Table of Content

20 August 2023, Volume 9 Issue 4

Previous Issue   

Innovative training paradigm for excellent public health talents－taking Vanke School of Public Health, Tsinghua University as an example

Yin Cong, Cheng Feng, Wang Ao, Liang Wannian

2023, 9(4):  415-419.  doi:10.3969/j.issn.2096-045X.2023.04.001

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To achieve modernization of the national governance system and governance capacity, it is urgent to speed up the establishment of a talent training and employment mechanism compatible with the modern disease prevention and control system and make up for the shortcomings of public health talent development as soon as possible. The global pandemic has brought huge impact on human health, the world economy and social development. Trends such as industrialization, urbanization, climate and ecological environment changes, and population aging have also posed huge challenges to the sustainable development of human health. To solve these problems that affect human development, explore and establish an innovative training paradigm for excellent public health talents, and cultivate inter-disciplinary public health leading talents who understand technology, are good at management and dare to innovate and have ideas of overall situation and compassions are also the needs for the reform and development of global public health education.

Trinity of "foundation education-clinical training-prevention practice" collaborative mode and innovation—characteristics of public health professionals' education in Capital Medical University

Han Youli, Yu Huanling, Liu Xiuying, Xu Cuicui, Chen Rui

2023, 9(4):  420-424.  doi:10.3969/j.issn.2096-045X.2023.04.002

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To speed up the building of high-level public health professionals' educational system is the requirement of the national medical education innovative development. The "trinity" mode of Capital Medical University has formed multiple characteristics of public health professional's educational system, such as collaborative mechanism, quality cultivation, "four-certificate-in-one" application-oriented training, international vision and comprehensive quality improvement. This mode has been continuously improved in combination with the needs of capital and even national strategy to explore the innovative development pathway.

Cultivating high quality interdisciplinary preventive medicine talents—taking Nanjing Medical University as an example

Chen Ran, Tong Na, Tang Shaowen, Chen Minjian, Jiang Ping, Wang Jianming, Liu Jiyong, Lu Chuncheng

2023, 9(4):  425-429.  doi:10.3969/j.issn.2096-045X.2023.04.003

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Promoting the construction of a healthy China and improving the health level of the people are sacred missions and arduous tasks entrusted to the public health practitioners by the Party and the State. As the cradle of public health and preventive healthcare talents, colleges and universities need to strengthen the connotation construction of new medicine, reform medical education methods, improve the quality of talent training, and strive to cultivate high quality interdisciplinary preventive health talents who can guarantee people's health in an all-round and full cycle way and serve the construction of a healthy China. Taking the cultivation of preventive medicine undergraduates in Nanjing Medical University as an example, we expound the practice and exploration of preventive medicine talent cultivation from several aspects, including talent cultivation goals, curriculum system construction, clinical practice teaching, integration of industry and teaching and cooperation between medicine and education, and teaching methods.

Cultivation of preventive medicine professionals in the context of the construction of high-level public health schools — taking Tianjin Medical University as an example

Gao Na, Tang Naijun, Xie Juan, Wang Xuan, Gu Muyu, Ding Ning, Liu Huan

2023, 9(4):  430-434.  doi:10.3969/j.issn.2096-045X.2023.04.004

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New orientation of "big discipline, big specialty" as guide, the construction of high-level school of public health as an opportunity, Tianjin Medical University takes "consolidating the foundation, strengthening practice and cultivating the whole process" as the educational concept, and actively explores a new paradigm for training preventive medicine professionals , develops a training program that meets the requirements of the new era, and builds an all-around high-quality curriculum system and preventive medicine practice teaching system etc., which provides a reference for the construction of high-level public health schools and the cultivation of preventive medicine professionals.

Opportunities and challenges for the professional development of university teachers in the construction of first-class curriculum—taking Hunan University of Chinese Medicine as an example

Huang Qiaoling, Luo Hongdan, Wei Yiwei, Huang Lin, Chen Chutao

2023, 9(4):  435-439.  doi:10.3969/j.issn.2096-045X.2023.04.005

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The construction of first-class curriculum is another round of curriculum quality reform that adapts to the development of higher education in the new era. This quality reform not only brings about the innovation of curriculum concept, content, method and mode, but also becomes a key field and infuses new connotation for the professional development of university teachers. This paper analyzes the new requirements of first-class curriculum construction on the professional development of university teachers, as well as the reality of professional development of traditional Chinese medicine university teachers in the field of first-class curriculum construction, and takes Hunan University of Chinese Medicine as an example to put forward the action strategy of teacher professional development driven by training, management and culture.

