Archive

01 April 2019, Volume 39 Issue 4 Previous Issue    Next Issue

---

For Selected:

Download Citations EndNote Ris BibTeX

Toggle Thumbnails

Select

Construction and application of clinical research training system for eight-year program medical students Fu Yao, Jiang Guanchao, Xu Tao, Zhang Xiaohui, Wang Jianliu 2019, 39 (4):  241-246.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.001 Abstract ( 72 )   PDF (1037KB) ( 47 )   How to effectively cultivate the clinical research capability of eight-year program medical students is a challenge in medical education. Based on the features of talent cultivation and eight-year program medical education, Peking University People's Hospital has established its unique clinical research training system for eight-year program medical students, in which the mentorship is adopted and the students start their clinical research training at the undergraduate stage. The system was initiated among the eight-year program medical students enrolled in 2016 and has achieved good effect. Totally 60 students who have participated in the mentor-led research projects and activities and many of them published research papers. According to investigation results, the system is highly recognized by both mentors and students. Therefore, the system could motivate students' interests and potential and improve their ability in scientific research. References | Related Articles | Metrics

Select

Investigation and research of scientific research ability cultivation among professional degree postgraduate students under the synergy of health care system and medical educational system Huang Lei, Hu Yu, Jin Lingjing, Yu Jia, Zhang Jing, Jiao Rui, Cheng Liming 2019, 39 (4):  247-251.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.002 Abstract ( 42 )   PDF (828KB) ( 38 )   Objective To explore the current status, problems and countermeasures of academic competence cultivation among professional degree postgraduate students under the synergy of health care system and medical educational system. Methods Questionnaire surveys were carried out among 225 professional degree postgraduate students combined with standardized resident training program in 3 hospitals, Shanghai. Results There were 89.3% (201/225) participants who agreed with the importance of clinical research for professional degree postgraduate students but only 22.2% (50/225) of them believed the effectiveness of training. The most important influential factors were as follows: time conflict between clinical work and research study [92.4% (208/225)], lack of systematic training curriculum [80.4% (181/225)] and resource [51.1% (115/225)]for clinical trials. Suggestions from students included the feasible schedule for full-time research [81.8% (184/225)], supervisor-guided training [81.8% (184/225)]and training program of clinical research [73.8% (166/225)]. Conclusions Postgraduate students' academic competence decreased in the synergy of health care system and medical educational system. Medical schools and training hospitals should remodel the current system based on an agreement on requirements and to optimize the model and guarantee the quality. References | Related Articles | Metrics

Select

The practice and exploration on course construction of medical metrology Tang Chi, Guo Wei, Ma Xiaoyu, Luo Erping, Wang Xianchao 2019, 39 (4):  252-255.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.003 Abstract ( 23 )   PDF (777KB) ( 15 )   To review the current situation and to solve the personnel training problems of the subject of medical metrology, the practice and exploration on undergraduate course construction of medical metrology was developed in Air Force Medical University so as to improve the personnel training capacity of medical metrology on biomedical engineering (BME) undergraduates. By means of the investigation and expert argumentation and the practice and exploration on course construction, a course system on medical metrology was established, which integrated the basic knowledge and practice skills. Furthermore, the combination of course teaching with authentication capability was firstly developed, which can greatly improve the competence of position of BME undergraduates. The study is hopeful to provide reference and support for the further personnel training on medical metrology in the colleges and universities. References | Related Articles | Metrics

Select

Target teaching in human anatomy experiment teaching based on digital human anatomy system Wu Xueping, Li Zhihong, Yang Ling, Wang Congrong, Yao Lei, Bian Jie 2019, 39 (4):  256-258.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.004 Abstract ( 39 )   PDF (797KB) ( 20 )   In the experimental teaching of human anatomy, Shanghai Health Medical College explored the feasibility of implementing the target teaching with the support of “digital human” anatomy system. Through visualization and virtualization, teachers and students participated in the target teaching process. Through this teaching, students' capacity of autonomous learning to propose, analyze, solve problems have been improved, and the blindness, randomness and passivity of traditional teaching have been overcome. The application of digital human anatomy system combined with target teaching in human anatomy experimental teaching has realized a new model of integrated and multi-level experimental teaching combining the basis and specialty. References | Related Articles | Metrics

