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01 October 2023, Volume 43 Issue 10 Previous Issue    Next Issue

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Investigation and analysis on perceptions of doctor-patient relationship and willingness to engage in medical work among medical students before and after the outbreak of COVID-19 Cao Yiyin, Zhang Lin, Zhou Jin, Gao Lei 2023, 43 (10):  721-724.  DOI: 10.3760/cma.j.cn115259-20220920-01202 Abstract ( 158 )   PDF (838KB) ( 125 )   Objective To analyze the changes in medical students' perceptions of the doctor-patient relationship and willingness to engage in medical work before and after the COVID-19 outbreak, providing reference for medical educators. Methods Using a questionnaire survey method, a cluster sampling survey was conducted on medical students (405 before the COVID-19, 120 after the COVID-19) at a medical university in Heilongjiang Province before and after the outbreak of the COVID-19 (March to June 2019, November 2021 to April 2022). The propensity score matching method was used to balance the baseline characteristics of two groups of medical students (104 before and after the COVID-19). Using chi square test to analyze the differences in their perceptions of doctor-patient relationship and willingness to engage in medical work before and after the COVID-19. Results After using the propensity score matching method, there was no statistically significant difference in gender, grade, major, clinical internship experience, whether or not had witnessed or experienced hospital violence before and after the COVID-19[all P>0.05. for example, the number of female students before and after the COVID-19 was 68 (65.4%) and 66 (63.5%), P=0.772]. After the epidemic, the proportion of medical students who had a positive understanding of doctor-patient relationships increased compared with that before the epidemic [18 (17.3%) vs.5 (4.8%)], the willingness of medical students to work increased compared with that before the epidemic [102 (98.1%) vs. 89 (85.6%)], and the differences were statistically significant (all P<0.05). Conclusions After the outbreak of the COVID-19, medical students have shown a positive trend in their perceptions of doctor-patient relationships and their willingness to engage in medical work. It is recommended that medical educators guide and strengthen their understanding by actively exploring various educational methods according to the situation. References | Related Articles | Metrics

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Research on the status quo and influencing factors of medical students' expected income Ma Xuanxuan, Chen Xinhang, Zhao Yue, Chen Xinyi, Wu Hongbin 2023, 43 (10):  725-729.  DOI: 10.3760/cma.j.cn115259-20221017-01312 Abstract ( 169 )   PDF (821KB) ( 120 )   Objective To investigate the status quo and the influencing factors of medical students' expected income. Methods Based on the data from the 2020 China medical students survey, 136 367 medical students from 107 colleges participated in the study. Descriptive analysis, Wilcoxon rank-sum test, Kruskal-Wallis test, and Tobit regression were used to analyze possible influencing factors. Results Medical students' expected monthly income was 5 000 (2 500); Tobit regression showed that higher income was more attractive to males (b=0.104, P<0.001), 8-year program students (b=0.183, P<0.001), those ranked top 25% in scores (b=0.056, P<0.001), those from urban areas (b=0.014, P<0.001), those from wealth families (b=0.147, P<0.001), those had strong extrinsic motivation (b=0.022, P<0.001) and those from double first-class colleges (b=0.128, P<0.001). Higher income was less attractive to those whose parents are also doctors (b=-0.030, P<0.001), those satisfied with school career counseling and guidance services (b=-0.044, P<0.001). Conclusions Medical students had reasonable expectations of future incomes. Their expected income is associated with students' personal characteristics, family characteristics, motivation to study medicine and career counseling and guidance services in colleges and universities. References | Related Articles | Metrics

