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.     

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。     

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.     

实验教学中尿液标本有形成分的保存

在医学实验教学中 ,形态学标本来源很特殊 ,它不能人工制造 ,病理性标本只能从病人处取得 ,然而所需病人不是经常有 ,因此 ,研究实验教学标本的收集与保存的方法 ,十分必要。本文即是对实验诊断学实验教学中 ,尿液标本中有形成分的保存方法 ,进行了一些探讨     

做好当前临床外科教学工作的思考

应从提高教师队伍素质、提倡主动式教学、专科教育、指导学生处理好医患关系、提高法律意识和自我保护意识、制定统一的教学内容和目标等方面，做好临床教学工作。     

不同层次护生对临床教学质量的评价

目的分析不同层次护生对临床教学质量评价的差异,以便采取有针对性的教学方法.方法护生在每个科室实习结束后,采用自行设计的临床教学评价表对每名护生进行问卷调查,然后分别从中专、大专、本科护生填写的调查表中各随机抽取30%进行分析.结果对病房教学氛围和护士长教学管理的评价,本科与中专、大专护生间比较,差异有显著性意义(均P<0.05),中专与大专护生间无差异(P>0.05);对带教老师的评价,本科与中专、大专与中专护生间均差异有显著性意义(P<0.01,P<0.05),本科与大专间无差异(P>0.05).结论不同层次护生对临床教学质量评价的侧重点不同,本科生对病房教学氛围及护士长教学管理的要求较高,大专生次之.在临床教学中应根据护生的学历层次,采取有针对性的教学方法,以便不断提高临床教学质量.     

双语教学Powerpoint课件制作探讨

针对Powerpoint软件在课件制作上常存在的屏幕背景与文字色彩对比不当、文字数量太多及字体太小、文字动画太多且乱、声音混杂等问题,结合实践就如何制作课件,尤其是双语教学课件,从总体布局、屏幕文字安排、背景与版式的设计、声音与动画等方面进行了探讨,并介绍了多种特殊效果的应用技巧.