Knowledge towards Physical Medicine and Rehabilitation among Training Doctors and Medical Students at the Mohammed VI University Hospital of Marrakech

The aim of our study is to evaluate the knowledge regarding physical medicine and rehabilitation among physicians in training and medical students at the Mohammed VI University Hospital in Marrakech, to approach the knowledge, attitudes, and practices of doctors regarding physical medicine and rehabilitation and evaluate the knowledge in theoretical training related to PRM among the students. We conducted a monocentric cross-sectional analytical study, using a web-based anonymous survey, carried out among 558 undergraduate student and training doctors, randomly selected in the form of a survey on the knowledge towards Physical Medicine and rehabilitation. We received 558 survey duly completed by students of the Faculty of Medicine and Pharmacy of Marrakech (62.4%) and training doctors (37.6%). The mean age of the participants was 24.53 ± 3.9 years, with extremes ranging from 17 to 39 years. 52.7% of the participants were from the former educational reform, The predominance of participation was remarkable among pediatricians 23%, The population who knew PRM was the majority (79.3%), 40.7% of the participants were unaware of the availability of a PRM department at Mohamed VI University Hospital, 0.5% of all training doctors and medical students questioned strongly agreed with the sufficiency of their training in disability management were belonging to the new reform, 84.1% of participants had never attended or referred a patient to the PRM department. 23.2% of training doctors affirmed the referral of patients to PRM for further management. Despite the essential role of PRM in the management of diseases, it remains little known by training doctors and medical students. This lack of knowledge of PRM reflects the lack of the undergraduate and postgraduate of the medical education in the field of rehabilitation.

Exploring the Application Effect of Flipped Classroom Combined with Problem-Based Learning Teaching Method in Clinical Skills Teaching of Standardized Training for Resident Doctors of Traditional Chinese Medicine

Objective: To explore the application effect of flipped classroom combined with problem-based learning teaching method in clinical skills teaching of standardized training for resident doctors of traditional Chinese Medicine. Methods: The study used the experimental control method. The study lasted from September to November 2022. The subjects of this study were 49 students of standardized training for resident doctors of traditional Chinese Medicine from grades 2020, 2021 and 2022 of Dazhou integrated TCM & Western Medicine Hospital. They were randomly divided into experiment group (25) and control group (24). The experiment group adopted flipped classroom combined with problem-based learning teaching method, and the control group adopted traditional teaching method. The teaching content was 4 basic clinical skill projects, including four diagnoses of traditional Chinese Medicine, cardiopulmonary resuscitation, dressing change procedure, acupuncture and massage. The evaluation method was carried out by comparing the students’ performance and a self-designed questionnaire was used to investigate the students’ evaluation of the teaching method. Results: The test scores of total scores in the experimental group (90.12 ± 5.89) were all higher than those in the control group (81.47 ± 7.96) (t = 4.53, P P Conclusions: The teaching process of the flipped classroom combined with problem-based learning teaching method is conducive to improving the efficiency of classroom teaching, cultivating students’ self-learning ability, and enhancing students’ willingness to learn.

Postdoctoral Openings in Wenzhou University(China)for Chemistry,Chemical Engineering and Materials Science

About us:The College of Chemistry and Materials Engineering(CME)in Wenzhou University(Zhejiang Province,China)is looking for postdoctoral candidates(up to 25)specialized in Chemistry,Chemical Engineering and Materials Science.The collegehas its Chemistry program ranking ESI Top 6%o worldwide,and Materials Scienceprogram ranking 589th in the world since 2023.The college has led publicationsappearing in journals such as Nat.Catal,Nat.Commun.,Sci.Ady.,J.Am.Chem.Soc.,Angew.Chem.Int.Ed.,Adv.Mater.,etc.The college is also the home for theinternational journal Carbon Energy,whose chief editor,Shun Wang,holds the Royal Society of Chemistry membership.

Postdoctoral Openings in Wenzhou University(China)for Chemistry,Chemical Engineering and Materials Science

About us:The Clige of Cemistry and Materials Engineering(CME)in Wenzhou University(Zhejing Province,China)is looking for postdoctoral candidates(up to 25) specialized in Chemistry Chemical Engineering and Materials Secence. The college has is Chemistry program ranking ESI Top 6‰ worldwide.