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Investigation and analysis on the current situation and influencing factors of job esteem among nursing interns Tian Yun, Niu Di, Chen Ni'na, Zhang Linjun, Xing Limin 2023, 43 (10):  730-734.  DOI: 10.3760/cma.j.cn115259-20221019-01322 Abstract ( 98 )   PDF (858KB) ( 100 )   Objective Investigate the current situation of job esteem among nursing interns and its influencing factors. Methods From March to April 2022, a convenience sample of 330 nursing interns who have practiced in 3 tertiary hospitals in Hubei Province were selected the research participants, and the general information questionnaire and job esteem scale and social capital questionnaire was used to conduct surveys. Multiple linear regression method was used to analyze the relevant data. Results The total average score of job esteem and social capital of nursing interns was (92.31±14.43) and (21.08±2.54) points, respectively. There were positively correlation between total scores and dimension scores of job esteem and social capital (all P<0.05). Multiple linear regression analysis showed that compared with interns who involuntarily chose nursing major, had poor academic performance, and disliked nursing major, students who voluntarily chose nursing major (b=0.68, P<0.001), had better academic performance (b=0.50, P<0.001), and liked nursing major (b=0.71, P<0.001) had higher job esteem scores. Students with higher scores for values (b=0.23, P=0.015) and social networks (b=0.12, P=0.039) have higher scores for job esteem. The above variables can explain 37.2% of the total variation in job esteem scores. Conclusions Nursing interns' sense of professional respect is at a moderate level. Voluntary choice of nursing major, good academic performance, love of nursing major, values, and social network all have a positive impact on the job esteem of intern nursing students. Universities and hospital management departments can promote advanced nursing models through various forms to guide interns to correctly understand the value of nursing majors, create a harmonious atmosphere, enhance the social participation of interns, guide them to make good career planning, and thereby enhance the job esteem of nursing interns. References | Related Articles | Metrics

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Exploration of political and virtuous awareness education in surgery Chen Kaibo, Ye Song, Fan Rang, Huang Yi, Xie Xiaojie, Chen Yan, Ye Qinghuang, Chen Jian 2023, 43 (10):  735-738.  DOI: 10.3760/cma.j.cn115259-20221219-01570 Abstract ( 154 )   PDF (835KB) ( 139 )   In order to better implement the fundamental task of upholding morality and cultivating people, it is of far-reaching significance to integrate political and virtuous education into the surgical curriculum. In this article, 159 students of ″5+3″ clinical medicine major in grade 2019 and 8-year clinical medicine major of Zhejiang University who were rotating in surgery department of the Second Affiliated Hospital of Zhejiang University School of Medicine were selected. This research refines the elements of education as ″five loves and six directions″, fully excavates the materials of moral education to permeate the professional courses of surgery, and forms a “three-whole” (whole staff, whole process and whole course) education teaching mode. Meanwhile, ″three-dimensional integration″ spiral mechanism promotes curriculum feedback. The results showed that, among 159 students, there were 150(94.3%), 151(95.0%), 146(91.8%), 156(98.1%) and 152(95.6%) students who thought that integration of political and virtuous awareness education into surgical courses could promote the concept of humanistic care, the sense of responsibility of doctors, professional identity, patriotism, understanding of medical history and clinical innovation, respectively. Therefore, political and virtuous awareness education in surgery is conducive to the spiritual formation of medical students, and improves course satisfaction and guarantees the teaching quality. References | Related Articles | Metrics

