AIDS-related Knowledge,Condom Usage Among Medical Postgraduates

Objective To investigate the knowledge about safety/unsafty of sexual acts relating to HIV transmission, levels of embarrassment related to condom and condom usage among medical postgraduates. Methods From August to December, 1998, a self-administered anonymous questionnaire was given to 271 new medical postgraduates from two medical colleges of Beijing and Hebei Province. Results There was a hazy understanding of the protective function of condom from AIDS among medical postgraduates. Only 14.4% medical postgraduates persisted in using condom, and 27.94% had never or almost never used it. The levels of embarrassment about condom were high. The median score was 3.55+0.98. Whether to use condom was related with the attitudes to condom, but not to AIDS. Conclusion There was some misunderstanding about condom and inconsistent condom usage in medical postgraduates. So it is essential to strengthen the sexual health education among them.

AI+ Medical Image Analysis Oriented Postgraduate Training

In modern medicine,medical image examination has become an important method and tool to deal with clinical diseases.The inherent defects of artificial analysis of medical images make medical images become the most valuable application scenario of artificial intelligence(AI).This paper aims at how to effectively adapt to economic development and cultivate talents who combine artificial intelligence and medicine,which is a difficult problem and challenge facing schools and educators.A new AI+medical imaging talent training model was proposed,and suggestions for improvement were introduced from the course design,assessment system,faculty team,and course textbooks,and the teaching effect was explained through the training process,supporting conditions,and training mechanism,so as to promote the scientific and technological progress of colleges and universities.and development.

Integration of Theory and Practice in Medical Morphology Curriculum in Postgraduate Training:A Flipped Classroom and Case-based Learning Exercise

Objective:The integration of training in theory and practice across the medical education spectrum is being encouraged to increase student understanding and skills in the sciences.This study aimed to determine the deciding factors that drive students'perceived advantages in class to improve precision education and the teaching model.Methods:A mixed strategy of an existing flipped classroom(FC)and a case-based learning(CBL)model was conducted in a medical morphology curriculum for 575 postgraduate students.The subjective learning evaluation of the individuals(learning time,engagement,study interest and concentration,and professional integration)was collected and analyzed after FC-CBL model learning.Results:The results from the general evaluation showed promising results of the medical morphology in the FC-CBL model.Students felt more engaged by instructors in person and benefited in terms of time-saving,flexible arrangements,and professional improvement.Our study contributed to the FC-CBL model in Research Design in postgraduate training in 4 categories:1)advancing a guideline of precision teaching according to individual characteristics;2)revealing whether a learning background is needed for a Research Design course to guide setting up a preliminary course;3)understanding the perceived advantages and their interfaces;and 4)barriers and/or improvement to implement the FC-CBL model in the Research Design class,such as a richer description of e-learning and hands-on practice.Conclusion:Undertaking a FC-CBL combined model could be a useful addition to pedagogy for medical morphology learning in postgraduate training.

Problems and Suggestions of Mental Health Education for Postgraduates in Medical Universities in China

Objective:Health includes physical and mental health.However,the importance of mental health of postgraduates is often ignored in China’s medical universities.The mental health education in most medical universities cannot adapt to the current situation of the growing scale of medical postgraduates.The main psychological problems of medical postgraduates are anxiety and depression.The main psychological stress is as follows:(1)academic work;(2)employment;(3)interpersonal relationship;(4)emotional distress.Conclusion:the postgraduate training programs of medical universities should pay more attention to the mental health status of postgraduates,and take reasonable measures to timely and effectively carry out early warning,intervention and treatment of postgraduates’psychological problems.

Exploration and Practice of Postgraduate Training Mode Based on Medical Imaging Information Security

In the process of continuous maturity and development of medical imaging diagnosis,it is common to transmit images through public networks.How to ensure the security of transmission,cultivate talents who combine medical imaging and information security,and explore and cultivate new discipline growth points are difficult problems and challenges for schools and educators.In order to cope with industrial changes,a new round of scientific and technological revolution,and the challenges of the further development of artificial intelligence in medicine,this article will analyze the existing problems in the training of postgraduates in medical imaging information security by combining the actual conditions and characteristics of universities,and put forward countermeasures and suggestions to promote the progress of technology in universities.

Consideration of Postgraduate Training under the Cross Field of Medical Information and Engineering

The slogan of“Combination of medicine and engineering”proposed in“Made in China 2025”has aroused great attention to higher engineering education.However,it is a difficult problem and challenge for schools and educators to effectively adapt to the economic and social development,train new medical and engineering talents,and explore and cultivate new subject growth points.In order to deal with engineering change and a new round of scientific and technological revolution,facing the challenge of new engineering construction.This paper will combine the reality and characteristics of colleges and universities,analyze the problems existing in the current medical engineering cross-graduate training,and put forward countermeasures and suggestions to promote the progress and development of science and technology in colleges and universities.

