In recent years,the national higher education reform has proposed the concept of curriculum ideological and political education as a major element.This integration into the standardized training of general practice re...In recent years,the national higher education reform has proposed the concept of curriculum ideological and political education as a major element.This integration into the standardized training of general practice residents(commonly referred to as general resident training)is an unavoidable trend in the teaching field.Based on the actual situation of our unit at The First Affiliated Hospital of Xi’an Medical University,this paper emphasizes the necessity of incorporating ideological and political education into the general resident training curriculum,despite the absence of pertinent practical experience in how to effectively incorporate such courses into comprehensive residential training.In our hospital,we must assess the ideological and political education in the curriculum of general resident training,proposing a scientific,reasonable ideological and political education concept system for general practice courses,integrating ideological and political education with general practice resident training,and strengthening the team of ideological and political education physicians to teach them to carry out such education,this would foster enthusiasm and initiative.Strengthening admission education and training for general practice resident training,as well as regularly hosting symposiums to share ideas and understand the mission of doctors can provide effective experience for ideological and political education in general resident training courses.展开更多
Background: Flow FL-100 is a transcranial direct current stimulation (tDCS) device self-administered by a patient at home in combination with a software application delivered wellbeing behaviour therapy training. tDCS...Background: Flow FL-100 is a transcranial direct current stimulation (tDCS) device self-administered by a patient at home in combination with a software application delivered wellbeing behaviour therapy training. tDCS has evidence of effectiveness in treating symptoms of depression. Purpose/Aim: This post marketing study evaluated the effect of Flow on depression for primary care general practice patients with depression symptoms. Methods: Open-label patient cohort design with no control group. Inclusion criteria were aged 18 years or over and reporting depression symptoms. Participants self-administered five 30 minute tDCS sessions per week for the first three weeks, and then 3 sessions per week following this. Three, six and ten week assessment with participant self-report measure: Montgomery- Åsberg Depression Rating Scale (MADRS-S). Results: MADRS-S remission rates were between 29% - 30% at three weeks, 33% - 34% at six-weeks and 50% at 10-weeks treatment. There was a significant improvement in MADRS-S with large effect sizes at all time points. Conclusions: Flow tDCS can be delivered through a primary healthcare general practice service and patients will choose to use. Flow tDCS provides an effective depression treatment in addition and as an alternative to antidepressants and psychotherapy. tDCS has evidence as an effective depression treatment, and the widespread availability of tDCS in primary care general practice should be considered.展开更多
A summary of the exploration of the teaching mode of the general practice teaching clinic, a summary of the deficiencies of the teaching clinic and a summary of the significance of the establishment of the general pra...A summary of the exploration of the teaching mode of the general practice teaching clinic, a summary of the deficiencies of the teaching clinic and a summary of the significance of the establishment of the general practice teaching clinic are presented with a view to promoting the development of general practice and cultivating more excellent successors in general practice.展开更多
With the continuous expansion of medical student enrollment,the number of clinical teaching bases is gradually increasing.However,there are significant differences in clinical teaching management models and teaching l...With the continuous expansion of medical student enrollment,the number of clinical teaching bases is gradually increasing.However,there are significant differences in clinical teaching management models and teaching levels among different bases.Most clinical teaching bases have incomplete teaching management systems,inadequate teaching management institutions,insufficient teaching personnel,and inadequate implementation of teaching rules and regulations.This article combines the construction practice of three-level clinical teaching base of the General Medicine College and the First Affiliated Hospital of Xi’an Medical University.We establish a standardized management system for the three-level clinical teaching base;implement a teaching supervision system and strengthen the monitoring of teaching quality;adopt multiple evaluations to test the effectiveness of clinical teaching implementation;explore the path of homogenization construction of teaching bases in terms of unified teacher training,promoting the development of teacher teaching abilities with equal quality and excellence,and providing a reference for improving the quality of medical talent training.展开更多
