific program on pain medicine education. The professional program of pain education in Tufts University will provide informative example in the same field of China. Since 2011, Institute for Biomedical Sciences of Pain in Tangdu Hospital has started an elective pain curriculum neurobiology of pain medicine for undergraduate in Fourth Military Medical University. The professional team consists of the faculties from Department of Neuroscience, Department of Anesthesiology and Department of Pain Clinic. This research got some ideas on the goal, content, training method, implementation and learning outcome on pain medicine education, hoping to be a valuable reference for peer groups. References | Related Articles | Metrics

Select

Investigation and analysis of clinical practice status and satisfaction among medical students Song Dianrong, Guo Jie, Zhang Wei, Wang Yanan, Zhang Qianyu, Zhai Jiaqi 2019, 39 (3):  197-202.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.010 Abstract ( 104 )   PDF (801KB) ( 49 )   Objective To investigate the relevant factors affecting the quality of clinical training and provide an objective basis for advancing the scientific reform of hospital clinical teaching and improving the quality of the teaching practice. Methods Questionnaire surveys about the status of teaching management, clinical teaching and clinical practicing effect were distributed to clinical intern (n=420), clinical teachers (n=137), hospital teaching management staff (n=37)and patients(n=148) by cluster sampling method. The results were analyzed using SPSS 17.0 software. Results There were 89.0%(374/420) of the internship units, who have conducted pre-job training for students, 93.3%(392/420) of the internship units have formulated rotation plans for students and strictly implemented them, and 75.2%(316/420) of the students can attend the internship on time. There were 53.8% (226/420) of the students, who think that teachers have a strong sense of teaching, more than half of the students think that teachers have a very good level of knowledge and practical skills. Students participate more in teaching activities such as teaching rounds, case discussions, bedside teaching, special lectures and ward lectures, but less in simulated training, multi-media teaching, clinical reasoning, network teaching platform. There were 86.9%(119/137) of the instructors, who expressed their willingness and willingness to participate in clinical teaching, but there were still some shortcomings in the specific teaching process. For example, only 75.7%(318/420) of the students thought that the instructors would revise their writing carefully, 64.3%(270/420) thought that the instructors would guide their clinical operation frequently, and only 29.2%(40/137) of the instructors could plan to provide students with practical operational opportunities. The main difficulties encountered in teaching were busy work, low enthusiasm of students, serious absence and tense doctor-patient relationship. There were 70.1% (96/137) of teachers, who believed that the integration of ideological and political education can improve the learning outcome. Conclusions At this stage, the conditions and basis for clinical practice teaching have been established in teaching management and teachers, but there are still some problems. It's important to build a perfect management systems, change the models of clinical teaching and strengthen ideological education at clinical practice in the future. References | Related Articles | Metrics

Select

The career benefit and clinical communication skills and their relationship of nursing interns Liu Yuling, Tang Meifang, Chang Haixia 2019, 39 (3):  203-206.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.011 Abstract ( 63 )   PDF (766KB) ( 29 )   Objective To define the status quo of career benefit and clinical communication skills of nursing interns inan affiliated hospital of Xinjiang Medical University, and explore the correlation between the two, so as to provide reference for promoting nursing interns to be benefited from nursing work and improving nursing interns' clinical communication skills. Methods Questionnaire survey was used in this study. Using convenient sampling, 241 nursing interns from an affiliated hospital of Xinjiang Medical University were selected. The career benefits questionnaire of nurses and the clinical communication skills scale of nursing students were respectively used to investigate the status of their career benefits and clinical communication skills, and the correlation between the two was analyzed. Results The score of nursing interns' career benefit was (113.63±17.92) points, positive career perception, family and friends identification and team sense of belonging dimensions scored relatively low, and good nurse-patient relationship and personal growth dimensions scored relatively high. The score of clinical communication skills of nursing interns was (85.22±18.01) points, the score of sensitive listening dimension scored relatively high, while team cooperation and verification of patients' feelings dimensions scored relatively low. There was a positive correlation between nursing interns' career benefit and their clinical communication skills(r=0.64, P<0.05). Conclusions Nursing interns at an affiliated hospital of Xinjiang Medical University have a medium level of career benefit and clinical communication skills, and there is a positive correlation between career benefit and clinical communication skills. So, it is suggested to improve their career benefits, as well as the training of clinical communication skills of nursing interns. References | Related Articles | Metrics