Construction of clinical practice teaching system for training traditional Chinese medicine personnel in "coordination between medicine and education"

Gao Yiren, Wang Jian

2023, 9(4):  440-445.  doi:10.3969/j.issn.2096-045X.2023.04.006

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The cultivation of clinical practice ability of Traditional Chinese Medicine (TCM) talents is the key to the coordination between medicine and education, which can effectively solve the problem of disconnection between teaching and clinical practice. Therefore, this paper proposes to construct a multi-dimensional and integrated clinical practice teaching system.The system adheres to the orientation of "ability enhancement", builds a "medicine-education coordination" clinical practice teaching faculty, constructs "homogenized" practice teaching bases, carries out the reform of "3+2" teaching mode, establishes a practice platform, improves the quality assurance system of Chinese medicine clinical practice teaching, and implements diversified assessment and evaluation. In this way, we can realize the effective improvement of the cultivation level of applied talents of Chinese medicine in the new era of medical and health care.

Construction of peer psychological counseling model for master's degree postgraduate students in the coordination between medicine and education

Shang Junliang, Xu Xuying, Cui Jin, Wang Hongmei

2023, 9(4):  446-450.  doi:10.3969/j.issn.2096-045X.2023.04.007

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The combination of clinical medical professional degree master's degree students and standardized training for residents is a major reform of medical education, which is of great significance to improve the overall quality and clinical diagnosis and treatment ability of professional degree master's degree students. However, after the merger, higher requirements are put forward for the training of master's degree graduates. These all put great pressure on professional degree master students, and some of them have developed psychological problems such as psychological imbalance, anxiety and depression, and even some choose to suspend schooling or switch to science degree graduates. This seriously affects the quality of standardized training for residents, also deviates from the original intention of training of high-quality medical talents. Peer psychological counseling is between classmates or people of similar age. It has the characteristics of easy access to trust, various forms, free time and strong pertinency, and is a useful attempt for psychological counseling of postgraduate students with master's degrees. In the practice of clinical teaching, the author takes the realization of teaching as the starting point, takes the peer psychological counseling mode as the guide, and takes the clinical master's degree graduate students who rotate in the same department in the same period as the group. For the psychological problems of the clinical master's degree graduate students, the clinical teaching teachers and the outstanding seniors in the previous training are invited to analyze and answer the questions and provide one-on-one counseling. The "tea break, book club, research salon, and training forum" for clinical master's degree students are held regularly to share the clinical problems, research problems, and emotional problems encountered during the training rotations. The network cloud platform is used to regularly provide suggestions, clinical medical case analysis, scientific research tips, etc.

Development of assessment index system on construction of homogeneity of preventive medicine practice teaching bases

Dong Hanyu, Chen Shiyue, Li Maoting, Sun Zhuoyu, Li Xiaoxia, Xie Juan

2023, 9(4):  451-457.  doi:10.3969/j.issn.2096-045X.2023.04.008

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Objective　To develop an assessment index system of homogenization of preventive medicine practice teaching bases and to provide reference for ensuring the high level of training quality of medical talents practice teaching.Methods　The basic framework of the preliminary evaluation index system was constructed by analytic hierarchy process. The final evaluation index system and its weight were determined by Delphi method, and the statistical index was analyzed by SPSS26.0 software.Results　A total of 13 experts were selected for (29.6±6.5) years of related work. The positive coefficients of the two rounds of expert consultation were 100%. The authority coefficients of experts were 0.842-0.935 and 0.881-0.969 respectively. The mean coefficient of variation of all indicators were 0.18(0.12-0.29) and 0.10(0.00-0.20), respectively. The Kendall's Wcoefficients were 0.219 and 0.414 respectively (all P<0.01). The variation coefficients of various indicators in the second round were all less than 0.25, indicating that expert's opinions tend to be consistent and the research results were highly reliable. The evaluation index system of homogeneity construction of preventive medicine practice teaching base composed of 6 first-level indexes, 19 second-level indexes and 32 third-level indexes and corresponding weights were established.Conclusion　The evaluation index system of homogeneity construction of preventive medicine practice teaching base in this study has strong scientificity, applicability and reliability. It can be used to guide the construction and management of practical teaching bases, help improve the quality of practical teaching training of preventive medicine talents, and achieve consistent teaching effects in all bases.