Child health care in general practice:priorities for education and practice全科医疗中的儿童卫生保健:教育和实践中应优先考虑的问题·Improving the effectiveness of self-monitoring of blood glucose in type 2 diabetes...Child health care in general practice:priorities for education and practice全科医疗中的儿童卫生保健:教育和实践中应优先考虑的问题·Improving the effectiveness of self-monitoring of blood glucose in type 2 diabetes提高2型糖尿病患者自我监测血糖的效率·Tools and tables in cardiovascular risk management:doing展开更多
The future of primary care?Reflections on the Primary Care Workforce Commission report初级医疗的未来如何?关于初级医疗劳动委员会报告的思考Low vitamin D prevalence at the GP practice全科医生诊断过程中维生素D缺乏患病率Nu...The future of primary care?Reflections on the Primary Care Workforce Commission report初级医疗的未来如何?关于初级医疗劳动委员会报告的思考Low vitamin D prevalence at the GP practice全科医生诊断过程中维生素D缺乏患病率Nursing consultations and control of diabetes in general practice:展开更多
·Time to put patients first by investing in general practice为了确保患者优先,是时候加大对全科医疗的投入了·The future of general practice in China:from’barefoot doctors’to GPs?中国全科医学的展望:从"赤...·Time to put patients first by investing in general practice为了确保患者优先,是时候加大对全科医疗的投入了·The future of general practice in China:from’barefoot doctors’to GPs?中国全科医学的展望:从"赤脚医生"到全科医生?·Boost or burden?Issues posed by short placements in resource-展开更多
·Acute medicine and general practice:a key interface in managing emergency care pressures急诊医学与全科医学的协作:缓解紧急医疗救助服务所面临压力的关键举措·Which weight-loss programmes are as effective as Wei...·Acute medicine and general practice:a key interface in managing emergency care pressures急诊医学与全科医学的协作:缓解紧急医疗救助服务所面临压力的关键举措·Which weight-loss programmes are as effective as Weight Watchers:Non-inferiority analysis有哪些减肥方案的效果能和减肥中心相媲美:非劣效分析·Factors associated with prevalence and types of’may be fit’ad-展开更多
Preventing asthma deaths:what can GPs do?预防哮喘导致的死亡:全科医生能做哪些?Chronic disease prevention in primary care:how and when will genomics impact?初级卫生保健中的慢性病预防:基因组学将在何时、以何种方式对其产...Preventing asthma deaths:what can GPs do?预防哮喘导致的死亡:全科医生能做哪些?Chronic disease prevention in primary care:how and when will genomics impact?初级卫生保健中的慢性病预防:基因组学将在何时、以何种方式对其产生影响?Research into practice:improving musculoskeletal care in general展开更多
·Assessing risk and improving survival in lymphoma评估淋巴癌风险和提高存活率·Patient safety:the general practice agenda患者安全:全科医学议程·Physician associates:the challenge facing general practice医...·Assessing risk and improving survival in lymphoma评估淋巴癌风险和提高存活率·Patient safety:the general practice agenda患者安全:全科医学议程·Physician associates:the challenge facing general practice医生合作:全科医学的挑战·Waving not drowning:virtue ethics in general practice挥手而不是求救:全科医学的美德伦理·Performance management:can patients’autonomy be protected?绩效管理:患者的自主权能够得到保护吗?展开更多
Caring for older people:is home care always best?老年人护理:居家护理是否是最好的选择?Promoting modifiable risk factors for dementia:is there a role for general practice?促进阿尔茨海默病危险因素的缓解:全科医疗是否可以...Caring for older people:is home care always best?老年人护理:居家护理是否是最好的选择?Promoting modifiable risk factors for dementia:is there a role for general practice?促进阿尔茨海默病危险因素的缓解:全科医疗是否可以发挥作用?Recognising the role of primary care in cancer control了解初级医疗在癌症控制中的作用·Statins for all:should patients who have migraine with aura be展开更多
·Influenza vaccination:in the UK and across Europe英国和欧洲各地流感疫苗的接种·Understanding and responding to demand in English general practice英国全科医学需求的理解和回应·Re-awakening professional id...·Influenza vaccination:in the UK and across Europe英国和欧洲各地流感疫苗的接种·Understanding and responding to demand in English general practice英国全科医学需求的理解和回应·Re-awakening professional identity:the path to a selfcorrecting NHS重新唤醒专业认同:通往自动调整的英国国家医疗服务系统之路·A change in the NICE guidelines on antibiotic prophylaxis for dental展开更多
文摘In recent years,the national higher education reform has proposed the concept of curriculum ideological and political education as a major element.This integration into the standardized training of general practice residents(commonly referred to as general resident training)is an unavoidable trend in the teaching field.Based on the actual situation of our unit at The First Affiliated Hospital of Xi’an Medical University,this paper emphasizes the necessity of incorporating ideological and political education into the general resident training curriculum,despite the absence of pertinent practical experience in how to effectively incorporate such courses into comprehensive residential training.In our hospital,we must assess the ideological and political education in the curriculum of general resident training,proposing a scientific,reasonable ideological and political education concept system for general practice courses,integrating ideological and political education with general practice resident training,and strengthening the team of ideological and political education physicians to teach them to carry out such education,this would foster enthusiasm and initiative.Strengthening admission education and training for general practice resident training,as well as regularly hosting symposiums to share ideas and understand the mission of doctors can provide effective experience for ideological and political education in general resident training courses.
