Research on the Construction Status of the Beijing-Tianjin-Hebei Medical Talent Community and the Countermeasures for Its Realization

In April 2015,the Political Bureau of the CPC Central Committee adopted the“Outline of the Plan for the Coordinated Development of Beijing,Tianjin,and Hebei.”In July 2017,the“Plan for the Integrated Development of Beijing,Tianjin,and Hebei Talents(2017–2030),”jointly prepared by the leading groups of the three regions,was officially released.The core of the coordinated development of these three regions is the orderly removal of non-capital functions from Beijing.Talents,especially medical talents,are integral to this transition.The construction of a medical talent community across these three regions promotes the further development of a healthier China,meets the growing needs of the people for a better life,and embodies the concept of putting people first.This paper begins by examining the current situation of the construction of the Beijing-Tianjin-Hebei medical talent community,reviewing the progress made,analyzing existing problems,and proposing targeted countermeasures and suggestions.

Teaching Reform and Practice of Functional Experiment Based on the Cultivation of Excellent Medical Talents

In order to cultivate excellent clinical medical talents with a solid foundation, strong literacy, refined skills, excellent communication abilities, innovative thinking, and a strong focus on practicality, functional experiments have undergone a series of reforms in areas such as constructing new curriculum systems, improving teaching content, updating teaching equipment, introducing new teaching models, and enhancing teaching evaluation systems.

Evaluation of the Effectiveness of Community Pharmacy Services on Rational Medication Use in Elderly Patients with Hypertension and Diabetes

Objective:To explore the effect of community pharmacy services on rational medication use in elderly patients with hypertension and diabetes.Methods:Between November 2022 and December 2023,80 elderly patients with hypertension and diabetes were selected and randomly divided into a control group(routine medication guidance)and an observation group(community pharmacy services),with 40 subjects each.The medication effect scores,blood pressure,blood sugar levels,and quality of life scores before and after intervention were compared between the two groups.Results:Comparison of pharmaceutical knowledge,medication compliance,and safe medication behavior scores showed that the observation group had higher scores as compared to the control group(P<0.05);blood pressure(systolic blood pressure,diastolic blood pressure,heart rate)and blood sugar(fasting blood glucose,2 h postprandial blood glucose,glycated hemoglobin)index levels were compared,and the observation group’s index levels were lower than those of the control group(P<0.05);the scores of physical health,mental health,social relationships,and environment in the observation group were higher than those in the control group(P<0.05).Conclusion:Community pharmacy services improved the rational medication effect of elderly patients with hypertension and diabetes,and improved their blood pressure,blood sugar control levels,and quality of life.

Analysis of Professional Quality Cultivation Strategies for Infant and Child Care Service Talents from the Perspective of Collaboration of Medical Care,Parenting,and Education,and Integration of Industry and Education

The collaboration of medical care,parenting,and education aims to integrate nursing,midwifery,infant and child care services,and management with speech and hearing rehabilitation technology,among other elements related to the infant care industry chain.This integration targets pediatrics talent training in nine infant care positions,including nursing,infant health care and management,and child rehabilitation,to ensure that the capabilities and quality of professional talents can meet the health care needs of infants and young children.This article briefly explains the background of the“collaboration of medical care,parenting,and education,and integration of industry and education.”It analyzes the necessity of cultivating infant and child care service talents based on the perspective of“collaboration of medical care,parenting,and education,and integration of industry and education.”Based on this perspective,we conducted an in-depth study of the cultivation of professional qualities of infant and child care service talents.

A Study on Construction of Quality Security System in the Cultivation of Top-notch Innovative Medical Talents

In order to cultivate the top-notch innovative talents with the intemational perspectives, on the basis of the principles of objective, utility, humanities and practice, medical institutions should update the concept of talent cultivation led by employment, innovate teaching mode by deepening teaching reform, optimize the teaching staff by strengthening cooperation between college and enterprise, widen the practical teaching by participating interaction with pharmaceutical industries, and improve the teaching supervision system by implementing quality requirements to construct quality security system in the cultivation of top-notch innovative medical talents.

