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01 September 2023, Volume 43 Issue 9 Previous Issue    Next Issue

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Exploration on cultivation of scientific research thinking and improvement of clinical competence in medical students with ″three stages and three levels″ mode oriented towards scientific questions Li Bing, Dong Qian, Chen Xi, Liu Chengyu, Wang Jianxun, Dong Jing, Wang Jing, Jiang Hong 2023, 43 (9):  641-644.  DOI: 10.3760/cma.j.cn115259-20221005-01259 Abstract ( 397 )   PDF (801KB) ( 338 )   The shaping of scientific research thinking and the enhancement of clinical ability are the core elements of the training of medical students. However, in the current mode, the cultivation path of scientific research thinking is not clear, and it is difficult to organically integrate and spiral the shaping of scientific research thinking with the improvement of clinical competence. Oriented towards scientific problems and aiming at the synchronous improvement of students' scientific research thinking and clinical competence, Qingdao University forms a three-stage spiral progressive training system of ″penetration and introduction- integration and progression- deep fusion″ through the three- stage guidance of ″course- project- competition″. After 15 years of practice, good results have been achieved, and students' scientific research thinking and clinical competence have been significantly improved. The quality of faculty's teaching has been significantly improved. References | Related Articles | Metrics

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Practice and thinking of introduction to infectious disease dynamics transmission model You Xinyi, Cai Yuqi, Wang Yijing, Du Zhicheng, Zhu Yang, Lai Yingsi, Hao Chun, Gu Jing, Hao Yuantao, Li Jinghua 2023, 43 (9):  645-648.  DOI: 10.3760/cma.j.cn115259-20221014-01302 Abstract ( 135 )   PDF (803KB) ( 128 )   In order to promote the comprehensive quality of inter-disciplinary talents in the field of public health and to ensure a high-quality talent pool for infectious disease prevention and control, the School of Public Health of Sun Yat-sen University has developed a new course "Introduction to Infectious Disease Dynamics Transmission Model" for all master and doctoral students since May 2022. This course was delivered in the form of a combination of theoretical lectures and practical applications, which was a practical exploration in the form of an elective course to develop postgraduates' mathematical modelling skills in infectious diseases from an applied perspective. The teaching effect was good, the overall satisfaction was high. This manuscript introduces the design, implementation, and teaching effectiveness of this course, aiming to inform the construction of the infectious disease dynamics transmission model course. References | Related Articles | Metrics

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Research on quality factors classification of medical informatics curriculum based on KANO model Jin Yang, Xu Wei, Li Li, Zhu Yanxin 2023, 43 (9):  649-653.  DOI: 10.3760/cma.j.cn115259-20230302-00196 Abstract ( 83 )   PDF (856KB) ( 60 )   Objective To classify quality factors for medical informatics curriculum, and subsequently inform its curriculum reform for medical undergraduates. Methods In July 2022, 22 quality factors of medical informatics course were extracted and refined by literature research and interview method, and a questionnaire was designed based on the KANO model. A total of 231 medical students from five classes enrolled from 2019 to 2021 who had studied medical information retrieval course in Naval Medical University were selected by cluster sampling for questionnaire survey. The Better-Worse coefficient analysis method was used to analyze the data. Results ① In the course content module, there are three must-be qualities: Embase database, network information retrieval, hospital information system; 9 one-dimension qualities: CBM database, PubMed database, Science Citation Index SCI, full-text acquisition, reference management software, topic retrieval, retrieval strategy optimization, paper writing, electronic medical record; 1 attractive quality: evidence-based medicine resources; 2 indifferent qualities: basic theory, special literature. ② In the teaching method module, practical teaching is one-dimension quality, and blended teaching is attractive quality. ③In the evaluation method module, all five quality elements such as in-class tests and practice assignments are the indifferent quality. Conclusions The curriculum reform of medical informatics, which is oriented to the needs of students, should be based on the classification of the quality factors, improve the planning of the curriculum content system, reasonably select and innovate the teaching methods and evaluation means, ensure the full coverage of must-be qualities, give priority to improving one-dimension qualities, guide the students' attention of attractive qualities, and appropriately simplify indifferent qualities, so as to improve students' satisfaction. References | Related Articles | Metrics

