浅谈临床医学专业学位研究生临床能力培养

在临床医学专业学位研究生培养过程中,临床能力的培养尤为重要,临床能力的高低直接关系到临床医学专业学位研究生的培养质量。目前,临床医学专业学位研究生临床能力培养现状是临床基础参差不齐、临床实践时间少、单一技能与全面技能培养矛盾、研究课题要求没有统一标准等,应该加强临床医学理论知识的培养,加强临床能力的训练,规范临床能力的考核,重视科研能力的培养。     

影响临床专业学位硕士研究生培养质量的因素与对策建议

临床医学专业学位硕士研究生以培养高水平临床医师,提高临床医疗队伍素质和临床医疗工作水平为目标,其教育的核心是临床技能的培养.但受研究生生源、培养体制等诸多因素影响,制约了研究生的培养水平.为进一步提高临床专业硕士研究生的培养质量,可从完善培养制度,落实管理细节,强化执行力度;加强导师的临床指导力度;注重研究生"三基"培训和临床综合素质培养;严格研究生轮转出科考试管理等入手,为社会输送高层次临床应用型人才.     

临床型研究生培养与住院医师培训相结合可行性研究

目的研究临床型研究生培养与住院医师培训相结合的可能性。方法对上海某三级甲等医院临床型研究生和部分临床带教老师进行问卷调查。结果对于临床型研究生培养纳入住院医师培训,对其临床能力培养是否有帮助和对就业是否有帮助,带教老师和学生之间看法具有显著差异(P<0.05);临床型研究生医师资格被带教老师和学生认为是存在的障碍第一位;带教老师认为临床型研究生培养纳入住院医师规范化培训有必要的比例明显高于学生。结论从经济上、技术上、组织管理和社会影响进行分析,临床型研究生培养与住院医师培训相结合有其可行性,两条途径的临床能力培训并轨后,将利于统一的专科医师准入制度的建立。     

在新形势下教学医院如何做好临床研究生的医疗管理工作

所谓临床医学研究生就是以临床实际工作能力为主的临床医学高级专门人才。根据国家教委要求,临床硕士研究生要按住院医师、博士研究生要按初级主治医师的要求进行两年左右时间的严格训练方可完成培养计划,所以教学医院就成为临床研究生重要的训练和学习基地。由于临床研究生都要以住院医师或初年主治医师的身分参加教学医院第一线的医疗工作,因此他们也就成为教学医院完成医疗工作的主要依靠力量。因此,研究生的服务态度和医疗质量对教学医院医疗工作有重要影响,也决定了教学医院做好临床研究生的医疗服务管理工作对提高研究生培养质量所起的重要作用。 在改革开放的新形势下,随着社会主义市场经济的建立     

临床专业学位研究生培养与住院/专科医师培训的比较研究

通过对临床专业学位研究生培养与住院/专科医师培训模式的比较研究,尝试对两者进行同一化管理,将利于量化临床型研究生临床能力培养情况,提高招生吸引力,利于挑选优秀临床型研究生,与住院医师规范化培训对象招录工作相衔接。     

浅析我院对医学研究生的临床培养

临床医学专业的研究生临床实践阶段的管理是提高培养质量的关键因素.结合多年来对临床专业学位学术型研究生管理经验,注重过程管理和临床能力培养,规范考核工作,从而全面提升临床研究生的培养质量.     

某三级医院专业学位研究生临床能力培养需求调查

目的了解某三级医院专业学位研究生临床能力培养方面的需求,为改进管理模式提供参考。方法自行设计问卷,对60名专业学位研究生进行临床能力培养需求的调查,调查内容包括临床培养时间需求、临床能力培养需求、临床培训需求等。结果共收回有效问卷58份,有效回收率为96.7%,调查显示,专业学位研究生临床能力培养需求较大。结论现阶段专业学位研究生临床能力培养力度不足,与需求相差较大,需采取相关措施,加强临床能力的培养。     

