Medical Education Management

Current situation of psychological counselors’ training

Xu Min, Bai Yang, Li Jian, Lu Jiuxing, Han Demin

2017, 3(2): 83-86. doi:10.3969/j.issn.2096-045X.2017.02.001

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Objective　To promote the development of health service industry, and improve the psychological counselors’ training system. Methods　We collected a wide range of relevant literatures concerning psychological counselors’ development and training, analyzed the deficiencies in training, and made recommendations with regard to the development goals of health services. Results　We found the following problems in the training of current psychological counselors in our country. The professional education is inadequate and the quality should be improved. The professional quality of the practitioners and, the training institutions are very different in qualities. The follow-up training and the supervision are slao inadequate. Conclusion　We should strengthen the academic education, non-academic education, and continuing education for psychological counselors, and carry out strict supervision system.

Analysis of current status on development of society sports instructors in China

Yao Pengtao, Lu Jiuxing, Han Demin, Li Xingming

2017, 3(2): 87-91，103. doi:10.3969/j.issn.2096-045X.2017.02.002

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Objective　To promote the development of Chinese health care and sports industry, to assist in National Fitness Strategy, and to improve the mechanism of society sports instructor management and training. Methods　We conducted an all-round and systemic research by way of literature review, expert interviewing questionnaire, combined with the experts’ opinion and feedback of society sports instructors. Results　The number of society sports instructors in our country has reached 1.82 million. By the end of 2015, the number of Society Sports Instructors per thousand people had reached 1.5‰ in 19 provinces, from 1.00‰ to 1.49‰ in 6 6 provinces, and from 0.50‰ to 0.99‰ in 5 provinces. Guizhou Province was the highest with 6.00‰; Xinjiang Province was the second with 4.60‰, and Jiangxi, Guangzhou, Yunnan were 0.71‰, 0.57‰, 0.50‰ respectively. The gap among cities and regions is big. And the resource is focused more on the better developed areas. Because management system and mechanism are not sound, the supply and training system shortages, low standards for society sports instructors still exist, which definitely hinders the healthy development of sports. Conclusion　We have the following proposals: (1) Reforming management mode and promoting the development of flexible industry; (2) Further improving the social sports instructor training system, and improving staff quality from the source; (3) Establishing and perfecting incentive guarantee mechanism, and developing society sports instructors; (4)Establishing a perfect evaluation system, and promoting the construction of professional society sports instructors.

Analysis of the current status and education of professional baby care educators in China

Pan Yueda, Han Demin, Li Xingming, Lu Jiuxing

2017, 3(2): 92-96,107. doi:10.3969/j.issn.2096-045X.2017.02.003

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Objective　The aim of this paper is to provide a reference for the construction of the related personnel system in China's health service industry through the analysis of the present situation and problems of the development of Chinese professional baby care educators. Methods　We conducted the research through literature review to summarize the main issues, and to interview experts and practitioners. Results　the profession of baby care educators has qiute low entry standards, and lacks market acceptance. It is affected by training chaos and training problems, and lacks effective supervision. The professional baby care educator assessment link is weak, and the after training is inadequate. Conclusion In order to supervise the market, we should clear the main responsibility of the department in charge of professional baby care educators. The state should establish a standardized training mode and standards for nursery teachers; identify the orientation of qualification of professional baby care educator; strengthen the training links, and conduct rigorous training selection and assessment to enhance the actual ability of professional baby care educators.

Analysis of teaching effect of evidence-based medicine and discussion on teaching methods