Stakeholders’ Practices and Perspectives on Solid Medical Waste Management: A Community Based Study in Accra, Ghana

Solid medical waste (SMW) is hazardous and requires specific treatment prior to final disposal. Limited information addresses the management of SMW in non-traditional settings such as in households, traditional birth attendants’ (TBAs) homes and chemical seller (CS) shops. A descriptive, exploratory study was conducted to identify major disposal practices and perceived hazards associated with SMW and explore their views regarding segregation as a potential management option. Twenty-nine household members, 10 TBAs and 8 CS who volunteered to participate in the study were involved in 6 focus group discussions (FGDs). Additionally, five key informants in private sector waste management companies were interviewed. FGDs were audio recorded, transcribed and translated, manually coded into themes and sub-themes using an iterative approach, and integrated with data from the interviews. In households, medicines were discarded by dosage forms with solid forms discarded in the household bin, while syrups were mostly emptied into drains. TBAs buried material used for delivery in clients’ compounds and CS tended to burn expired medicines or discard them with general waste. Participants perceived the following as hazards associated with SMW: infection transmission, penetrative injury, poisoning and aesthetic nuisance. Despite this awareness, they reported barriers to source segregation as a potential management option. Barriers included implied consumer costs, lack of supportive logistics and operational knowledge, and possible injury. Reported methods of disposing SMW supported earlier studies and could be potentially hazardous if not addressed. Provision of storage facilities, supportive logistics and public sensitization might encourage source segregation as a potential management option for SMW in the community.

Observation of Medical Anthropology on Covid-19 Variants Epidemic Prevention Based on the Community-Level Governance Experience of Shenzhen in 2022

In recent years,the thinking and research on the prevention and control of Covid-19 Variants Epidemic is not only the technical operation level discussion in the public health and disease prevention academic circles,there is also growing academic interest in comparative research on public health governance and different paradigms.Based on the experience of Shenzhen's epidemic prevention and control team at the community governance level in 2022,based on the observational perspective of medical anthropology,and through comparison with Hong Kong's anti-epidemic experience,this paper deeply analyzes the function and impact of traditional medical methods in epidemic prevention and control.Then the authors cite the paradigm of‘systems medicine’and research results in recent years,closely link the research topic with community governance in methodological sense,so as to promote public health and epidemic prevention research that aim at the combination of technology and humanities.

Factors Related to Medication Adherence of Cognitively Impaired Patients in Community Pharmacies

Objective: The objective of the study was to identify factors related to donepezil medication adherence ("adherence") of cognitively impaired patients in community pharmacies. Methods: One hundred and twenty community pharmacies in 28 regions in Japan were randomly selected. Questionnaires were mailed to these pharmacies. The pharmacists answered based on the medication profiles ("YAKUREKI") of the patients given donepezil at their pharmacies. The survey items were "adherence", "who is the key person" and ‘the key person’s understanding and awareness of donepazil and its symptoms. The χ2 test and decision tree modeling analysis were performed to examine factors affecting adherence. A 5% level of statistical significance was used in the χ2 test. Results: Questionnaires with data on 479 patients were returned. The most common level of adherence was “take as instructed” (81.2%), followed by “forget once or twice a week” (10.2%). The χ2 test revealed that adherence was good if "key person" was professional caretaker (P = 0.004). Also, adherence was better if key person understood medication about dosage, P < 0.001;effect, P = 0.002;and general side effects,, P < 0.001. According to decision tree analysis, the key person had the strongest relationship with adherence. Conclusions: It was confirmed that the key person’s understanding of the medication and symptoms of cognitive impairment are related to adherence. In particular, it was suggested that there is a strong relationship between the key person and adherence and that factors related to adherence differ according to who the key person is. It is essential in the treatment of cognitive impairment to accurately identify the "key person", in order to provide better pharmaceutical care in community pharmacies.

Making a Case for Diversion of Solid Medical Waste from Households: A Generation Study in Ga South Municipal Assembly, Accra, Ghana

Background: Solid medical waste (SMW) is generated from the healthcare industry but can also be found in households when activity involving patient care occurs. Its hazardous properties require special treatment to minimize hazards to the environment. To achieve this, SMW must be safely diverted from house-holds using a systemic approach, which should be informed by the quantities generated and factors associated with generation. Objective: To characterize household SMW in terms of quantity and composition and to describe the factors associated with its generation. Methods: Manual sorting of household waste was conducted in 60 households to measure quantities of SMW and its components in Ga South Municipal Assembly, Accra, Ghana. Sample collection took place in the wet season (October, 2014) and dry season (December, 2014/January 2015). Rates of generation and percentage composition computed. Factors influencing generation were evaluated with non-parametric tests and quantile regression analysis. Statistical significance was set at p -3 kg/person/day. Pharmaceutical waste and sharps waste comprised 98% and 2% of SMW respectively. Generation rates were significantly higher in the wet season than in the dry season (z = 3.129, p = 0.002). Households where medical complaints were reported generated significantly less SMW at the 5th, 10th, 25th and 50th quantiles (β = -2.711, p = 0.001;β = -2.949;p < 0.001;β = -3.429, p < 0.001;β = -4.600, p < 0.001 respectively). Conclusion: SMW was generated in relatively small quantities in households. However, the large proportion of pharmaceuticals with mostly antibiotics raises concerns about drug resistance among other potential hazards.