Select

Current situation and training pathway exploration for high-level staff in rehabilitation therapy Lyu Ying, Wang Fengqing, Wang Qing, Xu Ming, Duan Liping 2019, 39 (3):  207-210.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.012 Abstract ( 86 )   PDF (768KB) ( 52 )   The article summarizes the current situation of rehabilitation therapy and its professional talents cultivation in developed countries, analyzes the progress and challenges of rehabilitation therapy development in China. It states the exploration of training pathway and practice conducted by some universities in China. At the same time, it is suggested that the system of talent training system should be further improved, the pace of international integration should be quickened, the construction of teaching staff should be strengthened, and the system of professional development should be perfected so as to promote the development of postgraduate education in rehabilitation therapy. References | Related Articles | Metrics

Select

Investigation and analysis of the training of the combination of clinical medical doctoral degree graduates and specialists training Zhang Feifei, Wu Haiming, Lyu Jue, Huang Lyu, Zhu Chunyan, Gao Jiming 2019, 39 (3):  211-213.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.013 Abstract ( 32 )   PDF (745KB) ( 23 )   Objective To understand the training and existing problems from the candidates for clinical doctor degree, and give some suggestion. Methods A questionnaire survey was conducted among 36 specialists of clinical medicine in 2016 and 2017 from Huashan Hospital and Obstetrics and Gynecology Hospital of Fudan University. Results There were 63.9% (23/36) of the respondents who indicated that the framework of the training program was clear but the details were unclear; There were 71.9% (23/32) of the 32 respondents who had initiated their thesis project had nothing to do with their master's thesis; There were 50.0% (18/36) of the respondents were absent. Conclusions The training mode shoud be optimized, the publicity of training program shoud be strengthened, in terms of providing additional time to complete their research without negative impact on their clinical training. References | Related Articles | Metrics

Select

Investigation on the attitude of graduates from Peking University Third Hospital towards degree thesis writing Yuan Wenqing, Zhang Aijing, Huo Gang, Wang Heng, He Xuan, Li Yan, Lu Shan, Gu Shixian 2019, 39 (3):  214-218.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.014 Abstract ( 33 )   PDF (813KB) ( 25 )   Objective To investigate the attitude of graduates from Peking University Third Hospital towards degree thesis writing and put forward suggestions to improve the quality of degree thesis. Methods This study used interview and questionnaire survey method. Ten graduates from Peking University Third Hospital were interviewed. Difficulties of thesis writing and expected instructions were collected. Then questionnaires were designed based on literature review and the interview results. One hundred and eighty five graduates of Peking University Third Hospital were chosen by stratified sampling and then were surveyed by questionnaires. Results There were 83.8%(155/185) of graduates, who expressed that degree thesis writing was difficult. Discussion depth, statistical methods and innovation were the most common difficulties in degree thesis writing. There were statistically significant differences in the difficulty of degree thesis writing among different types of degree applicants (F=3.896, P=0.001). Writing skills、writing logic、mining and refining of the results were the most common writing instructions that graduates were expected to receive. Conclusions Most graduates felt difficult in degree thesis writing. Writing difficulties varied from different types of degree applicants. It is necessary to strengthen the target-oriented training and to improve thesis writing in combination with practice. References | Related Articles | Metrics

Select

The study of mentor team system in training of ophthalmology postgraduate students Hong Ying, Yang Jiarui, Li Xuemin, Zhang Chun, Wang Siya, Wang Wei 2019, 39 (3):  219-222.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.015 Abstract ( 22 )   PDF (761KB) ( 17 )   Objective To investigate the effect of mentor team system in the training of ophthalmology postgraduate students. Methods Sixty-four Postgraduates of department of ophthalmology in Peking University Third Hospital were enrolled from 2016 to 2018. The postgraduate students were divided into two groups: 17 students were enrolled in mentor team group as experimental group while 47 students were enrolled in single mentor group as control group. The training programs, self-assessment questionnaire, examination scores and scientific research achievements of the two groups were compared. Results The self-assessment questionnaire scores of the postgraduate students were (8.9 ± 0.7), 0.47 per capita academic articles were published with 0.41 per capita of academic conference speech were given in mentor team group. In single mentor group, the self-assessment questionnaire scores of the postgraduate students were (7.6 ± 1.2), 0.21 per capita academic articles were published with 0.11 per capita of academic conference speech were given. (all P<0.05) The average score of the examination in the mentor team group was (90.2±3.2) and (88.7±4.3) in the single mentor group without statistically significant difference (t=0.309, P=0.581). Conclusions The mentor team system is more conducive to the cultivation of self-confidence and progress of scientific research ability than the single mentor system for postgraduates. The mentor team system helps young doctors grow better. References | Related Articles | Metrics