Postdoctoral Openings in Wenzhou University(China)for Chemistry,Chemical Engineering and Materials Science

About us:The College of Chemistry and Materials Engineering(CME)in Wenzhou University(Zhejiang Province,China)is looking for postdoctoral candidates(up to 25)specialized in Chemistry,Chemical Engineering and Materials Science.The collegehas its Chemistry program ranking ESI Top 6%o worldwide,and Materials Scienceprogram ranking 589th in the world since 2023.

Postdoctoral Openings in Wenzhou University(China)for Chemistry,Chemical Engineering and Materials Science

About us:The Clleg of Chemistry and Materials Engineering(CME)in Wenzhou Uuniversity(Zhejiang Province,China)is looking for postdoctoral candidates(up to 25)specialized in Chemistry,Chemical Engineering and Materials Science.

Jean-Pierre Abel-Rémusat:Doctor and Sinologist

1 Introduction Throughout his life,Jean-Pierre Abel-Rémusat(1788-1832)(Fig.1)was in contact with the medical art,through his family,through his studies,through a few moments of practice,through his various interests and in many of his written.

The Village Doctor Who Is Always Available

Doctor Huang Guotao, having provided medical services for his fellow villagers for three decades, has been guarding the Hubei village from COVID-19 over the past three years.Today, life there has returned to normal.EVERY year when the first day of the Chinese New Year rolls around, it is the tradition of the people in Huangfu Village to rise early to pay Lunar New Year’s visits to their nearby friends and neighbors and exchange“Happy New Year”greetings (in their local dialect) with everyone they meet on the way.

Misinterpreted Figure in Hemingway’s“Indian Camp”-Doctor Adams

Since the publication of Hemingway’s“Indian Camp”in 1924,many scholars has considered Doctor Adams to be insensitive,cold-hearted,ethically immoral.Some others labeled him as a racist and a sexist.After a scrupulous and strenuous close reading together with extensive reviewing and analyzing of relevant references,the author of this paper finds that Uncle George has always been misinterpreted over the time.This paper aims to point out the misunderstanding,misinterpretation or even distortion in the previous researches,in an attempt to defend for Doctor Adams and put the record straight.

Humanity in Monstrosity: Monsters in Frankenstein and The Island of Doctor Moreau

Monsters are commonly stereotyped as horrible and grotesque creatures. But in Frankenstein and The Island of Doctor Moreau, Shelly and Wells both delineate some complicated but meaningful monster characters. These monsters’ features and natures represent their creator’s intention and purpose. In both texts, monsters are ugly but benevolent, while their creators are eccentric and monstrous. The relationship between men and monsters allows us to view the definition of humanity from a more critical and objective perspective.

The relevance of the deliberative model of the doctor-patient relationship in the Indian context

Introduction India is the third largest country in Asia with a population under 1.4 billion population.There are around 28 states and 8 Union territories in India,marked by diverse cultures,religious beliefs,ethnicity,and languages.Health literacy,healthcare services utilization,and trust in modern medicine significantly vary across India[1].

谢晶日基于因机论治对慢性萎缩性胃炎的药对选用

谢晶日教授从事临床诊疗工作四十余载,学识深邃,医术精湛,立足因机论治,在慢性萎缩性胃炎的诊治中独树一帜。谢晶日教授认为慢性萎缩性胃炎发病与虚、滞、湿、热、瘀、毒联系密切,基本病机无外乎脾胃虚弱、肝郁气滞、气血失调、湿热内蕴、胃络瘀阻、邪毒互结。谢教授在治疗过程中,审病求因,紧扣病机,因机论治,精准选用药对,有效缓解慢性萎缩性胃炎的临床症状,延缓病程的进展,防止癌变的发生。