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Exploration of curriculum-based political and virtual awareness education in otorhinolaryngology Wu Shuo, Jian Feitong 2023, 43 (10):  739-742.  DOI: 10.3760/cma.j.cn115259-20221031-01376 Abstract ( 97 )   PDF (832KB) ( 88 )   Exploring the curriculum-based political and virtual awareness elements embedded into the otorhinolaryngology course helps guide students to establish a correct outlook on life and values and cultivate a sense of social responsibility. In this study, 96 students majoring in clinical medicine enrolled in 2019 and 32 students majoring in forensic medicine enrolled in 2019 of Sun Yat-sen University were recruited, the practice and exploration of political and virtual awareness education carried out by the faculty of Otorhinolaryngology of the Third Affiliated Hospital of Sun Yat-sen University were expounded. The teaching effect is assessed through the evaluation of lecturers' trial lectures by senior supervisors before class and the survey of students' satisfaction about the element of political and virtual awareness after class. The results showed that the supervisory evaluation results of all five teachers were all excellent. More than 85% of clinical medicine and forensic medicine students are satisfied with the overall design of the political and virtual awareness element in curriculum, cases to improve learning interest, to improve humanistic literacy, to enhance teamwork, and to help understand professional norms, and integrating such element with professional course content. And there was no statistically significant difference in the evaluation results of political and virtual awareness in the curriculum [for example, in terms of the overall design of ideological and political education in the curriculum, 92 (95.8%) and 30 (93.8%) students expressed satisfaction respectively, P=1.000]. The teachers have good instructing abilities in the course, and the political and virtual awareness element in the otolaryngology science course has been recognized by students from different majors. Students are relatively satisfied with the political and virtual awareness in the otolaryngology science course. References | Related Articles | Metrics

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Curriculum-based political and virtuous awareness exploration of nutrition and food hygiene course based on case teaching Song Lixia, Xu Meihong,Wei Xuetao 2023, 43 (10):  743-746.  DOI: 10.3760/cma.j.cn115259-20221207-01535 Abstract ( 116 )   PDF (801KB) ( 122 )   Curriculum-based political and virtuous awareness is based on various professional courses as the carrier, and implements the important educational concept of the fundamental task of cultivating people. The development of curriculum-based political and virtuous awareness in nutrition and food hygiene courses is an important means of cultivating and improving students' professional quality. Taking the chapter on food safety as an example, through expert interviews and collective lesson preparation, multi-dimension excavation and selection of relevant elements, this study explains the design and implementation of course political and virtuous awareness elements in the case teaching of nutrition and food hygiene, and uses questionnaires to evaluate the teaching effect. It was found that among the 46 students, 39(84.8%) students believed that the case analysis method in the political and virtuous awareness course can play a good role in inspiring; 35(76.1%) students believed that each case was related to the political and virtuous awareness elements. The educational goals are highly matched; 35(76.1%) students believe that the it has deepened their understanding of professionalism; 34(73.9%) students believe that the it has increased their attention to food safety-related events. It can be seen that the use of political and virtuous awareness education in nutrition and food hygiene case teaching has been widely recognized by students, and the implementation effect is good, which can be further promoted. References | Related Articles | Metrics

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The application of participatory teaching in the theory courses of regional anatomy Chen Chunhua, Liu Ping, Tao Changyu, Fang Xuan, Zhang Yan, Nan Yan, Zhang Weiguang 2023, 43 (10):  747-750.  DOI: 10.3760/cma.j.cn115259-20221012-01289 Abstract ( 126 )   PDF (802KB) ( 123 )   Participatory teaching focuses on students as the main participants and teachers as facilitators. It allows students to shift from passive knowledge recipients to active knowledge acquirer, which is beneficial for developing their comprehensive abilities. In the context of organ system integration curriculum, there may be overlaps and repetitions in the teaching of regional anatomy. Therefore, the teaching content can be organized and presented through collaborative lesson preparation between teachers and students, through student participatory teaching to present repetitive knowledge points in the classroom. This study explores the design and implementation process of participatory teaching in the theory classes of regional anatomy for 80 students in eight-year clinical medicine program enrolled in 2019 at Peking University Health Science Center. The teaching effectiveness was evaluated through post-class student interviews and a questionnaire survey. The interview results showed that out of 10 students, 9 believed that this teaching method increased learning interest, promoted teacher-student communication, exercised collaboration and expression skills, and improved learning outcomes. Among the 67 valid questionnaires collected, 65 students (97.0%) believed that this teaching method had significantly improved their understanding of anatomy. Forty students (59.7%) believed that this teaching method improved their ability to integrate clinical knowledge and learn independently, particularly useful to cultivate a spirit of teamwork. The application of participatory teaching in the theory courses of regional anatomy has achieved good results. References | Related Articles | Metrics

