结合案例教学法的线上线下联合教学模式在胸外科见习中的探索

<正>临床见习是医学生接触临床实践的开端,旨在通过指导医学生学以致用,达到培养医学生解决临床问题、掌握临床思维和决策能力的目的,为医学生从事临床工作打下基础。传统的临床见习模式以教师传授知识点为主,这种模式由于线下见习时间短,学生在见习前后及见习过程中所遇问题很难得到及时、充分解决,学生的主观能动性也不能很好发挥,因此,传统模式有很大的改进空间。     

"生成式课堂"在提高医学生临床能力中的作用

目的 通过将"生成式课堂"应用于儿科学见习教学课的实践与观察,了解该教学方法在提高学生临床实践能力方面是否有助益.方法 在西安交通大学医学院2012级医学生的儿科学见习课上,采用原有的教学方法:课堂病案讨论、老师讲解典型病例、角色扮演情景模拟三种模式,而在2013级医学生见习课的教学中增加了生成式课堂的方法.学期末,请2013级学生填写调查问卷,对不同教学方法在儿科见习中提高学生临床实践能力和学习成绩等方面进行比较,结果进行统计描述.结果 生成式课堂能激发80.30%学生的学习兴趣和主动性,促进59.85%的学生课前预习,提高了59.85%的学生观察与寻找问题的能力,提高了63.64%的学生分析与解决问题的能力,使80.30%的学生能够加强记忆和提高学习效率;有43.94%的学生认为生成式课堂可以提高自学能力,有43.18%的学生提高了综合素质和临床实践能力,有37.88%的学生愿意接受生成式课堂的教学模式;2013级学生的成绩明显高于2012级.结论 生成式课堂教学模式能够增加学生临床学习的积极性及自学能力,提升医学生的临床实践能力.     

应用循证医学思想指导学生的临床见习

循证医学作为20世纪90年代引入临床医学领域的新概念,不仅对医生的临床实践活动产生了影响,对医学教育模式也有着深远的影响。临床见习是医学生临床教育的重要组成部分,同样应该积极地引入循证医学的原则和方法,以指导学生的临床见习。     

模拟诊疗教学在儿科见习中的应用初探

见习是临床医学教育的重要内容。由于儿科病人的特殊性,在儿科见习中常常遇到病人或家属不配合的情况,使临床见习的教学质量受到影响。为了提高儿科见习的教学质量,在传统见习模式中增加模拟诊疗教学,可提高学生学习的主动性,有利于问诊技巧的提高和临床思维的培养。     

神经内科临床见习教学之浅见

临床见习是医学生由医学理论学习向临床实践过渡的重要阶段,医学生通过临床见习,既可巩固医学理论,又可培养临床思维和实践技能。提高临床见习教学质量是将医学生培养成为合格高素质临床医生的重要环节。本文结合神经内科临床见习教学的现状,探讨提高临床见习教学质量的方法。     

临床医学专业课间见习模式改革的实践与探索

目的：改革临床医学专业课间见习模式、增加临床见习课时,达到提高教学效果的目的。方法：临床医学专业在学习两年半基础医学课程后,随机抽取一个班,按照学校新的培养方案进行临床医学专业课教学,并与其他传统的临床教学模式教学点的学生进行比较。结果：教改班的病历分析成绩排第2名,明显高于其他几个班级。其他成绩无明显差异。结论：新的课间见习模式,使学生早接触临床、患者,使得理论学习与临床实践阶段相结合,又能够培养实践工作能力和锻炼临床思维能力。     

多媒体教学在泌尿外科临床见习中的应用

临床见习是医学生由理论学习向临床实践过渡的桥梁，通过在泌尿外科临床见习教学中采用多媒体技术，能明显的增强学生学习的兴趣，提高教学的效果。     

提升本科医学生临床麻醉见习带教质量的措施探析

<正>医学教育包含基础理论教学和临床实践教学两部分，临床见习教学是连接基础理论教学和临床实践教学的纽带，是实现医学生向实习生转变的必经过程，是培养学生医学逻辑思维与临床实践综合能力的重要阶段^[1]。通过临床麻醉见习，帮助医学生加深和拓展对麻醉基础理论的理解，逐步建立麻醉学的临床思维^[2]。为了提高临床麻醉见习的教学质量，     

