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Visual analysis of research hotspots and trends about teaching bases of public health practice in China He Fei, Huang Chunyan, Yang Suhua, Hu Zhijian, Wang Xiaoqian, Wang Xinyan, Wang Qing, Liang Dong 2023, 43 (4):  241-244.  DOI: 10.3760/cma.j.cn115259-20220801-00960 Abstract ( 217 )   PDF (978KB) ( 154 )   Objective To visually illustrate the research hotspots and trends about teaching bases of public health practice in China. Methods From January 1994 to April 2022, relevant documents of research regarding teaching bases of public health practice in China National Knowledge Infrastructure, Wanfang Data and VIP Database for Chinese Technical Periodicals were retrieved. The time of publication, author, organization, and keywords were analyzed by bibliometric analysis, and the data were processed by Note Express software and Citspace software, and the visual atlas was drawn. Results The total number of research papers issued by the teaching bases of public health practice in China was on the rise. The issuing institutions are mainly medical colleges and universities, with less inter-agency cooperation. The top five high-frequency keywords with cumulative frequency are preventive medicine (35 times), practical teaching (24 times), teaching base (14 times), public health (12 times) and reform (9 times). The research focuses on the reform of practical teaching and talent training. Conclusions More and more attention has been paid to the researches on the teaching base of public health practice in China, and the cooperation between research institutions needs to be strengthened. The reform of practice teaching and talent training are the research hotspots and research trends about teaching base of public health practice, which needs further exploration in the future. References | Related Articles | Metrics

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Research on the demand preference of medical education resource recommendation system based on medical students′ self-directed learning ability Zhang Bowen, Ruan Yuqing, Kailibinuer Kayimu, Zhao Yang, Li Honghe 2023, 43 (4):  245-249.  DOI: 10.3760/cma.j.cn115259-20220716-00906 Abstract ( 145 )   PDF (783KB) ( 116 )   Objective To understand the demand preference of medical students for educational resource recommendation system, as well as the correlation with self-directed learning ability. Methods In April 2021, a total of 482 first-year to third-year medical students in a medical university were enrolled in this study. The self-directed learning scale and the self-designed medical education resource recommendation system demand preference (including content preference and use preference) questionnaire were used to conduct the research. Logistic regression analysis and linear regression analysis were used to explore the correlation between the demand preference of information resource recommendation system and self-directed learning ability of medical students. Results A total of 277(57.5%) have used the medical education resource recommendation system. The logistic regression analysis identified that the interpersonal communication dimension of self-directed learning (OR=0.895, 95%CI: 0.824-0.972, P=0.008) affected the use of medical students′ information resource recommendation system. The order of content preference of medical students′ information resources recommendation system was professional learning resources, career development resources, extended learning resources, entertainment and relaxation resources, and extracurricular activities resources. The interpersonal communication ability of medical students was positively correlated with the expectation degree of five educational resources by linear regression analysis, with linear regression coefficient β of 0.172, 0.153, 0.308, 0.297, 0.336, all P<0.05. Conclusions Medical students have a positive attitude towards the use of information resource recommendation system, with professional learning resources as the primary preference. The use and content preference of recommendation system are related to self-directed learning ability of medical students. Promoting the construction of medical education information resources is conducive to promoting the development of medical students′ self-directed learning ability. References | Related Articles | Metrics