Post competency training in standardized training of resident physicians and integrated postgraduates

We focus on the importance and necessity of post-competency-based training in medical education alongside its current challenges and opportunities.Integrating post competency training into standardized educational frameworks is increasingly recognized as a critical component of preparing residents and postgraduates for real-world clinical practice.Post competency training represents a commitment to excellence in medical education,striving to produce competent,skilled practitioners to meet the challenges of modern healthcare.

Objective Assessment in Continual Medical Education (CME) Medical Objective Assessment in System Control

Existing examinations in postgraduate education and continuing medical education (CME) are not perfect. Modern assessment does not reflect disadvantages of older responders, for whom more time for reply is needed. Specialists with wide clinical experience may choose more than one correct answer in alternative questions. Reduced ability to remember in older people restricts examination without additional sources of information. We offer an individualised system for testing doctors. It provides personalised choice of examination questions using multiple choice questions with weight characteristics and absence of distractors, interactive cooperation in case of negative answers and the final decision of an expert in relation to the person tested. A special algorithm is proposed for typical questions that combines the advantages of known approaches to testing. The questioning system is complex for the creators of tests, but is more convenient and objective than existing ones for medical doctors.

“大思政”背景下医学检验专业研究生课程思政教育方法探索

习近平总书记关于思政课的重要论述,已经成为新时代高校为党育人为国育才的新理念,强化医学生的职业素养教育,特别是医学伦理和科研诚信教育,通过加强这方面的教育,可以帮助学生树立正确的价值观和职业观,明确作为医务工作者的责任和使命。同时,这也有助于培养学生的道德判断能力和自我约束能力,使其在未来的职业生涯中能够自觉遵守职业道德规范,维护医疗行业的形象和声誉,这对于培养具备高度责任感和职业道德的医学检验专业硕士研究生至关重要。将思政元素引入研究生课程教学,并以此为导向,构建层次递进、相互支撑的课程体系,是培养高层次医学检验人才的重要条件。医学检验专业是一门实践性和技术性非常强的专业,其致力于培养具备现代医学检验技能和初步科研能力的应用型医学检验技术专门人才。这样的培养目标既符合现代医学发展的需求,也体现了对医学检验人才综合素质的高度重视。因此,在“大思政”背景下,医学检验专业研究生教学中融入课程思政尤为重要。从强化师资队伍建设、提升带教老师课程思政能力、促进思政元素与专业知识融合、重构完整的课程体系、构建医学检验专业课程思政建设下的考评体系以及形成具有医学检验专业特色的“大思政”格局等维度,探讨医学检验专业硕士研究生“课程思政”教育方法改革的思路,以期为医学检验专业硕士研究生“课程思政”教育方法改革提供借鉴。

“互联网+”背景下重症医学研究生《急危重症医学》课程思政建设研究

基于“互联网+”背景下,医学高校为深入学习贯彻落实全国高校思想政治工作会议精神,进一步深化学校管理和教学改革,提高医学院校思想政治工作的实效性,提升医学高端人才培养质量,学校了提出以“课程思政”为目标的教学改革。“互联网+课程思政”教学具有传统课堂教学无法比拟的优势,其优化了课程设置及教学模式,加入了思政元素,完善了教学设计,有效地做到了每门课程在立德树人过程中的重要作用,是新时代高等医学院校教育发展的要求与趋势。《急危重症医学》是医学院校重症医学专业研究生重要的专业课,为充分发挥此门专业课程的育人功能,文章从重症医学《急危重症医学》课程思政建设的重要性、课程思政构建存在的问题以及课程思政建设路径探索等方面,对重症医学研究生专业课程融入课程思政进行了探索,旨在提高《急危重症医学》课堂教学效果及课程思政建设,最终实现教书与育人的有机结合。

基于 PDCA 体系的“一思五早”模式在医学研究生培养中的探索与实践

在国家“健康中国”建设目标指引下,医学人才培养和科技创新是推动医学进步、促进人民健康的重要策略。四川大学华西医院脑血管病中心以培养临床和科研复合型人才为目标导向,构建了临床、教学、科研“三位一体”的育人框架,基于PDCA循环体系实践管理学与循证医学理论和方法,对研究生进行规范化培养和个体化指导,践行“一思五早”培养模式,为培养德才兼备的高水平医学研究生探索方法路径。