Select

Analysis of physical examination test results in step 1 medical licensing examination empirical research of physician Xi Zheng, Zhang Dongqi, Lu yan 2019, 39 (3):  223-226.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.016 Abstract ( 21 )   PDF (778KB) ( 16 )   Objective Analyzing the physical examination test results in step 1 medical licensing examination empirical research of physician, to provide new reference to improve medical licensing examination empirical research of physician. Methods The data related to the physical examination test of step 1 medical licensing examination empirical research from 2015 to 2017 were collected and analyzed, the data of 2016 was emphatically analyzed. Results The level of mastery of physical examination test module in 2015, 2016 and 2017 were 75.5%, 73.0%, 76.4% respectively. The overall level of mastery was stable among 3 years. The mastery level of each test item in physical examination test in 2016 was all above 60.0%. Conclusions The design of the test in medical licensing examination empirical research of physician was reasonable, and the applicants had generally well mastery of physical examination test. References | Related Articles | Metrics

Select

The Delphi method and its application in medical education research Qu Jinglou, Zhu Yaxin, Qu Bo 2019, 39 (3):  227-230.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.017 Abstract ( 377 )   PDF (797KB) ( 144 )   The Delphi method is a combination of qualitative and quantitative forecasting evaluation method. It draws the results from the experts by several rounds of anonymous consultations. Combining with the real case of constructing integrated medicine curriculum evaluation index system the author introduces the concept of the Delphi method, its implementation steps, the statistical analysis and the application, the focus on principle of the Delphi method and to implementation technology and to optimize the application of the Delphi method in medical education research. References | Related Articles | Metrics

Select

Investigation and analysis of the core competence of surgical nurses in operation theatre and the influencing factors Mu Li, Wang Zheng, Jiang Luping, Fu Qingxin, Ma Wei 2019, 39 (3):  231-235.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.018 Abstract ( 87 )   PDF (805KB) ( 53 )   Objective To investigate the current status of core competence of surgical nurses in operation theatre and to explore the influencing factors of their core competence. Methods A convenient cluster sampling method was adopted. From October 2018 to December 2018, 196 surgical nurses working in operation theatre from two tertiary hospitals in Beijing were selected and evaluated with self-made surgical nurse core competency evaluation scale. The Cronbachs Alpha of the scale is 0.983 and the KMO value is 0.975. Statistical analysis was performed with SPSS 19.0. One-way ANOVA,independent sample t test and multiple linear regression analysis were used to analyze the influencing factors. Results The total score of core competence was (191.65±23.90), essential professional ability was (22.05±2.90), perioperative evaluation ability was (25.38±3.41), professional management ability was (43.82±5.00), professional cooperation ability was (51.15 ±7.34), and individual development ability was (49.25±7.50). One-way analysis of variance and independent sample t test results showed that different ages, education,titles, duties, working years and levels of nurses were related to both significant different dimensional scores and total scores (all P<0.05). The results of multiple linear regression analysis showed that the nurses' levels, title, duties and age were the important variables that affected their essential professional ability, professional management ability,professional coordination ability, individual development ability respectively. Conclusions The core competence of the surgical nurses working in the operation theatre in this investigation is at an good level. The levels,title, duties, and age are the influencing factors of their core competence. References | Related Articles | Metrics

Select

Study on the career development of clinical medicine graduates in township hospitals guided by the Healthy China strategy Pan Deng, Yu Liangren 2019, 39 (3):  236-240.  DOI: 10.3760/cma.j.issn.1673-677X.2019.03.019 Abstract ( 60 )   PDF (777KB) ( 28 )   The shortage of primary health care human resources has been the bottle neck of the development of essential health services, thus attracting more medical graduates to the primary medical employment is an important settlement. A survey of newly employed clinical medicine graduates in township hospitals in Fujian shows that economic incentive is still the most important factor and their current job satisfaction is generally low. Their career values are not considered met and there is lack of foreseeable career development. Therefore, it is necessary to increase the employees' income and welfare, and support the graduates by providing online and offline continuing education as well as promoting the new technologies such as artificial intelligence. Government should develop a mechanism for tracking the growth of graduates, and provide them with extensitive space of career development through exploring the flexible internal personnel system of medical associations and supporting general practitioners to build personal brands or operate general practice. References | Related Articles | Metrics