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Investigation on the current situation and related cognition of ethical education for medical undergraduates in Guangdong Province Huang Yanfang, Zhang Yun, Liang Yeyun, Huang Xiaoman, Chen Weiting 2023, 43 (4):  250-254.  DOI: 10.3760/cma.j.cn115259-20220905-01115 Abstract ( 115 )   PDF (773KB) ( 70 )   Objective To investigate the current situation of medical ethics education of medical undergraduates and their cognition and self-evaluation of medical ethics. Methods A questionnaire survey was conducted among 2 108 medical students from 18 universities in Guangdong Province, including the basic contents, the current situation of medical ethics education for medical students, the cognition of medical ethics education and the self-evaluation of medical ethics. Multiple linear regression was used to explore the influencing factors of medical ethics education cognition and self-evaluation of medical ethics. Results In this survey, 1 193(56.6%) students have taken courses related to medical ethics, and 673(56.4%) students have participated in practical teaching activities related to medical ethics; grade (β=-0.46, P<0.001), academic achievement (β=0.55, P=0.011) and family economic status (β=0.54, P=0.025) are the influencing factors of medical students′ cognition of medical ethics education (all P<0.05); academic achievement (β=0.22, P=0.004), family economic status (β=0.39, P<0.001) and whether they study ethics-related courses (β=-0.33,P=0.002) are the influencing factors of self-evaluation of medical ethics (all P<0.05). Conclusions The overall number of medical students who have taken courses related to medical ethics is low. Grade, academic achievement and family economic status are the influencing factors of medical students′ cognition of medical ethics education; academic achievement, family economic status and whether they study ethics-related courses are the influencing factors of self-evaluation of medical ethics. Medical schools should pay fundamental attention to medical ethics, set medical ethics as a compulsory course and increase the number of hours, and intersperse and infuse correct ethical concepts in professional courses and practical teaching activities. References | Related Articles | Metrics

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Bibliometric analysis of curricular political and virtuous awareness research on higher medical curricula in Chinese Yuan Na, Wu Yufeng 2023, 43 (4):  255-258.  DOI: 10.3760/cma.j.cn115259-20220922-01223 Abstract ( 168 )   PDF (939KB) ( 142 )   Objective To analyze the current situation of curricular political and virtuous awareness research on higher medical curricula in Chinese, point out the direction for the future studies. Methods To apply bibliometrics to make a quantitative analysis of the annual number of documents, the units and authors of the papers, and key words on China National Knowledge Infrastructure, Wanfang Data, VIP Database for Chinese Technical Periodicals. Results A total of 1 739 eligible documents were included. The top 10 papers were all from universities; 28 high-frequency keywords are generated. There are many basic courses in a specific curricula research (n=1 026), accounting for 752(73.3％). Clinical courses account for only 274(26.7%). Chinese medicine courses are relatively small, accounting for 312(30.4%). "Moral education" and "curriculum education" are the latest research frontiers. The latest research has the gradual transition from empirical research of a certain course to systematic research, and the research content is gradually refined. Conclusions The curricular political and virtuous awareness research on higher medical curricula is fruitful, focusing on hot spots. Most of the subjects of research are basic curricula, but few are clinical curricula. There are relatively few studies on TCM curricula, and the characteristics are not obvious. It is suggested to build a relevant research community, and improve the teaching effect. References | Related Articles | Metrics

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Reflection of quality evaluation of political and virtuous awareness element in nursing professional courses Jiang Yiyao, Tang Siyuan, Yuan Shipin, He Guoping, Zhou Leshan 2023, 43 (4):  259-262.  DOI: 10.3760/cma.j.cn115259-20220708-00875 Abstract ( 188 )   PDF (792KB) ( 165 )   Political and virtuous awareness is an important element in the curriculum to implement moral education, and the evaluation of its quality in nursing is conducive to the effective promotion of professionalism in nursing. This paper reviews the current situation of quality evaluation of political and virtuous awareness element in the nursing curriculum from the four aspects of subject, content, time and method, and then reflects on how to build a well-informed evaluation system, and proposes that the evaluation system of both teachers and students as a guide and a comprehensive research method for different learning stages, so as to provide a basis for the development of a proper quality evaluation system for nursing curriculum in China. References | Related Articles | Metrics

