发挥慎独精神在医学生职业道德教育中的作用

医学生职业道德教育是医疗实践的基础,是医学教育的重要组成部分.慎独精神是传统的道德修养方法,也是道德修养的最高境界.医学教育的特殊性需要发挥慎独精神在医德教育中的促进作用,从而提高医疗行业的整体医德水平.

Abstract：

As an important part of medical education, professional ethics of medical students is the basis of medical practice. The spirit of moral prudence is a traditional way and the highest ideal of self-cultivation. In order to improve medical ethic standard of healthcare performance, the spirit of moral prudence may play an important role in medical profession ethic education.     

Combining the first class with second class to improve the professional skills of medical students *

Medical science is a highly practical subject,which is closely related to human life.Medical institutions take a heavy social responsibility,in addition to the sacred mission of teaching and educating.The professional skills of medical students are one important assessment indicators to become a qualified doctor.Therefore,how to improve the professional skills of medical students in their training process becomes crucial.In     

坚持"早正严实"教学指导原则着力培养合格临床医生

本文概述了中山大学医学教育近10年来,传承"三基三严"优良教育传统,创新"三早教育模式",坚持"早正严实"教学指导原则,强化医学生职业素质、实践能力和创新能力,培养合格医学生的理念和实践,以期为学院教育医学生的培养提供借鉴.

Abstract：

This paper presents an overview on the school-running concept and practice of the Medical School of SUN Yat-sen University in recent decade. While inheriting the fine educational tradition of Three "Bs" and Three "Ss" ( emphasizing the mastery of basic theories, basic knowledge and basic skills, as well as the development of serious attitudes, strict operating and stringent requirements for a high standard level ) , we established the Three-early-involvement Educational Model (early involvement in clinic practice, early involvement in scientific research, and early involvement in social practice ). In light of the integrated principles simplified as "earliness, integrity, strictness and solidity" in medical education (including the three-early-involvements; professional morality and medical ethics; the "Three Ss" and "Three Bs" ; solid clinical basics and sound monitoring) , we consolidated the professional quality, practical and innovative abilities of medical students in the cultivation qualified medical graduates. The paper can provide favorable reference for other medical schools in the training of qualified medical students.     

临床教学中强化医学生医患交流能力培训的思考

医学生医患交流能力的培训是保证医学教育教学质量的重要环节,目前医学教育中对医学生医患交流能力的培训重视不够.本文探讨了临床教学中强化医学生医患交流能力培训的意义、医学生医患交流中存在的问题,并就如何做好医学生医患交流能力培训提出了建议,以期能够促进医学生医患交流能力的提高.

Abstract：

The education of physician-patient communication for the medical students is an important part, which can guarantee the quality of medical education in the work of clinical teaching. But in the present, medical colleges don't pay much attention to the training of physician-patient communication in the clinical practice for the medical students. This study discusses the importance to cultivate the ability of physician-patient communication for the medical students, the medical students' problems in the study of physician-patient communication in the clinical practice, and the learning suggestions of physician-patient communication for the medical students in the clinical practice, in order to provide reference for clinical teaching work.     

提高长学制医学生临床基本技能的探索

本文分析了影响医学生临床技能的主要因素,构建了临床基本技能整合课程,从增设医学生人文社会类课程、整合临床技能的教学内容、加强医患沟通技巧训练、采用多种教学方法等方面进行了探索,一定程度上提高了医学生的临床技能水平.

Abstract：

In order to improve the basic clinical skills of long-term medical students, the main teaching factors influencing the students' clinical skills were analyzed. Besides, the integrated course about basic clinical skills training was established and practiced. It is showed that this course enhanced the clinical skills of medical students by increasing the social humanism courses, integrating the teaching contents of clinical skills, strengthening the doctor-patient communication skills training and using various teaching methods.     

从细节管理人手提高住院医师培训质量

住院医师培训是医学生毕业后教育的重要组成部分,是培养合格医学人才的重要途径.宣武医院经过20余年的住院医师规范化培训管理,提出:领导重视、组织落实、过程管理、基地建设、考试考核、24小时制度、指导教师制度、奖惩制度和科学研究8个方面关乎住院医师培训效果.

Abstract：

Resident training is an important part of after-graduation education for medical students,and is also an important way to cultivate qualified medical talents.With 20 years management experience of resident standardized training,Xuan-Wu Hospital has found 8 aspects,including leaders'attention and implement,process management,base construction,test assessment,24-hour system,guiding teacher system,rewards and punishment system,and scientific research were related to the quality of the resident standardized training.     

血液病学临床实习教学改革的初步探索

为了更好地培养医学生临床实践能力,新疆医科大学第一附属医院血液科在临床实习中进行了积极的探索,主要包括明确血液病学实习的重要性与目的 ;加强医学生基本技能的培训,提高医学生病历书写质量;注重临床思维模式的训练和培养医学生医患沟通的能力.实践证明,以上方法有利于培养医学生的临床实践能力,有利于医学生向临床医生的转变.