Liu Qian, Qin Mingzhao, Liu Guoliang

2017, 3(2): 97-100. doi:10.3969/j.issn.2096-045X.2017.02.004

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Objective To investigate the teaching effect of the evidence-based medicine(EBM) course among medical students of Beijing Tongren Hospital affiliated to Capital Medical University and explore the improving methods. Methods A total of 65 medical students,including thirty-one 5-year students and thirty-four 7-year students, were enrolled. Their examination paper was analyzed and the frequency of complete accuracy of each knowledge point was calculated. The comparison of the 5-year students and the 7-year students was made by Chi-square test. Opinions and suggestions were collected among the 5-year students. Results　There were nine knowledge points with the frequency of complete accuracy exceeding 50% among 5-year students while there were only four among 7-year students and the other seven points were below 50%. All the students mastered the concept of EBM, but the perceptions towards randomized control trial were not good. The 5-year students were better than the 7-year students in mastering the two knowledge points: the concept of systemic review (80.65% vs 41.18%, P=0.001) and the level of evidence (61.29% vs 32.35%, P=0.019). Some 5-year students suggested that more chances of participation in the course should be given to them and hoped to go on learning EBM in their clinical practice. Conclusion　The analysis of the above results may improve the teaching methods and strategies of the EBM course for the 5-year and 7-year medical students. It will benefit the teaching of the EBM course in the clinical practice stage.

Enlightenment of the basic ability requirement of British medical graduates to medical education in China—Based on the study of the 2009 report of "Doctor of Tomorrow"

Ge Xiaojuan

2017, 3(2): 101-103. doi:10.3969/j.issn.2096-045X.2017.02.005

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In order to learn the advanced experience of foreign medical education, I study the 2009 report of “Doctor of Tomorrow”. This paper summarizes the basic ability requirements of British medical graduates from three aspects: doctors, practitioners and professionals. I obtained three revelations. Firstly, the Chinese medical education should strengthen medical students’ knowledge in sociology, psychology and so on. Secondly, we should improve their knowledge innon-verbal communication. Thirdly, doctors should have teamwork awareness.They should have a harmonious relationship not only with their patients, but also with their colleagues.

Extended reading to improve medical students’ ability of English literature reading

Ren Lishen, Zhu Gengjun, Xu Wen, Li Jinghe, Jin Xin, Wang Xiuli, Wang Chunhong

2017, 3(2): 104-107. doi:10.3969/j.issn.2096-045X.2017.02.006

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It is important for medical professionals to read medical papers written in English and catch the key points in the papers quickly, and it warrants the individual medical knowledge update. Nowadays most medical students haven’t obtained the above ability, and the Extended Reading Course is a way to solve the problem. On the basis of medical knowledge acquired in class, the goal of the Extended Reading is to guarantee the further accumulation of medical English and medical knowledge. There are three parts for the Extended Reading, including Extended Reading Textbook, Web Library and WeChat Platform. All those contribute to obtaining the ability of reading medical papers quickly and the ability of active study for medical students. Furthermore, the Extended Reading is helpful to promote understanding on how to train medical students and accelerate the medical education reform and development.

The current situation of scientific research output of best hospitals in China and America and our suggestions

Song Yingjie, Wang Xiaomin

2017, 3(2): 108-113. doi:10.3969/j.issn.2096-045X.2017.02.007

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Through investigation by literature search and comparison, this study has drawn a conclusion that scientific output in the best hospitals in China is not as plentiful as those in the United States. After learning the experience of the US hospitals, we should focus on the following aspects for the process of scientific construction of China’s hospitals: to change the management style of scientific research, strengthen the management of scientific research funds, improve the system construction of scientific researchers, focus on Big Data construction and mining, and construct the advanced discipline groups.

Application of mini clinical evaluation exercise in training respiratory residents

Su Yiliang, Cao Weijun, Li Huiping

2017, 3(2): 114-118. doi:10.3969/j.issn.2096-045X.2017.02.008

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To study the value of mini clinical evaluation exercise (Mini-CEX) in training respiratory residents, all 22 new respiratory residents of Shanghai Pulmonary Hospital were evaluated by Mini-CEX from July 2014 to July 2015. Each respiratory resident was evaluated for 6 times. The respiratory residents realized their weaknesses through Mini-CEX, and their clinical competence was improved by strengthening exercises. There was significant statistics difference between the first and the last Mini-CEX scores (P<0.01). Teachers’ and residents’ satisfaction rate with Mini-CEX was more than 90%. Mini-CEX is a convenient and effective medical teaching method. The implementation of Mini-CEX is benefitial to better development of the respiratory residents.