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Application of subject-centered academic workshops in the cultivation of medical students′ scientific research ability He Li, Wei Yongchang, Yu Mingxia, Chen Zhiqiao, Lei Hong, Wang Shiyu, Zhang Guo, Zhou Fuling 2023, 43 (4):  263-266.  DOI: 10.3760/cma.j.cn115259-20220706-00871 Abstract ( 157 )   PDF (761KB) ( 142 )   Objective To explore the application of academic workshop centered on the cultivation of medical students′ scientific research ability. Methods A questionnaire survey was used. In May 2022, 101 medical students who participated in the academic workshop held by Zhongnan Hospital of Wuhan University from January to September 2021 were selected as the research participants. Questionnaires were conducted to investigate their satisfaction with the teaching of academic workshops and the effect of academic workshops on improving their scientific research ability. Variance analysis and t test were used for data analysis. Results Ninty-three (92.1%) medical students were satisfied with the teaching method of academic workshop. There were 76(75.2%), 62(61.4%), 72(71.3%) and 70(69.3%) medical students who were satisfied with the four first-level indicators of improving communication ability, cultivating innovative thinking, improving experimental operation level and improving scientific research interest, respectively. There were statistically differences between postgraduate students, doctoral students and undergraduates in six secondary indexes [for example, "regular academic discussion with tutor": (2.53±0.72) vs.(3.12±0.71)vs.(3.64±0.50), P<0.001]; In the two second-level indicators of "regular academic discussion with tutor" "having higher enthusiasm to achieve common scientific research goals with tutors", undergraduates were lower than postgraduate students and doctoral students, and the differences were statistically significant, there is no statistical difference between postgraduate students and doctoral students [for example, "having higher enthusiasm to achieve common scientific research goals with tutors": the score of undergraduate students (2.78±0.71),postgraduate students (3.27±0.60),doctoral students (3.55±0.65), all P<0.001,However, compared the scores of postgraduate students and doctoral students,P=0.768]. Conclusions The subject-centered academic workshop teaching method has been recognized by medical students. There are differences in the effect of workshop teaching on the cultivation of scientific research ability of medical students at different educational levels. Attention should be paid to undergraduate students and postgraduate students at the initial stage of scientific research, implementing academic workshop teaching in a more effective way. References | Related Articles | Metrics

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Review and reflection on the textbook construction of traditional Chinese medicine gynecology Zheng Hanyu, Liu Yanfeng, Wang Tiefeng 2023, 43 (4):  267-271.  DOI: 10.3760/cma.j.cn115259-20220707-00872 Abstract ( 86 )   PDF (775KB) ( 47 )   The construction of traditional Chinese medicine (TCM) teaching materials has always been an important tool used to train TCM talents. High quality teaching materials is one of the keys to improve the teaching quality of TCM colleges and universities. Planned textbooks for gynecology of TCM have undergone dozens of revisions. This paper sorts out the evolution of TCM gynecology textbooks for TCM colleges and universities across different editions, gives an overview of relevant textbook research articles and peer reviews, summarizes the element of political and virtuous awareness in the construction of TCM gynecology materials. It also analyzes challenges faced by the present textbook construction of TCM gynecology. It is hoped that these discussions may inform the construction of future teaching materials and the following teaching reforms. References | Related Articles | Metrics

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Application of problem-based learning combined with case-based learning in the teaching of pharmaceutical management Wu Yue, Shen Bingzheng, Tan Yi, He Jingsheng, Zhou Benhong 2023, 43 (4):  272-275.  DOI: 10.3760/cma.j.cn115259-20220726-00943 Abstract ( 227 )   PDF (759KB) ( 256 )   Objective To explore the application of problem-based learning (PBL) combined with case-based learning (CBL) teaching method in the course of pharmaceutical management. Method The test control method was used. From February to September in 2021 and 2022, A total of 73 undergraduate students majoring in pharmacy enrolled in 2018 and 2019 of Wuhan University were selected as the research participants. Among them, 33 students in grade 2019 were selected as the experimental group, using PBL combined with CBL teaching method, while 40 students in grade 2018 were selected as the control group, using traditional teaching methods. The results of examination and questionnaire were used to evaluate the teaching effect. T-test and chi-square test were used for statistical analyses. Results The overall test scores of theoretical knowledge in the experimental group were significantly higher than that in the control group [(95.08±2.30) vs.(90.06±2.85), P=0.002], and the score of comprehensive use of knowledge in the experimental group was higher than that in the control group [(43.80±1.38) vs. (38.04±4.04),P<0.001]. The results of the questionnaire survey showed that the score of students in the experimental group on the overall satisfaction was higher than that in the control group [(96.43±7.45) vs. (66.38±10.07),P＜0.001]. Conclusions The application of PBL combined with CBL teaching method in the teaching of pharmaceutical management will help improve students′ theoretical knowledge assessment results and comprehensive knowledge application score, improve overall satisfaction, and improve the teaching quality of pharmaceutical management. References | Related Articles | Metrics