Select

Research on the status quo and influence factors of students' innovative self-efficacy in medical colleges and universities of Heilongjiang province Zhang Yangyiqi, Piao Jie, Xie Yujin, Li Wenyu, Zheng Zhinan, Cao Depin 2019, 39 (4):  259-262.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.005 Abstract ( 49 )   PDF (816KB) ( 17 )   Objective To investigate the status quo and the influence factors of students' innovative self-efficacy in medical colleges and universities of Heilongjiang province. Methods Questionnaire survey was used. Students' innovative self-efficacy of 1077 students from Harbin Medical University, Jiamusi University and Qiqihaer Medical University were surveyed by self-compiled questionnaires, and the potential influence factors were analyzed by multiple linear regression analysis. Results The innovative self-efficacy scores were (69.25±10.44) points. The multivariate linear regression model include student leader experience (B=-2.19,P＜0.001), innovative competition experience (B=2.01,P=0.042), life and study satisfaction (B=1.96,P＜0.001), professional satisfaction (B=2.36,P＜0.001) and innovation understanding (B=4.19,P＜0.001). Conclusions The overall level of students' innovative self-efficacy in medical colleges and universities of Heilongjiang province is good. Student leader experience has negative influence on innovation self-efficacy; Experience of innovation competition, satisfaction with study and life, professional satisfaction and understanding of innovation connotation have positive influence on innovation self-efficacy. References | Related Articles | Metrics

Select

The status quo of competitive attitude and its relationship with academic performance in medical students Huang Di, Cao Yue, Huang Qiao, Jin Yinghui, Zeng Xiantao 2019, 39 (4):  263-266.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.006 Abstract ( 129 )   PDF (819KB) ( 63 )   Objective To acquire the situation quo of medical students' competitive attitude and explore the relationship between competitive attitudes and academic performance. Methods Totally 252 medical students in Wuhan University were selected by the convenient sampling method. The competitive attitude scale-Chinese version was used to investigate the competitive attitude of them,the differences of competitive attitudes among medical students of different genders and educational levels were analyzed, and the correlation between competitive attitudes and academic achievements was explored. Results The score of personal development competitive attitude was 52.00(47.00, 56.00), the score of hypercompetitive attitude was 32.00(29.00, 37.00). There were statistically significant differences in scores of personal development competitive attitude [54.00(48.00, 58.00)for males,51.00(46.00, 55.00) for females, Z=2.18, P=0.03] and hypercompetitive attitude [34.00(30.00, 38.00) for males,30.00(28.00, 36.00) for females, Z=4.10, P<0.01] among medical students with different genders. No differences were observed in scores of personal development competitive attitude [52.00(47.00, 56.00) for undergraduates, 52.00(46.50, 56.00) for postgraduates, Z=-0.01, P=0.10] and hypercompetitive attitude [31.00(28.00, 37.00) for undergraduates, 33.00(30.00, 37.50) for postgraduates, Z=-1.93, P=0.05) among students with different educational levels. There was a positive correlation between personal development competitive attitude and academic performance (r=0.38, P<0.01), while there was a negative correlation between hypercompetitive attitude and academic performance (r=-0.19, P<0.01). Conclusions The situation quo of medical students in terms of personal development competitive attitude and hypercompetitive attitude are acceptable. However, in the future, it is still necessary to further guide medical students to establish a good competitive attitude and help them correctly understand and deal with the relationship between competition and self-realization. References | Related Articles | Metrics

Select

The application of mind mapping in pediatrics in traditional Chinese medicine for international undergraduate Yao Ting, Cui Chen, Zhao Jun 2019, 39 (4):  267-271.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.007 Abstract ( 36 )   PDF (2489KB) ( 26 )   Objective To explore the teaching methods and effects on learning outcome of pediatrics in traditional Chinese medicine for international undergraduates. Methods Forty Thai undergraduate students enrolled in 2014 of Shanghai University of Traditional Chinese Medicine were selected as teaching objects to carry out the teaching practice of “scarlet fever” in the five-hour course about pediatrics of traditional Chinese medicine. They were guided to complete the mind mapping of relevant knowledge points alone in the learning process and form a thematic learning mode under the guidance of mind mapping. Results Teachers use mind mapping as the leading tool to assist international undergraduates in building their knowledge framework. Although the expression and level of mind maps drawn through personal understanding will vary with students' abilities, compared with traditional theoretical teaching methods, image and interesting information of mind maps is more attractive to students, and helps to enhance students' memory and knowledge framework. Conclusions By using mind mapping method, the enthusiasm of overseas students in cross-cultural learning of TCM has been enhanced, the knowledge framework of TCM pediatrics has been consolidated, and the thinking ability of overseas students in China has been developed. References | Related Articles | Metrics