"Situational + task-driven" teaching mode of medical professional English

Chen Hao, Bao Li

2023, 9(4):  458-462.  doi:10.3969/j.issn.2096-045X.2023.04.009

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Objective　To study the effect of the "situational + task-driven" teaching method in medical professional English.Methods　A total of 33 "5+3" Program clinical medical students in the Second Clinical Medical College of Capital Medical University in 2019 were selected as the observation group, and 35 students of the same major studying in same college in 2018 as the control group. Both groups were balanced and comparable, and there were no statistically significant differences in age, gender and English learning ability. The control group adopted the traditional teaching method mainly focusing on vocabulary, reading and translation, questions and answers. The observation group adopted the "situational + task-driven" teaching method to simulate the "International Medical Academic Lectures". Under the guidance of teachers, students completed tasks such as conference hosting, academic reports, academic questions and answers. Through the three steps of "task design, situation presentation and mutual evaluation", the teaching objectives were realized.Results　The scores of various indicators in the student self-evaluation scale and teacher evaluation scale were higher in the observation group than those in the control group, and the difference was statistically significant (P<0.05). There was no statistical difference between the two groups in the score of teaching satisfaction (P=0.072).Conclusion　The application of the "situational + task-driven" teaching method in medical professional English can stimulate learning interest, improve students' communication skills, expression skills, and analytical thinking skills, and has achieved good results in the teaching process.

A blended model of genre-based English academic writing course for medical students

Tao Xin

2023, 9(4):  463-468.  doi:10.3969/j.issn.2096-045X.2023.04.010

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The study constructs a blended model of genre-based English academic writing course for medical students, which involves constructing genre models online, deconstructing genre structures in class and co-constructing discourse online. Writing instruction is driven by an academic writing program and guided by students' online reading and writing performances, engaging students in activities of mind map drawing, literature analysis presentation and research article writing. Qualitative and quantitative data show this model improves medical students' academic English reading and writing abilities, and enhances their autonomous learning and deep learning abilities.

Teaching plan design and script writing of medical virtual simulation experiment

Pan Jin, Gu Yuan, Qin Xiaofeng, Wang Ke, Chen Hui

2023, 9(4):  469-473.  doi:10.3969/j.issn.2096-045X.2023.04.011

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Medical laboratory is professional course with strong practicality and applications. As a new multimedia teaching method, virtual simulation experimental system breaks through the limitation of traditional medical laboratory teaching mode, and is widely used in the modern medical education. From the perspective of designers, this paper puts forward suggestions on the teaching plan design and script writing of medical virtual simulation experiments, aims to provide more effective reference for the technical development of virtual simulation platform and to improve the teaching effects of medical laboratory courses.

Necessity and path analysis of strengthening ideological and political education of medical students during clinical internship

Li Saixin, Wang Zheng, Liu Dongbin, Zheng Yamin, Wang Yuehua, Jiang Hua, Liang Kuo

2023, 9(4):  474-479.  doi:10.3969/j.issn.2096-045X.2023.04.012

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Medical students are responsible for the future of the national medical and health undertakings and are the mainstay of the successful implementation of the Healthy China strategy. Clinical internship is an important stage in the transformation of medical students into the role of clinicians. Strengthening ideological and political education in clinical internship courses is the fundamental guarantee for cultivating medical students' professional qualities such as saving lives and helping the wounded, dedicating themselves to their work, and being brave to take responsibility. Measures such as improving the exploration and practical abilities of clinical teachers' ideological and political education, integrating curriculum ideological and political teaching in clinical teaching through precepts and deeds, flexibly using a variety of teaching methods, and cultivating students' ability to actively practice and reflect on themselves are effective ways to improve ideological and political education in clinical internship courses for medical students.