Evaluation of training index system of the residents of obstetrics and gynecology in Beijing on the basis of medical record information

Zhang Wei, Fu Tinghui, Deng Xiaohong

2017, 3(2): 119-125,136. doi:10.3969/j.issn.2096-045X.2017.02.009

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Objective To analyze the practical cases and operations in the residents training of obstetrics and gynecology during their standard training, so as to establish the scientific training standards. Methods　Based on medical record information from 2012 to 2014 in a big maternity hospital in Beijing, we compared the practical cases and operations of the residents with the Rules for standardized training of residents in obstetrics and gynecology in Beijing. Results　Most residents fulfilled the set quota by the Rules, which means that they have got the basic clinical ability after the training. Both endometrial polyps and cervical intraepithelial neoplasia (CIN) Ⅲ were the leading cases in gynecological disease, whereas there is no corresponding requirements in the Rules.There was alack of severe cases for the residents to practice..The number of gynecological operations met the requirements of the Rules.There were three types of obstetricoperations, including RAM, lateral episiotomy suture and placental abruption, in which the residents failed to meet the lowest requirements of the Rules. Conclusion　The training hospitals should provide enough severe cases and common minor surgery for residents training,and Rules for standardized training of residents in obstetrics and gynecology in Beijing needs to be modified.

Application of CBL +PBL teaching method inneurosurgery nurse leveltraining

Huang Na

2017, 3(2): 126-130. doi:10.3969/j.issn.2096-045X.2017.02.010

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Objective To determine the teaching effect of the CBL + PBL teaching method in neurosurgery nurse level training. Methods CBL + PBL teaching method was applied in three diseases nursing level teaching (Craniopharyngioma, Pituitary-adenoma, Brainglioma), meanwhile traditional teaching method was applied to the teaching of other neurosurgical diseases. The effect of the two teaching methods was investigated by the self-designed questionnaire. Results CBL + PBL teaching method was conducive to enhancing professional knowledge and increasing the learning interest; it was also helpful to improve the ability of self-learning, teamwork and clinical thinking. It was superior to the traditional teaching method (P<0.05). Conclusion The CBL+ PBL is a useful teaching method in the neurosurgery nurse level training and should be popularized.

Conflicts between the postgraduate entrance examination and clinical practice of medical undergraduates in local universities and our countermeasures

Zeng Guo, Xie Wei, Zhou Juan, Jiang Zhisheng

2017, 3(2): 131-136. doi:10.3969/j.issn.2096-045X.2017.02.011

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Clinical practice is an important part of medical education, and the quality of the practice is very important for medical students to become qualified clinicians. However, the time periods for the postgraduate entrance examination preparation and clinical practice are largely overlaped, and some students can not deal well with the relationship between clinical practice and postgraduate entrance examination.They only attach importance to the postgraduate entrance examination preparation, and thus their qualities of clinical training decrease. Therefore, we must help them properly handle the relationship between clinical practice and postgraduate entrance examination, and let the two tasks complement each other.

Application progress of mobile learning in medical assistant teaching

Fei Qi, Zhang Xiaodong, Li Qiang

2017, 3(2): 137-140,145. doi:10.3969/j.issn.2096-045X.2017.02.012

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In recent years, Mobile Learning has developed rapidly and has entered the field of medical education. It is an extension and development of electronic learning. Its advantages are learning anytime, anywhere and the convenience of communication and collaboration with others. The new teaching method, which is based on traditional teaching supplemented by Mobile Learning, enriches the teaching form, stimulates students' interest in clinical medicine and the motive force of autonomous learning, and helps to improve the overall teaching quality. The potential of Mobile Learning in medical education should not be neglected.