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The effects of situation creation teaching mode for health economics course Wu Jian, Wu Yiran, Fu Xiaoli, He Yan, Ye Beizhu, Zeng Xin, Sun Liang, Ma He, Miao Yudong 2023, 43 (10):  751-754.  DOI: 10.3760/cma.j.cn115259-20221126-01485 Abstract ( 67 )   PDF (809KB) ( 69 )   Objective To build a new teaching mode of health economics course based on situation creation and evaluate the application effects. Methods From September 2016 to December 2021,a total of 215 postgraduates from grade 2016 to 2021 who took Health Economics course in the School of Public Health of Zhengzhou University were selected as participants. Among them, 106 of the 215 postgraduates from grade 2019 to 2021 were designated as the study group, and the new teaching mode based on situational creation method was applied. The rest 109 postgraduates from grade 2016 to 2018 were designated as the control group, using the traditional teaching mode. By comparing the course assessment results of both groups and the respondents from 20 postgraduates interviewed, the effects of the new teaching mode were comprehensively evaluated. T-test were used for measurement data. Results The scores of class performance [(87.36±5.34) vs. (84.47±5.38)], homework scores [(88.82±5.62) vs. (85.95±6.76)], final examination results [(84.75±5.18) vs. (82.20±4.10)] and total scores[(86.48±4.11) vs. (84.97±4.52)] from study group were all significantly higher than those from the control group (all P＜0.05). Meanwhile, the current study revealed that postgraduates interviewed from the study group showed higher praise and enthusiasm for this reform. Conclusions The teaching mode of situation creation for health economics course has achieved good results and can inform the reform of related courses. References | Related Articles | Metrics

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Design of clinic-based education in the training of medical law talents Yang Zigen, Yang Zhong, Wang Sufang, Yang Lipeng 2023, 43 (10):  755-759.  DOI: 10.3760/cma.j.cn115259-20221220-01573 Abstract ( 44 )   PDF (845KB) ( 32 )   At the practical teaching level, the training of medical law talents has some shortcomings, such as the simulated court teaching method cannot effectively train the students' ability to rapidly adapt to the situation, and the case teaching method restricts the students' divergent thinking. As a new practical teaching mode, clinic-based education can play a beneficially supplementary role in the practical teaching system of medical law. The article tries to introduce the clinic-based education into the practical teaching system of medical law talents training from the aspects of the curriculum construction, teacher allocation, teaching organization, operating funds, operating scope, etc., and improves the design according to the professional characteristics of medical law. References | Related Articles | Metrics

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Application of online live video streaming combined with offline skill training in airway management during clerkship for medical students Fang Liqun, Xu Zhao, Yue Jianming, Li Qi, Yang Xi, Zhou Li, Jiang Chunling 2023, 43 (10):  760-764.  DOI: 10.3760/cma.j.cn115259-20221104-01397 Abstract ( 60 )   PDF (831KB) ( 58 )   Objective To evaluate the application effect of online live video streaming combined with offline skill training in airway management during clerkship for medical students. Methods From April to June 2022,eighty-three eight-year program undergraduates majoring in clinical medicine enrolled in 2018 from Sichuan University who participated in the airway management learning during clerkship were randomly divided into experimental group and control group by drawing lots. The hybrid teaching method ofoperating room online live video steaming combined with offline skill training was applied to the experimental group and the conventional pedagogy combined with offline skill training was applied to the control group. The teaching effectiveness, including scores of written examinations, skill assessment scores, and questionnaire results were analyzed, and differences of two groups were compared by the Mann-Whitney U test and χ2 test. Results The written examination scores and the skill assessment scores of single person bag mask ventilation and nasopharyngeal airway insertion of the experimental group were higher than those of the control group, 10.0(1.0) vs. 10.0(2.0), 8.5(1.0) vs. 8.0(1.5), 9.0(0.5) vs. 8.0(0.5), respectively.The scores on learning interest and favorable learning atmosphere of the experimental group were higher than those of the control group 10.0(0.0) vs.10.0(1.0), 10.0(0.0) vs. 10.0(1.0), respectively. There were all statistical differences (all P < 0.05). Conclusions The hybrid teaching method of online live video streaming combined with offline skill training played a positive effect on creating favorable learning atmosphere, improving the learning interest and the teaching effectiveness in airway management clerkship. References | Related Articles | Metrics