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The satisfaction analysis of counselors for clinical medicine postgraduates Xu Hao, Chen Xiaowen, Yu Yanyan 2023, 43 (9):  654-658.  DOI: 10.3760/cma.j.cn115259-20221201-01511 Abstract ( 107 )   PDF (857KB) ( 148 )   Objective To investigate the current situation and influencing factors of the satisfaction of graduate counselors in a medical school in Beijing which may inform the improvement in the teaching and training quality of graduate students in clinical medicine as well as relevant educational management. Methods A questionnaire survey on the satisfaction of counselor guidance was conducted on 140 clinical medicine postgraduates of a university clinical medicine school in Beijing in July 2022, and the main contents of the questionnaire included the satisfaction evaluation of various dimensions of counselor guidance, the relevant factors affecting counselor satisfaction, and the prospect of the future work of counselors/colleges. The data were collected and exported using questionnaire stars, and the data analysis was using Chi-squared test. Results A total of 140 questionnaires were distributed in this study. Counselor mentoring satisfaction was 63.6%(89/140). Among them, satisfaction with the counselor's daily communication attitude and smoothness was relatively high[70.7%(99/140)], and satisfaction with the assistance for further education/employment was the lowest at 42.1%(59/140). Girls are more satisfied than boys[70.7%(65/92)vs.50.0%(24/48)];Among the 11 graduate students who were not familiar with the counselor, 4 were satisfied with the graduate counselors, which was lower than the satisfaction of graduate students who were familiar with the counselor[82.4%(42/51)], all P<0.05). Among 140 students, 79(56.4%) believed that organizing collective activities could enhance the relationship between graduate students and their counselors, while 138(98.6%) were interested in collective activities such as entertainment and sports/societies. Conclusions More than 60.0% of graduate students are satisfied with the counselor's guidance, and students' gender and familiarity with counselors have an impact on mentoring satisfaction. By improving the collaborative education and training mode of counselors and tutors, further improving and strengthening the standardization construction and work system of counselors, medical schools may optimize educational management and improve the satisfaction of teachers and students. References | Related Articles | Metrics

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Design and implementation effect of curriculum-based political and virtuous awareness for clinical anesthesiology course Li Chunling, Huang Changsheng, Guo Qulian, Wang E, Li Longyan, Kong Fujiao, Sun Bei 2023, 43 (9):  659-662.  DOI: 10.3760/cma.j.cn115259-20221008-01275 Abstract ( 180 )   PDF (420KB) ( 189 )   Ministry of Education of the People's Republic of China emphasizes the need to strengthen medical ethics education and cultivate the spirit of being a doctor. This article on application of curriculum-based political and virtuous awareness in clinical anesthesiology course was carried out among undergraduates majoring in anesthesia enrolled in 2017 and 2018 at Central South University. It elaborated on the design and implementation of political and virtuous awareness education in clinical anesthesiology course from six aspects: course characteristics, course objectives, political and virtuous elements, teaching staff, teaching methods, and practical teaching. The effectiveness was evaluated using a questionnaire. The results showed that among the 111 students surveyed, 104 (93.7%) of them expressed their approval of the political and virtuous awareness education in the course, while 99(89.2%) expressed satisfaction. Furthermore, 97(87.4%) expressed satisfaction with the clinical cases incorporated as political and virtuous awareness elements, and 98(88.3%) expressed satisfaction with the scenario simulation teaching method. It can be seen that students were generally satisfied with the political and virtuous awareness education in clinical anesthesiology course, which can be further promoted. References | Related Articles | Metrics

