Table of Content

20 August 2020, Volume 6 Issue 4

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Practice and thoughts of the construction of clinical medicine specialty under the background of “new medical science”

Wu Hongyan, Lv Xiongwen, Cao Yunxia, Wang Heng, Cheng Yiqun, Zhang Xiujun, Yu Yongqiang

2020, 6(4):  311-315.  doi:10.3969/j.issn.2096-045X.2020.04.001

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Clinical medical education faces how to strengthen its connotation construction and how to cultivate excellent medical talents in medical colleges under the background of “new medical science”. Anhui Medical University has formulated an “Action Plan” to revitalize undergraduate education, focusing on key processes of development of medical education and improving the quality of talents training. “Action Plan” was introduced to accelerate the implementation of the excellent doctor education and training plan V2.0 in Anhui Medical University. The professional construction were effectively promoted by professional certification and professional evaluation. In the future, talent training mode will further be innovated to train excellent medical talents by the construction of the national first-class undergraduate specialty site of clinical medicine in Anhui Medical University. 

Construction of “integrated” ideological and political education system under the background of “golden courses” in medical colleges and universities

Zhu Qian, Xie Xuefeng, Wu Hongyan, Hao Jiahu, Lv Xiongwen

2020, 6(4):  316-320　.  doi:10.3969/j.issn.2096-045X.2020.04.002

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This paper aims to explore ideology-oriented education in the context of “golden course” construction for whole process of education, all staff education and all-round education. Ideology-oriented education imparts socialist values through the knowledge transfer of, share ideological and political information in every students daily life. Ideology-oriented education follows such steps as ideology-oriented curricula, ideology-oriented faculty, then ideology-oriented majors and ideology-oriented discipline. The ideology-oriented education will complete the whole process of “golden course” construction, first-class undergraduate major construction and first-class discipline construction.


Exploration and practice of the construction of clinical medicine faculty under the background of national“double first class”: a case study of the First Affiliated Hospital of Anhui Medical University

Guo Yuxiu, Wang Jinian, Xia Qing, Gao Min, Xu Long, Chen Mingwei, Lv Xiongwen, Wang Heng, Cao Yunxia

2020, 6(4):  321-324,329.  doi:10.3969/j.issn.2096-045X.2020.04.003

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Strengthening the construction of clinical medicine faculty will guarantee better quality of clinical medicine education. In the context of the national “double first-class” construction and “medical-education collaboration”, clinical medicine faculty in affiliated hospitals play a decisive role in medical talents cultivation in colleges and universities. This article analyzes the importance of clinical medical faculty construction and related common problems under the background of “double first-class” construction. Taking the first Affiliated Hospital of Anhui Medical University as an example, we start from faculty training, assessment and evaluation, summarize the approach in our hospitals construction of clinical medicine faculty, aiming to promote the long-term development of clinical medicine faculty and to cultivate high-quality medical talents.


Construction of practice teaching system of clinical medicine specialty under Internet +BOPPPS teaching model

Wang Jinian, Wang Heng, Chen Mingwei, Gao Min, Xia Qing, Guo Yuxiu, Xu Long, Cao Yunxia, Lv Xiongwen

2020, 6(4):  325-329.  doi:10.3969/j.issn.2096-045X.2020.04.00

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With the push of accreditation of medical education and rapid development of Internet plus, Anhui Medical University built a practical teaching system of clinical medicine under the teaching model of Internet + BOPPPS, taking the quality of student training as the core, the post competence as the reform direction, and BOPPS teaching model as the foundation. The practice has proved that the practice teaching system can enhance students independent learning ability, cultivate students competence, promote students learning outcome and improve teachers teaching ability.