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Application of medical image control system in the standardized training for thoracic surgery residents Zhu Kaibin, Xu Shidong, Xu Hai, Ning Jinfeng, Yao Lei, Chen Lantao 2023, 43 (10):  765-768.  DOI: 10.3760/cma.j.cn115259-20221212-01555 Abstract ( 52 )   PDF (842KB) ( 43 )   Objective To explore the effect of medical image control system in the standardized training for thoracic surgery residents. Methods From March 2019 to March 2022, 100 residents who were undergoing standardized training in department of thoracic surgery, Harbin Medical University Cancer Hospital were selected as study subjects. They were randomly divided into study group and control group according to the random number table method. Fifty residents in the study group were taught with medical image control system, while fifty residents in the control group were taught with traditional method. The score of graduation examination, clinical skill assessment and evaluation feedback were compared between the two groups. T test and χ2 test were used to compare the differences between the two groups. Results The theory and image reading graduation examination scores in the study group were higher than those in the control group [(44.4±3.4) vs. (38.8±3.9),(41.3±2.7) vs.(34.3±2.3), all P<0.05]. The scores of the residents in the study group were higher than those in the control group in the accuracy of image diagnosis [(84.4±7.4) vs. (62.1±8.5)], the analysis ability of image differential diagnosis [(91.4±4.0) vs. (74.5±7.1)], and the ability of clinical operation [(82.7±6.3) vs. (75.2±6.7)](all P<0.05). The teacher's evaluation of the image reading ability of the residents in the study group was higher than that of the residents in the control group [(8.3±0.6) vs.(7.4±1.1),t=5.50, P=0.008]. Conclusions The application of medical image control system in the standardized training for thoracic surgery residents can improve the residents' learning effect, enhance their clinical theory and practical ability, and increase their comprehensive quality. References | Related Articles | Metrics

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Exploration and reflection on the application of blended teaching mode based on simulation laboratory in reproductive medicine teaching Qi Qianrong, Zhou Hanjing, Wu Debin, Wang Yaqin, Zhang Yi, Xie Qingzhen 2023, 43 (10):  769-773.  DOI: 10.3760/cma.j.cn115259-20221020-01331 Abstract ( 81 )   PDF (856KB) ( 99 )   Reproductive medicine is one of the key disciplines of postgraduate education, which is characterized as onerous teaching content, extensive knowledge, and difficult clinical practice training. The improvements in students' interest and learning effectiveness are the key points in medical education reform. In this paper, we focused on exploration of curriculum design, teaching methods, contents, simulation laboratory platform construction and teaching evaluation, as well as construction of online and offline blended teaching mode based on simulation laboratory in teaching of reproductive medicine. We hope this work may provide suitable suggestions and empirical basis for reproductive medicine teaching. References | Related Articles | Metrics