Abstract：

To cultivate the medical students' clinical competence better,active exploration in clinical practice was made in the hematology department of the first hospital affiliated to Xinjiang Medical University. It focused on defining the importance and purpose of clinical practice in hematology, enhancing clinical basic skills cultivation, improving the quality of medical records writing, strengthening the training of clinical thinking and cultivating medical students' communication skill with patients. The results showed that these methods are helpful to cultivate students'clinical skills and make the transition from students to clinicians easy.     

循证医学在医学检验教学中的应用

循证医学本是一种新的临床医学模式,其理念和方法已经扩展到整个医学教育领域.七年制临床医学专业(医学检验方向)是为培养高层次医学检验医师而设立的新专业方向,在医学检验中引入循证医学理念具有重要意义.本文对循证医学原则在提高学生临床检验技能、培养学生科研创新能力、教会学生终身主动学习以及提高医学检验在临床实践中的地位等方面的应用进行了初步探讨.

Abstract：

Evidence-based medicine(EBM) is a new model of clinical medicine and its concepts and methods are extend to the field of medical education. Seven-year laboratory medicine program is a new professional, which is to train high-level laboratory examination physician. EBM is of great significance in laboratory medicial education. This article reviewed the principles of EMB in improving the students clinical examination skills, the students innovation ability, the students life-long learning habits and improving the status of laboratory medicine in clinical practice.     

长学制医学生职业行为评价指标体系研究

本文在分析国内外医学生职业行为评价研究的基础上,采用文献检索法、专家咨询法、问卷调查法,通过界定医学生职业行为内容、确立评价目标、选择评价指标、制定指标评定标准,建立了一套长学制医学生职业行为评估指标体系,并分析了指标体系的可行性和评价的效度、信度;同时,对长学制医学生职业行为评价的特点进行了讨论.

Abstract：

At the base of analyzing the studies of professional behavior assessment at home and abroad, an item system of professional behavior assessment for medical students majoring on long-year program was established by defining the content of professional behavior, setting the assessing goal, selecting assessing items, establishing criterion of the assessing items. The methods used in research include the literature retrieval, experts' consultation, and students' investigation. It analyses the feasibility, validity and reliability. Meanwhile, it discusses on the importance of professional behavior assessment and the characteristics of itself.     

医学生医患沟通能力培养探析

加强医学生医患沟通技能的培养,对于营造和谐的医患关系至关重要.本文阐述了医患沟通能力培养的必要性,分析了医学生医患沟通能力欠缺的原因,探讨了加强医患沟通能力培养的对策.

Abstract：

It is of great importance to construct harmonious doctor-patient relationship by strengthening the cultivation of communication skills of medical students. The authors expound the necessity of cultivating doctor-patient communication skills in medical universities. In the meantime,the authors analyze the cause of inability of doctor-patient communication . And some methods were explored to improve the doctor-patient communication skills of medical students with the analysis of educational situation of communication skills.     

医学生职业精神培养途径初探

医学生职业精神培养是医学教育面临的紧要任务.影响是内外因素相互作用的结果.北京大学人民医院紧紧围绕医师职业精神的三项基本原则和十条职业责任,通过临床教师职业精神培养、医学生职业精神课程体系实施、医学生职业精神实践环节培养、医学生课内外活动四条途径,加强医学生职业精神培养,取得了初步的成效.     

浅析如何在医学院校阶段培养医学生的职业精神

目前我国医疗行业从业人员职业精神整体水平不佳,严重影响了我国医疗行业的健康发展和对群众的公信力。因此,必须调整我国医疗人才培养过程中的职业精神培养模式,在医疗人才内心树立职业精神意识。在医疗人才培养过程中最为重要的医学生阶段,如何培养医学生的职业精神已经成为亟须解决的问题之一。     

培育医务人员职业精神的探索与实践

通过对某医院培育医务人员职业精神的论述,提出了培育医务人员职业精神的具体措施,包括以先进文化为引领,坚定医务人员职业理想;以岗位练兵为手段,提高医务人员职业技能;以主题活动为载体,端正医务人员职业态度;以社会实践为平台,强化医务人员职业责任;以长效机制为保障,坚守医务人员职业道德。     

应用型精神医学专业培养模式改革及探索

目的:探索应用型精神医学专业培养模式及其改革效果。方法:根据医学教育改革发展方向和社会人才需求改革形成应用型精神医学专业培养模式,选择培养模式改革前的2014届毕业生112人和改革后的2015届毕业生113人作为研究对象,对其毕业理论考试和技能考核成绩进行比较。结果:专业培养模式改革后学生的毕业理论考试成绩、毕业技能考核成绩以及总成绩均高于改革前学生（P<0.05）。结论:应用型精神医学专业培养模式改革符合医学教育改革趋势,促进了学生理论知识的学习和临床技能的训练,提高了精神医学专业学生的综合素质。     