Construction and thoughts of the talents training system focusing on professional degrees in stomatology

Sun Weibin

2020, 6(4):  330-334.  doi:10.3969/j.issn.2096-045X.2020.04.005

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What degree should be awarded in “5+3” medical education has raised public concerns and is related to the specific establishment of medical professional degree system and the pathway leading to a professional degree. This article compares the status of professional medical and dental degree training in China with MD/DMD/DDS degree training in the United States and proposes to develop a novel training system of professional doctorate degree of stomatology based on clinical standardized training. In addition, it also integrates both undergraduate and postgraduate education into professional degrees. The goal is to establish an innovative dental education model with advanced mission, improved administration and strict assessment standards. Overall, this model is based on a main line of undergraduate-master-doctor professional degree training system, with the faculty and students as a team. In our proposed model, a “1+1+10” assessment system, including a systematic review, a clinical research report and 10 treatment cases, is built to examine students academic and clinical skills. The aim is to establish a closed-loop “goal-training-assessment” pathway so that we can use this system to develop more dentistry talents who have both strong research background and outstanding clinical skills.


Application and practice of situational simulation combined with case teaching in audiology practice teaching

Wang Xianren, Wu Xuan, Chen Kaitian, Zhuang Huiwen, Jiang Guangli

2020, 6(4):  335-339.  doi:10.3969/j.issn.2096-045X.2020.04.006

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Objective    To explore the effect of situational simulation combined with case teaching method in audiology practice teaching. Methods    Forty students were for clinical clerkship in the First Affiliated Hospital, Sun Yat-sen University from January 2019 to May 2019. They were divided into two groups: experimental group and control group. The former used situational simulation combined with case teaching method, while the latter used traditional teaching method. At the end of clinical clerkship, two groups were given the corresponding theoretical and operational tests and questionnaires to compare the teaching effects of the two teaching modes. Results   Compared with the control group, the results of case analysis, theoretical examination and practical operation in the experimental group were better than those in the traditional group, with statistical significance (P<0.05). In terms of clinical thinking ability, doctor-patient communication ability, classroom absorption rate, mastery of theoretical knowledge and satisfaction with teaching methods, the differences between the two groups of students were statistically significant (P<0.05), and the experimental group performed better than the control group. Conclusion   Situational simulation combined with case teaching can effectively improve the quality of audiology practice teaching, which is suitable for audiology teaching.




Course assessment of online learning in medical universities

Zhang Chuanbiao, Dong Bin, Fu Bin, Wang Yuexiu, Zhao Lili

2020, 6(4):  340-344.  doi:10.3969/j.issn.2096-045X.2020.04.007

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Owing to the outbreak of COVID-19, the spring term  of 2020 in Chinese universities witnessed the online teaching mode in full swing. Among other things, assessments mark a vital link, which not just measure the learning effect, evaluate the teaching quality and test the implementation of teaching objectives, but serve to guide and stimulate the teaching designs on teachers part as well as the learning actions on students^, part. Where online teaching is concerned, due to the constraints of time and space, routine closed-book examinations turn out difficult to carry out. It poses a big challenge to the current higher education of medical science to adapt examining plans, modes as well as contents to online teaching modes.  This paper explores how to assess online learning objectively and effectively in light of assessment objectives, assessment methods, score settings, test paper design and assessment implementation and other aspects.

Practice and thoughts of resident standardized training system in non-teaching hospitals 

Li Yan, Li Zhaoting, Zhang Gangli, Zhou Yun

2020, 6(4):  345-349.  doi:10.3969/j.issn.2096-045X.2020.04.008

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With the reform of the national medical personnel training system and the emergence of the national resident standardized training system, many non-teaching hospitals, which mainly focus on medical activities, have become the national resident standardized training bases. Taking a typical provincial public tertiary hospital as an example, this paper takes high teaching quality as the working goal, and puts forward the working idea of “system first, quantitative work, emphasis on teacher motivation” for the problems in teaching staff and teaching management in the process of standardized training for resident doctors. Aiming at improving teaching system, strengthening the faculty construction and teaching supervision, specific measures, such as fully mobilizing teachers^, enthusiasm and initiatives, advocating people-oriented and strengthening link management, have made some achievements in discipline construction, expanding hospital influence, building a harmonious hospital, reducing the rate of medical errors, and improving the teaching quality. The integration of “medical treatment, teaching and research” is the future development trend of the hospital.