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The investigation and analysis of professional master candidates' cognition and suggestions for improvement of curriculum-based political and virtuous awareness Guo Yufeng, Ding Hong, Liu Chengyao, Li Yanyan, Lu Junwen 2023, 43 (9):  663-666.  DOI: 10.3760/cma.j.cn115259-20221112-01426 Abstract ( 110 )   PDF (804KB) ( 101 )   Objective To investigate the cognition of professional master candidates and their suggestions for improvement of curriculum-based political and virtuous awareness so as to provide reference for improving the curriculum. Methods A questionnaire survey was conducted among 185 professional master candidates of Grade 2021 in Xinjiang Medical University in May 2022, and the results were described and analyzed statistically. Results A total of 10(5.4%) of the professional master candidates had a good understanding of curriculum-based political and virtuous awareness, 131(70.8%) had a certain understanding,183(98.9%) thought it was necessary to carry out curriculum-based political and virtuous awareness, and 179(96.8%) thought that curriculum-based political and virtuous awareness had a great or certain impact on the personal values. 183(98.9%) thought that teachers often and moderately supplemented political and virtuous awareness theory concepts, 181(97.8%) thought that teachers often and moderately gave explicit guidance, and 171(92.4%) thought that teachers often and moderately gave implicit guidance. 123 (66.5%) suggested adding practical activities to the teaching style. 144(77.8%) of the professional master candidates suggested that the current social events should be more integrated into teaching content. Conclusions At present, the awareness rate and support rate of professional master candidates to carry out curriculum-based political and virtuous awareness are high. Teachers should pay attention to the flexible use of practical activities, in-depth exploration of the ideological and political points of the curriculum, and try more teaching methods. In the teaching process, we should integrate current affairs, traditional culture and cultural self-confidence. References | Related Articles | Metrics

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Research on the status quo and correlation between online learning investment and psychological capital of undergraduate nursing students in two universities in Zhejiang Province Liu Yongsi, Ma Xiaoqin, Cai Yanji 2023, 43 (9):  667-670.  DOI: 10.3760/cma.j.cn115259-20221123-01471 Abstract ( 62 )   PDF (804KB) ( 67 )   Objective To understand the current situation of online learning investment and psychological capital of nursing undergraduates, and analyze the correlation between them. Methods In August 2022, 258 fourth-year nursing students from two universities in Zhejiang Province enrolled from 2019 to 2022 were investigated with general information questionnaire, online learning investment scale and positive psychological capital scale. The data were analyzed by t-test and Pearson correlation analysis. Results The total score of online learning input of nursing undergraduates was (3.53 ± 0.58) points, and the score of emotional input dimension was the lowest [(3.40 ± 0.62) points]; the total score of psychological capital was (4.45 ± 0.79) points, with the lowest score of resilience dimension [(3.98 ± 0.83) points]; the online learning investment of nursing undergraduates was positively correlated with the level of psychological capital (r=0.56, P<0.001). Conclusions The higher the level of psychological capital of nursing undergraduates, the higher their online learning engagement. It is suggested that nursing educators should pay attention to the emotional input of nursing undergraduates during online learning process and improve their psychological resilience. References | Related Articles | Metrics

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Application of action learning pedagogy in clinical clerkship of internal medicine for medical students Yu Xuehong, Liu Jun, Shi Jingfen 2023, 43 (9):  671-674.  DOI: 10.3760/cma.j.cn115259-20221102-01384 Abstract ( 109 )   PDF (840KB) ( 122 )   Objective To explore the application of action learning in internal medicine clinical clerkship for medical students. Methods The research subjects were 70 medicine students from Chengdu University of Traditional Chinese Medicine in the internal medicine department of the People's Hospital of Wenjiang in 2021. Using random number table method, the subjects were divided into the experimental group (n=35) and the control group (n=35).The students in the experimental group adopted the action learning method the control group adopted the traditional clerkship teaching method. Then, we compared the trainees' performance, evaluation on the learning effect and satisfaction on the teaching methods among the two groups. Student t-test and chi-square test were used for statistical analyses. Results The theory test scores of the experimental group (87.25±7.77) after clerkship were significantly better than those of the control group(74.58±9.85). The evaluation of students in the experimental group in improving their independent learning ability, language expression ability, knowledge comprehension ability, teamwork ability and problem analysis ability were higher than that of the control group [33(94.3%) vs.20 (57.1%), 32(91.4%) vs. 22(62.9%), 34(97.1%) vs. 27(77.1%), 32(91.4%) vs. 22(62.9%), 33(94.3%) 24(68.6%)], and the differences were statistically significant (all P<0.05). The satisfaction of the experimental group with the teaching method was higher than that of the control group [33(94.3%) vs. 25(71.4%)], and the difference between the two groups was statistically significant (P<0.05). Conclusions The action learning method is helpful to improve the understanding and mastery of internal scientific knowledge of undergraduate students in clinical medicine, and has been recognized by students. References | Related Articles | Metrics

