In recent years,frequent conflicts between doctors and patients have attracted widespread attention from various sectors of society.The reasons for the tense doctor-patient relationship involve three major factors,nam...In recent years,frequent conflicts between doctors and patients have attracted widespread attention from various sectors of society.The reasons for the tense doctor-patient relationship involve three major factors,namely social,medical,and patient factors.In the process of building social harmony,the people’s demand for daily health knowledge and basic medical security is increasing day by day.Among them,medical humanities quality education plays a particularly important role in building a harmonious doctor-patient relationship.Strengthening the humanities quality education of medical students and creating a harmonious doctor-patient environment can better improve the tense doctor-patient relationship and reduce the occurrence of doctor-patient conflicts,ultimately promoting social stability.This requires medical schools not only to cultivate medical students’clinical diagnosis and treatment abilities,but also to enhance their humanistic qualities,strengthen medical humanities education,and face the requirements of medical development and the task of Healthy China.It is of great significance to improve the humanities quality education program for medical students.This article aims to explore the status quo of humanities quality education in clinical teaching for medical students and propose countermeasures to address the issues.展开更多
Objective:To explore the application of standardized measures in clinical teaching of medical imaging department.Methods:Forty-eight medical interns in Department of Medical Imaging of our hospital from February 2018 ...Objective:To explore the application of standardized measures in clinical teaching of medical imaging department.Methods:Forty-eight medical interns in Department of Medical Imaging of our hospital from February 2018 to May 2019 were selected as research objects.They were divided into 2 groups according to random number table method,with 24 cases in each group.Routine education management was performed in clinical teaching for control group,standardized measure management was performed in clinical teaching for observational group.Performance assessment before and after intervention was compared between two groups of medical students.Results:Before intervention,there was no significant difference in assessment result between two groups of medical students(P>0.05).Assessment result after intervention was higher than before intervention in two groups of medical students.Observational group was higher than control group,the difference was statistically significant(P<0.05).Conclusions:Implementation of standardized measures in clinical teaching of medical imaging department could significantly improve assessment result of medical students,and its application can be considered in clinical teaching.展开更多
Objective:To build a set of teaching staff construction and teaching quality monitoring system suitable for clinical practice teaching in affiliated hospitals of medical colleges,achieve continuous improvement of clin...Objective:To build a set of teaching staff construction and teaching quality monitoring system suitable for clinical practice teaching in affiliated hospitals of medical colleges,achieve continuous improvement of clinical education and teaching level,and ensure the quality of medical education talent cultivation.Methods:A modern clinical practice teaching quality monitoring system is constructed based on organizational structure construction,teaching staff system construction,quality control system construction,and information platform construction,combined with external audit and evaluation.Results:The hospital has established a Faculty Development and Teaching Evaluation Office specifically responsible for the cultivation of clinical teachers and the evaluation and supervision of teaching quality.A relatively complete teacher construction and teaching quality monitoring system has also been established for clinical practice teaching,thus achieving integration with the school’s quality control system in terms of management mechanism.At the same time,a set of teaching quality control mode based on the“Internet+”platform has been created by means of informatization.At present,this mode has won three national computer software copyrights and two second prizes for school-level teaching achievements.Conclusion:Through five years of practice,an“Internet+”teaching quality evaluation and monitoring system with the characteristics of teaching hospitals affiliated to local medical colleges has been established.In order to further standardize the training system of clinical teachers in affiliated hospitals,achieve self-monitoring and self-improvement in terms of teaching quality,and ensure the continuous improvement of clinical teaching quality,we will continue to promote the development of clinical teachers with quality and excellence,enrich the main team of quality monitoring,guide the transformation of the education mode from being“centered on teachers”to being“centered on students,”and realize the integration of internal and external quality monitoring systems.展开更多
Objective:To explore the effects of different infusion schemes on colloid osmotic pressure during major abdominal surgery and perioperative albumin in elderly patients.Methods:140 elderly patients of 65-80 years old u...Objective:To explore the effects of different infusion schemes on colloid osmotic pressure during major abdominal surgery and perioperative albumin in elderly patients.Methods:140 elderly patients of 65-80 years old undergoing major abdominal surgery were divided into 4 groups according to the method of random number table,and different proportions of crystals and colloids were given to different groups(group A:full crystal,group B:crystal-colloid ratio 1:1,group C:crystal-colloid ratio 2:1,Group D:crystalcolloid ratio 1:2).The plasma colloid osmotic pressure and level of albumin during perioperative period were monitored.Simultaneously observe the arterial blood pH,blood glucose,extubating time of endotracheal tube,postoperative feeding time,et al.Results:The total amount of liquid infusion in the group of whole crystal was 3056ml(3056±253),which was significantly more than other groups(P<0.01).At the same time,the colloid osmotic pressure decreased by 11.9 mmHg(11.9±2.8),which was more obviously decreased than that of the other groups(B group3.9±1.3,C group 1.5±0.3,D group 4.7±2.1).The difference was a statistically significant(P<0.01).On the next day after surgery,the level of albumin decreased by an average of 4.3 g/L(4.5±1.9)compared with that in group B before surgery,and group C decreased by 2.9 g/L(2.9±1.2)in average,which was significantly different(P<0.05)from group A 10.2 g/L(10.2±1.8).There was no statistically significant difference between group A and group D(P>0.05).And the other indexes were not significantly different between the two groups.Conclusion:This study found that different infusion solutions with different crystal-colloid ratios had an effect on perioperative colloid osmotic pressure and level of albumin.展开更多
文摘In recent years,frequent conflicts between doctors and patients have attracted widespread attention from various sectors of society.The reasons for the tense doctor-patient relationship involve three major factors,namely social,medical,and patient factors.In the process of building social harmony,the people’s demand for daily health knowledge and basic medical security is increasing day by day.Among them,medical humanities quality education plays a particularly important role in building a harmonious doctor-patient relationship.Strengthening the humanities quality education of medical students and creating a harmonious doctor-patient environment can better improve the tense doctor-patient relationship and reduce the occurrence of doctor-patient conflicts,ultimately promoting social stability.This requires medical schools not only to cultivate medical students’clinical diagnosis and treatment abilities,but also to enhance their humanistic qualities,strengthen medical humanities education,and face the requirements of medical development and the task of Healthy China.It is of great significance to improve the humanities quality education program for medical students.This article aims to explore the status quo of humanities quality education in clinical teaching for medical students and propose countermeasures to address the issues.