Community Education Challenges in Young Adults of South Western Uganda

The aim of this study was to identify the major challenges to community education and any health problem in Bushenyi district of South Western Uganda. Data collection was done through questionnaire and participants were randomly selected. This was a cross-sectional study carried out for a period of three months in 2012. A questionnaire was used to collect data and using onsite observations the responses were validated. A total of 260 participants from 65 homesteads were included in the study from 52 households. 144 were females and 116 males, of which 52.4% of the children were female and the rest male. The mean ± SEM age of females and males was 36 ± 8.6 and 29 ± 8.6 years respectively. In all the homesteads, 71% were headed by an adult male and only 29% were found to be headed by an adult female while none was headed by children. Inferential analysis showed (P = 0.02) that there are more females than male in the homesteads. Majority of the homesteads are being taken care of by women instead of men probably as a result of the high mortalities due to HIV/AIDS in the past decade and above all the movement of most men to urban centers in search of better sources of employment to support their families. Among school going age participant’s i.e. children and adolescents, only 59.6% were found to be attending school. There was no statistical significance (P = 0.16) between school attendance and age. Family responsibilities such as cooking for younger siblings by female participants, obligations on open market days are thought to be secondary limiting factors for community development and livelihood amongst young persons;thus a follow up study would be conducted to assess their associations in this community as this would raise major child abuse concerns which would need to be reported to the legal authorities for follow up.

Colleges should focus on transformation of applied community-oriented professional music talents

In the context of higher education development, the prominent problem the development of higher education facing is different levels and types of schools convergence development. This directly affects the convergence and development tendencies of music professional construction and development local high school, it is highlighted that music training objectives positioning is not clear in the local high school, they consciously or unconsciously move closer to the music professional institutions in teaching content and methods, so higher education cannot meet the local music community, especially the diverse musical talent needs of grassroots community.

The Design and Implementation of a Medical Parasitology Teaching Case Database Based on the Online and Offline Hybrid Teaching Model

The purpose of this paper is to comprehensively develop high-quality medical talents with strong clinical skills and innovativeness.By constructing and applying the medical parasitology teaching case database,students can gain access to various educational tools.The goal is to assist them in their progress from passive to active learning,as well as to develop their autonomous learning ability,critical thinking skills,communication skills,teamwork,and innovation skills.Besides,the goal is also to improve the overall hygiene perspective as well as digest and integrate their knowledge and skills.

新医科建设的制度分析

新医科是医学发展到新发展阶段的产物,具有新发展阶段的鲜明特征,特别是以学科交叉融合为特征的人才培养和学术研究方面。新医科建设大体可分为建制化和非建制化两种主要途径。建制化途径强调设立专门的交叉学科、专业和机构开展人才培养和科学研究,非建制化途径则是面向更多的不特定群体,以招生指标、科研项目等形式来带动。从全国高校新医科建设的实践看,建制化方式是主要渠道,是推进新医科的主要依托。

古代医学教育目的论价值论及其思想渊薮

医学教育作为培育医学人才的实践路径,其目的论和价值论赋予教育实践存在的意义,并对教学内容的安排、教学方法的选择等教育实践活动起着决定性的导向作用。古代医家在不同时代受不同文化熏陶,从传承医学、造福百姓、养命保身等各个视角审视医学和医学教育,不断完善和充实医学教育目的与价值思想,使我国古代的医学教育目的与价值思想在多元中逐渐趋于圆融。这些医学教育目的与价值的思想渊源包括生命神圣思想、儒家仁爱思想、道家重生思想、佛家悲悯情怀等。

党建引领视角下医疗卫生人才培养的实践研究

加强党建工作建设,充分发挥党组织领导核心的作用,为医疗卫生教育机构深化医疗人才培养提供坚强保障。在党建引领背景下对医疗卫生人才培养进行探索和研究,构建全员、全方位、全过程育人体系,聚焦党建引领,建强育人队伍,凸显全员育人合力,培养兼具扎实专业理论和综合素质能力的复合型人才成为重要的育人目标。推动党建引领实践育人工作,即有利于强化党对医疗卫生教育机构的领导,还有利于创新党建引领、医疗卫生教育机构主导和社会力量参与的实践育人模式。文章从党建引领,在医疗人才培养的实践探索、实践策略等方面,探索党建引领实践育人策略,以为相关工作提供一定的借鉴和参考依据。