医学模拟教育结合PBL在八年制妇产科临床见习中的应用研究

目的了解医学模拟教育结合PBL在八年制妇产科临床见习中的教学效果。方法将27名学生分为两组,实验组临床见习采用医学模拟教育结合PBL的教学模式,对照组采用单纯临床见习带教模式,应用理论考试、临床技能操作考核、课后问卷调查方式来评估课堂教学效果。结果两组基本理论成绩差异无统计学意义,但临床病案分析、实践技能考核及总成绩实验组明显高于对照组;课后问卷调查教学效果满意率实验组高于对照组。结论医学模拟教育结合PBL在八年制妇产科临床见习中的应用,可以提高学生临床操作能力及临床思维能力,为培养高素质的医学人才打下坚实的基础。     

八年制医学生儿科临床见习教学体会

八年一贯制教学是目前培养高层次医学人才的重要方式之一,临床见习是医学生由理论学习向临床实践的重要转折。在八年制医学生儿科见习教学中,注重学生临床思维培训,重视医德医风、医患沟通能力、医学英语水平、科研意识技能等培养,提高见习教学质量,促进学生全面提高至关重要。     

医疗模式转变对病案管理的影响

在新的医疗模式下,原有的病案内涵价值继续存在,但发生了微妙的变化,在社会法治化背景下出现了新的内涵:医疗病案成为记录法律证据、隐私信息的文书,成为财务管理的服务文书,且向电子信息网络化发展,这就对病案管理提出了许多新的要求。     

防范医疗纠纷 提高病案基础质量

防范医疗纠纷 ,必须提高病案基础质量和医疗工作者意识 ,认清病案基础质量存在的主要问题 ;对存在问题进行改进 ;保证病案基础质量 ,维护自己和医院合法权益。     

THE MORAL ETHOS OF MEDICAL EDUCATION

The moral ethos of medial education refers to the fundamental values that pervade the field of medical education. There has been a dramatic expansion of both interest and activities related to the broad field of biomedical ethics, due largely to the sociocultural forces that have emerged as powerful influences during the last generation. In considering the ways in which ethics appears in medical education, it is necessary to consider first how it appears in the world of medicine. Dr Edmund Pellegrino provides us with a philosophy of medicine that is a thoughtful starting point for ethics in medicine. We then proceed to consider the field of clinical ethics, the place of ethics in the care of communities or populations, how these fields appear in medical education, and finally how these issues might relate to the ethical development of academic medical centres.     

医学图像处理技术

随着医学成像和计算机辅助技术的发展,从二维医学图像到三维可视化技术成为研究的热点,本文介绍了医学图像处理技术的发展动态,对图像分割、纹理分析、图像配准和图像融合技术的现状及其发展进行了综述。在比较各种技术在相关领域应用的基础上,提出医学图像处理技术发展所面临的相关问题及其发展方向。     

浅谈医学教育改革——医学外语教育与心灵教育的结合

二十一世纪的中国随着经济的迅速发展,社会越来越重视教育的普及和文化的传播,而且,教育的改革和文化的国际化进程日新月异。其中,提倡张扬大学个性化的改革正在国内各大学部不断进行着。作为医学院的外语教育工作者,借鉴多年的国外留学经历,通过总结其教学和研究成果,阐述并论证了医学外语教育和心灵教育的结合在医学教育改革中的重要作用。     

优化口腔科门诊导诊工作的实践与思考

目的探讨口腔科门诊导诊工作的发展思路与新模式。方法实施人性化、个性化、交互式导医服务模式,规范导医工作流程、合理安排人员资源、加强导诊素质培训、改善口腔门诊就诊环境等。结果提高了门诊导诊服务人员的工作积极性及护理质量,减少了医患纠纷的发生。结论设置并优化口腔科门诊导诊工作适应了当今口腔医疗市场的多层次需求,构建了和谐的医护患关系。     

