目的 探究基于图片存档及通信系统(picture archiving and communication system,PACS)的翻转课堂教学在神经外科专科医师规范化培训(简称“专培”)实习中的效果。方法 选取2019年6月—2022年6月重庆医科大学附属永川医院60名在神经外...目的 探究基于图片存档及通信系统(picture archiving and communication system,PACS)的翻转课堂教学在神经外科专科医师规范化培训(简称“专培”)实习中的效果。方法 选取2019年6月—2022年6月重庆医科大学附属永川医院60名在神经外科实习的专培生,随机分为观察组和对照组,各30名。其中对照组采用常规传统教学法,观察组采用基于PACS系统的翻转课堂教学法。评估两组专培生实习期间出科考试成绩以及教改实践效果。结果 观察组理论考试成绩、实践技能成绩、综合测评总成绩均高于对照组,差异有统计学意义(P <0.05)。观察组提高学习效率、提升自学能力、促进实习参与意识、增进临床思维能力、提高信息获取能力、提高学习效率、提高临床实践技能均优于对照组,差异有统计学意义(P<0.05)。结论 将基于PACS系统的翻转课堂应用于神经外科专培生的实习中,可有效激发专培生的自主学习能力,提高出科考试成绩,同时提升专培生的实践教学效果,为临床培育更优秀的神经外科医生。展开更多
美国消化科专科医师规范化培训(专培)是在完成3年住院医师规范化培训(住培)后进行。申请进入消化科专培是通过网络申请、基地筛选、医师面试、双向选择决定的。专培医师可以选择不同培训方向:临床、科研、临床科研和基础科研。专培的核...美国消化科专科医师规范化培训(专培)是在完成3年住院医师规范化培训(住培)后进行。申请进入消化科专培是通过网络申请、基地筛选、医师面试、双向选择决定的。专培医师可以选择不同培训方向:临床、科研、临床科研和基础科研。专培的核心课程由美国消化科协会指定,教育形式由基地决定,具体执行由美国毕业后医学教育认证委员会(Accreditation council for graduate medical education,ACGME)监督。本文既详细地介绍了美国消化科专培在临床教学、科研方向、评估住院医师上的共性,也展示了梅奥诊所消化科专培的一些特色。展开更多
Objectives:This study aimed to assess the feasibility of an online compassion training program for nursing students and preliminarily investigate its effects on mindfulness,self-compassion,and stress reduction.Methods...Objectives:This study aimed to assess the feasibility of an online compassion training program for nursing students and preliminarily investigate its effects on mindfulness,self-compassion,and stress reduction.Methods:This study employed a randomized controlled trial design.Second-year students from a nursing college in Guangzhou,China,were recruited as research participants in August 2023.The intervention group participated in an 8-week online compassion training program via the WeChat platform,comprising three stages:mindfulness(weeks 1e2),self-compassion(weeks 3e5),and compassion for others(weeks 6 e8).Each stage included four activities:psychoeducation,mindfulness practice,weekly diary,and emotional support.Program feasibility was assessed through recruitment and retention rates,program engagement,and participant acceptability.Program effectiveness was measured with the Mindful Attention Awareness Scale,Self-Compassion Scale-Short Form,and Perceived Stress Scale.Results:A total of 28 students completed the study(13 in the intervention group,15 in the control group).The recruitment rate was 36.46%,with a high retention rate of 93.3%.Participants demonstrated high engagement:69.2%accessed learning materials every 1e2 days,93.3%practiced mindfulness at least weekly,with an average of 4.69 diary entries submitted per person and 23.30 WeChat interactions with instructors.Regarding acceptability,all participants expressed satisfaction with the program,with 92.4%finding it“very helpful”or“extremely helpful.”In terms of intervention effects,the intervention group showed a significant increase in mindfulness levels from pre-intervention(51.54±10.93)to postintervention(62.46±13.58)(P<0.05),while no significant change was observed in the control group.Although there were no statistically significant differences between the two groups in post-intervention self-compassion and perceived stress levels,the intervention group showed positive trends:selfcompassion levels increased(35.85±8.60 vs.40.85±5.54),and perceived stress levels slightly decreased(44.77±8.65 vs.42.00±5.77).Conclusions:This pilot study demonstrated the feasibility of an online compassion training program for nursing students and suggested its potential effectiveness in enhancing mindfulness,self-compassion,and stress reduction.Despite limitations such as small sample size and lack of long-term follow-up,preliminary evidence indicates promising prospects for integrating such training into nursing education.Further research is warranted to confirm thesefindings and assess the sustained impact of this approach on nursing education and practice.展开更多