文摘Objective:To explore the application of standardized measures in clinical teaching of medical imaging department.Methods:Forty-eight medical interns in Department of Medical Imaging of our hospital from February 2018 to May 2019 were selected as research objects.They were divided into 2 groups according to random number table method,with 24 cases in each group.Routine education management was performed in clinical teaching for control group,standardized measure management was performed in clinical teaching for observational group.Performance assessment before and after intervention was compared between two groups of medical students.Results:Before intervention,there was no significant difference in assessment result between two groups of medical students(P>0.05).Assessment result after intervention was higher than before intervention in two groups of medical students.Observational group was higher than control group,the difference was statistically significant(P<0.05).Conclusions:Implementation of standardized measures in clinical teaching of medical imaging department could significantly improve assessment result of medical students,and its application can be considered in clinical teaching.
基金supported by the 2020 Education and Teaching Reform Research Project of Xi’an Medical University,“Construction of‘Double-Qualified’Teachers in Affiliated Hospitals Based on‘Online Learning Platform for Clinical Teachers’and Construction and Practice of Quality Assurance System”(Project Number:2020JG-02)the 2021 Shaanxi Undergraduate and Higher Continuing Education Teaching Reform Research Project of Shaanxi Provincial Department of Education,“Construction of Teaching Staff Based on‘Online Learning Platform for Clinical Teachers of the First Affiliated Hospital of Xi’an Medical University’and Construction and Practice of Quality Assurance System”(Project Number:21BZ066).
文摘Objective:To build a set of teaching staff construction and teaching quality monitoring system suitable for clinical practice teaching in affiliated hospitals of medical colleges,achieve continuous improvement of clinical education and teaching level,and ensure the quality of medical education talent cultivation.Methods:A modern clinical practice teaching quality monitoring system is constructed based on organizational structure construction,teaching staff system construction,quality control system construction,and information platform construction,combined with external audit and evaluation.Results:The hospital has established a Faculty Development and Teaching Evaluation Office specifically responsible for the cultivation of clinical teachers and the evaluation and supervision of teaching quality.A relatively complete teacher construction and teaching quality monitoring system has also been established for clinical practice teaching,thus achieving integration with the school’s quality control system in terms of management mechanism.At the same time,a set of teaching quality control mode based on the“Internet+”platform has been created by means of informatization.At present,this mode has won three national computer software copyrights and two second prizes for school-level teaching achievements.Conclusion:Through five years of practice,an“Internet+”teaching quality evaluation and monitoring system with the characteristics of teaching hospitals affiliated to local medical colleges has been established.In order to further standardize the training system of clinical teachers in affiliated hospitals,achieve self-monitoring and self-improvement in terms of teaching quality,and ensure the continuous improvement of clinical teaching quality,we will continue to promote the development of clinical teachers with quality and excellence,enrich the main team of quality monitoring,guide the transformation of the education mode from being“centered on teachers”to being“centered on students,”and realize the integration of internal and external quality monitoring systems.
文摘Objective:To explore the effects of different infusion schemes on colloid osmotic pressure during major abdominal surgery and perioperative albumin in elderly patients.Methods:140 elderly patients of 65-80 years old undergoing major abdominal surgery were divided into 4 groups according to the method of random number table,and different proportions of crystals and colloids were given to different groups(group A:full crystal,group B:crystal-colloid ratio 1:1,group C:crystal-colloid ratio 2:1,Group D:crystalcolloid ratio 1:2).The plasma colloid osmotic pressure and level of albumin during perioperative period were monitored.Simultaneously observe the arterial blood pH,blood glucose,extubating time of endotracheal tube,postoperative feeding time,et al.Results:The total amount of liquid infusion in the group of whole crystal was 3056ml(3056±253),which was significantly more than other groups(P<0.01).At the same time,the colloid osmotic pressure decreased by 11.9 mmHg(11.9±2.8),which was more obviously decreased than that of the other groups(B group3.9±1.3,C group 1.5±0.3,D group 4.7±2.1).The difference was a statistically significant(P<0.01).On the next day after surgery,the level of albumin decreased by an average of 4.3 g/L(4.5±1.9)compared with that in group B before surgery,and group C decreased by 2.9 g/L(2.9±1.2)in average,which was significantly different(P<0.05)from group A 10.2 g/L(10.2±1.8).There was no statistically significant difference between group A and group D(P>0.05).And the other indexes were not significantly different between the two groups.Conclusion:This study found that different infusion solutions with different crystal-colloid ratios had an effect on perioperative colloid osmotic pressure and level of albumin.