Practice of LBL/PBL/CBL teaching mode in continuing medical education training program for pediatric dentists

Wang Yan, Zhang Qiong, Wang Liao, Zhang Linglin, Zou Jing

2020, 6(4):  350-354.  doi:10.3969/j.issn.2096-045X.2020.04.009

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With the continuous development of social economy, people pay more attention to childrens oral health, and the demand for childrens dental specialists is also increasing. It is an important way to improve the clinical skills of local pediatric dentists or general practitioners to study in affiliated hospitals of well-known domestic teaching institutions. This paper aims to address how to optimize the continuing education teaching mode for pediatric dentists. By applying the LBL/PBL/CBL joint teaching mode to the clinical training of continuing education doctors in the department of pediatric dentistry, the authors institution conducts systematic theoretical knowledge training, standardizes the training of clinical diagnosis and treatment technology, cultivates the ability to find, analyze and solve the clinical problems, and establishes an assessment system suitable for the LBL/PBL/CBL diversified joint teaching mode, so as to train qualified pediatric dentists for the local general hospitals and promote the development of children^,s oral health management.


Formative assessment in College English Listening And Speaking Course with blended teaching model

Hua Yao, Yang Bo, Guo Jing

2020, 6(4):  355-360.  doi: 10.3969/j.issn.2096-045X.2020.04.010

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By adopting Production-Oriented Approach, the study formulated multidimensional assessment indicators and feedback patterns as the assessment framework for College English Listening and Speaking Course with the blended teaching model. The teaching assessment on the “everyday English” section was used as an example to clarify the specific assessing procedures and to verify the effectiveness of this assessment framework. The study shows that this framework can improve the teaching efficacy and students English proficiency, which will provide the reference for further researches in this field. 


A blended academic writing course design based on needs analysis

Tao Xin, Liu Juan, Guo Jing

2020, 6(4):  361-365.  doi: 10.3969/j.issn.2096-045X.2020.04.011

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Blended teaching integrates multiple resources and tools to optimize teaching, and has proved to be an effective teaching mode. This research explores an online blended writing course design based on needs analysis. Taking 83 students of the 2018 batch majoring in clinical medicine in the 8-year program as subjects, the questionnaire surveyed students^, needs for the course of “Medical Literature Reading and Writing”. The results showed that students hope that the course improves their reading and writing abilities while taking into account the improvement of translation abilities and medical vocabulary learning; students writing abilities and autonomous learning abilities are generally lacking; writing strategies are not sufficiently employed. Based on this needs analysis, this research builds an online blended writing teaching design of “MOOC + U campus + rain class + WeChat group” to achieve integrated teaching goals, modular teaching content, intelligent teaching environment, systematic teaching process and formative teaching evaluation. Students^, reflective journals and questionnaires show that the course improves students^, autonomous learning abilities, enhances writing knowledge and writing strategy awareness, and has achieved good results. In order to guarantee teaching effectiveness, the effectiveness of online blended writing teaching design should be tracked and investigated, the accumulation of medical knowledge of foreign language teachers should be strengthened, and a writing teaching community should be established to help the cultivation of high-level medical talents and the construction of “new medical science” in the new era.


A corpus-based translation study of academic articles on medical science with the functional approach

Tan Xiaofeng

2020, 6(4):  366-372,386.  doi:10.3969/j.issn.2096-045X.2020.04.012

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Within the theoretical framework of functional linguistics, a corpus-based approach has been employed to generate the wordlists concerning ideational, interpersonal and textual metafunctions of academic articles on medical science. These wordlists reflect the linguistic features and distribution laws of three metafunctions, and describes the conventions in the process of translating academic articles on medical science: the choice of material, relational, mental and verbal processes to show the transitivity system; the wide range of subject selection to express various degrees of identity-construction consciousness; the use of modal verbs with low and median value; the causal-conditional connectors to form the logic relations in the target text. It has been proven that academic English translation conform to the common practice of academic discourse community in terms of language choice. The probability and typicality of language use given by the corpus-based approach is insightful to the study of academic English translation.