Ideological and political education of normal somatology based on CBCL teaching method

Wu Xueping, Lv Yehui, Yang Ling, Yang Zhifang

2023, 9(4):  480-486.  doi:10.3969/j.issn.2096-045X.2023.04.013

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Objective　To explore the approach and effects of case-based collaborative learning (CBCL) teaching method in ideological and political education of normal somatology in nursing specialty.Methods　This study selected 62 students from nursing major of Grade 2020 as the control group,and 61 students of Grade 2021 as the experimental group. The control group used traditional teaching methods. The experimental group used CBCL teaching method. The teaching effect was statistically analyzed by examination, questionnaire survey and expert group evaluation, and was compared from the aspects of students' comprehensive performance, teaching satisfaction and students' self-efficacy (reflecting students' sense of social responsibility and professional identity).Results　The comprehensive scores of students in the experimental group were significantly higher than those in the control group (P<0.05); The questionnaire survey shows that the students in the experimental group are significantly better than those in the control group in terms of their satisfaction with the teaching methods and their sense of learning self-efficacy (P<0.05). The teaching experts evaluated the students' classroom performance. Compared with the control group, the experimental group had significant differences in knowledge presentation, clinical thinking ability and ideological and political effect in class (P<0.05).Conclusion　CBCL teaching method can help students improve their clinical thinking and innovation ability, sense of social responsibility and professional identity, have a deeper understanding of the organic combination of theoretical knowledge and clinical practice, and provide new ideas and methods for curriculum ideological and political education.

5E teaching mode combined with flipped classroom in neurology internship for undergraduates

Yu Hailong, Gu Zhi'e, Tao Luhang, Hang Jing, Ji Li, Chen Beilei

2023, 9(4):  487-492.  doi:10.3969/j.issn.2096-045X.2023.04.014

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Objective　To explore the application effect of 5E teaching mode combined with flipped classroom in neurology teaching for undergraduates.Methods　From September 2020 to August 2021, a total of 154 undergraduate students were enrolled in four classes, and divided into study group (77 students) and control group (77 students). The study group adopted 5E teaching mode combined with flipped classroom in neurology teaching, while the control group adopted traditional teaching method.Results　The theoretical scores, auxiliary examination interpretation, receiving patients, clinical thinking, basic skill operation, humanistic communication scores, and the teaching satisfaction of the experimental group were significantly higher than those of the control group (P<0.05).Conclusion　The 5E teaching mode combined with flipped classroom has better teaching effect in neurology teaching for undergraduates.

Application of three-dimensional teaching mode in clinical practice teaching of anesthesia specialty

Kan Minhui, Fan Long, Jia Bin, Zhao Meng, Wei Jingjing, An Yi, Cao Shan, Wang Tianlong

2023, 9(4):  493-497.  doi:10.3969/j.issn.2096-045X.2023.04.015

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Domestic medical colleges and universities attach great importance to the practical teaching in undergraduate and graduate stages.To date the teaching mode has changed from the traditional teaching mode with teachers as the center to the modern teaching mode with teachers as the leading and students as the main body. The three-dimensional teaching mode is classic in modern teaching methods.In view of the reform requirements of clinical teaching mode and the curriculum characteristics of anesthesiology specialty, this article aims at constructing and applying three-dimensional teaching mode to develop medical students' learning interest in anesthesia technology, to improve their theoretical learning ability, practical operation ability and innovation ability. In this way, students can establish the three-dimensional clinical thinking for anesthesia theory and clinical skills, and improve students' learning effect and teaching quality.

Construction of standardization and normalization of clinical practice teaching

Wu Yingli, Lu Yexi, Li Shangrong, Wang Xiangjun, Chen Shengping

2023, 9(4):  498-502.  doi:10.3969/j.issn.2096-045X.2023.04.016

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Clinical practice teaching is an important part of undergraduate medical education. The quality of clinical practice teaching plays a key role in improving the quality of medical talent training. As medical education develops rapidly in the new era, clinical practice teaching is faced with opportunities as well as challenges. This paper analyzes problems and obstacles that occur in undergraduate clinical practice teaching, such as insufficient supervision and guidance for clinical teaching bases, the lack of comprehensive undergraduate clinical teaching management and implementation guidelines, as well as uneven teaching levels and weak teaching awareness of clinical teachers. Based on the practice of Sun Yat-sen University, this paper probes into finding effective ways to standardize and normalize clinical teaching from several aspects, such as enhancing standardized management of clinical teaching bases, setting quality standards and management systems for undergraduate clinical practice teaching, strengthening the training and assessment of clinical teachers, and increasing the external and internal motivation of clinical teachers to participate in teaching. Meanwhile, this paper provides suggestions for refining management and service of clinical teaching bases.