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Application of case-based learning combined with KWL method for clinical internship teaching in endocrinology and metabolism department Liu Xiangyang, Zhou Jie, Shi Min, Zhou Yingni, Liu Tao, Li Xiaomiao 2023, 43 (9):  675-678.  DOI: 10.3760/cma.j.cn115259-20230130-00071 Abstract ( 156 )   PDF (807KB) ( 138 )   Objective To explore the effect of case-based learning (CBL) combined with KWL method in clinical internship teaching of endocrinology and metabolism. Methods The experimental control method was used. From June 2021 to June 2022, a cluster sampling method was adopted to select 80 five-year clinical medicine students enrolled from 2016 to 2017 who interned in Xijing Hospital of Air Force Military Medical University as research participants, and they were divided into experimental group and control group by random number table, with 40 people in each group. The experimental group used CBL and KWL method for internship teaching, whereas the control group used traditional teaching methods. The learning effect was evaluated by simulated clinical practitioner theory and practical skill examination and questionnaire survey, t-test was used to analyze the relevant data. Results The scores of experimental group students in theoretical knowledge test (95.22±2.84 vs. 85.58±2.96) and practical skill test (94.28±2.64 vs. 83.19±2.39) were higher than those in the control group, and the differences were statistically significant (all P <0.001). The results of the questionnaire showed that the students in the experimental group reported improvement in their learning interest (9.51±0.05 vs. 6.83±0.96), learning ability (9.47±0.54 vs. 6.18±0.37), logical thinking ability (9.62±0.14 vs. 6.51±0.25), problem solving ability (9.23±1.65 vs. 6.55±3.46), teacher-student communication (9.72±0.09 vs.7.41±1.98) and doctor-patient communication (9.38±1.67 vs. 6.72±2.87) in comparision with the control group, and the differences were statistically significant (all P<0.001). Conclusions The application of CBL teaching method combined with KWL method in clinical internship teaching of endocrinology and metabolism can help improve students' theoretical knowledge and practical skills test scores, effectively improve students' learning interest and clinical logical thinking ability, promote teacher-student communication and improve the effect of doctor-patient communication. References | Related Articles | Metrics

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Application of 3D printed craniofacial model in landmark identification teaching of orthodontic cephalometric measurement Zhang Xin, Niu Qin, Han Bing, Chen Si 2023, 43 (9):  679-682.  DOI: 10.3760/cma.j.cn115259-20220930-01249 Abstract ( 56 )   PDF (805KB) ( 58 )   Objective To explore the effect of using 3D printed craniofacial model on orthodontic cephalometric landmark identification teaching. Methods A total of 70 stomatology undergraduates enrolled in 2017 were selected and randomized into experimental group and control group averagely in June, 2020. The experimental group used 3D printed cranial models to assist teaching while the control group conducted routine teaching. Landmark identification results of the two groups were collected and measured. T-test was used to assess the accuracy of landmark identification. Results The coordinate of porion in control group was (-46.62±1.13,6.33±1.23) and in experimental group was (-46.79±0.21,6.46±0.53), suggesting the dispersion in control group was larger. The difference between the coordinates of porion and the standard point in the control group (0.75±0.83,1.08±0.92) and in experimental group (0.22±0.18,0.65±0.45) were statistically significant (X-axis: t=3.698 P=0.001, Y-axis: t=2.505 P=0.016). Conclusions The teaching of landmark identification in cephalometric measurement assisted by 3D printed model can improve the accuracy of students' landmark identification results. References | Related Articles | Metrics