5A教学模式在普通外科住院医师规范化培训中的应用

目的探讨5A教学模式在普通外科住院医师规范化培训中的应用效果。方法采用随机对照研究方法,以2020年1月至2022年12月在解放军总医院第一医学中心普通外科医学部接受住院医师规范化培训并进入本研究团队主诊组轮转学习的学员为研究对象,随机分为试验组和对照组。试验组20名,采用5A教学模式;对照组20名,采用传统教学模式。对2组学员进行理论考核、临床技能考核和综合能力考核,记录考核成绩,并比较2组的教学效果。结果相对于对照组,试验组学员在消毒铺巾、切开缝合和腔镜技能考核3个方面的成绩得到提高,差异有统计学意义(P<0.05);试验组学员在团队协作和科学研究2个方面的成绩高于对照组,差异有统计学意义(P<0.05);试验组学员带教满意度高于对照组,差异有统计学意义(P<0.05)。结论5A教学模式可以显著提高学员的临床实践操作、团队协作和科学研究能力,可作为普通外科住院医师规范化培训的有效教学方法。

高质量培养风景园林博士专业学位研究生的实现路径

随着2022版《研究生教育学科专业目录》的正式出台,风景园林博士专业学位将成为培养风景园林行业高层次专门人才的主要渠道。针对风景园林博士专业学位研究生培养面临的现实问题进行剖析,提出从课程体系设计、实践体系设置、学位论文创新三个方面进行系统性人才培养体系设计,以充分保障风景园林博士专业学位研究生的培养质量。

北京协和医院麻醉科进修医师科研规范化培训模式探索

目的 评估北京协和医院麻醉科进修医师科研培训效果,探索麻醉科进修医师科研培训模式。方法 选取2019年1月至2022年12月在北京协和医院麻醉科进行规范化培训的151名进修医师为研究对象,首先通过问卷调查了解其科研背景和科研需求,根据问卷调查的结果,制订全面的培训模式,包括科研经验分享、科研课题参与、学习资源共享、科研脱产训练和专人指导等。共培训6个月,进修结束前通过问卷收集进修医师的反馈。结果 共发放151份调查问卷,回收139份有效问卷。临床科研、教学研究和转化医学是进修医师最感兴趣的科研方向。科研基础知识匮乏、缺乏单独的科研时间和缺乏开展科研工作的经验是进修医师在科研工作中遇到的最大困难。而技术支持、专人指导及给予科研时间是进修医生最期待得到的帮助。通过6个月的培训,88.5%的进修医师认为进修课程对其科研水平有提高作用。同时进修医师也希望今后多开展临床科研设计、基础科研和科研论文撰写方面的培训。结论 科研培训已成为麻醉科进修医师培训的一部分。针对每位进修医师的特点,因材施教,从而实现其进修学习需求,提高继续教育的培养质量。

饶旺福治疗头痛临床经验撷萃

国医名师饶旺福教授认为风邪是导致头痛最重要的诱因,风又有外风和内风之别,“头为诸阳之会”,最易招致风邪,常常夹痰、夹瘀;风邪侵袭头部,久则损伤脑络,气血运行不畅,形成瘀滞。《素问·评热病论篇》有云:“邪之所凑,其气必虚”,故饶老治疗头痛常不忘久病必虚、久病必瘀的特点,善用川芎、防风、羌活、蔓荆子等风药,尤其善用全蝎、土鳖虫等虫类药以扫除入络之顽风痼疾。文章从理论与临床实际出发,总结饶旺福教授中医治疗头痛四十年临床经验,以飨同道。

家庭医生服务制度的健康伦理、现实挑战与机制完善

人文关怀、契约精神与资源分配是家庭医生服务制度健康伦理的核心指向,该制度在实践运作中存在诸多健康伦理的现实挑战。人文关怀理念的培养,必须强化全科医学人文教育的规范化与家庭医生执业中人文教育的制度化;签约服务信任关系的养成,应力求实现家庭医生服务制度的规范化且应充分考虑不同人群的特殊需要,加强家庭医生服务平台的信息化建设;签约服务首诊秩序的形成,除了人文关怀理念与签约服务信任的相关制度完善外,还应采取诱导性的制度设计,合理调整与配置医疗卫生资源,引导居民逐步养成科学的健康理念与有序的就医习惯。

