Medical Education Management

Training young talents in Department of Nuclear Medicine based on PDCA cycle

Yuan Leilei, Guo Yuehong, Wang Kai, Lü Li, Yang Minfu, Ai Lin

2024, 10(1): 1-5. doi:10.3969/j.issn.2096-045X.2024.01.001

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Nuclear medicine has distinct disciplinary features. The Department of Nuclear Medicine of Capital Medical University, as the teaching hub of various affiliated hospitals, solely relying on the traditional mode of teaching management, fails to give full play to its role in the cultivation of complex young talents advocated by modern medical education. From 2021 to 2023, the PDCA (plan-do-check-act) cycle was performed in the education and training practice of the department's young talents. Continuous planning, implementation, results inspection, and adjusting the training plan and objectives according to the evaluation results were carried out to improve the program of educational practice activities, as well as better design and organization of teaching activities. This provided new ideas and certain empirical experience for the training of other young talents in departments.

Application of PDCA cycle in curriculum ideological and political education in nuclear medicine

Xu Yanfeng, Yang Jigang

2024, 10(1): 6-12. doi:10.3969/j.issn.2096-045X.2024.01.002

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Objective　To explore the ideological and political elements embedded in undergraduate students nuclear medicine teaching, and to investigate effective strategies for incorporating curriculum ideological and political elements into classroom instruction and intern training through the PDCA (plan-do-check-act) cycle, ultimately to establish a comprehensive curriculum ideological and political teaching system for nuclear medicine.Methods　The PDCA cycle was employed to investigate classroom teaching and intern training for undergraduate students in nuclear medicine, as well as to explore ideological and political elements. By integrating ideological and political education with the teaching content of nuclear medicine, an appropriate teaching evaluation system was developed. Through continuous iteration and improvement within the PDCA cycle, the curriculum ideological and political education was effectively integrated into the undergraduate education and teaching plan for nuclear medicine.Results　Through the PDCA cycle, the integration of ideological and political elements into undergraduate nuclear medicine education has facilitated a seamless fusion between ideological and political education and professional teaching in the curriculum. This continuous optimization of teaching schemes and classroom designs has elevated the proficiency and pedagogical standards of instructors, thereby achieving the objective of enhancing medical students' humanistic qualities, reinforcing a sense of kinship and national identity, as well as further augmenting their expertise in the field.Conclusion　By implementing the PDCA cycle, the integration of curriculum ideological and political education into classroom and intern training for nuclear medicine undergraduates can effectively optimize and adjust teaching content, facilitate the enhancement of medical ethics and humanistic values among students, thereby elevating the overall competence of medical students.

Improvement of standardized training for nuclear medicine residents under the background of combined imaging equipment

Zhang Chun, Guan Le, Lu Jie

2024, 10(1): 13-17. doi:10.3969/j.issn.2096-045X.2024.01.003

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Standardized training for residents is the necessary way to train qualified clinicians and plays a connecting role in the training of clinical medical talents. In order to adapt to the rapid development trend of combined imaging equipment, especially the integrated PET/MR in the nuclear medicine, the current standardized training mode and training content for nuclear medicine residents are reformed. The training path is optimized, the training content for the diagnosis and practice of MR and PET/MR is strengthened. The nuclear medicine postgraduate students and residents have a better comprehensive understanding of medical imaging knowledge and practical skills. they will be better trained into compound imaging talents proficient in nuclear medicine and familiar with CT, MR and other imaging studies, meanwhile having a wider range of employment options.

Curriculum system construction with multi-disciplinary integration in the context of the New Medicine

Wu Yan, Huang Chen, Du Shuangqing, Xiao Yu, Wang Kunjie

2024, 10(1): 18-23. doi:10.3969/j.issn.2096-045X.2024.01.004

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High-level compound medical talents are the main driving force for the high-quality development of China's healthcare industry, particularly in responding to future medical challenges and achieving the "Healthy China 2030" goal. Under the background of New Medicine, promoting interdisciplinary integration is crucial for innovative talent training. Although the development level of China's medical education in the new era has been steadily improving, there are still outstanding problems such as the continuous differentiation of medical disciplines, insufficient aggregation, insufficient concentration of efforts, insufficient innovativeness of medical talents, as well as the quality of medical personnel training to be improved. This study, based on the new positioning of medical education development in industry-specific institutions, proposes a "major discipline" and "major science" talent training model under the perspective of multidisciplinary integration. It designs an innovative talent teaching path for the new medical science based on the instructional system design (ISD) model and a "Future Medicine+" curriculum system integrating multiple disciplines. The study demonstrates and evaluates the implementation effects of this curriculum system, promoting further enhancement in the value of multidisciplinary integration and innovative education.

