教学医院学科人才绩效评价体系的构建与应用研究

目的：建立临床医学院学科人才绩效评价体系，促进临床医学院人才建设，提高学科人才管理水平。方法：运用系统方法、层次分析方法、专家咨询法、权值因子判断表法等建立绩效评价指标体系，并在某临床医学院实测应用，反馈验证评价体系的可靠性和科学性。结果：经实测应用，此体系对学科人才的评估总分呈正态分布，一、二级指标区分度较高，三级指标独立性强，其变量间相关率(经偏相关纠正)为2．67％。结论：此评价体系有较强的可靠性和科学性，具有一定的创新性，能综合评价学科人才的绩效水平。     

Teaching medical students about the appropriateness of social and sexual contact between doctors and their patients: evaluation of a programme

The purpose of this study was to assess the impact of an educational intervention on medical students' attitudes toward social and sexual contact with patients by doctors from three medical specialties (general practice, obstetrics/gynaecology and psychiatry). Medical students from two consecutive fifth year classes at one medical school participated in one 3 hour session that included instruction on the standards of the profession that prohibit doctor–patient sexual contact. Students were assigned to either intervention groups or control groups and responded to an anonymous questionnaire (overall response rate 66·8% ; n=141). As many as 14·5% of control group students thought it was (sometimes or usually) appropriate for general practitioners to date their own patients and at least 3% thought it appropriate for members of any of these three medical specialties to engage in sexual contact with their own patients. However, there were no significant differences in attitudes toward hugging, dating or sexual contact with current patients between those who had attended the seminar and the control groups. The session significantly influenced attitudes regarding obstetrician/gynaecologists and psychiatrists hugging and having sexual contact with former patients. These findings are discussed in relation to a need for expansion of such instruction.     

Teaching sociology of medicine: the group process

As a part of any curriculum reorganization, new instructional methods are also tested. When the University of Turku sociology of medicine course was found to need renovation, its goals and objectives, content and instructional methods were closely examined and modified, in order to strengthen institutional and multiprofessional relations and reinforce sociocultural issues in doctors' competence with the patient. This paper discusses this change, emphasizing teaching and learning methodology.     

An analysis of paediatric diagnostic decision-making: how should students be taught?

This study assesses the relative importance of history, examination and investigations in paediatric diagnosis, in the Paediatric Out-patient Department of the Central Middlesex Hospital, London, by means of a questionnaire-based record of 94 consecutive referrals. A diagnosis identical to the final diagnosis was made in 76% of referrals after taking a history. The general practitioner had proposed a diagnosis in 45% in the referral letter. Clinical examination changed the diagnosis in only 15% but increased diagnostic confidence in 33%. Ninety-one per cent of cases were diagnosed without recourse to investigations. Forty-two per cent of children referred had investigations performed. In the majority of paediatric cases the provisional diagnosis reached after taking a history was identical to that after examination or results of investigations were known. Although examination provided a final diagnosis in only 15% of all cases it played an important role in adding confidence in 33%. More educational effort should therefore be directed at clinical history-taking skills and the subsequent purpose of examination.     

科室调整时"军卫一号"的数据转换

科室调整时。病人要随之分配到新的科室，病人的各种医疗数据要转换为新科室的数据。利用结构化查询语言，根据病人的调整情况，实施数据调整。这种数据转换方法，不但适用于新、老药品结构的“军卫一号”，而且其基本原理也适用于科室分开而护理单元不分开的情况。     

浅谈妇产科学的兴趣教学

本文以心理学为依据，探讨了在妇产科学这门课程中实行兴趣教学的重要意义，并联系实践说明了兴趣教学的方法多样性和选择性。     

和谐教学的基本原理

本文作者密切联系构建和谐社会的理论与实践，科学地探讨了教学过程自身的和谐、教学过程与教学环境的和谐等实践问题。     

医学双语教学的实践与建议

目的：建议在5年制和7年制医学生中开设双语试点班的教学模式。方法：在医学本科扣7年制英语班学生中开设系统的医学专业课试点班。试点班经自愿报名考试择优组成。每年考试择优班级重组。所有医学专业课尽可能多学科扣尽可能大比重的进行英语授课，形成以英语为主体的专业语言环境。     

谈《正常人体学基础》教材及教学方法改进

本文介绍了《正常人体学基础》教材的特点,讨论了本学科教学应注意的问题,强调了要充分地使用标本模型、挂图及多媒体教学,讨论了本学科的学习方法.