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Design and implementation of history taking training platform "Qiewen" based on WeChat mini program and standardized patients Wu Cen, Fu Bo, Yu Sijia, Song Hanyi, Ma Shuang, Liu Qifang, Yao Xinjie, Jiang Jinping, Yu Hong 2023, 43 (4):  276-279.  DOI: 10.3760/cma.j.cn115259-20220804-00979 Abstract ( 155 )   PDF (760KB) ( 112 )   Medical history taking is an essential skill for clinicians. "Qiewen", which is an online platform of medical history taking based on WeChat mini program and standardized patients, was designed and applied to solve the problem of insufficient learning resources and improve the teaching effect of medical history taking. In April 2022, a preliminary attempt of medical history taking on the platform was successfully completed among 50 students from China Medical University. After half a month of practice, a questionnaire survey was conducted among the students and 10 teachers on the studying and teaching effects of medical history taking. Of the 49 valid student questionnaires collected, 44(89.8%) students thought it was helpful to increase their interest in learning. Independent learning ability was improved in 45(91.8%) students, 46(93.9%) students believed that it was beneficial to their clinical reasoning, it was useful for the understanding and memorization of theoretical knowledge in 44(89.8%) students, 47(95.9%) students considered the clinical communication ability was improved through the training, 46(93.9%) students believed that it was close to real clinical scenarios. All teachers surveyed believed that the application of this platform to teaching would help stimulate students′ interest in learning and improve their clinical thinking ability and inquiry ability. "Qiewen" training platform increases the practice opportunities of students′ consultation, is close to the real clinical situation, is recognized by students and teachers, helps to solve the problem of insufficient consultation teaching resources, and has certain feasibility and innovation in improving students′ history taking skills. References | Related Articles | Metrics

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Current situation and influencing factors of mindful agency of nursing students during internship Yang Rui, Gao Yufang, Ji Zitong, Su Xin, Liu Dun 2023, 43 (4):  280-283.  DOI: 10.3760/cma.j.cn115259-20220901-01103 Abstract ( 94 )   PDF (798KB) ( 74 )   Objective To analyze the current situation and influencing factors of mindful agency of nursing interns. Methods From March to May 2022, a convenient sampling method was used to select 240 nursing students who were interns in two third-class hospitals in Qingdao as the subjects of the survey, and a questionnaire survey was conducted using the general information questionnaire,Mindful agency scale, clinical learning environment assessment scale, and psychological resilience scale. Multiple linear regression was used to analyze the relevant data. Results The score of mindful agency scale was (61.98±13.24). Multiple linear regression model showed that the higher the scores of clinical learning environment (b=0.405, P<0.001), psychological resilience (b=0.205, P<0.001), and love of nursing specialty (b=0.151, P=0.001), the higher the level of mindful agency. The three variables of clinical learning environment, psychological resilience and love of nursing specialty could explain 39.3% of the total variation of mindful agency score. Conclusions The mindful agency of nursing students is at a medium level. Clinical nursing educators and nursing administrators can improve the psychological resilience of nursing students by strengthening the construction of clinical learning environment and cultivate the degree of love of nursing students for their majors, so as to better improve the mindful agency of nursing students. References | Related Articles | Metrics