Qualitative research on community internship of general practice for clinical medicine undergraduates

Liu Yingjie, Zhang Dandan, Li Li, Wang Meirong, Du Juan

2017, 3(2): 141-145. doi:10.3969/j.issn.2096-045X.2017.02.013

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Objective　To find out the current situation and effectiveness of community internship of general practice among undergraduates major in clinical medicine, so as to provide support for perfecting community internship. Methods A total of twenty-seven 5-year clinical undergraduates of Capital Medical University, who had completed the community internship in 4 community health service centers in Beijing, were interviewed in the form of topic group interview from May to June in 2016, and interview data were summed up and summarized into the interview subjects. Results　①The clinical medicine undergraduates increased their understanding of community GPs’ work contents significantly by finishing the community internship. ② The internship contents were mainly related to actual teaching tasks of the teachers.③ The practical opportunities in the community internship process were inadequate.④ The clinical medicine undergraduates thought it was necessary to participate in community internship, but they lacked the willing ness to choose the general practice as their future careers. Conclusion　The clinical medicine undergraduates are more likely to recognize the community internship of general practice, but the internship content and time arrangement need to be further standardized.

Analysis of hospitalization cost for long-term care patients of secondary and tertiary hospitals in Beijing in 2015

Zang Bai, Shang Shaomei, Wan Qiaoqin, Deng Xiaohong

2017, 3(2): 146-150. doi:10.3969/j.issn.2096-045X.2017.02.014

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Objective　To analyze the hospitalization cost and the influencing factors of long-term inpatients in Beijing secondary and tertiary hospitals and to provide the basis for formulating reasonable payment system. Methods　Using descriptive analysis for the long-term inpatients’ cost and daily cost, and analyzed the influencing factors of daily cost by multiple regression analysis. Results　The long term inpatients’ cost in Beijing secondary and tertiary hospitals covers 11.12% of the total inpatients’ cost. The proportion of drug cost in their total cost was 47.44%. A large number of the patients suffered from circulatory system diseases, tumors and respiratory diseases. Age, hospitalization period, payment system, activity of daily living, system disease classification had impact on their daily cost. Conclusion　The proportion of medical resources occupied by long-term inpatients in Beijing is considerably large. Nursing home should play a professional role in long-term care. In nursing homes, researches on exploring the daily-cost payment and developing reasonable payment standards are important.

Present situation analysis of the social insurance in public hospitals in Beijing under the endowment insurance reform

Lv Shouzhu,Wang Zhong

2017, 3(2): 151-155,163. doi:10.3969/j.issn.2096-045X.2017.02.015

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Objective　This article analyses thecharacteristics and present situation of the social insurance between public hospital and other property companies, and find out advantages in the public hospitals. According to the endowment insurance reform,we tried to find the problems of the social insurance in public hospitals, and give some opinions and suggestions to the social security administration.Methods　We used the questionnaire and statistical analysis tools(SPSS) to conduct the study.Results　The public hospitals’ social insurance was higher than other companies. Conclusion　The endowment insurance of the public hospital enhances the flow of talent, however, the high proportion of various insurance also limit the flow of talent. As to non-profitable public medical service institutions, such large social security fees become a heavy economic burden and thus limit their development. Therefore, the social insurance administration department should set up the flexible payment rules according to the nature of the various units, enhance the punishment and propaganda to make the enterprise and employees fully understand the significance of social insurance.

Problems and thoughts on hospital archives management

Ren Shan, Song Linzi, Yang Jing

2017, 3(2): 156. doi:10.3969/j.issn.2096-045X.2017.02.016

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Archives are an important part in hospital information for reference and utilization. Taking into account the current status of hospital records management, the hospital should identify problems, analyze problems, propose solutions, and continuously improve the level of hospital records management.

Thinking and practice of moral education at clinical stage of medical students

Zhang Guojun, Wang Jianmin,Hua Lei, Wang Xiangping

2017, 3(2): 160-163. doi:10.3969/j.issn.2096-045X.2017.02.017

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Medical students in different learning stage reflected that the ideological situation is different, and the content and key point of the moral work is also discrepant. With the transformation of medicine and health care environment, the new requirements are put forward specially to moral education in clinical phase of medical students. The new requirements consist of paying attention to reinforcing the clinical skills training, grasping characteristics of the times and practically developing moral education which fits to the ideological features of medical students and environmental changes.

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