从《医学教育》发表的有关论文看学导式教学法的现状和前景

从《医学教育》发表的有关论文看学导式教学法的现状和前景中国人民解放军福州医学高等专科学校魏文树我们在探讨学导式教学法用于药理学理论教学的过程中，研习了当前国内外一些有关的教改研究文章。其中《医学教育》发表的与学导式教学法有关的论文，基本上能代表国内医...

新规定下口腔科实习生医患沟通能力的培养

口腔医学是一门理论性和实践性都很强的学科,不仅需要提高学生专业理论知识和动手能力,还应注意培养实习生与患者的沟通能力。《医学教育临床实践管理暂行规定》的实施对医患沟通提出了更高的要求,临床带教教师和口腔实习生共同努力,才能使学生在医患沟通中进一步提高专业知识,理论结合与实践,为培养合格的口腔医生奠定基础。

English Forum on Medical Humanities of SMMU:An interdisciplinary innovative teaching practice

To conform to the college English teaching reform from English for General Purposes (EGP) to English for Academic Purposes (EAP) in the vital transfer era, the Foreign Language Department of Second Military Medical University (SMMU) launched an English for Medical Academic Purpose (EMAP) curriculum with English Forum on Medical Humanities (EFMH), a project-based teaching practice. Based on Rogers' learner-centered humanistic teaching approach which emphasizes students' involvement and experiences in learning, EFMH puts students and their practice in a central place. After four-year exploration and operation, the Forum has developed from a small-scaled embryo into an internationalized, standardized and professionalized event, having produced fruitful outcomes. It is expected that the success of EFMH will provide inspiring experiences and enlightenments for higher medical education in terms of academic English teaching and teachers' responsibilities to foster high-quality medical students.

Gastroenterology training in Latin America

Latin America is characterized by ethnic, geographical, cultural, and economic diversity; therefore, training in gastroenterology in the region must be considered in this context. The continent’s medical education is characterized by a lack of standards and the volume of research continues to be relatively small. There is a multiplicity of events in general gastroenterology and in sub-disciplines, both at regional and local levels, which ensure that many colleagues have access to information. Medical education programs must be based on a clinical vision and be considered in close contact with the patients. The programs should be properly supervised, appropriately defined, and evaluated on a regular basis. The disparity between the patients’ needs, the scarce resources available, and the pressures exerted by the health systems on doctors are frequent cited by those complaining of poor professionalism. Teaching development can play a critical role in ensuring the quality of teaching and learning in universities. Continuing professional development programs activities must be planned on the basis of the doctors’ needs, with clearly defined objectives and using proper learning methodologies designed for adults. They must be evaluated and accredited by a competent body, so that they may become the basis of a professional regulatory system. The specialty has made progress in the last decades, offering doctors various possibilities for professional development. The world gastroenterology organization has contributed to the speciality through three distinctive, but closely inter-related, programs: Training Centers, Train-the-Trainers, and Global Guidelines, in which Latin America is deeply involved.

PROSPECT OF MEDICAL GENETICS IN CHINA FROM A HISTORICAL POINT OF VIEW

The history of medical genetics is briefly reviewed. It is evident that medical genetics with its inseparable part, clinical genetics, started out as a cfinical science from the very beginning. Its robust development in the developed countries is the result of a close interaction between the basic sciences and clinical genetics. In China, however, clinical genetics has not received due emphasis and medical genetics is still not recognized as one of the medical specialties. This is in marked contrast to the situation in the West. It is high time to acknowledge that medical genetics is a medical specialty and to promote clinical genetics service in qualified hospitals in our country.

Genetics in medical school curriculum:A look at the University of Rochester School of Medicine and Dentistry

Genetics is assuming an increasingly important role in medicine. As a result,the teaching of genetics should also be increased proportionally to ensure that future physicians will be able to take advantage of the new genetic technology,and to understand the associated ethical,legal and social issues. At the University of Rochester School of Medicine and Dentistry,we have been able to incorporate genetic education into a four-year medical curriculum in a fully integrated fashion. This model may serve as a template for other medical curriculum still in development.