七年制医学硕士生临床教学能力培养的实践与探讨

高等医学院校中七年制研究生是目前国内医学教育中的精品部分,如何将他们培养成合格的高素质人才,是当前医学高等教育的重要工作。我院在对七年制研究生的培养中既加强了对七年制研究生的临床训练,同时注重学生的教学能力的考核,通过培养研究生的临床带教能力,不但加强了对实习生的带教管理,同时也提高了研究生的临床能力,实践了“教学相长”。     

临床专业学位研究生与普通专科医师规范化培训模式并轨的探讨

近年来,教育部逐年增加临床专业学位研究生的招生规模,但是对于临床专业学位研究生的培养模式及考核方式等还存在许多问题,这些都直接影响到临床研究生的培养质量.通过临床专业学位研究生与普通专科医师规范化培训模式并轨,建立统一的且适合临床研究生的培养模式,提高培养质量,使得临床研究生毕业时既具备一定的科研能力,又能达到住院医师规范化培训一阶段的临床能力.     

对我院研究生培养规模与质量的思考

我院是医科大学非直属临床医学院．不具备招收培养研究生资格,但我院党委和领导深刻认识到研究生培养有利于加强医学院的教学、训练工作的正规化建设．以加强研究生培养工作来促进医疗、科研、人才培养和学科建设．推动医院全面建设与发展。     

A resident's internal medicine practice

The decision-making experience of residents in a primary care internal medicine training practice was examined. The patient population provided residents appropriate training opportunities but the experience of many residents making decisions about prevalent primary care problems was often inadequate. The residents' evaluation of their educational experience with patients suggests that several elements of patient care affect their ability to learn. These include the occurrence of diseases in their patients, opportunities to treat and follow patients, the chance to use diagnostic procedures, and the option of reviewing their care with supervisors and consultants or through reading. The results of this study and the current understanding of the development of clinical judgment are discussed as arguments for evaluating internal medicine training programs in part by examining the content of residents' decision-making opportunities in their ambulatory patient practices.     

The work of SUS (Unified Health System) nurses in Campinas: 1970s and 80s

We had the aim of analyzing the introduction and the practices developed by nurses in Health department of Campinas County in the period of 1978 and 1989. Among the practices developed by nurses we highlighted the supervision as instrument of evaluation/training and supervising/control of work; the training of aides for public health; the appointment and the nursing practices; the house calls; the ruling and developing of nursing technical procedures and the nursing registers. We reached the conclusion that there were transformations in the nursing working process, and a giant step took by them was very important for the establishment of the Public Health Network, the reorganization of model geared to health.     

上海涉外医疗市场供求矛盾及对策分析

上海涉外医疗服务市场是伴随着我国经济体制改革与卫生事业体制改革而逐渐形成并不断完善的。但是,由于相关法律制订、医疗管理模式的转变等方面的滞后,使有限的 外医疗资源利用效率处于较低水平,外籍人群健康需要不能有效地转化为实际需求,出现结构性的供示矛盾。文章利用市场经济供求关系等手段,剖析主医疗服务市场供求矛盾形成机制,并据此提出针对性的措施,促使涉外医疗服务市场达到较高水平的供求平衡。     

Advantages of working in a developing country during medical specialty training

Training in a developing country provides additional value for Dutch physicians who are training for a medical specialty. Knowledge of and experience with tropical diseases is also important in the Netherlands. The limited access to diagnostic tests and treatments in developing countries forces physicians to perform physical examinations meticulously and prescribe treatments conscientiously. Limited abilities to communicate can lead to an appreciation of the importance of communication and insights regarding optimal methods for communication. By working with staff in developing countries, physicians learn to be flexible in regard to work attitudes and cooperation. Physicians also learn to develop a personal academic programme independently. In addition, physicians become more readily involved in improving standards of living and healthcare in the community as a whole, and in the coordination and organization of work. Lastly, the ability to work professionally with limitations in healthcare is also valuable in medical practice in the Netherlands. Therefore, the decision to do part of the training as a medical specialist in a developing country should be supported. This experience should also count as part of the training.     