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Application of PDCA cycle in pre-clinical training for ophthalmology academic postgraduates Jiang Jinyun, Zou Yuxian, Yang Xiao, Zhuo Yehong, Chen Rongxin 2023, 43 (4):  284-287.  DOI: 10.3760/cma.j.cn115259-20220912-01157 Abstract ( 157 )   PDF (757KB) ( 75 )   Plan-do-check-act (PDCA) cycle characterized by repeated cycles, continuous amendment of goals and quality improvement, has been applied in medical teaching. Taking the preclinical training at Zhongshan Ophthalmic Center of Sun Yat-sen University as an example, this paper expounds the design and implementation of PDCA cycle in the teaching of ophthalmology academic graduate students, and evaluates the teaching effect through theoretical, operational assessment and questionnaire survey. The results showed that at the end of the training, 37(100.0%) students achieved the qualified standards in both theoretical and operational assessment, 27(71.1%) students believed that PDCA cycle was more effective than traditional teaching in the pre-clinical training course. It can be seen that the PDCA cycle is used for preclinical training of ophthalmic research-type graduate students, which can help students more effectively master ophthalmic professional knowledge and operational skills, and improve the clinical teaching quality of ophthalmic research-type graduate students. References | Related Articles | Metrics

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Postgraduate English for medical purpose course design based on the language curriculum design model Chen Binmin, Qi Hui 2023, 43 (4):  288-292.  DOI: 10.3760/cma.j.cn115259-20220908-01135 Abstract ( 87 )   PDF (799KB) ( 55 )   Based on language curriculum design model, this study designs the postgraduate course of English for medical purposes in Fujian Medical University. Five key elements in the course design were analyzed, including needs, environment, principles, objectives, and evaluation, so as to build a five-loop dynamic pathway to designing English courses for special purposes. Course needs include students′ and social needs. Environment includes the students′ learning situation, teachers′ professionalism and teaching conditions. After the needs and environment analysis, the course objectives are established, based on which the inner loop of the course is designed, following the relevant teaching principles in the model. The content of English for Medical Academic Purposes Plus is identified. Teaching modes such as blended teaching, data-driven teaching and practical teaching are selected, and teaching evaluation combines summative and formative ones. Finally, curriculum evaluation is carried out to continuously optimize all elements in order to achieve dynamic curriculum management. References | Related Articles | Metrics

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Survey and analysis of factors influencing mental health of residency trainees Luo Jiahui, Yang Lingli, Wang Ruiheng, Zeng Xiaoju, Zhang Changlin, Liu Fang 2023, 43 (4):  293-297.  DOI: 10.3760/cma.j.cn115259-20220617-00796 Abstract ( 196 )   PDF (814KB) ( 125 )   Objective To investigate the mental health status of trainees in residency training programs (hereafter referred to as residency trainees) and the predictors to inform psychological intervention for residency trainees. Methods Questionnaire survey was used in this study. From February to March 2022, residency trainees from the First Affiliated Hospital of Kunming Medical University were selected for the study, the depression, anxiety and stress symptoms of whom were assessed by the Depression-Anxiety-Stress Scale (DASS-21), and the effects of residency characteristics, sleep and exercise on their mental health were analyzed, and the relevant data were subjected to chi-square tests and regression analysis. Results A total of 386 valid questionnaires were returned. Among professional degree masters (n=201), unit-commissioned trainees (n=161), and social trainees (n=24), the proportion of trainees with anxiety symptoms was 104(51.7%), 78(48.4%), and 5(20.8%), respectively. The percentages of trainees with depression or anxiety symptoms in their own speciality department (n=251) were 119(47.4%), 134(53.4%), which were higher than 45(33.3%) and 53(39.3%) of the trainees who were rotating ((n=135). The differences were statistically significant (all P<0.05). Among resident trainees, sleep duration was found to significantly influence depression [OR (95% CI) = 0.298(0.163-0.546), anxiety [OR (95% CI) = 0.369(0198-0.685), and stress [OR (95% CI) = 0.292(0.143-0.595)]. The frequency of exercises had an important impact on anxiety symptoms [OR (95% CI) =0.369(0.164-0.831)]. The differences were statistically significant (all P<0.05). Conclusions The high detection rate of mental health problems in residency trainees must be taken seriously. Sleep and exercise are conducive to improving their mental health; mental health problems are more prominent among trainees studying in their own specialty department and professional degree masters, to which timely attention should be given. References | Related Articles | Metrics