导师视角下博士生培养过程中的挑战与质量控制——基于C大学博士生导师的问卷调查研究

本研究通过对C大学33位博士生导师进行问卷调查,收集博士生导师对博士生科研、学位论文写作、导师指导论文以及论文质量流程控制的评价,分析博士生导师在博士学位论文指导和论文质量控制方面所遇到的挑战,并探讨如何提高博士生培养质量。研究结果表明,导师对博士研究生的科研情况基本认可,但学生科研能力仍存在提升的空间;学生在科研兴趣、理解课题关键问题的能力、创新能力以及知识结构方面需要改进和提升;多数导师认为应完善论文质量控制流程及其相关制度。本研究为进一步提高博士生培养质量提供了有益的参考。

PBL教学法联合情景模拟在医患沟通教学中的应用

目的 研究以问题为基础的教学法(problem-based learning,PBL)联合情景模拟在培养住院医师医患沟通能力中的作用。方法 将2022年9—12月在中山大学孙逸仙纪念医院进行规范化培训的40名二年级住院医师随机分为试验组20名、对照组20名,试验组采取PBL教学法联合情景模拟教学,对照组采用PBL教学法,共4学时。教学过程中进行课堂教学效果评价。教学前和教学结束后,分别应用医患沟通技能评价量表(doctor-patient communication skills evaluation scale,SEGUE)对2组学员进行医患沟通能力评价,对2组得分进行统计学分析。2组均发放教学满意度调查问卷。结果 试验组课堂效果优于对照组,试验组住培学员在课堂气氛、师生互动、讨论活跃度、课堂注意力和学习积极性方面的评分高于对照组,差异有统计学意义(P <0.05)。试验组在教学完成后的SEGUE量表评分高于对照组,差异有统计学意义(P <0.001)。试验组满意度高于对照组,但差异无统计学意义(P> 0.05)。结论PBL教学法联合情景模拟能够活跃课堂气氛、增加住培学员的学习积极性,有效提高住院医师的医患沟通能力,优于单纯PBL教学法。

面向实践需求的风景园林博士研究生教育——基于29所欧美大学的比较研究

【目的】随着专业学位成为中国学位与研究生教育改革发展的战略重点,如何回应新时代城乡生态文明建设的实践性需求是当下风景园林博士研究生教育面临的一个关键难题,亟须明确学术学位与专业学位的差异化要求。中国风景园林专业学位博士教育仍处于起步阶段,现有研究在地理区位上大多局限于个别国家和地区,在类型上侧重哲学博士,在广度上往往侧重培养过程中的某一方面。聚焦美国、英联邦国家和部分欧洲大陆国家大学英文授课的风景园林相关博士学位项目,对其培养过程中的各个环节进行比较分析,识别出这些博士学位项目对实践性问题的应对策略,为中国风景园林专业博士教育改革提供借鉴。【方法】统计出欧美地区共有29所拥有风景园林相关博士学位项目的大学,这些大学共计提供33个风景园林相关博士学位项目,包括29个哲学博士和4个设计博士。以各大学官方网站上所提供的博士学位项目信息为主要数据源,对29所大学的风景园林相关博士培养模式进行比较研究,从招生对象、培养过程、学习方式、研究领域、学位论文和财政支持6个角度揭示相关学位项目的异同,识别其回应实践需求的具体策略。【结果】29所大学的风景园林博士研究生教育具有3种培养模式,其中17所大学采用全日制哲学博士培养模式,8所大学采用全日制与非全日制并轨的哲学博士培养模式,4所大学采用分设哲学博士与设计博士的双轨制培养模式。这些培养模式主要从3个方面回应实践需求:一是在培养对象方面突出职业属性,强化资格审核;二是在培养内容方面坚持以学术为基,面向社会需求;三是在培养过程方面探索弹性教学,创新学习方式。【结论】风景园林专业博士培养固然需要摆脱对传统学术博士培养模式的路径依赖,但不能忽视博士学位的学术属性,有必要继续将经典理论和研究方法作为核心教学内容,在招生资格审核、学位论文选题和学习方式等方面重点强化职业属性和基于应用研究的科学探索,从而实现学术研究与行业实践的融合。