Narrative medicine education model of clinical interns in Traditional Chinese Medicine from the perspective of medical humanities

Liu Peng, Huang Jinlan, Yu Ling, Feng Gaofei, Yang Xiaolin

2024, 10(1): 24-30. doi:10.3969/j.issn.2096-045X.2024.01.005

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In recent years, many medical colleges and universities have emphasized the importance of practicing medical humanistic science education, but the content and mode of medical humanistic system teaching in China are relatively backward. From the content of narrative medicine, this paper draws on the life wisdom of Traditional Chinese Medicine (TCM) and narrative medicine by combining the teaching characteristics of Chinese medicine colleges and universities. It focuses on four aspects: spreading narrative concept to cultivate empathy ability; carrying out medical humanities intensive reading sharing meeting; film appreciation for medical humanities education; and parallel reflective writing of medical records. It hopes to analyze how to improve the current situation of medical students' lack of doctor-patient communication ability and insufficient humanistic literacy through the penetration of narrative medicine concepts, and to explore a narrative medicine education model of clinical interns in TCM colleges and universities.

Cultivation of talents in public utilities management under the background of "New Liberal Arts" and "New Medicine"

Liao Chengjuan

2024, 10(1): 31-35. doi:10.3969/j.issn.2096-045X.2024.01.006

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Under the background of new liberal arts and new medicine, the major of public utilities management in medical colleges needs to respond to the requirements of the times, applicability and science and technology, and setting the position of rooting in public management discipline which highlighting Chinese value, integrating interdisciplinary medical characteristics, and reflecting the digital literacy. This paper explores talent training mechanism innovation, sets up a multi-cooperation talent training mechanism across organizational boundaries, promotes the interdisciplinary integration construction of "public management background + medical characteristics", and optimizes teaching staff structure through multiple channels, aiming at realizing innovation of talent training of public utilities management under the background of new liberal arts and new medicine.

Influence of online modified BOPPPS teaching mode on classroom silence of medical students

Wang Shan, Li Fang, Fan Haixia, Zhao Eryang, Liu Ying, Bai Jie

2024, 10(1): 36-42. doi:10.3969/j.issn.2096-045X.2024.01.007

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Online teaching has changed the mode of teaching and learning. Due to the confusion and estrangement of space, the interaction between teachers and students is blind, and the resulting phenomenon of silence in online classes has attracted the attention of teachers in medical universities. After three years of application of the online improved BOPPPS education and teaching model in our institution, we analyzed students' engagement level from three dimensions of classroom cognition, classroom emotion and classroom behavior, and concluded that the improved BOPPPS teaching model can improve classroom participation. Then we analyzed the impact of the improved BOPPPS teaching model on the type of classroom silence so as to provide a basis for the application of improved BOPPPS teaching model.

Construction of oral preventive medicine course oriented by community service

Gu Yu, Bai Pengyuan, Liu Jianguo, Xu Yuhong, Bai Guohui, Wu Jiayuan, Fan Qin

2024, 10(1): 43-48. doi:10.3969/j.issn.2096-045X.2024.01.008

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Building a "Healthy China" requires cultivating medical talents to promote the health of the whole people, so focus of health services has changed to "health-centered". The training mode of oral health talents should conform to the needs of the times. This paper takes the course of oral preventive medicine as the starting point, integrating the course content, adjusting the teaching form, updating teaching methods, optimizing assessment and evaluation. At the same time, this study strengthens social practice ability training, and runs community public health services throughout the teaching process. With students as the main body, it gradually promotes the "Internet + Education" model, improves the efficiency and efficiency of teaching, adopts blended teaching methods and case-based diversified teaching models, driven by teaching tasks, carries out teaching reform, cultivates students' comprehensive service ability, and promotes the transformation of undergraduate teaching concepts.