新型冠状病毒肺炎疫情下医学职业精神的新内涵及对医学实习生职业精神塑造的启示

新型冠状病毒肺炎疫情背景下重新对医学职业精神进行解读,医学职业精神是医学科学精神、医学人文精神与敬业精神的完美结合。实习生作为医学院校的一个特殊群体,由于疫情带来的职业困惑,应该引起教师的关注。以勇敢逆行者为榜样,树立正确的价值导向,加强专业技术学习、构建三位一体的医学职业精神教学体系,探索讲解-模拟-练习-沟通-支持（explain-simulate-practice-communication-support,ESPCS）实习带教是重塑医学实习生职业精神的有效措施。     

生命文化视域下医学生职业精神的培养

阐述医学职业精神的生命文化内涵,分析生命文化教育对医学生职业精神培养的作用,提出了加强医学生生命文化教育,培养医学职业精神的对策和建议：明确生命文化教育内容,丰富生命文化教学手段,提升教师生命文化教育智慧,建设以弘扬生命文化为中心的校园文化.     

医学生医学职业精神状况多元化评价研究

目的对医学生的医学职业精神状况进行评价。方法利用自拟的医学职业精神调查问卷,采用分层抽样的方法,对随机抽取的一年级至四年级1200名在校医学生进行问卷调查,并利用主成分分析法进行数据处理与分析。结果①共选取2个主成分,第一主成分包含亲身接触病人的态度、深入临床实践提高医患沟通能力的态度、尝试多角色接触病人的态度、对医患关系的理解程度等指标;第二主成分包含配合进行病史采集工作的态度、称赞“技术高”时的自豪感程度、对待疑难手术的态度等指标。②一年级至四年级学生医学职业精神综合主成分得分分别为：-4．4226、-0．0343、5．1397、-0．6827,即三年级医学生医学职业精神状况是最好的,二年级次之,一年级最差。结论医学生医学职业精神状况呈现不稳定的发展趋向,应予以重视。加强对医学生医学职业精神教育与培养应侧重于2方面：①侧重于主观方面,即与具有主观能动意识的病人进行积极交流、沟通的态度;②侧重于客观方面,即对客观的专业技术掌握程度的态度。     

弘扬医师职业精神对培育实习医学生医德素养的几点思考

医师职业精神是医学职业道德的行为规范和行为准则,是科学精神与从人文精神的统一,实习期间是实习医学生人生观、价值观、道德观培育的关键时期,也是塑造良好医学职业道德的重要时期,医院利用医学职业道德精神文化对实习医学生进行医德培养和引导教育,使课堂教育和现实教育有机结合,具有针对性,深入学生的心灵,让学生对良好医德有更高层次的理解,树立他们高尚的道德情操,培养强烈的责任感和上进心,对培养技术精湛、医德高尚的医学接班人具有重要意义。     

对医学生廉洁素质教育的思考

廉洁素质教育是医学生素质教育的一项重要内容。加强医学生廉洁素质教育符合医学职业精神、是当前医疗反腐和提高医学生廉洁素质的需要。当前医学生的廉洁素质现状令人忧虑。导致医学生廉洁素质不高的原因,既有社会负面环境的影响,也有医学生理想信念不坚定、法纪观念淡薄的原因。对医学生进行廉洁素质教育应通过法律法规教育、职业精神教育和道德品质教育三个方面,从根本上提高接受监督和监督他人的自觉性,牢固树立职业道德和法律底线,增强拒腐防变的能力。     

医学生医师职业精神认知状况调查： 以国内两所高校为例

目的了解医学生的医师职业精神认知状况,并探讨医师职业精神教育教学方法。方法根据文献资料、访谈,自编《医学生"医师职业精神"认知调查问卷》;于2017年5至9月,采用纸质和电子问卷结合的方式,对汕头大学医学院和青岛大学医学院临床专业方向的学生进行调查;回收有效问卷512份。采用SPSS 20.0对职业精神、职业认知、职业情感、职业意志的调查数据行正态性检验和单样本t检验;定量资料行交叉表卡方检验,计算均数与标准差。结果医师职业精神3个维度中,职业认知得分最低[(3.62±0.50)分],职业意志得分最高[(4.35±0.58)分],职业情感得分居中[(4.05±0.48)分]。不同家庭背景的医学生职业精神得分差异有统计学意义(P<0.05),不同性别、学制医学生得分差异无统计学意义。结论医学生医师职业精神水平整体处于中等偏低;应从客观审视环境、强化人文熏陶、培育服务意识等方面,培养医学生的医师职业精神。