Mental health service needs and educational countermeasures of medical students during COVID-19——Based on undergraduates and junior college students of Capital Medical University

Zhang Bin, Liu Ying, Li Shuang

2020, 6(4):  373-377.  doi:10.3969/j.issn.2096-045X.2020.04.013

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Objective   To explore the impact of COVID-19 on the mental health of medical students, to understand students needs of mental health services, and to put forward educational countermeasures, so as to provide references for psychological health education in colleges and universities.  Methods    The full-time undergraduates and junior college students in Capital Medical University are selected as the research objects to participate anonymously and voluntarily through the Internet questionnaire. Results    The majority of medical students (83.4%) reported that they were in a good state, and 78.5% of them “do not need psychological counseling or help” at present. Their real needs were “academic guidance” (62.4%), “time planning” (51.0%) and “emotional regulation” (30.4%). In the future, 31.1% of the students hope to obtain psychological assessment, 24.1% for online psychological consultation, and 21.5% for  psychological science knowledge in the form of school mental health service. When encountering difficulties during the epidemic, students mainly choose to seek help from “family members” (87.7%) and “friends” (77.4%), with less help from psychological counselors, university counselors and mentors. Conclusion    During the epidemic prevention and control period, undergraduate and junior college medical students are generally stable and have a rational and peaceful mentality. Mental health service should focus on students academic needs, pay attention to students emotional state, and effectively carry out diversified psychological support methods.


Mental status of adult education nursing undergraduates during COVID-19

Gao Liya, KangJianming, Fu Li

2020, 6(4):  378-381，394.  doi:10.3969/j.issn.2096-045X.2020.04.014

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Objective   To investigate the mental status of adult education nursing undergraduates during COVID-19 so as to provide basis for strengthening humanistic care. Methods   SRQ-20 and PSS on line was conducted in 387 nursing undergraduates of class 2020 in Capital Medical University. Results    53（13.7%）students had emotional distress, which was no significant difference with nurse in the same period (χ2=2.94，P=0.09) The incidence of emotional distress is significantly different in different sleep states (χ2=43.78，P<0.01), and the marginal significantly in the average weekly working hours（χ2=9.21，P=0.056）. Perceived stress are significantly different in different sleep states (F=7.85，P<0.01), and the marginal significantly in the average weekly working hours（F=2.34，P=0.055）. Conclusion   During COVID-19, school administrators should strengthen humanistic care for adult education nursing undergraduates to ease the their stress and reduce the emotional distress.


Gap between nursing admissions and clinical needs in Beijing in recent 5 years

Shao Yueying

2020, 6(4):  382-386.  doi:10.3969/j.issn.2096-045X.2020.04.015

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Objective   To understand whether the nursing admissions in Beijing can meet the needs of the hospitals in Beijing by analyzing the admissions of 10 schools from 2015 to 2019, the number of registered nurses in Beijing from 2013 to 2018. Methods    To study the admissions through the official website of the Beijing Education Examination Authority, each schools official website or WeChat Official Account; to check the number of registered nurses from 2013 to 2018 through the official website of the Beijing Municipal Health Commission.  Results    The annual enrollment of 10 schools is 2 060 and the number of registered nurses increases averagely by 4 800 in Beijing from 2014 to 2018. Conclusion   Ten schools^, nursing admissions can^,t meet the nursing needs of all hospitals, so the enrollment scale should be expanded.


Practice and exploration of teaching of small animal medical imaging technology in medical colleges

Lei Jianfeng, Zhao Yuanyuan

2020, 6(4):  387-390，404.  doi:10.3969/j.issn.2096-045X.2020.04.016

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With the development of small animal medical imaging technology, noninvasive imaging of small animal in vivo plays an increasingly important role in modern scientific research. This paper explores the necessity to set up teaching of small animal medical imaging technology in medical colleges. Through theoretical teaching, instrument demonstration and experimental operation, students can understand and master the knowledge and skills, which will be beneficial for their future work. In order to improve the teaching quality, the aim and significance of teaching, the content of theoretical courses, the development of experimental courses and the construction of teachers are discussed in this paper.