Reconstruction and implementation of online course evaluation system of medical physics for international students

Li Shanshan, Xiong Huahui, Yan Huagang, Zhang Haixia, Guo Jianggui, Huang Xiaoqing

2023, 9(4):  503-508.  doi:10.3969/j.issn.2096-045X.2023.04.017

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Online teaching is the main teaching mode for international students of higher education in China in the context of COVID-19. As an important means to measure the effectiveness of online teaching, the course evaluation system should be reformed accordingly. In order to improve the teaching quality of medical physics, the concept of developmental course evaluation was adopted. Based on the network teaching platforms such as DingTalk and Rain Classroom, an online course evaluation system was reconstructed from the aspects of purpose, subject, method and content, so as to adapt to the current online teaching status and talent training objectives. The teaching practice results showed that the reconstruction and implementation of online course evaluation system improved the teaching effectiveness of medical physics.

Effect evaluation of reforming the teaching content of evidence-based medical thinking in clinical epidemiology for international students

Wang Xiaonan, Gao Qi, Zhu Huiping

2023, 9(4):  509-513.  doi:10.3969/j.issn.2096-045X.2023.04.018

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Objective　To evaluate the effectiveness of reforming the teaching content of evidence-based medical thinking in clinical epidemiology for international students.Methods　This study selected six-year clinical international students of Capital Medical University and teachers guided them to construct clinical problems based on the PICOS model of evidence-based medicine and clinical practice, and used various methods such as CBL and PBL in teaching clinical epidemiology. The basic information and learning situation of international students were collected by questionnaires. Chi-square test was used to illustrate the students' feedback on the teaching methods. Wilcoxon test and Chi-square test were used to compare the teaching results of two academic years and to evaluate the teaching effects before and after teaching reform.Results　It showed that case study and discussion with teachers and classmates were the most popular teaching methods among international students in the clinical epidemiology course; there was a statistical difference among the three teaching methods of watching TV or video, studying on the computer, and discussing with teachers and classmates. International students' final term results in 2021-2022 after the reform were higher than their results in 2020-2021 before the reform, and the number of students in the 90～100 score range after the reform was significantly higher.Conclusion　This study investigated the reform measures and practical methods of international students in the process of teaching reform of clinical epidemiology in order to improve the teaching quality and effectiveness of the course in the future.

Online practical teaching mode for international medical students

Yang Yang, Xu Fang, Yang Xun, Wan Wenhui, Mei Xueling

2023, 9(4):  514-519.  doi:10.3969/j.issn.2096-045X.2023.04.019

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During the COVID-19 pandemic, the traditional offline practice of international medical students was affected. According to the teaching objectives of international medical students and the characteristics of online practice, we constructed a new online practice teaching mode from three aspects, that is pre-class preparation, classroom teaching and after-class evaluation. We then evaluated the effectiveness of this practice mode through a questionnaire survey of international medical student participants. The overall satisfaction of international medical students was 4.17, which indicated this model has achieved the expected desired outcomes. The online practice teaching mode is a complete and operable clinical practice program, which can be used to supplement the offline practice teaching and provide new ideas for clinical practice.

Centralized project management system for investigator-initiated trials

Wu Jingjing, Xu Beibei, Wang Lin, Wang Hao

2023, 9(4):  520-524.  doi:10.3969/j.issn.2096-045X.2023.04.020

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With the high-quality development of public hospitals, medical institutions are increasingly focusing on the management methods of Investigator-Initiated Trials (IIT). Through research and analysis, this paper argues that the high-quality development of public hospitals should put forward higher requirements for the scientific and standardized management system of such projects. This study learns from the experience of investigator-initiated clinical research management mode at home and abroad, and combines the project management status of Beijing Tiantan Hospital, Capital Medical University. It is suggested to build a regional and centralized project management system to improve the level of IIT management, enhance the quality of project research, and help the high-quality development of hospitals.