医学研究生伦理审查体系建设探索研究

通过对广州中医药大学第一临床医学院222名医学研究生进行关于医学伦理审查意见的问卷调查,调查内容涉及“受调查者基本情况”“相关伦理法规了解情况”“伦理知识和实践能力获得情况”“对伦理审查工作的评价、意见”4个模块,分析调查结果认为,医学研究生临床研究项目医学伦理审查存在以下6方面情况:医学伦理知识水平不高、医学伦理审查意识较薄弱、医学伦理知识获取途径相对单一、对医学伦理教学参与度及学习效果评价不高、对医学伦理审查工作满意度不高、对医学伦理审查态度较积极但对其意义认识不高。基于以上情况,广州中医药大学第一临床医学院协同广州中医药大学第一附属医院伦理委员会教研分会开展以培养质量为导向的医学伦理审查体系建设与完善的探索,包括研究生医学伦理素养的提升和伦理课程建设,伦理培训,教研分会建设,伦理审查制度化、信息化、电子化等。

多学科诊疗模式下翻转课堂在头颈肿瘤临床教学中的应用

目的探讨多学科诊疗(multidisciplinary diagnosis and treatment,MDT)模式下翻转课堂在头颈肿瘤临床教学中的应用效果。方法于2022年9月—2023年3月选取重庆医科大学附属第一医院耳鼻咽喉头颈外科2020年9月、2021年9月及2022年9月入学的36名专业学位研究生,采用随机数字表法分为对照组和试验组,每组各18名。对照组采用传统的教学模式,试验组采用MDT模式下翻转课堂教学模式。教学完成后,采用试卷答题的形式评价2组的知识点掌握情况,通过问卷调查形式完成学生对教学模式的满意度的评价。结果试验组的理论成绩[(40.22±4.43)分]、临床病例分析成绩[(36.11±4.34)分]均高于对照组[(41.11±3.43)分、(34.22±4.30)分],差异有统计学意义(P<0.05)。试验组的自主学习能力[(88.06±5.10)分]、主动参与感[(88.61±4.00)分]、团队协作能力[(89.78±3.57)分]、医患沟通能力[(87.44±5.20)分]、创新实践能力[(82.83±4.21)分]、临床思维能力[(89.83±3.45)分]、理论联系实践能力[(88.28±3.67)分]、教学模式满意度[(91.00±3.51)分]、对带教老师的满意度[(90.33±4.36)分]、学习兴趣[(90.22±3.44)分]等方面的评分均高于对照组[(67.39±5.79)分、(71.44±4.07)分、(66.06±5.15)分、(78.61±4.57)分、(71.50±3.67)分、(67.89±4.23)分、(67.89±3.48)分、(78.72±4.75)分、(80.56±4.89)分、(80.94±2.30)分],差异有统计学意义(P<0.05)。结论MDT模式下翻转课堂在头颈肿瘤临床教学中的教学效果良好,能够充分调动学生的主观能动性,培养学生的自主学习能力。

医学研究生科研文献阅读能力水平的提升策略研究

科研文献是国际上学术交流的重要媒介,也是重大研究成果传播的载体。医学研究发展迅速,现有医学教育教学实践已满足不了日益增长的知识需求。高效阅读科研文献是医学研究生掌握相关研究领域内最新研究进展,学习新技术、新理论,提升科研思维的重要手段。尚未开展科研任务的医学研究生在科研文献阅读方面缺乏经验,加之基础知识匮乏,普遍存在阅读较浅,抓不住文献主旨等情况。针对研究生教育中的这一问题,本文详细介绍了阅读科研文献的意义,医学研究生阅读科研文献存在的问题以及提高医学研究生科研文献阅读能力水平的事实策略。本文为研究生高效阅读科研文献提供了新的思路和建议,有助于引导学生高效全面掌握领域内的研究内容和最新动态,解决自身的科研问题和困惑,优化和推动自己的科研课题。

医学期刊编辑讲授医学论文写作课刍议

高质量的医学论文是展示医学科研成果的重要途径,也是医学研究发展与传承的基础。医务工作者接受医学论文写作课程培训,提升论文写作能力,发表高质量的医学论文,具有重要的行业价值和社会意义。培养医学科研人员论文写作能力,支持其成长,是医学期刊的主要功能之一。医学期刊编辑为医务工作者讲授医学论文写作课程,是义不容辞的责任和义务。笔者长期讲授医学论文写作课程,有很多启发和思考。本文从医学期刊编辑的角度对课程开设的必要性、授课教师队伍素质要求、课程内容设计等方面进行了初步讨论,以期为医学期刊编辑素质培养提供新的思考角度和摸索新的途径。