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Exploration and teaching application using Agisoft PhotoScan software to create 3D digital specimens for forensic pathology Wei Sijie, Gan Jianjun, Long Wu, Wang Shangwen, Zhou Xingyi, Liang Zhenxuan, Cui Yipeng, Li Yuhua, Du Jinliang, Lei Puping 2023, 43 (9):  683-687.  DOI: 10.3760/cma.j.cn115259-20221007-01271 Abstract ( 78 )   PDF (2298KB) ( 51 )   Forensic pathology specimens play a vital role in the teaching of forensic pathology. Traditional manual modeling has the shortcomings of complex production process, time-consuming, and high technical requirements, while laser scanning is difficult to promote because it is expensive and difficult to popularize in forensic pathological dissection sites. We explore ways to produce 3D digital specimens of forensic pathology using Agisoft PhotoScan software that constructs three-dimensional digital models based on two-dimensional images. When the use of successful 3D digital specimens was applied for teaching forensic science students, they generally believe that the specimens produced by this method can not only achieve the clarity of the general specimens compared with the traditional specimens, but also be able to learn anytime and anywhere, and the learning space becomes free and open. In short, the use of Agisoft PhotoScan software can be used to make digital specimens in an easy and realistic way, and the teaching effect is good. Although the use of the software to make digital specimens still has the shortcomings of modeling fresh specimens and the lack of three-dimensional sense after modeling small specimens, it is worth promoting in the production of 3D digital specimens of most organs such as heart, brain, lung, liver, kidney and other organs after short-term fixation.     References | Related Articles | Metrics

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The prospect of applying augmented reality technology in basic medical practical training Zhao Xinliang, Li Hui, Mao Yiqing, Tian Guangming, Tie Lu 2023, 43 (9):  688-691.  DOI: 10.3760/cma.j.cn115259-20221019-01323 Abstract ( 89 )   PDF (808KB) ( 80 )   Experiment classes are an important part of the curriculum for basic sciences. How to make full use of modern science and technology, to overcome the shortcomings of traditional teaching mode, and to establish a new virtual simulation experiment platform has become a common interests among medical educators. Augmented reality (AR) technology can create a virtual scenario that integrates with reality, generate a teaching model that integrates vision, sound and touch, transform traditional teaching methods, realize personalized teaching and visual operation, and provide a possible way to improve the effect of practical teaching in basic medical sciences. This paper starts with the characteristics of experiment classes for basic medical sciences and the application of virtual reality technology, then explores the current application of AR technology in basic medical practical training, summarizes the advantages and bottleneck of the use of AR technology in experiment classes for basic medical sciences, and the prospect of future application. References | Related Articles | Metrics

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Exploration of the application of evidence-based thinking intensive training in standardized training for oncology specialists Xu Xiaojing, Wang Yan, Guo Xi, Yu Shan, Li Qian, Yu Yiyi, Cui Yuehong, Zhou Yuhong, Liu Tianshu 2023, 43 (9):  692-696.  DOI: 10.3760/cma.j.cn115259-20221202-01518 Abstract ( 75 )   PDF (860KB) ( 66 )   In recent years, the rapid development of anti-tumor drugs has led to the accumulation of a large amount of evidence. High-level evidence has been incorporated into clinical guidelines but does not meet the needs of each patient in the real world. Oncology specialists need to conduct in-depth evidence-based thinking on issues that are encountered in clinic but not covered in the guidelines. From October 2019 to March 2023, the Oncology Department of Zhongshan Hospital Affiliated to Fudan University conducted intensive evidence-based thinking training for 17 physicians who were receiving standardized training for oncology specialists, focusing on developing their abilities in evaluating evidence quality, extracting and analyzing clinical data. This article elucidates the design and implementation process of the training and evaluates the training effect through evidence-based thinking assessment. Each physician has undergone at least 2 assessments. The results showed that the total average score of the 17 physicians in the second assessment increased by 9.6 points compared to the first assessment (P<0.001). The most significant improvement was observed in the ability to interpret literature deeply with the average score of the second assessment increasing by 2.4 points compared to the first assessment (P<0.001). We have established a preliminary evidence-based thinking training method for standardized training for oncology specialists to improve their ability to deeply interpret literature around clinical issues, and then extract effective data for clinical application. References | Related Articles | Metrics