Promoting new culture construction of high-quality development in public hospitals

Ren Shan, Song Linzi, Sun Dongyue, Yang Jing

2023, 9(4):  525-530.  doi:10.3969/j.issn.2096-045X.2023.04.021

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The construction of hospital culture is the soft power of hospital development and the internal driving force to promote its sustainable development. Humanistic department construction is an important aspect of hospital culture construction. It is a beneficial measure to implement and deepen the reform of public hospitals and promote the high-quality development of hospitals. It is of great significance to improve the level of humanistic service and doctor-patient relationship. This article discusses the cultural construction of a public hospital in Beijing during the Thirteenth Five-Year Plan period. The hospital carries out the construction of humanities departments at the hospital and department levels. At the hospital level, hospital formulates and continuously improves the relevant system of humanities department, constantly refines the hospital culture, innovates the medical service model, implements humanized service measures, further improves the medical quality and efficiency, and improves the order and environment of medical treatment. At the department level, the departments use the humanistic spirit brought by the construction of the humanistic department to guide the department to continuously improve medical services, adopt various ways to show the dynamics of humanistic work, promote humanistic concepts, improve the humanistic department system, enhance the humanistic quality and skills of medical staff, strengthen humanistic care for staff, innovate humanistic service measures, and create a harmonious humanistic environment, continuously improve the satisfaction of patients and staff. Through the construction of humanities departments, a "patient-centered" hospital culture has been formed from bottom to top, and both patient satisfaction and employees' sense of gain have continued to improve.

Current situation of medical humanities education in medical university

Wu Yun

2023, 9(4):  531-536.  doi:10.3969/j.issn.2096-045X.2023.04.022

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Objective　To investigate and analyze the current situation of curriculum and teaching in medical humanities education from Capital Medical University, and to put forward countermeasures and suggestions for the existing problems.Methods　The Questionnaire of Medical Humanities Education for Medical Students (campus version) was independently designed for the online survey of clinical medicine, pediatrics, stomatology, preventive medicine and Traditional Chinese Medicine in 2012, 2013, 2014 and 2015 (including 5-year, 7-year and "5+3" programs). A total of 1 029 valid questionnaires were collected, with an effective rate of 89.63%. SPSS21.0 was used for descriptive statistical analysis.Results　Medical humanities education has a high degree of satisfaction from medical students, The degree of satisfaction in cognitive satisfaction of medical education among clinical medicine, stomatology and pediatrics with different school system was significantly different (P<0.05). Learning interest and curriculum content are the primary factors that affect the teaching effect and popularity. Large class teaching and closed-book examination dominate the medical humanities classes, and there is little understanding of the frontier of medical humanities. The learning demands of medical students are mainly manifested in strengthening the formation evaluation, online and offline mixed teaching; infiltrating medical humanities education into medical professional courses; strengthening medical humanistic social practices and humanistic environment construction of affiliated hospitals, etc.Conclusion　It is necessary to renew educational concepts, teach students according to their aptitude, systematically promote the reform of curriculum and teaching of medical humanities education, strengthen research training of medical humanities, and improve medical students' comprehensive literacy and ability of medical humanities.

The influence of curriculum construction on the cognition of medical humanistic education

Chen Jianyang, Huang Longjian, Wei Haibin, Li Liang

2023, 9(4):  537-544.  doi:10.3969/j.issn.2096-045X.2023.04.023

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Objective　To explore the function mechanism of medical humanities course construction in medical humanities cognition.Methods　Based on the "input-environment-output (IEO)" model, the mediating model of curriculum construction on the cognition of medical humanities education was constructed.Results　The course construction had a significant positive effect on the cognition of medical humanities education(β=0.209); curriculum construction has a significant positive impact on teaching practice(β=0.427); teaching practice has a significant positive impact on the cognition of medical humanities education(β=0.400); teaching practice plays an intermediary role in the influence of course construction on the cognition of medical humanities education; teachers' teaching resources play a positive regulating role in the course construction and teaching practice(β=0.090).Conclusion　The development of medical humanities education needs to consider the construction and application of medical humanities curriculum. Only through curriculum reform, resource investment and practical teaching can the recognition of medical humanities education be effectively improved.