Teaching exploration of social medicine and health management course based on demand survey of medical students in innovative classes

Zeng Yanbing, Ma Kefei, Tao Xiaomeng, Tian Yu, Li Ying, Guan Lizheng, Li Xingming

2024, 10(1): 49-56. doi:10.3969/j.issn.2096-045X.2024.01.009

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Objective　With the setting of the innovative Jieping Program of Capital Medical University, this study combines the training objectives and requirements of the class with the new requirements of the development of social medicine and health management. It aims to understand the curriculum needs and intentions of innovative medical students and provide a basis for optimizing the teaching of social medicine and health management.Methods　The study conducts a survey among the innovative class students in Capital Medical University to investigate and analyze their preferences for course cognition, content design, teaching activities, and teaching methods.Results　The results show that 56.25% of students agree with the importance of this course. Compared to bilingual teaching, there is a preference for entire Chinese teaching (77.08%), with 43.33% hoping to adopt a blended online and offline teaching approach. In addition to traditional lectures, classroom teaching activities with higher interests include on-site visits (3.98 points), practical training (3.75 points), and case discussions (3.52 points), with the hope of using more heuristic teaching, conducting more case studies, and using more group discussions. It is also expected to incorporate ideological and political content into this course in the chapters on Social Determinants of Health (64.59%), Health Reform and Development (64.58%), and Health Services for Vulnerable Groups (62.50%).Conclusion　Based on students' intentional choices and suggestions, it is necessary to further optimize the content and structure of the course of Social Medicine and Health Management. Bilingual teaching should be properly adopted. Case method and classroom practice should be strengthened. This study hopes to explore the reform of teaching content and methods focusing on "student growth", with a view to improving teaching effectiveness and helping to cultivate leading medical talents with innovative thinking abilities.

Teaching practice of nursing comprehensive training course under the guidance of ideological and political concept

Gang Tingting, Wang Yajun, Han Binru, Wang Qingling

2024, 10(1): 57-62. doi:10.3969/j.issn.2096-045X.2024.01.010

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In order to thoroughly implement the spirit of the important speech made by Chinese President Xi Jinping at the National College Ideological and Political Work Conference, deepen the reform of education and teaching, fully excavate the ideological and political elements of professional courses, give full play to the educational role of each course, and comprehensively improve the quality of talent training, medical colleges have embarked on a path of exploring innovative reforms in curriculum ideological and political education. This paper focuses on the content of nursing comprehensive practical training courses guided by ideological and political concepts, aims to carry forward the great anti-epidemic spirit, gather the strength of the times and protect the people's health as the main line, fully explore the ideological and political elements in the course, properly integrate the study of professional knowledge with the cultivation of humanistic and ideological and political quality, combine the traditional form of courses with ideological and political content through cases, and implement the integration of ideological and political concepts and professional course teaching methods in a three-step manner, through the synergy of ideological and political elements, and students are trained to have a patient-centered, conscientious and responsible sense of professional identity and professional ethics, to stimulate students' love for clinical work, to shape students' feelings of home and country from a broader perspective, to strengthen social responsibility, and to promote the spirit of the times.

Using the PDCA cycle to improve clinical medicine interns' operation ability—taking surgical dressing changes as an example

Tan Hui, Qiu Tian, Zhou Wenhao, Li Jun, Wu Jingyan

2024, 10(1): 63-68. doi:10.3969/j.issn.2096-045X.2024.01.011

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Objective　To investigate the effectiveness of the PDCA (plan-do-check-act) cycle method in improving surgical dressing change operations among surgical interns and to provide a reference basis for improving the rate of surgical dressing change mastery among interns.Methods　Two hundred and forty-two clinical medicine interns in our surgical rotation from June to November 2022 were selected to find out their mastery of surgical dressing change based on the theoretical and technical scores of the diagnostic assessment of surgical dressing change. The PDCA cycle method was used to establish a complete planning, implementation, inspection, and treatment process so as to obtain a summative evaluation of surgical dressing changes. Theoretical scores were quantified in the form of questionnaire assessment, and operational scores were quantified in the form of scoring. The mastery rate of the theory and operation of surgical dressing change before and after the analysis was counted and compared.Results　After the PDCA cycle method, the mastery rate of theoretical knowledge and operation of surgical dressing change of interns was significantly higher than the diagnostic evaluation (P<0.001).Conclusion　The PDCA cycle method was used to develop a targeted training program, form a scientific and effective training model, and focus on both theory and operation to improve the mastery rate of surgical dressing changes for all surgical interns.