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Application of multidisciplinary teamwork in standardized residency training in pancreatic surgery Pan Danhong, Jin Weiwei, Lu Chao, Ma Jun, Mou Yiping 2023, 43 (9):  697-700.  DOI: 10.3760/cma.j.cn115259-20221110-01414 Abstract ( 110 )   PDF (804KB) ( 88 )   Objective To explore the application of multidisciplinary teamwork (MDT) in standardized training of surgical residents. Methods A total of 90 junior residents who received standardized residency training at the surgical base of Zhejiang Provincial People's Hospital from September 2019 to August 2022 were randomly divided into the study group (45 cases) and the control group (45 cases) using a random number table method. The study group received MDT-based teaching, while the control group received traditional teaching. In the end, the learning effect is evaluated through theory assessment, skills assessment, clinical thinking and decision-making ability assessment and satisfaction questionnaire. Differences between the two groups were compared through t-test and χ2test. Results The theory assessment, skills assessment, clinical thinking and decision-making ability assessment scores of the study group students were (91.02±3.61) , (90.87±3.08) , and (89.27±4.71) , respectively, higher than those of the control group students' (83.78±3.88), (84.29±4.17), and (72.58±5.03), and all differences were statistically significant (all P<0.001). The total score of the satisfaction questionnaire for the study group was (50.56±4.16), which was higher than that of the control group (32.33±3.58), and the difference was statistically significant (t=22.26, P<0.001). Conclusions MDT-based education model has significant advantages in improving the training quality of residents, cultivating their clinical thinking, and improving their six core competencies and job competencies. References | Related Articles | Metrics

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A qualitative study on effect of simulation teaching among medical students in palliative care course Xu Yulu, Feng Xinyue, Zhang Haiyue, Shao Ganqin, Fan Yafeng, Lou Yan 2023, 43 (9):  701-706.  DOI: 10.3760/cma.j.cn115259-20220913-01160 Abstract ( 56 )   PDF (876KB) ( 33 )   Objective To design and implement a simulation teaching among medical students in palliative care course and to explore its teaching effect. Methods Based on real clinical cases, a simulation teaching of palliative care course for medical students was designed and implemented under the guidance of the American National League for Nursing Simulation Framework. By using qualitative research method, from January to February, 2022, 21 medical students who participated in simulation teaching of palliative care course in Hangzhou Normal University were selected as study participants for semi-structured interview. Data were analyzed and themes were extracted according to the 7-step analysis method of Colaizzi. Results Three main themes were extracted from the data. Simulation teaching enhances the students' cognitive level of palliative care, including understanding the meaning of holistic care, comprehending the notion of whole-family care, and reinforcing the team-work awareness. Simulation teaching provides scenarios for the application of palliative care skills, including consolidating the physical care skills and improving communication skills. Suggestions for optimizing simulation teaching, including enriching case scenarios, increasing the simulation training sessions, and increasing guidance on operational skills. Conclusions Simulation teaching can help medical students understand the connotation of palliative care and improve palliative practice skills. In the future teaching, it can be further improved by multidisciplinary teamwork and enriching the modules of skills to enhance the teaching effect. References | Related Articles | Metrics