目的探讨医教协同背景下呼吸与危重症医学科(Pulmonary and Critical Care Medicine,PCCM)“5+3+X”学员带教模式与效果评价。方法选取蚌埠医学院第一附属医院2017—2020级PCCM专培学员共16人作为研究对象,2017—2018级PCCM专培学员(对...目的探讨医教协同背景下呼吸与危重症医学科(Pulmonary and Critical Care Medicine,PCCM)“5+3+X”学员带教模式与效果评价。方法选取蚌埠医学院第一附属医院2017—2020级PCCM专培学员共16人作为研究对象,2017—2018级PCCM专培学员(对照组)以传统模式带教;2019—2020级PCCM专培学员(观察组)以教师队伍建设为突破口,强化导师制带教模式,不断加强教学资源建设和教学方法改革,重视过程管理与考核,注重临床技能培训和临床思维训练的综合模式带教。结果PCCM专培学员观察组在轮转出科理论考试和教学效果方面均明显优于对照组,差异有统计学意义(P均<0.05)。期待在国家结业考试中观察组会取得更好的成绩。结论强教师队伍建设,强化过程管理与考核,构建医教协同背景下PCCM“5+3+X”学员带教模式是可行的,只有这样才能不断提高PCCM“5+3+X”学员的培养质量。展开更多
文摘目的 探究基于图片存档及通信系统(picture archiving and communication system,PACS)的翻转课堂教学在神经外科专科医师规范化培训(简称“专培”)实习中的效果。方法 选取2019年6月—2022年6月重庆医科大学附属永川医院60名在神经外科实习的专培生,随机分为观察组和对照组,各30名。其中对照组采用常规传统教学法,观察组采用基于PACS系统的翻转课堂教学法。评估两组专培生实习期间出科考试成绩以及教改实践效果。结果 观察组理论考试成绩、实践技能成绩、综合测评总成绩均高于对照组,差异有统计学意义(P <0.05)。观察组提高学习效率、提升自学能力、促进实习参与意识、增进临床思维能力、提高信息获取能力、提高学习效率、提高临床实践技能均优于对照组,差异有统计学意义(P<0.05)。结论 将基于PACS系统的翻转课堂应用于神经外科专培生的实习中,可有效激发专培生的自主学习能力,提高出科考试成绩,同时提升专培生的实践教学效果,为临床培育更优秀的神经外科医生。
文摘美国消化科专科医师规范化培训(专培)是在完成3年住院医师规范化培训(住培)后进行。申请进入消化科专培是通过网络申请、基地筛选、医师面试、双向选择决定的。专培医师可以选择不同培训方向:临床、科研、临床科研和基础科研。专培的核心课程由美国消化科协会指定,教育形式由基地决定,具体执行由美国毕业后医学教育认证委员会(Accreditation council for graduate medical education,ACGME)监督。本文既详细地介绍了美国消化科专培在临床教学、科研方向、评估住院医师上的共性,也展示了梅奥诊所消化科专培的一些特色。
文摘Objectives:This study aimed to assess the feasibility of an online compassion training program for nursing students and preliminarily investigate its effects on mindfulness,self-compassion,and stress reduction.Methods:This study employed a randomized controlled trial design.Second-year students from a nursing college in Guangzhou,China,were recruited as research participants in August 2023.The intervention group participated in an 8-week online compassion training program via the WeChat platform,comprising three stages:mindfulness(weeks 1e2),self-compassion(weeks 3e5),and compassion for others(weeks 6 e8).Each stage included four activities:psychoeducation,mindfulness practice,weekly diary,and emotional support.Program feasibility was assessed through recruitment and retention rates,program engagement,and participant acceptability.Program effectiveness was measured with the Mindful Attention Awareness Scale,Self-Compassion Scale-Short Form,and Perceived Stress Scale.Results:A total of 28 students completed the study(13 in the intervention group,15 in the control group).The recruitment rate was 36.46%,with a high retention rate of 93.3%.Participants demonstrated high engagement:69.2%accessed learning materials every 1e2 days,93.3%practiced mindfulness at least weekly,with an average of 4.69 diary entries submitted per person and 23.30 WeChat interactions with instructors.Regarding acceptability,all participants expressed satisfaction with the program,with 92.4%finding it“very helpful”or“extremely helpful.”In terms of intervention effects,the intervention group showed a significant increase in mindfulness levels from pre-intervention(51.54±10.93)to postintervention(62.46±13.58)(P<0.05),while no significant change was observed in the control group.Although there were no statistically significant differences between the two groups in post-intervention self-compassion and perceived stress levels,the intervention group showed positive trends:selfcompassion levels increased(35.85±8.60 vs.40.85±5.54),and perceived stress levels slightly decreased(44.77±8.65 vs.42.00±5.77).Conclusions:This pilot study demonstrated the feasibility of an online compassion training program for nursing students and suggested its potential effectiveness in enhancing mindfulness,self-compassion,and stress reduction.Despite limitations such as small sample size and lack of long-term follow-up,preliminary evidence indicates promising prospects for integrating such training into nursing education.Further research is warranted to confirm thesefindings and assess the sustained impact of this approach on nursing education and practice.
文摘目的探讨医教协同背景下呼吸与危重症医学科(Pulmonary and Critical Care Medicine,PCCM)“5+3+X”学员带教模式与效果评价。方法选取蚌埠医学院第一附属医院2017—2020级PCCM专培学员共16人作为研究对象,2017—2018级PCCM专培学员(对照组)以传统模式带教;2019—2020级PCCM专培学员(观察组)以教师队伍建设为突破口,强化导师制带教模式,不断加强教学资源建设和教学方法改革,重视过程管理与考核,注重临床技能培训和临床思维训练的综合模式带教。结果PCCM专培学员观察组在轮转出科理论考试和教学效果方面均明显优于对照组,差异有统计学意义(P均<0.05)。期待在国家结业考试中观察组会取得更好的成绩。结论强教师队伍建设,强化过程管理与考核,构建医教协同背景下PCCM“5+3+X”学员带教模式是可行的,只有这样才能不断提高PCCM“5+3+X”学员的培养质量。