Teaching mode of interactive network teaching rounds

Zhang Yuekun, Zheng Wen, Suo Min, Ai Hu

2024, 10(1): 69-73. doi:10.3969/j.issn.2096-045X.2024.01.012

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Objective　To explore the feasibility of the interactive network teaching round mode and to evaluate its effect. Methods　This study included 185 medical postgraduate students and standardized training residents who participated in online and offline synchronous teaching rounds from February 2021 to February 2022. The online rounds were designed in three steps including interactive live rounds, medical record preparation, and virtual bedside teaching rounds. After completing the teaching rounds, participants evaluated the effect of the rounds by questionnaire survey method. Eventually, all students were assessed on the teaching content, and the pass rate and excellent rate would be counted. Students in the offline rounds participated the same programs simultaneously when the online rounds were carried out.Results　There was no significant difference in the impression scores of online and offline graduate students or residents on the preparation, guidance, methods, effects and impressions of teaching rounds (P>0.05); there was also no statistical difference in pass rate between the online participants and the offline participants (P=0.484), while the excellent rate of online participants is higher than that of offline participants (29% vs. 16%, χ²=5.102, P=0.024).Conclusion　Compared with students in the offline rounds, participants in the interactive network teaching round mode have a similar pass rate and a higher excellent rate, which indicates that the interactive network teaching round mode has a better teaching effect.

Efficacy of PBL teaching method combined with graphic outline in searching foramen ovale of skull base among further training doctors

He Liangliang, Zhao Wenxing, Wang Hongyan, Dou Zhi, Liu Jingjie, Yang Liqiang

2024, 10(1): 74-79. doi:10.3969/j.issn.2096-045X.2024.01.013

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Objective　To explore the efficacy of problem-based learning (PBL) teaching method combined with graphic outline in searching foramen ovale of skull base for further training doctors.Methods　From January 2022 to December 2022, 60 of further training doctors were randomly divided into two groups: experiment group (n=30) and control group (n=30). The experiment group received the PBL combined with graphic sketching teaching method and control group received the traditional teaching method to search the foramen ovale in the procedure of balloon compression for trigeminal ganglion under X-ray guidance. The teaching efficacy were evaluated through theory tests and questionnaires.Results　Compared with control group, the total score of theory test, radiology scope and operation scores were higher in experimental group, respectively (85.8±8.5 vs. 69.3±13.7, P<0.001; 24.7±3.9 vs. 21.8±5.2, P=0.018; 35.8±3.7 vs. 23.7±6.1, P<0.001). Questionnaires showed that better results in improving learning interest, improving learning ability, solving confusion, understanding key and difficult points and satisfaction were acquired in experimental group compared with control group (96.7±3.1 vs. 80.1±6.9, P<0.001; 95.2±4.5 vs. 76.7±6.2, P<0.0001; 96.0±4.1 vs. 72.7±7.9, P<0.001; 93.8±5.3 vs. 69.7±7.4, P<0.001; 97.2±3.7 vs. 75.0±7.3, P<0.001).Conclusion　The PBL combined with graphic sketching teaching method acquired better efficacy in improving learning interesting and ability to search the foramen ovale of skull base under X-ray guidance.

Effectiveness of scenario simulation combined with CBL in improving obstetrics residents' doctor-patient communication skills

Zhao Ruifen, Cheng Dongmei, Wei Jianxia, Huang Shiyun, Zhou Li

2024, 10(1): 80-85. doi:10.3969/j.issn.2096-045X.2024.01.014

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Objective　To evaluate the effectiveness of a doctor-patient communication training program designed for standardized training of obstetric residents.Methods　Fifty standardized trained obstetric residents participated in this study, were surveyed and assessed by SEGUE before training. Based on the standardized training program for obstetric residents, 5 typical cases were selected for each disease category. The teacher recorded demonstration videos for doctor-patient communication of the five typical cases and sorted out relevant background knowledge. The training courses were conducted among obstetric residents in sequence as follows: video demonstration, group discussion, sorting out case background knowledge, role-based exercises, feedback and evaluation after exercises, and clinical practice. Surveys and SEGUE assessments were conducted again after the training. Non parametric testing methods with paired samples were adopted to evaluate the training effectiveness.Results　After the training of doctor-patient communication skills combined with scenario simulation and case-based learning (CBL), the total score of SEGUE evaluation for obstetric residents increased [13.00 (11.00~16.00) vs. 22.00 (20.00~24.00)], with a statistically significant difference (Z=-6.159, P<0.001). The passing rate of SEGUE evaluation has increased, [36.0% (18/50) vs. 98.0% (49/50)], with a statistically significant difference (χ²=43.464, P<0.001). Conclusion　The combination of scenario simulation and CBL in doctor-patient communication skills training can effectively improve the communication skills of obstetric residents. It is recommended to include such courses in the standardized training of obstetric residents.