走出医疗服务营销的误区

医疗服务营销是指医疗机构通过创造,同服务对象交换有价值的卫生服务产品(包括服务和有形物品),以满足人们健康的需求医疗机构目标和需要的一种社会管理过程。随着新医改方案的公布,公立医院进入新一轮改革,与此同时医疗市场竞争日益激烈,医疗服务营销顺势成为医院适应市场竞争的有效办法。而如今众多医疗机构实行医疗服务营销时进入种种误区,严重阻碍其发展。因此,只有紧跟新医改步伐,探索医疗营销服务的新出路,才能使医疗机构在医疗市场中处于不败之地。     

病案复印工作存在的问题及改进措施

目的改进医院病案复印工作。方法分析我院病案复印工作存在的问题,提出病案服务社会的理念;制定完善的病历复印宣传体系;保证病历的完整性和病案的及时归档和上架;病案管理人员与临床医师共同把关;开展邮寄快递的新型服务的措施。结果通过一系列措施的落实,提高了病案复印工作的效率。结论病案复印工作已成为医院病案管理的重要内容。     

THE HEALTH EFFECTS OF THE INTERNATIONAL TRANSFER OF MEDICAL TECHNOLOGY

The rapid international transfer of medical technologies to the developing countries is in progress, promoting a “high technology” model of medicine mat is reflected in the structure of hospitals and university faculties, and medical education and practice. The resulting growth of specialties and sub-specialties in hospitals may inhibit the development of appropriate, village-based primary care services. Postgraduate medical education programs donated by the United States, Australia or Europe may disregard the vital issues of provision of universal primary care and local control of health services, and train doctors to devote resources to high technology urban models of care. Medical graduates emigrate to industrial countries because they find no “market” for their services in villages, where needs are the greatest. Bilateral foreign aid programs, WHO sponsored projects, multinational corporate transactions and medical missions and education have been important sources of technology transfer. While a national pharmacopoeia requires only 200 drugs, with 17 basic drugs in village clinics, most patients are denied suitable drug therapy because of inadequate primary care and the inappropriate transfer and promotion of over 4000 drugs that are expensive, incompletely tested in local conditions, or toxic. The deficiency in basic health services means only about 4 million of the 80 million children born each year in Africa, most of Latin America and South East Asia are effectively immunised with available vaccines. There are some apparently successful examples of appropriate health systems, based on the principles of universal access to primary care by health workers, and a national referral system to secondary and tertiary care. Effective monitoring of technology transfer and the development of appropriate health services involves important roles for the WHO and greater international co-operation among community health workers.     

Consistency of teaching in parallel surgical firms: an audit of student experience at one medical school

BACKGROUND: Traditional clinical clerkships have been based on the apprenticeship model of learning, with opportunistic teaching by doctors on presenting patients. Students at King's College School of Medicine, London had expressed concern that they were receiving inequitable experiences in different clerkships. This had become more apparent since the introduction of a school-wide end-of-year skills assessment. We decided to assess the consistency of delivery of the surgical syllabus. METHOD: A multistage questionnaire survey was undertaken with third-year (first clinical year) undergraduate medical students on surgical clerkships. The questionnaire required students to record topics about which they had been taught, and practical skills on which they had been supervised, from the surgical syllabus pertaining at the time. RESULTS: 194 (46.4%) questionnaires were returned. A low level of consistency was reported in the teaching of theoretical topics and practical skills across surgical clerkships in eight different locations. There were substantial differences, both in overall coverage of the syllabus and in the priority given to different topics. There were no overall differences between teaching hospital- and district general hospital-based clerkships. DISCUSSION: Students in so called 'parallel' clerkships did not receive comparable teaching. The traditional opportunistic nature of clinical teaching led, in effect, to individual curricula within each clerkship. The General Medical Council has called for a core curriculum to be delivered across different clinical sites within each medical school. To achieve this, medical schools may need to introduce guidelines to direct teaching in the same way that clinical protocols have been developed to achieve greater standardization in clinical practice.