Importance of Nurses＇ Clothes Etiquette in Medical Education

Good clothes etiquette of nurses can meet the mental needs of patients, which can promote early recovery of patients. A nurse with a good clothes etiquette style conveys the information to the patients, which can produce a positive effect, so nurses＇ appropriate clothes appearance, proper manners, kind and amiable attitude and appropriate discourse and other good clothes etiquettes can achieve the effect that the medicine can not achieve.

Problems and Countermeasures of Art Education in Medical Universities under the Background of Education Reform

Art education is an important part of the comprehensive implementation of quality-oriented education, and it is an important method for medical students to recognize perceptual world, to enrich their thoughts and feelings, and to regulate their physical and mental health, so it is very important for the growth of medical students under the background of education reform. Based on the analysis of the existing problems of art education in medical universities, this paper points out the importance of art education for medical students in medical universities, and tries to make some countermeasures and suggestions to strengthen the art education for medical students.

A Survey Report about the General Situation of the Students in Adult Higher Medical Education

This survey was implemented, so that the general situation of the students in adult higher medical education is more accurately and comprehensively known, and also adult education and teaching work can be developed in a targeted way. 193 students attending adult education junior college participated in this survey, and the surveyed details included the general situation of student sources, the ideological trends, and the degree of the cognition on the majors, the degree of the recognition on teaching, the employment concept, and the problems in the current jobs. By a statistical analysis, a foundation is further laid for the effective work of adult higher medical education.

A Task-driven Medical Teaching Design under the Guidance of B-learning

A new challenge has been brought by the rapid development of information technology to medical teaching, and the teaching reform of the medical education in China should be deepened for attaining a development. The core of deepening medical teaching reform is to break the traditional teaching model （i.e. giving a lecture）, and create a better classroom teaching situation by making full use of the modern teaching methods. In B-learning, the effective combination of the traditional teaching method＇ s advantages with the E-learning in a pure technical environment is advocated. In the task-driven teaching, a teaching design is made by students in a real or simulated real environment. In this paper, the effective combination of B-learning with the task-driven teaching model is introduced, so that the better teaching effect is achieved.

Second Language Repertoires Reflecting on Teaching IsiXhosa to Medical Students

The Language Policy for Higher Education （2002） and University of Cape Town＇s Language Plan （2001） suggest that language is central to our social and academic engagement at every level： to our communication with those around us, to our learning, and to our identities. The purpose of this paper is to show how the medical school, after making progress towards implementing the University of Cape Town＇s Language Plan of 2001, is compelled to encourage isiXhosa language developers to develop the necessary and relevant vocabulary responding to the needs of the target users. In some cases, there is a need to adopt terms that are already available and being used by the speech community to align them in the curriculum. Research conducted by analyzing field notes, having plenary discussions with students, observations during clinical practice, reflecting on the curriculum and study materials material. Results indicated the significance of teaching isiXhosa drawing from the medical jargon understood amongst patients, doctors, and nurses. This paper discusses the status enjoyed by isiXhosa to date, language teaching and teaching matters pertaining to isiXhosa, and reflection on whether there is benefit in learning isiXhosa.

Analysis on Humanistic Education of Medical Students

Medical students are the major force of future medical scientific research and clinical work, and itis of great necessity for medical students to have humanistic education, which is also an inevitable way of improving medical students＇ clinical practice quality. Social progress demands that medical students should not only have excellent professional skills, but also be able to think about problems from medical,social, moral and ethics perspectives, establishing the people-oriented patient-centered noble medical ethics, having a good ability to communicate with people.