Select

The teaching reformation of basic medical generality based on flipped classroom Xing Wenjuan, Zhang Haifeng 2019, 39 (4):  272-275.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.008 Abstract ( 43 )   PDF (774KB) ( 34 )   Flipped classroom is the way that reaches the goal of knowledge transfer with information technology before class and completing knowledge internalization through discussion and communication in the class. This article briefly described the origin and development of flipped classroom, introduced the teaching reformation of basic medical generality based on the flipped classroom, and indicated the main problems and potential solutions. References | Related Articles | Metrics

Select

Effects of case-based teaching method on medical postgraduates' attitudes toward statistics Zhang Yuhai , Su Haixia, Shang Lei, Tan Zhijun 2019, 39 (4):  276-279.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.009 Abstract ( 51 )   PDF (820KB) ( 26 )   Objective To investigate medical postgraduates' attitudes toward statistics and evaluate the effects of intervention with case-based learning (CBL). Methods Control experiment and questionnaire method were used. Totally 243 medical postgraduates from the Medical University of the Air Force were divided into two classes, Ninety of them were taught partly by CBL as experiment group, and 153 students were taught by classic method as control group. Postgraduates were measured twice by pre-form and post-form of the Chinese version of survey of attitudes toward statistics scale (SATS) in beginning and end of the course, and the effect of case-based teaching method to remedy the negative attitudes was valuated. Results In the beginning of the course, postgraduates' SATS score was(4.76±0.81)points, the score in the value dimension was relative high, affect dimension and cognitive competence dimension were moderate and difficulty dimension was low. Postgraduates' SATS score of the experimental group and the control group were (4.80±0.79) points and (4.74±0.69) points, There was no significant difference in SATS score between two groups in the beginning of the course (t=0.62, P=0.55). After the course,postgraduates' SATS score changes of the experimental group and the control group were [-0.12(-0.40,-0.02)] points and [-0.27(-0.56,-0.11)] points, there was a significant difference in SATS score changes between two groups (Z=1.98, P=0.048). On the difficult dimension, postgradute's score change of the experimental group and control group were [-0.25(-0.45,-0.04)] points and [-0.27(-0.54,-0.17)] points, and there was no statistic differernce between two groups (Z=0.37,P=0.710). Conclusions Medical postgraduates'attitudes toward statistics are acceptable and they thought statistics was a difficult course. To some extent, case-based teaching method can remedy the negative attitudes to statistics held by medical postgraduates, but the effect on remedying the difficult feeling to statistics was not found. Teachers should pay more attention to students' attitudes toward statistics in medical postgraduate training, and try to provide necessary interventions by adopting different teaching methods. References | Related Articles | Metrics

Select

Application of flipped classroom based on WeChat platform in clinical skill teaching Gong Jie, Ji Xiangnian, Shu Xiaogang, Ruan Manzhen, Yang Wen, Peng Miao, Kong Wen , Yang Guangyao 2019, 39 (4):  280-285.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.010 Abstract ( 59 )   PDF (817KB) ( 49 )   Objective To explore the effects of flipped classroom teaching method based on WeChat platform in clinical skill teaching. Methods Totally 207 students from grade 2014 undergraduate clinical medicine in Tongji Medical College of Huazhong University of Science and Technology were randomly selected and divided into the control group and experimental group. The control group received traditional teaching mode of the theoretical teaching and experimental grouping, and the experimental group adopted the teaching mode of flipped classroom based on WeChat platform and experimental grouping. After training, the differences between the two groups in skill assessments were compared. A satisfaction survey about the flipped classroom based on WeChat platform was made in the experimental group. Results The scores of theoretical test in experimental group were 87.47±9.21. The scores of skill assessments including cardiopulmonary resuscitation, four-step palpation, physical measurement of children, dressing change and suture removal, and thoracentesis, were 88.92±4.79, 88.86±6.58, 88.29±6.11, 88.23±9.62, 81.69±10.94 respectively. The scores of theoretical assessment in control group were 82.27±8.69. The scores of skill assessments in control group were 84.10±5.67, 82.37±9.65, 85.75±6.91, 81.95±10.99, 78.74±10.12 respectively. The differences between the experimental group and the control group were statistically significant (all P<0.05). The questionnaire survey in the experimental group showed that the flipped classroom teaching method based on WeChat platform could improve the ability of independent learning 94.2% (98/104), control their learning progress and frequency liberally 93.3%(97/104), deepen and consolidate their understanding of relevant knowledge 92.3%(96/104), get convenient access to knowledge 85.6% (89/104), and increase the learning efficiency 96.2%(100/104). Conclusions The application of flipped classroom based on WeChat platform was effective and feasible in clinical skill teaching, and may significantly improve the learning outcomes, which was better than the traditional teaching mode. References | Related Articles | Metrics