Effect of standardized curriculum construction applied to standardized training for residents in intensive care medicine

Han Dannuo, Wu Tingting, Zhang Ying, Wang Hong

2024, 10(1): 86-93. doi:10.3969/j.issn.2096-045X.2024.01.015

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Objective　To investigate whether standardized curriculum construction could improve the results satisfaction of standardized training for residents in intensive care medicine.Methods　A total of 24 students from the standardized training base of intensive care medicine in Beijing Anzhen Hospital, Capital Medical University were selected from Grade 2021 and Grade 2022, and were divided into groups before and after the establishment of standardized curriculum for self-comparison. A historical comparison method was used to compare and analyze the score of Grade 2022 (with standardized curriculum in the first year) and Grade 2021 (without standardized curriculum in the first year) after one year of residential training. We analyzed the score of different systems before and after the establishment of standardized curriculum, and evaluated the trainees and teachers from all-round view. The satisfaction of trainees was investigated.Results　The scores of students with one year standardized curriculum training were significantly higher than one year ago (P<0.05), and the comparison by grade also showed that the scores of students with one year standardized curriculum training were significantly higher than one year ago (P<0.05 for Grade 2022). Taking the first year of standardized training as the node, the scores of the students with standardized curriculum was significantly improved than without (P<0.05). The residents' performance was more uniform and comprehensive in each system after the establishment of the standardized curriculum. The 360°evaluation found that the mutual evaluation between resident trainees and teachers was improved. The satisfaction rate of trainees was also improved.Conclusion　The establishment of standardized curriculum can significantly improve the quality and satisfaction of standardized training for intensive care medicine students. The construction and implementation of the standardized curriculum may provide a model for the standardized training of residents in intensive care medicine, and cultivate talents.

Application of standardized patient teaching in standardized training of residents

Li Bixi, Li Yun

2024, 10(1): 94-99. doi:10.3969/j.issn.2096-045X.2024.01.016

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Objective　To explore whether the standardized dementia patient teaching can improve their attitude and geriatric ability of standardized training residents in geriatric department.Methods　A total of 134 geriatric residents in Xuanwu Hospital, Capital Medical University were selected for standardized training, and their geriatric competence was evaluated before and after standardized dementia patient teaching, and residents' attitude to dementia patients were observed before and after the teaching.Results　After standardized dementia patient teaching, there was a significant difference in scores of skill improvement in all parts than before (P<0.001). Evaluation of standardized dementia patients to residents showed significant improvements in communication and interpersonal skills of residents.Conclusion　Standardized dementia patient teaching to geriatric residents has operational and clinical value. Residents have improved in their reception attitude and clinical skills with dementia patients.

Current situation and influencing factors of mentor academic leadership evaluation in a tertiary A hospital

Li Yue, Zhaoyan, Lu Jie

2024, 10(1): 100-106. doi:10.3969/j.issn.2096-045X.2024.01.017

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Objective　This study investigated the academic leadership status of mentors and mentor-mentee relationship in a tertiary hospital of Capital Medical University and further analyzed the relationship between them.Methods　Graduate students in the hospital were sampled by the Academic Supervisor Leadership Scale(ASLS), Abusive Behavior Measurement Scale (ABMS) and Leader-Member Exchange Scale (LMXS), and the differences between groups were compared by two independent samples t test or one way ANOVA, correlations among groups were analyzed by Pearson or Spearman rank correlation analysis and multiple linear regression analysis.Results　A total of 158 graduate students participated in the survey. The scores of the ASLS, ABMS and LMXS were (112.23±19.01), (16.26±5.55) and (29.80±4.94). The scoring rates were 89.8%, 21.7% and 85.1% respectively. After group comparison, it was found that the scores of developing and motivating dimensions of ASLS and LMXS of mentors with different mentoring frequency were statistically significant. Mentor guidance frequency was positively correlated with scores of developing and motivating dimensions of ASLS and of LMXS. ABMS scores were negatively correlated with ASLS and LMXS scores. LMXS scores were positively correlated with ASLS scores, and the regression equation: ASLS=40.422-0.816ABMS+2.799LMXS could be deduced (F=52.031, P<0.001, R²=0.722).Conclusion　The scores of developing and motivating dimensions of ASLS and LMXS of mentors with different mentoring frequency were statistically significant. The guidance frequency had positive influence and the critical behavior had negative influence on the ASLS and the LMXS, and the mentor-mentee relationship had positive influence on ASLS. It calls on relevant departments of colleges and universities to attach great importance to the understanding, evaluating and cultivating of academic leadership of mentors, organizing training programs for them, promoting the establishment of good mentor-mentee relationship and mentor's academic supervisor leadership.

