Making the neurology clerkship more effective: can e-Textbook facilitate learning?

Abstract

Objective: In 1998, the 4-week neurology elective clerkship was converted into a 2-week required neurology rotation at the University of Illinois at Chicago. We hypothesized that the interactive e-Textbook, a computer-assisted learning tool, could successfully replace a paper-based syllabus and a traditional neurology textbook during a 2-week rotation, while incorporating department teaching conferences to replace the medical student lecture series.

Methods: We created an e-Textbook and made it available simultaneously in a CD-ROM format and on a password-protected website. The online quiz and course assessment were administered by the Blackboard Web Server.

Results: After implementation of the e-Textbook over 6 years, the feedback shows high student satisfaction, and student evaluations of the neurology clerkship have risen. Creation of an e-Textbook for the neurology clerkship made our faculty more productive while increasing student satisfaction and facilitating learning efficacy.

Discussion: The results show that the e-Textbook is an appropriate alternative to facilitate learning of basic and clinical neurology during a 2-week rotation. The students demonstrated successful learning in a computerized environment.     

自主探究式教学模式在护理研究课程教学中的应用

本研究基于有效培养学生科研思维和科研能力为目的，论述以揭示课题，明确目标；任务驱动，探索新知；协作讨论，深入质疑；成果展示，反思评价为操作流程的自主探究型教学模式的内涵及其应用效果。     

仿真医院在教学实践与评价一体化建设中的作用

为了探索仿真医院建设的方法,从建设理念、功能布局、师资培训、教学方法等方面进行改革,建设校内护理专业实训基地。仿真医院已初步建成,并开展了“实境式”训练,实行了开放式管理模式,开拓了对外服务和交流新领域,获得良好社会效应,护理专业学生专业态度、专业知识与职业能力有了明显提高。     

End-of-life issues in US nursing school curricula: 1984–2006

Abstract

The objective of this study was to compare the status of current death education and end-of-life issues in US undergraduate nursing programmes with those in 1984.     

护理学基础实验课中反思性教学的应用体会

总结了16名护理学基础实验课教师在2005—2008学年进行反思性教学的体会，探讨反思性教学在护理学基础实验课中的应用。组织教师学习反思性教学理论，讨论进行反思性教学的实际方法并融入实践。在2005-2008年3届学生的教学过程中，有计划地采取了写反思日记、教学日记，组织教师间的交流与讨论，录像、录音回放，邀请专家点评听课等反思方式。通过反思性教学的应用，教师提高了职业成就感与教学经验，学生护理学基础实验课的成绩与满意度得到了提高，教学水平明显提高，取得较好的效果。     

对护理教育质量工程建设工作的几点思考

“质量工程”是教育部全面推进高等教育质量的重要举措，在护理教育中实施质量工程所要求的深化教育教学改革、强化实验教学建设、高水平专业教师队伍建设和精品课程建设，对提高护理教育教学质量，实现护理教育可持续发展有着十分重要的意义。     

Comparison of didactic lecture, self-reading and self-instruction as learning methods in medical students of western India

A controlled study was conduced on a batch of fifty-four medical students in the paraclinical period of study, to compare the relative effectiveness of self-reading of books, didactic lecture and use of self-instruction kits as teaching-learning experiences. The assessment was done by an immediate and delayed objective type examination as well as questionnaire.
The results indicate self-reading to be relatively ineffective. Didactic lectures and use of self-instruction kits have a similar rating in objective assessment while, subjectively, the students expressed a marginal preference for self-instruction kits.
Comparison of the performance of the students grouped according to merit reveals that there is no significant difference between the three methods of learning in the lower group while the upper group did perceptibly better with self-instruction kits than with didactic lecture.     

The reform of medical education: a Canadian model †

The Flexner reforms of the early 20th century were successful in correcting a mismatch between medical education and the newly available knowledge from the laboratory sciences. At the same time, they set in motion changes which have resulted in another mismatch, this time between medical education and society's needs. Five major corrective changes are described, with particular reference to the role of family medicine (general practice) in attaining them: (1) a change in the environment of learning, (2) a reawakening of concern with the subjective aspects of medicine, (3) a shift of emphasis from content to process, (4) a change in our concept of health and (5) a rapprochement between personal and population medicine. New medical schools have had an important influence on the reform of medical education. However, it is important also to study examples of successful adaptive change in older institutions. Changes at the University of Western Ontario are described as an example of successful adaptation. Some reasons are given for the failure of many institutions to adapt. Five conditions are necessary if a medical school is to adapt successfully to change: (1) the school should penetrate the entire health care system, (2) all sections of the profession should be represented on the faculty, (3) the school should be strongly rooted in its region, (4) it should have a flow of information from the ‘grass roots’ and (5) society should have some means of ensuring that its needs are met.     

睾丸扭转评分法及标准化流程在提高诊治效率的应用

目的提高基层医院对睾丸扭转的诊治效率。方法收集2011年9月至2017年4月确诊的睾丸扭转患者31例(A组),回顾分析诊治效率;前瞻性纳入2017年5月至2019年1月按标准化流程收治的急诊急性阴囊疼痛患者43例(B组),并采用五要素七分评分法诊断睾丸扭转和采用与中山大学附属第一医院教学平台共建的区域"三基"培训体系的标准化诊治流程,对比两组的诊治效率。结果A组睾丸扭转病例从就诊至临床确诊时间为20~60 min,从入院后至急诊手术时间60~160 min,其中70%患者行睾丸切除,30%行睾丸固定;B组中睾丸扭转确诊时间为5~25 min,入院至手术室45~60 min,B组的诊治效率较高(P<0.001),其中56%患者行睾丸切除,44%为睾丸固定,两组睾丸切除率比较差异无统计学意义(P>0.05)。结论睾丸扭转评分法可快速有效诊断,标准化救治流程可有效缩短患者救治时间,可操作性强,二者联合可以提高基层医院对青少年睾丸扭转的诊治效率。     

不同教学方法对提高高职学生自我效能的比较研究

目的探讨“2511”教学法对提高高职学生自我效能的有效性和可行性。方法对我校2003、2004级高职学生采取随机抽签法,分别确定试验班和对照班,在儿科护理学教学中建立对照试验,试验班实施“2511”教学法,对照班采取传统教学法,比较试验后学生自我效能和学习成绩的变化。结果试验班自我效能及相关因素得分提高幅度和期末综合考核成绩明显高于对照班,差异有统计学意义（P〈0．05）。结论“2511”教学法能有效提高学生自我效能和专业综合能力,临床护理学科实施“2511”教学法提高学生自我效能是可行的。