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Investigation on regidency training of general practice residents in affiliated hospitals of colleges and universities in China Qi Dianjun, Jiang Nan, Yu Xiaosong 2023, 43 (4):  298-302.  DOI: 10.3760/cma.j.cn115259-20220610-00763 Abstract ( 82 )   PDF (809KB) ( 55 )   Objective To investigate the current situation and development trend of standardized training for general practitioners in affiliated hospitals of colleges and universities in China. Methods In December 2019, a questionnaire survey was conducted in all 189 clinical medical colleges in China. The content of the questionnaire includes the setting of teaching institutions, teachers, training forms and effects. Descriptive statistics were used to analyze the results. Results In 2010, 2017 and 2019, the numbers of colleges and universities carring out standardized training for general practitioners in mainland China were 35, 68 and 117 respectively, and the numbers of training centers were 42, 88 and 169, respectively. The region with the largest number of colleges and universities developing training centers was the eastern region (35 colleges and universities), with the least being the northwest region (9 colleges and universities). In 2019, 472(24.5%) of the 1 929 teachers in the training centers had participated in the publication of medical education articles, 304(15.8%) had participated in medical education projects, and 543(28.1%) had accumulated more than 3 months of work experience in community health service centers. Among 169 training centers in 2019, 91(53.8%) used lecture-based learning as the only teaching method, and formative assessment was absent in up to 80(47.3%) training centers. Conclusions Although the residency training for general practice in colleges and universities has developed rapidly, there are still many problems and challenges. For example, it has not been popularized in colleges and universities, with unbalanced development of different regions and different types of colleges and universities, as well as college teachers lacking community practice experience, and community teachers lacking teaching and research experience, the absence of formative assessment, etc. In the next stage, the affiliated hospitals of colleges and universities in China should continue to expand the scale of residency training, strengthen faculty development, and constantly enrich teaching evaluation methods, so as to better play a leading role in its academic development. References | Related Articles | Metrics

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Visual analysis on standardized traditional Chinese medicine residency training research Xiang Jun, Xu Lili, Cai Min, Zhang Wen, Cai Dingfang, Yang Yunke 2023, 43 (4):  303-306.  DOI: 10.3760/cma.j.cn115259-20220610-00762 Abstract ( 134 )   PDF (868KB) ( 79 )   Objective To analyze current situation of standardized traditional Chinese medicine (TCM) residency training research, and inform later research. Methods CiteSpace was used to visually analyze literatures relating to standardized TCM residency training in China National Knowledge Infrastructure, VIP Database for Chinese Technical Periodicals, Wanfang Data from 1998 to 2022. Results A total of 21 articles were published from 1998 to 2013, mainly involving the construction of training systems; another 510 were published from 2014 to 2022, mainly involving comprehensive exploration of training mode. The authors and institutions were decentralized and there was no apparent sign of cooperation. The high frequency key words are “TCM”, “residency” and other 10 categories. The burst key words of recent articles are “clinical skill”, “practice”, etc. Conclusions The construction of training system and the exploration of training mode are two stages of standardized TCM residency training research. The research strength is inadequate; the research topics are dispersed. Research hotspots have gradually focused on training of clinical skills of TCM in recent years. References | Related Articles | Metrics

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Design and application of a standardized evaluation system for strabismus surgery in the standardized training for ophthalmology residents Zhang Luxi, Rong Junbo, Wang Ying, Lang Lijuan, Xu Limin, Guo Kexin, Li Zhigang 2023, 43 (4):  307-311.  DOI: 10.3760/cma.j.cn115259-20220609-00755 Abstract ( 65 )   PDF (811KB) ( 35 )   Surgical skill is vital and one of the difficulties during the standardized training of ophthalmology residents. But there exists no training standards nor evaluating methods. This study aims to establish a standardized training system for strabismus surgery, and to improve the training quality of strabismus surgery during the standardized training of residents through literature research and expert consultation. Two fundamental surgical practices are standardized into 7 steps and 4 phases throughout the operational training. The levels of trainee are evaluated during each phase and at the final stage. The program application effect is evaluated through test satisfaction investigation between trainees and the untrained. A total of 36 students from grade 2019 in the Ophthalmology Department from the First Affiliated Hospital of Zhengzhou University were selected as the training group. The overall satisfaction rate of the trainees was 83.3%(30/36). It was considered a higher level of strabismus operational procedures than other sub-operations after training by 88.9% (32/36) of the trainees. At the accomplishment of training, 33.3% (12/36) of the trainees were able to complete 2 operation methods from the training, which is higher than the 3.8% (1/26) of the untrained students from grade 2018. There was 44.4% (16/36) of the trainees who showed intentions for or already under the specialized training of strabismus and pediatric ophthalmology, which was higher than the 3.8% (1/26) of the untrained students from grade 2018. The establishment of the strabismus standardized surgery evaluation system can provide strong support for the standardized training of high-level ophthalmology residents and helps improving their proficiency of the basic methods of strabismus surgery, as well as other related practices. References | Related Articles | Metrics