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Exploring an integrated virtual simulation application of dental cavity preparation for training hand dexterity among stomatology undergraduates Tong Juan, Xuan Kun, Qiu Xinyu, Ban Jinghao, Li Shibao, Wu Meiling, Guo Jing 2023, 43 (10):  774-778.  DOI: 10.3760/cma.j.cn115259-20221028-01362 Abstract ( 66 )   PDF (860KB) ( 47 )   Objective To explore an integrated virtual simulation application of dental cavity preparation trainings for improving hand dexterity among stomatology undergraduates. Methods 44 sophomores majored in stomatology in the Fourth Military Medical University were selected to use 2 kinds of simulated trainings including Simodont Dental Trainer Equipment (SDTE) and Advanced Simulation Dental Cavity Preparation Training Aid (ASDCPTA) from 2021 to 2022. The course was delivered in two training sessions. And all students' operation scores in each session were recorded, respectively. Meanwhile, the timespans of the O'Connor Tweezer Dexterity Test (OTDT) were separately recorded before and after training. And the questionnaire evaluated subjective training feeling of students. Paired t tests were used to analyze the differences in operation scores and paired OTDT results. Results The SDTE scores of the two training sessions were 8.27±2.84 and 8.89±2.90, respectively. The ASDCPTA of the two training sessions scores were 8.29±2.45 and 8.96±2.48, respectively. The timespans of OTDT were separately (316.80±40.64) seconds and (295.08±39.27) seconds. The training effectiveness was improved significantly (P<0.05). Questionnaire surveys showed that the sensitivities of two training applications were recognized by all students. and two methods could complement each other. Conclusions The application of two practical integrated virtual simulation training can effectively improve the hand dexterity of undergraduates, who have high level of satisfaction to these methods, which provided meaningful references for preclinical training of hand skills. References | Related Articles | Metrics

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Distribution and enrollment scale of doctor's degree authorization in the first-level discipline of public health and preventive medicine in China Zhu Quanrong, Wang Junren, Liu Mengquan, Wang Zhifeng, Jia Jinzhong 2023, 43 (10):  779-782.  DOI: 10.3760/cma.j.cn115259-20221124-01480 Abstract ( 86 )   PDF (805KB) ( 59 )   Objective To investigate the scale and layout of enrollment for doctoral students in the first-level discipline of public health and preventive medicine in China, and to provide policy recommendations to promote the education of these doctoral students. Methods In September 2021, 35 sample colleges with the first-level doctoral programs in public health and preventive medicine (except military colleges and academy of military sciences) were selected, and the public data of the 2021 doctorate of the first-level discipline of public health and preventive medicine authorization units were collected and sorted out, and the enrollment of doctoral students in the first-level discipline of public health and preventive medicine in different regions, different discipline evaluation levels and different secondary disciplines were analyzed. Results A total of 799 doctors of the first-level discipline of public health and preventive medicine were recruited from 35 colleges. In terms of geography, the enrollment was mainly concentrated in East China, with 272 students (34.1%). In terms of discipline evaluation level, A-level colleges had the largest enrollment of 245 students (30.7%). Epidemiology and health statistics had the largest number of 353 students (44.2%) in the secondary discipline. Conclusions The enrollment scale of doctoral students in the first-level discipline of public health and preventive medicine is small, and distribution of the enrollment is unbalanced, which should be optimized by measures including increasing the number of degree authorization units, improving the layout, and expanding the enrollment scale.     References | Related Articles | Metrics

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Visualization analysis of continuing medical education research in China based on knowledge mapping Zhou Luojing, Gong Hao, Cai Bin, Lu Yawen 2023, 43 (10):  783-787.  DOI: 10.3760/cma.j.cn115259-20221020-01329 Abstract ( 86 )   PDF (939KB) ( 79 )   Objective To analyze the literature distribution, research hotspots and development trends of continuing medical education in China through knowledge atlas, and to provide reference for related research. Methods Through the visualization software Citespacev5.7.R2, the relevant literature of continuing medical education research in databases such as CNKI was analyzed by using the methods of keyword co-occurrence network, centrality analysis, cluster analysis and emergent word analysis. Results A total of 3 470 studies were included, and the number of studies showed a fluctuating upward trend, with three peaks forming in 1990, 2000 and 2011 respectively. The analysis of cooperative network showed that the institutions with high publications mainly concentrated in the administrative authority of continuing medical education, Chinese Medical Association and some medical colleges and universities. Through high-frequency keyword cluster analysis, it is found that continuing medical education research mainly focuses on 10 research hotspots. The research topic has an evolutionary trend from shallow to deep, from concept and object to management and connotation quality. Conclusions The research of continuing medical education in China keeps up with the hot spot of The Times, and is developing to the direction of normalization, individualization and informatization.     References | Related Articles | Metrics