高层次医学创新人才培养的理论思考和实践举措——基于国家科技奖的实证分析

科技革命带来了医学创新发展新需求,创新之道,唯在得人。国家科技奖代表了一定时期内我国科学技术领域取得的重要突破,其权威性高、荣誉性强。本文通过整理2016—2020年医学领域国家科技奖获奖情况,从获奖数量、获奖地区、获奖主体、学科分布和交叉融合等方面对获奖成果进行分析,从而把握我国医学科技创新的现状与问题,以期为健康中国建设培养高层次医学创新人才提供借鉴与启示。

CBL教学形式融入课堂提高应用型医学检验人才培养的探讨

目的 探讨CBL教学法在应用型医学检验人才培养中的教学效果。方法 选择2018级检验本科学生为对照组,采用常规教学法授课;选择2019级检验本科学生为实验组,采用CBL教学法授课。通过问卷调查、期末成绩、毕业生去向等方面评估CBL教学法在应用型医学检验人才培养中教学效果。结果 调查问卷显示实验组学生的学习自主性和分析解决问题能力优于对照组,差异有统计学意义(P<0.001);实验组学生的理论成绩和实践成绩均高于对照组,差异有统计学意义(P<0.01)。结论 CBL教学法能培养学生分析问题和解决问题的能力;提高学生学习自主性和学习兴趣从而提高学习成绩,是一种适合应用型医学检验技术人才培养的教学方法。

新医科背景下医学影像技术人才培养路径探索

随着全球医疗健康领域的快速发展,医学影像技术已成为疾病诊断和治疗中不可或缺的工具,其发展正受到前沿信息技术,如人工智能的深刻影响,并推动了医学影像技术朝着更高精度、更深层次解析力和更个性化治疗的方向迅速发展。同时,新医科教育改革强调跨学科融合、创新能力的培养和实践技能的提升,为医学影像技术领域的人才培养指明了新方向。文章旨在探讨新医科背景下,医学影像技术人发展趋势和现有人才培养模式存在的问题,同时提出了医学影像技术人才培养的创新策略和培养思考,以期培养出具有创新能力、跨学科知识结构和强大临床实践能力的医学影像技术人才,满足未来医疗健康领域的广泛需求和医学影像技术学科健康发展。

中医医联体背景下医学检验技术人才培养模式的探讨

中医检验技术人员对中医药学知识相对匮乏,中医检验对标本的采集、检测等与西医检验有明显不同,为探索中医医疗联合体(简称医联体)背景下医学检验人才培养模式改革路径,采用文献分析法、扎根理论法等研究方法,归纳总结中医医联体医学检验人才现状、教育培训面临的问题和已推行并取得成效的主要措施,对医学检验学科建设以及人才培养模式进行探讨延伸,提出有效的解决方案。建议通过加强检验人才中医药学知识储备,建设高素质创新型的中医特色检验专业技术人才队伍。根据医院特征探索适宜的人才培训模式,采用“引进来”“走出去”方式充实中医检验专业人才队伍,因材施教,提高人员的基本素质、激发检验人才创新性、加强学科建设,进而提升基层诊疗服务能力和技术水平。利用互联网终端实现医联体成员医疗数据互联互通,平衡医疗资源,使上级医院对基层医疗机构“传帮带”更加便利,同时建立长效的帮扶机制,保证基层检验科人才持续覆盖,为医联体检验学科建设提供有利的教学环境和硬件设施。

基于复合型人才培养为导向的多元化教学在肝胆胰外科进修医师培训中的应用

目的探讨基于复合型人才培养为导向的多元化教学方法在肝胆胰外科进修医师培训中应用价值。方法选取2020年12月至2022年10月郑州大学第一附属医院肝胆胰外科进修的56名医师为研究对象。采用多元化教学方式对56名肝胆胰外科进修医师进行培训,应用理论知识及临床技能考试了解多元化的教学效果,采用调查问卷了解进修医师对多元化教学的满意度和医疗水平提升情况。结果培训后,进修医师的理论知识及临床技能评分高于培训前(P<0.05)。进修医师对多元化教学满意度评分为(4.43±0.50)分。培训后,15名(26.7%)进修医师所在医院增加了腹腔镜设备,12名(21.4%)进修医师所在医院增加了胆道镜设备。培训后,39名(69.6%)进修医师所在医院增加了外派进修医师人数,54名(96.4%)进修医师增加微信学术公众号。培训后,进修医师三、四级及腹腔镜手术占比高于培训前(P<0.05)。结论基于复合型人才培养为导向的多元化教学模式提升肝胆胰外科进修医师理论水平、临床技能及医疗水平,提高教学满意度,是一种行之有效的医学教育方法。