目的探讨案例结合问题教学法(case-problem based learning,CPBL)联合模拟多学科协作诊疗模式(multidisciplinary treatment,MDT)在放射肿瘤科住院医师规范化培训(简称住培)中的应用。方法选取住院医师与指导医师组成模拟MDT讨论组,由...目的探讨案例结合问题教学法(case-problem based learning,CPBL)联合模拟多学科协作诊疗模式(multidisciplinary treatment,MDT)在放射肿瘤科住院医师规范化培训(简称住培)中的应用。方法选取住院医师与指导医师组成模拟MDT讨论组,由专业基地指导医师作为领队进行模拟MDT讨论。结束后采用出科考核及问卷调查的方式对教学效果进行评估。结果通过MDT讨论,住院医师对于肿瘤综合治疗有更深入的认识,在出科考核评估中专业分数提高明显(P<0.05)。结论模拟MDT联合CPBL教学模式能提升住院医师解决问题的能力,有效地提高住培教学质量,值得推广。展开更多
The Jinghong mafic-ultramafic complex,exposed in the eastern margin of the Lancangjiang tectonic belt,is related to the subduction of the Paleo-Tethys Ocean.Its petrogenesis plays a key role in constraining the tecton...The Jinghong mafic-ultramafic complex,exposed in the eastern margin of the Lancangjiang tectonic belt,is related to the subduction of the Paleo-Tethys Ocean.Its petrogenesis plays a key role in constraining the tectonic evolution of the eastern Paleo-Tethys Ocean in southwestern China.In this study,we present petrological,geochemical and geochronological results of the Jinghong complex rocks,in order to decipher their origin and tectonic significance.The Jinghong mafic-ultramafic complex was composed of peridotite,gabbro,basalt and minor plagiogranite.Whole-rock geochemical data of the mafic rocks indicate that they have both MORB and IAB affinities and plot in the back-arc basin basalt(BABB)field in the FeO^(*)/MgO vs.TiO_(2) diagram.Combined with their trace element characteristics,it can be concluded that the Jinghong mafic-ultramafic complex represents an ophiolite suite that was formed in a back-arc ocean basin.Precise LA-ICP-MS zircon U-Pb dating yielded weighted mean ^(206)Pb/^(238)U ages of 298.4±1.7 Ma,294.3±1.6 Ma,and 292.8±2.0 Ma for gabbroic rocks from this complex,which indicates that the Jinghong ophiolites were formed during the early Permian(298-293 Ma).We propose that during subduction of the main Paleo-Tethys Ocean,a back-arc ocean basin was formed at the east of the Lancangjiang tectonic belt.展开更多
文摘目的探讨案例结合问题教学法(case-problem based learning,CPBL)联合模拟多学科协作诊疗模式(multidisciplinary treatment,MDT)在放射肿瘤科住院医师规范化培训(简称住培)中的应用。方法选取住院医师与指导医师组成模拟MDT讨论组,由专业基地指导医师作为领队进行模拟MDT讨论。结束后采用出科考核及问卷调查的方式对教学效果进行评估。结果通过MDT讨论,住院医师对于肿瘤综合治疗有更深入的认识,在出科考核评估中专业分数提高明显(P<0.05)。结论模拟MDT联合CPBL教学模式能提升住院医师解决问题的能力,有效地提高住培教学质量,值得推广。
基金financially supported by the National Natural Science Foundation of China(Grant 91855206)National Key Research and Development Project of China(Grant 2016YFC0600310)the Foundation of Key Laboratory of Deep-Earth Dynamics of Ministry of Natural Resources(No.J1901-18,J1901-23)。
文摘The Jinghong mafic-ultramafic complex,exposed in the eastern margin of the Lancangjiang tectonic belt,is related to the subduction of the Paleo-Tethys Ocean.Its petrogenesis plays a key role in constraining the tectonic evolution of the eastern Paleo-Tethys Ocean in southwestern China.In this study,we present petrological,geochemical and geochronological results of the Jinghong complex rocks,in order to decipher their origin and tectonic significance.The Jinghong mafic-ultramafic complex was composed of peridotite,gabbro,basalt and minor plagiogranite.Whole-rock geochemical data of the mafic rocks indicate that they have both MORB and IAB affinities and plot in the back-arc basin basalt(BABB)field in the FeO^(*)/MgO vs.TiO_(2) diagram.Combined with their trace element characteristics,it can be concluded that the Jinghong mafic-ultramafic complex represents an ophiolite suite that was formed in a back-arc ocean basin.Precise LA-ICP-MS zircon U-Pb dating yielded weighted mean ^(206)Pb/^(238)U ages of 298.4±1.7 Ma,294.3±1.6 Ma,and 292.8±2.0 Ma for gabbroic rocks from this complex,which indicates that the Jinghong ophiolites were formed during the early Permian(298-293 Ma).We propose that during subduction of the main Paleo-Tethys Ocean,a back-arc ocean basin was formed at the east of the Lancangjiang tectonic belt.