Select

Teaching design of clinical imaging performance based on a case-based learning and seminar hybrid teaching model Wang Xiang, Pan Changjie, Zhang Ming, Tang Xiaoqiang 2019, 39 (4):  286-288.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.011 Abstract ( 35 )   PDF (846KB) ( 36 )   Clinical teaching is the key to training qualified medical students. Based on the characteristics of clinical imaging, the author designed the teaching model including content, evaluation system and implementation case of clinical practice of medical imaging specialty, and discussed the outcomes and significance of the application ofcase-based learning and seminar hybrid model in clinical teaching. References | Related Articles | Metrics

Select

Application effect of team-based learning combined with error correction teaching in aseptic teaching Lin Xiuhua, Ou Rongwen, Weng Shangeng, Lin Yaling, Lin Chun, Shen Jianzhen 2019, 39 (4):  289-292.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.012 Abstract ( 21 )   PDF (781KB) ( 13 )   Objective To evaluate application effect of team-based learning (TBL) combined with error correction teaching in aseptic teaching. Methods Experimental control method was used. One hundred and eighty students from “5+3” clinical medicine enrolled in 2015 in Fujian Medical University were selected and randomly divided into two groups. TBL combined with team error correction teaching method was used in the experimental group, TBL combined with traditional teaching method was used in the control group. The theoretical results, aseptic performance and clinical application of aseptic technique were compared between the two groups. The satisfaction of two groups of students was surveyed by self-complied questionnaires. Results The differences between two groups in theory scores(84.5±5.9 vs 78.5±9.4, t=6.13, P<0.01), hand washing(90.8±2.7 vs 87.1±1.6, t=8.83, P<0.01), wearing clothes and gloves (92.2±3.0 vs 86.4±2.3, t=11.45, P<0.01), sterilizing and operating drape (92.0±2.9 vs 87.4±1.4, t=10.53, P<0.01), test of aseptic skill in appendectomy(9.2±0.8 vs 8.7±0.7, t=2.01, P<0.05) all have statistical meanings. The results of questionnaires showed that, in enhancing self-learning ability and team cooperation, experimental group had better recognition than that of the control group. Conclusions TBL combined with error correction teaching method can improve the theoretical level and clinical performance, to a certain extent. The students' satisfaction toward TBL combined with error correction is high, and it worth to use more in future aseptic teaching. References | Related Articles | Metrics

Select

Public opinion analysis on resident standardized training based on Internet big data Yuan Yanfei, Yan Dingkun, Zhang Ronghui, Xia Hongwei, Yang Jian, Guo Haoyan 2019, 39 (4):  293-296.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.013 Abstract ( 26 )   PDF (816KB) ( 24 )   Public opinion software was used to collect data in the context of internet big data, aiming to analyze the situation of resident standardized training. The results indicated that over 820 thousand public opinion items regarding resident standardized training were collected and the greatest attention paid to this issue came from medical college students. 51% (418 200/820 000)of the public opinion items were neutral, 32% (262 400/820 000)of the items was negative, and 17%(139 400/820 000)was positive. Specifically, 39% (102 336/262 400)of the media focused on the policy of resident standardized training, 27% (70 848/262 400)on the training period, and 26% (68 224/262 400)on the training income. Both the media and cyber citizen paid close attention to resident standardized training, but their attitudes towards it were polarized. Government should create public opinion research and judge mechanism, information dissemination mechanism and public opinion guidance mechanism to orient internet public opinion tracking in a scientific and objective way. References | Related Articles | Metrics