Management of neglected cervical spine dislocation： a study of six cases

Objective： To report a case ser/es of six neglected cervical spine dislocations without neurological deficit, which were managed operatively. Methods： The study was conducted fromAugust 2010 to December 2011 and cases were selected from the out- patient department of Postgraduate Institute of Medical Education and Research, India. The patients were in the age group of 30 to 50 years. All patients were operated via both anterior and posterior approaches. Results： During the immediate postoperative period, five （83.33%） patients had normal neurological status. One （16.67%） patient who had C5-C6 subluxation developed neu- rological deficit with sensory loss below C6 level and motor power of 2/5 in the lower limb and 3/5 in the upper limb below C6 level. Conclusion： There is no role of skull traction in ne- glected distractive flexion injuries to cervical spine delayed for more than 3 weeks. Posterior followed by anterior ap- proach saves much time. If both approaches are to be done in the same sitting, there is no need for instrumentation posteriorly. But if staged procedure is planed, posterior sta- bilization is recommended, as there is a risk of deterioration in neurological status.

Case-based learning in education of Traditional Chinese Medicine: a systematic review

OBJECTIVE:To assess the effect of case-based learning(CBL)in the education of Traditional Chinese Medicine(TCM).METHODS:The studies concerning TCM courses designed with CBL were included by searching the databases of EBSCO,Pubmed,Science Citation Index,China National Knowledge Infrastructure,Chongqing VIP database.The valid data was extracted in accordance with the included criteria.The quality of the studies was assessed with Gemma Flores-Masteo.RESULTS:A total of 22 articles were retrieved that met the selection criteria:one was of high quality;two were of low quality;the rest were categorized as moderate quality.The majority of the studiesdemonstrated the better effect produced by CBL,while a few studies showed no difference,compared with the didactic format.All included studies confirmed the favorable effect on learners'attitude,skills and ability.CONCLUSION:CBL showed the desirable results in achieving the goal of learning.Compared to didactic approach,it played a more active role in promoting students'competency.Since the quality of the articles on which the study was based was not so high,the findings still need further research to become substantiated.

Acupuncture Skills and Its Evidence-based Assessment

Acupuncture originated in China several thousand years ago, and this therapeutic approach has been shown to be an effective treatment of many diseases and the maintenance of health in China and other countries all over the world. However, there is little study into how the important skills of acupuncture should optimally be taught and how competence at this skill should be evaluated. The current competency assessment of acupuncture skills is primarily based on evaluations by experts, which can be subjective with large variations and potentially inaccurate. Developing evidence-based assessment standards for acupuncture skills is required to move the assessment of the clinical practice of acupuncture forward, and this performance evaluation could be based on standardized expert evaluation, computer-based measurements such as motion analysis , and high-fidelity simulators or standardized patients.

Predictors of early outcome in unstable pelvic fractures

Objective： To define the preoperative and intraoperative variables which may affect the immediate postoperative outcome in surgically managed patients with unstable pelvic fractures. Methods： This study was performed prospectively from January 2009 to June 2011 on 36 consecutive patients admitted to the trauma ward of Postgraduate Institute of Medical Education and Research, Chandigarh, with unstable pelvic injuries. Results： In the present study of 36 patients, 29 were managed surgically. Surgical duration was 2 hours in pa- tients operated on within 1 week and 3.4 hours in those operated on after 1 week. The blood loss was 550 ml when surgery was done after a week, but when done within a week it was 350 ml. The average blood loss through Pfanenstial approach was 360 ml, through posterior approach was 408 ml and through combined approach was 660 ml which was significantly high. Conclusion： Anterior approach to the pelvis would cause significantly more amount of blood loss than poste- rior approach and extemal fixation. Surgical approaches do not have any influence on the surgical duration or the infec- tion rate. The blood loss significantly increases when the surgical time is more than 1 h. The infection rate is not influ- enced by the duration of surgery. Presence or absence of associated injuries to the head, chest or abdomen is the main determinants of patient＇s survival and it greatly influ- ences the duration of hospital stay.