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Needs assessment and analysis on continuing medical education in medical assistance program Zhu Hengliang, Zhu Huayi, Yin Rongrong, Yang Fangfang, Qiu Yawei, Zhou Zhonghui, Jiang Shu, Yang Zhijun, Su Guoqiang, Yang Wen, Lu Jiafa, Jia Yingzhu 2023, 43 (10):  788-792.  DOI: 10.3760/cma.j.cn115259-20230420-00412 Abstract ( 67 )   PDF (827KB) ( 39 )   Objective This study aims to investigate the awareness of and continuing medical education (CME) needs among primary medical staff involved in medical assistance programs. The findings offer valuable insights for enhancing medical assistance initiatives. Methods Starting from August 2022, we distributed a questionnaire within WeChat groups to collect data on the awareness and requirements of CME among medical staff in the Guangxi and Guangdong regions. The collected data was subjected to statistical analysis using the χ2 test or Mann-Whitney U test. Results The survey included 151 respondents from dispatched hospitals and 930 from assisted hospitals participating in the medical assistance program. Significantly higher proportions of individuals from assisted hospitals, compared to those from dispatched hospitals, believed that the medical assistance programs had a substantial impact on medical technology, talent development, and educational mentorship [636(68.4%) vs. 75(49.7%), 551(59.2%) vs. 59(39.1%), and 545(58.6%) vs. 51(33.8%), respectively, all P<0.001]. Regarding the participation of doctors with moderate clinical skills from dispatched hospitals in medical assistance, 109(72.2%) from dispatched hospitals and 750(80.6%) from assisted hospitals believed they should contribute to ″medical education″ (P< 0.05), while 58 (38.4%) from dispatched hospitals and 184(19.8%) from assisted hospitals believed that such doctors ″should not be deployed″ for medical assistance (P<0.05). Among the 588 staff members in assisted hospitals with more than 10 years of service, 505(85.9%) expressed a need for ″knowledge/skills training,″ compared to 273(79.8%) among the 342 staff members with 10 or fewer years of service (P< 0.05). Conclusions There are differences in the cognitions of medical assistance between dispatched hospitals staff and assisted hospitals staff, and there are also differences in CME needs of assisted hospital staff with different lengths of service. Efforts should be made to increase the emphasis placed on CME by the dispatched hospitals staff, and to actively carry out medical theoretical knowledge and skill training based on the educational needs of grassroots medical staff, in order to further improve the effectiveness of medical assistance. References | Related Articles | Metrics

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Comparison of preventive medicine knowledge and competency assessment in China and the US medical licensing examination and its enlightment Zhang Dongqi, Han Chunmei 2023, 43 (10):  793-797.  DOI: 10.3760/cma.j.cn115259-20230327-00323 Abstract ( 43 )   PDF (853KB) ( 41 )   Medical licensing examination is the well-accepted form to authenticate medical licensure in most countries. As an important component in clinical medical licensing examination, preventive medicine part mainly focuses on the assessment of preventive services and mindset in clinical circumstances. By comparing and analyzing the assessment of preventive medicine knowledge and competency in China and US medical licensing examination based on the competency requirements of clinical physicians, this paper provides several suggestions on the future development of better examination design, including building up a better assessment requirements system, improving the assessment form and technique, and raising the items proportion of preventive medicine, so as to promote the preventive medical teaching reform in clinical medical education and provide the clinical professionals more suitable for China's health development needs. References | Related Articles | Metrics