Select

Practice and thinking on emergency medical rescue training management traffic accidents in expressway of Hubei province Liu Yangzheng, Xiong Zhanlu, Rao Zhengshou, Cheng Fanjun, Wang Hongbo, Jin Yan, Yuan Feng, Hu Juanjuan 2019, 39 (4):  297-300.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.014 Abstract ( 20 )   PDF (808KB) ( 11 )   Objective Review the training of emergency medical rescue for expressways traffic accidents victims in Hubei province, and to develop management and improving strategies. Methods Questionnaires, telephone calls and field surveys were used to analyze training needs, training outcomes and problems in training management. Results The top two training needs were trauma emergency management and cardiopulmonary resuscitation. Most of the trainees thought that retraining was necessary. The trainees' cognitive rate of masked symptoms after training was higher, and the difference were statistically significant, such as pale or cyanosis [88.5%(123/139) vs 44.6%(62/139)], shortness of breath [51.8%(72/139) vs 38.8%(54/139)], chest or abdominal pain [85.6%(119/139) vs 33.1%(46/139)], all P<0.05. Only 4.7% (63/1341) of the traffic policeman in this province received training of accident rescue. There were problems such as lack of training and continuing education in some highway medical ambulance stations. Conclusions Defining learning needs is conducive to ensuring the quality training and network retraining mode deserves to be explored. The training strengthened the awareness of the trainees' first aid, inspite of the fact that emergency medical rescue skills need to be improved. It is necessary to expand the scope of the trainees, carry out grading and classification training. Innovation of training methods is an important means to improve the outcomes of training. References | Related Articles | Metrics

Select

Analysis of clinical operation skills test results in step 1 medical licensing examination step examinations empirical research of physician Zhang Dongqi, Xi Zheng, Lu yan 2019, 39 (4):  301-304.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.015 Abstract ( 21 )   PDF (945KB) ( 17 )   Objective To provide new reference for improveing Medical Licensing Examination step examinations empirical research of Physician through analyzing the test results of clinical operation skills. Methods The data related to the clinical fundamental skills test of Step 1 Medical Licensing Examination empirical research of Physician from 2015 to 2017 were collected and analyzed and the situation of clinical operation skills test in 2016 was emphatically analyzed. Results The mastery levels of each test module in 2015, 2016 and 2017 were as follows: 77.6% in medical history taking test module, 75.5% in physical examination test module, and 82.5% in clinical operation skills test module in 2015; 73.5% in medical history taking test module, 73.0% in physical examination test module, and 82.4% in clinical operation skills test module in 2016; 79.3% in medical history taking test module, 76.4% in physical examination test module, and 85.1% in clinical operation skills test module in 2017. The mastery level of clinical operation skills was the highest among all test modules in the same year. Generally speaking, the mastery level of each test item in clinical operation skills test in 2016 was relatively high and all above 75.0%.Conclusions The applicants had generally good mastery of clinical operation skills test. The clinical fundamental skills test played an important role in improving clinical practice training of students in medical schools. References | Related Articles | Metrics

Select

Research progress of standardized patient evaluation tools and evaluation indexes Zhu Siyue, Gui Li 2019, 39 (4):  305-309.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.016 Abstract ( 60 )   PDF (812KB) ( 40 )   The paper reviewed the evaluation tools, quality evaluation index and compared the domestic index with that abroad. The competence index for the standardized patients were comprehensively summarized. Lack of unified standardized patient quality evaluation criteria, evaluation tools and quality assessment system in the medical simulation education were current challenges to clinical training with standardized patients. So the paper proposed an effective method for developing universal and particular SP quality assessment tools used in the different fields respectively. References | Related Articles | Metrics

Select

Construction of the developmental evaluation system of teaching ability in medical colleges and universities based on credit' system Yuan Lijun, Li Xiaoxia, Sun Mengru, Yuan Xunsheng, Zhang Long 2019, 39 (4):  310-313.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.017 Abstract ( 22 )   PDF (863KB) ( 14 )   Developmental evaluation system of teachers' teaching ability is the key to improve teaching quality. On the basis of teacher training system and credit' system, Tianjin Medical University has constructed the developmental evaluation system, which provided targeted training and reasonable evaluation and feedback for teachers, and improved teachers' teaching ability. Teachers' satisfaction with targeted training reached 96.2% (432/449), and 97.1% (436/449) of the teachers thought that teaching ability had been significantly improved. References | Related Articles | Metrics

Select

Application of entrustable professional activities in clinical medical education Jin Zhe, Qi Xin, Li Haichao, Wang Weimin 2019, 39 (4):  314-320.  DOI: 10.3760/cma.j.issn.1673-677X.2019.04.018 Abstract ( 103 )   PDF (1156KB) ( 105 )   Modern medicine emphasizes competency-based education, but competency is difficult to evaluate. In 2005, Olle ten Cate firstly proposed the confidence of entrustable professional activities (EPA). EPA separates the clinical work into several important elements, extracts the “key” behaviors, and describes the level or ability that the expected learners can achieve at different stages. The supervisors evaluate the whole process through observation, and confirm the degree of supervision in which the learners can complete the task or take the responsibility. Therefore, EPA can assist the competencies to be transformed into clinical practice and embody the clinical competencies of learners comprehensively. References | Related Articles | Metrics