提升男科学研究生转化医学理念和能力的实践与思考

随着社会的发展,危害男性健康的男科疾病呈上升趋势,对优秀男科学医生的需求日益增加,但是我国男科学研究生培养仍然存在很大进步空间。在“大思政”语境下,引入转化医学理念,搭建基础医学研究与临床医学的桥梁,通过学科交叉使男科研究生具备更加丰富的知识储备,更加熟练的临床实践能力是男科学研究生培养的必由之路。文章回顾了转化医学理念融入医学人才培养的进展,指出男科学研究生培养中存在基础与临床脱节、重理论轻实践、缺乏转化医学平台等问题。在此基础上提出了提升男科学研究生转化医学理念和能力的对策建议,包括坚持问题导向培养转化医学理念、创造转化医学条件、加强学术交流、挖掘临床数据资源和搭建平台落实转化医学成果落地等。

“大思政课”视域下医学研究生四维教育协同育人模式探讨

“大思政课”全面实施背景下医学研究生思政教育是一项重要课题。“思政+科研+教学+就业”四维教育协同育人是一种全方位、多角度、全过程的育人模式,是思想政治教育与医学专业教育紧密融合的有益探索。实践中通过构建“三位一体”管理架构,多主体共同发力,为医学研究生四维教育协同育人模式落实提供支持和保障。

导师责任制在医学生本硕贯通培养模式中的实践与思考

“5+3”一体化作为目前新的医学生本硕贯通培养模式,旨在短时间内培养出双轨并进的医学高等人才,为医学教育带来了新的挑战。将导师责任制贯穿于医学生的本硕阶段全程更有利于完成本硕之间平稳过渡,平衡临床与科研,从而提高教学质量,实现教学目标。本文通过对学院引入本科生导师制后教学情况的观察,对已产生的效果及存在的问题进行阐述,并对导师责任制在本-硕过渡阶段及研究生阶段的改革实践展开进一步设计与思考。

硕士规培生临床共情对医患关系的影响机制:基于群际心理的视角

目的:从群际心理的视角考察硕士规培生临床共情对医患关系的影响及作用机制,并检验群际焦虑的中介效应及社会认同的调节作用。方法:采用社会认同问卷、杰弗逊医学生共情量表、群际焦虑量表、医患关系量表对481名临床医学专业型硕士规培生进行问卷调查。结果:1硕士规培生临床共情显著正向预测医患关系(β=0.35,95%CI=[0.27,0.42]);2群际焦虑在临床共情与医患关系中起中介作用,中介效应占37.5%;3该中介作用的后半段路径受到社会认同的调节作用(β=0.07,95%CI=[0.01,0.13])。具体表现为,高社会认同削弱了群际焦虑对医患关系的负向预测作用。结论:硕士规培生临床共情不仅能直接影响医患关系,而且会通过群际焦虑间接影响医患关系,且社会认同在中介模型的后半路径起调节作用。

新疆地区临床医学专业学位硕士研究生住院医师规范化培训满意度调查:基于潜在剖面分析

目的了解新疆地区临床医学专业学位硕士研究生(简称“临床专硕生”)对住院医师规范化培训(简称“住培”)的满意度现状,并分析其影响因素。方法分层随机抽取2023年3月—6月在新疆9所医院住培的临床专硕生作为研究对象,使用住培满意度量表进行调查。采用潜在剖面分析探索满意度得分的群体异质性,采用有序Logistic回归分析潜在类别的影响因素。结果共纳入1404名临床专硕生,住培满意度总体平均得分为(3.79±0.77)分,潜在剖面分析显示临床专硕生住培满意度可以分为三个潜在类别:较低满意(26.71%)、中等满意(48.43%)、高满意类(24.86%)。有序Logistic回归显示:中等压力[OR=1.808,95%CI(1.446,2.259)]或较小压力[OR=4.229,95%CI(2.861,6.259)]、认为“四证合一”模式对就业帮助较大[OR=1.627,95%CI(1.102,2.401)]、临床知识运用能力较强[OR=2.936,95%CI(1.432,6.025)]、对培养定位中等认同[OR=1.853,95%CI(1.255,2.737)]或较高认同[OR=4.108,95%CI(2.793,6.050)]的临床专硕生,其更可能属于更高住培满意度的潜在类别。结论新疆地区临床专硕生住培满意度处于中等水平,建议分析压力来源并采取对应缓解措施,在培养内容上,应更注重培养临床知识转化能力,通过了解学员就业意向,制定个性化的培养方案,以提高临床专硕生的住培满意度。