Rethinking global health research: towards integrative expertise

The Bamako Call for Action on Research for Health stresses the importance of inter-disciplinary, inter-ministerial and inter-sectoral working. This challenges much of our current research and postgraduate research training in health, which mostly seeks to produce narrowly focused content specialists. We now need to compliment this type of research and research training, by offering alternative pathways that seek to create expertise, not only in specific narrow content areas, but also in the process and context of research, as well as in the interaction of these different facets of knowledge. Such an approach, developing 'integrative expertise', could greatly facilitate better research utilisation, helping policy makers and practitioners work through more evidence-based practice and across traditional research boundaries.     

江门市医用诊断X射线单位基本状况的调查

目的了解江门市医用诊断X射线单位的基本状况。方法采用全国统一的医疗照射调查表对江门市医用诊断X射线单位的基本情况进行回顾性调查。结果开展放射业务单位数逐年递增;200mAX射线机占33.2%,≤50mA占22.8%,两者共占56.0%,进口X射线机的合格率为93.1%,国产机为69.7%,高mAX射线机的合格率高于低mA机;放射工作人员的培训,高学历人员的合格率高于低学历的人员,镇医院工作人员的合格率低于县、市级医院。结论我市开展放射业务单位数有逐年递增的趋势,镇医院工作人员掌握卫生防护知识的程度差于县、市级医院。应健全安全防护管理制度,加强基层业务人员的培训,持证上岗。     

江门市攻髟诊断X射线单位基本状况的调查

目的 了解江门市医用诊断X射线单位的基本状况。方法 采用奏国统一的医疗照射调查表对江门市医用诊断X射线单位的基本情况进行回顾性调查。结果 开展放射业务单位数逐年递增;200mAX射线机占33.2%,≤50mA占22.8%,两者共占56.0%,进口X射线机的合格率为93.1%,国产机为69.7%,庙mAX射线机的合格率高于低mA机;放射工作人员的培训,高学历人员的合格率高于低学历的人员,镇医院工作人员的合格率低于县、市级医院。结论 我市开展放射业务单位数有逐年递增的趋势,镇医院工作人员掌握卫生防护知识的程度差于县、市级医院,应健全安全防护管理制度,加强基层业务人员的培训,持证上岗。     

Control of sexually transmitted diseases in Senegal

STD are an important public health problem in numerous developing countries. Although satisfactory diagnostic and therapeutic means are available, the incidence of STD is increasing. Among the causes for this are sociological factors, like the weakening of customs and the family unit, and the development of tourism, which stimulates prostitution. There is a marked ignorance of the population in respect to STD. The Senegalese Government, WHO, and the Geneva-based Sandoz Institute launched in 1976 a joint programme of service, training and sesearch. The research aims at developing a preventive approach, especially through health education. While the three centers set up have accomplished good work locally, results are still disappointing from a public health point of view. Weak spots are in particular: - inadequacy of the social and contact-tracing services; -lack of action at the periphery and of integration with primary health care; -lack of coordination with other sectors (including police), and with professionals of various disciplines who should contribute to the socio-economic investigation of the problem. Several groups have recently been created in Senegal to support the project. An evaluation will soon be carried out. Such programmes should be implemented in other countries of the region.     

Bioethics Consultation Practices and Procedures: A Survey of a Large Canadian Community of Practice

The literature fails to reflect general agreement over the nature of the services and procedures provided by bioethicists, and the training and core competencies this work requires. If bioethicists are to define their activities in a consistent way, it makes sense to look for common ground in shared communities of practice. We report results of a survey of the services and procedures among bioethicists affiliated with the University of Toronto Joint Centre for Bioethics (JCB). This is the largest group of bioethicists working in healthcare organizations in Canada. The results suggest there are many common services and procedures of JCB bioethicists. This survey can serve as a baseline for further exploration of the work of JCB bioethicists. Common practices exist with respect to the domains of practice, individual reporting relationships, service availability within business hours and the education and training of the bioethicist.