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Study on the influence and mechanism of pre-training on medical undergraduates' online teaching effect Zhang Yuwei, Li Mingzhe, Liu Xiao, Zhang Youjie, Sun Hongpeng, Liu Manyu, Ma Yana 2023, 43 (9):  707-711.  DOI: 10.3760/cma.j.cn115259-20220908-01131 Abstract ( 70 )   PDF (826KB) ( 69 )   Objective To explore the influence and mechanism of pre-training on the teaching effect of online teaching so as to provide a reference for further improvement of the online teaching. Methods According to the relevant research and the opinions of teachers participating in online teaching in Soochow Medical College of Soochow University, pre-training content and the questionnaire of influencing factors of online teaching were independently designed. From March to August 2020, 943 medical undergraduates in Soochow University were trained and investigated. The data were analyzed by descriptive analysis, ANOVA and structural equation model. Results The score of online teaching effect was (3.67±0.83). The scores of influencing factors were self-efficacy (4.01±0.81), outcome expectation (4.99±0.98), self-regulation (3.26±0.86), and environmental support (3.11±0.85),respectively. When students participate in the pre-training of online teaching were T≤2 h, 2<T≤4 h, 4<T≤6 h, 6<T≤8 h, 8<T≤10 h, their online teaching effect were (3.53±0.88), (3.59±0.70), (3.79±0.76), (3.85±0.80) and (3.89±0.91), respectively, and there was statistical difference (P<0.01). The pre-training of online teaching had a positive effect on environmental support (β=0.264, P<0.001). Environmental support had positive effects on teaching effect (β=0.225, P=0.002), self-efficacy, outcome expectation and self-regulation (β=0.691, 0.719, 0.523, respectively; all P<0.001). Self-efficacy, outcome expectation and self-regulation also had a positive impact on the teaching effect (β= 0.092, 0.292, 0.308, respectively; all P<0.05). Conclusions The longer the students participate in the pre-training of online teaching, the higher the evaluation of the online teaching effect. The pre-training of online teaching affects the self-efficacy, outcome expectation and self-regulation of students by affecting the environmental support, and then affects the teaching effect. Schools should pay attention to the pre-training of online teaching, strengthen the support and guidance for students so as to improve online teaching effect. References | Related Articles | Metrics

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Lessons of applying peer role play in doctor-patient communication skills training abroad Zhou Yi, Cai Yongyi, Liu Linhong, Zhu Guangyuan, Qian Dandan 2023, 43 (9):  712-716.  DOI: 10.3760/cma.j.cn115259-20221229-01600 Abstract ( 137 )   PDF (873KB) ( 95 )   Peer role play (PRP) is a teaching method based on simulation. When applied in the field of medical education, medical students play the role of doctors, patients, family members and other simulated scenario-related roles. PRP has been proved to be an effective method to train medical students' doctor-patient communication skills. This paper describes the instructional design and implementation of PRP, focusing on the results achieved by using PRP training medical students' doctor-patient communication skills abroad, and summarizes the lessons of foreign research on PRP teaching in China: PRP teaching needs to attach importance to the participation experience of medical students in different roles, perfect curriculum design, and combine application with other teaching methods, so as to improve the training of doctor-patient communication skills. References | Related Articles | Metrics

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Current status and referential value of cardiac surgery simulation curriculum during cardiac surgery specialist training in United States Zhang Yiran, Ma Liang 2023, 43 (9):  717-720.  DOI: 10.3760/cma.j.cn115259-20221017-01313 Abstract ( 50 )   PDF (804KB) ( 37 )   Surgical skill training of cardiac surgeons is faced with multiple challenges with the development and evolution of cardiac surgery. The cardiac surgery simulation curriculum (CSSC) was piloted during cardiac surgery specialist training in the United States since 2010. This article reviews and analyzes the current status of CSSC from the aspects of simulation technique development, curriculum setting, assessment system, and application effect. CSSC may improve the cardiac surgery specialist training in China on aspects such as modularized curriculum setting, assessment system, team-based simulation training, and faculty configuration. References | Related Articles | Metrics