文摘Background: Flow FL-100 is a transcranial direct current stimulation (tDCS) device self-administered by a patient at home in combination with a software application delivered wellbeing behaviour therapy training. tDCS has evidence of effectiveness in treating symptoms of depression. Purpose/Aim: This post marketing study evaluated the effect of Flow on depression for primary care general practice patients with depression symptoms. Methods: Open-label patient cohort design with no control group. Inclusion criteria were aged 18 years or over and reporting depression symptoms. Participants self-administered five 30 minute tDCS sessions per week for the first three weeks, and then 3 sessions per week following this. Three, six and ten week assessment with participant self-report measure: Montgomery- Åsberg Depression Rating Scale (MADRS-S). Results: MADRS-S remission rates were between 29% - 30% at three weeks, 33% - 34% at six-weeks and 50% at 10-weeks treatment. There was a significant improvement in MADRS-S with large effect sizes at all time points. Conclusions: Flow tDCS can be delivered through a primary healthcare general practice service and patients will choose to use. Flow tDCS provides an effective depression treatment in addition and as an alternative to antidepressants and psychotherapy. tDCS has evidence as an effective depression treatment, and the widespread availability of tDCS in primary care general practice should be considered.
文摘A summary of the exploration of the teaching mode of the general practice teaching clinic, a summary of the deficiencies of the teaching clinic and a summary of the significance of the establishment of the general practice teaching clinic are presented with a view to promoting the development of general practice and cultivating more excellent successors in general practice.
基金2022 Education and Teaching Reform Research Project of Xi’an Medical University“Construction and Practice of the Teaching Quality Assurance System in the Three-Level Teaching Base of General Practice Medicine Under the Internet+Model”(Project number:2022JG-05)。
文摘With the continuous expansion of medical student enrollment,the number of clinical teaching bases is gradually increasing.However,there are significant differences in clinical teaching management models and teaching levels among different bases.Most clinical teaching bases have incomplete teaching management systems,inadequate teaching management institutions,insufficient teaching personnel,and inadequate implementation of teaching rules and regulations.This article combines the construction practice of three-level clinical teaching base of the General Medicine College and the First Affiliated Hospital of Xi’an Medical University.We establish a standardized management system for the three-level clinical teaching base;implement a teaching supervision system and strengthen the monitoring of teaching quality;adopt multiple evaluations to test the effectiveness of clinical teaching implementation;explore the path of homogenization construction of teaching bases in terms of unified teacher training,promoting the development of teacher teaching abilities with equal quality and excellence,and providing a reference for improving the quality of medical talent training.
文摘Child health care in general practice:priorities for education and practice全科医疗中的儿童卫生保健:教育和实践中应优先考虑的问题·Improving the effectiveness of self-monitoring of blood glucose in type 2 diabetes提高2型糖尿病患者自我监测血糖的效率·Tools and tables in cardiovascular risk management:doing
文摘The future of primary care?Reflections on the Primary Care Workforce Commission report初级医疗的未来如何?关于初级医疗劳动委员会报告的思考Low vitamin D prevalence at the GP practice全科医生诊断过程中维生素D缺乏患病率Nursing consultations and control of diabetes in general practice:
文摘·Time to put patients first by investing in general practice为了确保患者优先,是时候加大对全科医疗的投入了·The future of general practice in China:from’barefoot doctors’to GPs?中国全科医学的展望:从"赤脚医生"到全科医生?·Boost or burden?Issues posed by short placements in resource-
文摘·Acute medicine and general practice:a key interface in managing emergency care pressures急诊医学与全科医学的协作:缓解紧急医疗救助服务所面临压力的关键举措·Which weight-loss programmes are as effective as Weight Watchers:Non-inferiority analysis有哪些减肥方案的效果能和减肥中心相媲美:非劣效分析·Factors associated with prevalence and types of’may be fit’ad-
文摘Preventing asthma deaths:what can GPs do?预防哮喘导致的死亡:全科医生能做哪些?Chronic disease prevention in primary care:how and when will genomics impact?初级卫生保健中的慢性病预防:基因组学将在何时、以何种方式对其产生影响?Research into practice:improving musculoskeletal care in general
文摘·Assessing risk and improving survival in lymphoma评估淋巴癌风险和提高存活率·Patient safety:the general practice agenda患者安全:全科医学议程·Physician associates:the challenge facing general practice医生合作:全科医学的挑战·Waving not drowning:virtue ethics in general practice挥手而不是求救:全科医学的美德伦理·Performance management:can patients’autonomy be protected?绩效管理:患者的自主权能够得到保护吗?
文摘Caring for older people:is home care always best?老年人护理:居家护理是否是最好的选择?Promoting modifiable risk factors for dementia:is there a role for general practice?促进阿尔茨海默病危险因素的缓解:全科医疗是否可以发挥作用?Recognising the role of primary care in cancer control了解初级医疗在癌症控制中的作用·Statins for all:should patients who have migraine with aura be
文摘·Influenza vaccination:in the UK and across Europe英国和欧洲各地流感疫苗的接种·Understanding and responding to demand in English general practice英国全科医学需求的理解和回应·Re-awakening professional identity:the path to a selfcorrecting NHS重新唤醒专业认同:通往自动调整的英国国家医疗服务系统之路·A change in the NICE guidelines on antibiotic prophylaxis for dental