Thoughts and suggestions on the operation management of public hospitals

Chao Yangyun, Yang Yue, Zhang Yongqin

2020, 6(4):  391-394.  doi:10.3969/j.issn.2096-045X.2020.04.017

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With the continuous progress of medical reform, public hospitals are facing new challenges of asking for benefits from management to achieve hospitals connotative development. This article starts with the current status of public hospitals operation and management. Through in-depth analysis of the existing problems, it provides ideas and suggestions for further promoting the operation management of public hospitals. It can provide reference for the transformation of public hospital management, improving the level of hospital management, and achieving scientific and lean management.


Analysis on the current situation of capacity building of middle-level cadres and countermeasure research ——A specialist hospital as an example

Li Chunxia, Li Jing , Liang Qingjun, Zheng Lidong

2020, 6(4):  395-399.  doi:10.3969/j.issn.2096-045X.2020.04.018

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This paper makes a quantitative and qualitative study on the current situation of capacity building of middle-level cadres in a specialist  hospital through questionnaire survey and field interview. The results show that the satisfaction of the selection system, the current situation and evaluation of middle-level leadership management, the competency of cadres and training measures are generally high. However, there are still some problems, such as lack of responsibility, fear of difficulties, lack of unity and cooperation.  The questionnaire survey of 28 competency characteristics in five dimensions, defines the importance of the competency characteristics of middle-level cadres. At last, this paper puts forward countermeasures and suggestions for further optimizing the management of middle-level cadres and strengthening the capacity-building of middle-level cadres.


Analysis of influence factors of the staff turnover in a grade class-three hospital of Beijing in recent ten years

Lv Shouzhu, Kang Shuai, Zhao Tong

2020, 6(4):  400-404.  doi:10.3969/j.issn.2096-045X.2020.04.019

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Objective   Medical workers, as the key asset for hospital, are the roots and driving force of hospital development. Grade class-three hospitals integrate clinical treatment, scientific research and medical teaching. High-level professional and technical medical personnel are indispensable for the advance of hospitals. How to effectively attract talents, manage talents, establish a reasonable talent echelon, and prevent the adverse impact of staff turnover on the hospital has become an important part of hospital human resource management. Methods   By using the effective data in the human resource management system of our hospital, we analyzed the flow of formal staff in the hospital in recent 10 years. ResultsStatistical analysis of the staff turnover in recent 10 years revealed that staff from the key departments, nursing staff, staff with long-term service and highly educated personnel accounted for a large proportion of the staff quitting the jobs. Conclusion   This paper discusses the reasons and preventive measures, puts forward some constructive suggestions on selection and employment, remuneration package, personal career development and professional promotion. It also provides reference for hospital and human resource managers to promote the sustainable development of the hospital.


Prescription status and influence factors review on essential medicine of primary care doctors

Chen Xiaolei, Du Juan, Wu Ying, Shao Shuang

2020, 6(4):  405-409.  doi:10.3969/j.issn.2096-045X.2020.04.020

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This paper summarizes the essential medicine prescribing status and the influence factors in primary health care institutions from relevant papers at home and abroad. Although the use of essential medicines in primary health care institutions in China has significantly improved, there are differences in the use of essential medicines among regions. There are influence factors that include national policy on essential medicine, patients, drug suppliers and doctors^, own reasons.


Construction of integrating medical humanities education into “excellent medical talents training mode” 

Wang Qiujing, Zhang Ming, Lv Wenwei

2020, 6(4):  410-414.  doi:10.3969/j.issn.2096-045X.2020.04.021

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Medical humanities education is the basic content and cornerstone of medical education. this paper aims to integrate medical humanities education into “excellent medical talents training mode” to cultivate “Bethune type excellent medical talents”. We explore the ways to integrate medical humanities education into the mode of training outstanding medical talents, to improve the curriculum training system, to strengthen the quality of teachers, to build various humanities qualities practice platforms and to create a good campus cultural atmosphere. The collaborative education system of “professional spirit education, professional education and practical education” and the educational mechanism in the whole process of personnel training is unified into the spirit education. It highlights the combination of the basic medical education system and the spirit education system. By learning from the successful experience and combining with the characteristics of our college, we analyze the humanistic education system and methods suitable for basic medical education in order to cultivate excellent medical talents in the new era with all-round development of medical skills and humanistic qualities.