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Study on the construction of core competence index system of rural doctors at college level in Beijing Zhu Dan, Chen Xiaolei, Lu Xiaoqin, Wang Feiyue, Pan Chaolu, Du Juan 2023, 43 (4):  312-315.  DOI: 10.3760/cma.j.cn115259-20220715-00904 Abstract ( 79 )   PDF (786KB) ( 47 )   Objective To construct the core competence index system for rural doctors at the college level in Beijing. Methods The Delphi method was used to distribute two rounds of consultation forms to experts by email from September to November 2021, the authoritative coefficient, positive coefficient and coordinate coefficient were applied for evaluation. Results The authority coefficient of experts in the two rounds of consultation were both 0.819;the positive coefficient were both 100.0%. The expert coordination coefficients of the importance and feasibility of the evaluation indexes were 0.31 and 0.37 (all P＜0.001),respectively. The indicator system included 3 first-level indicators, 8 second-level indicators and 34 third-level indicators. Consultations Experts have a high degree of enthusiasm and authority. The opinions of experts are in good coordination and the results of the core competence system for rural doctors at college level in Beijing constructed in this study are reliable. References | Related Articles | Metrics

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Exploration of a mutual evaluation model between teachers and students for professional skills training in rehabilitation therapy based on project response theory Yu Wei, Chen Qun, Geng Baofeng, Bian Jiajia, Jiang Zhongli, Shi Yawei, Lin Feng 2023, 43 (4):  316-320.  DOI: 10.3760/cma.j.cn115259-20220624-00820 Abstract ( 81 )   PDF (815KB) ( 53 )   Objective Based on the item response theory(IRT), to build a model for the mutual evaluation between teachers and students in the professional skills training of rehabilitation therapy, and to verify the actual effect of the model for the mutual evaluation between teachers and students in the skills training. Methods To extract the examination results of the students majoring in rehabilitation therapy from grade 2015 to 2018 in the rehabilitation skills training management system of Sir Run Run Hospital affiliated to Nanjing Medical University, including the after-department examination, daily performance evaluation, case report performance, etc. The IRT model was established based on the evaluation items provided by the teacher assessment student (TAS, 13 items) questionnaire and the student assessment teacher (SAT, 12 items) questionnaire and each item is scored 0, 1, 3 and 5 points. The fitting, reliability and local independence of the model were verified through the result of TAS and SAT, and the correlation between the teaching capability, the students′ practical ability and the examination results is calculated. Results Both types of questionnaires were modeled after being converted into 2 category items. The 13 items of TAS can form a 1 factor 2 parameters model. The model has good fitness (P=0.206), reliability (r=0.853) and local independence. The level of students′ practical ability measured by the model is significantly related to the students′ performance in the examination (r=0.442,P<0.001). The 12 items of the SAT questionnaire can form a 1 factor 4 parameters model. The model has good fitness (P=0.237), reliability (r=0.952) and local independence. The teacher′s teaching level measured by the model is significantly related to the student′s performance in the examination (r=0.197, P=0.006). Conclusions On the basis of the 2 category items, the IRT model can be constructed to evaluate the professional-skills-teaching level of teachers and students′ practical ability. After verification, the model has good evaluation effect and can be considered for promotion and application. References | Related Articles | Metrics