Relationship between professional identity, psychological capital and innovative behavior of doctors in a tertiary public hospital

Zhang Jingwen, Guan Zhongjun

2024, 10(1): 107-112. doi:10.3969/j.issn.2096-045X.2024.01.018

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Objective　To understand the status quo of doctors' professional identity, psychological capital and innovative behavior in a tertiary hospital, and to explore the relationship among them.Methods　Cluster sampling method was used to conduct a questionnaire survey in a tertiary public hospital in Beijing. The main contents included basic information, occupational identity, psychological capital and innovative behavior. General descriptive analysis, independent sample t test, one-way analysis of variance, Pearson correlation analysis, multiple hierarchical regression and Bootstrap were used for statistical analysis.Results　A total of 813 doctors were included. The total score of doctors' professional identity was (48.45±7.24), the total score of psychological capital was (90.43±11.85) and the total score of innovative behavior was (28.53±4.23). Pearson correlation analysis showed that doctors' professional identity was positively correlated with psychological capital, psychological capital with innovative behavior, and professional identity with innovative behavior (P<0.001). Multiple hierarchical regression and structural equation model showed that occupational identity and psychological capital can positively predict innovative behavior, and psychological capital plays an intermediary role between occupational identity and innovative behavior.Conclusion　Doctors' innovative behavior is at the medium level, and professional identity and psychological capital are positively correlated with innovative behavior. Professional identity can improve doctors' innovative behavior through psychological capital, so as to promote hospitals to better achieve high-quality development.

Comparison of hospital scientific and technological papers based on SciVal and countermeasures for improving scientific and technological ability—a case study of Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Beijing Tiantan Hospital, Capital Medical University

Li Qiuping, Zhang Lin

2024, 10(1): 113-118. doi:10.3969/j.issn.2096-045X.2024.01.019

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Objective　To analyze the papers published by Peking Union Medical College Hospital and Beijing Tiantan Hospital, Capital Medical University from 2015 to 2020 by using SciVal , and to provide countermeasures and suggestions for Beijing Tiantan Hospital, Capital Medical University to realize the strategic goal of "grand synthesis". Methods　Based on the data of Elsevier's SciVal platform, papers published by Peking Union Medical College Hospital and Beijing Tiantan Hospital, Capital Medical University during 2015-2020 was taken as the analysis object, and the performance and gap of the two hospitals in the evaluation index were obtained from 10 indicators in four aspects: the number of scientific research output, the influence of articles, scientific research cooperation and the trend of discipline development. Results　The neurology department and neurosurgery department in Beijing Tiantan Hospital, Capital Medical University had significant advantages. However, there is still a big gap of overall scientific and technological capability between these two hospitals. It is urgent to strengthen the construction of comprehensive disciplines in Beijing Tiantan Hospital, Capital Medical University.Conclusion　Based on the standard analysis of the published papers of the two hospitals via SciVal, it is found that the development of both hospitals has similarities and differences. Beijing Tiantan Hospital, Capital Medical University should accelerate the construction of comprehensive disciplines, and pay attention to activating the scientific research and innovation ability of comprehensive disciplines in terms of talents, platform and system.

Factors influencing medical undergraduates' employment willingness based on qualitative comparative analysis

Sun Xinyue, Gao Xiaoyi, Kang Gai

2024, 10(1): 119-123. doi:10.3969/j.issn.2096-045X.2024.01.020

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Objective　Taking a medical college in Beijing as a sample, the current situation and impact mechanism of medical undergraduate students' willingness to work at the grassroots level were analyzed, aiming to provide scientific reference for improving medical students' willingness to seek employment at the grassroots level and high-quality employment.Methods　A questionnaire survey and descriptive analysis were conducted to discuss the current situation of medical students' willingness to seek employment at the grassroots level; and qualitative comparative analysis (QCA) was used to explore the path impact of different combinations of five antecedents, namely, salary, career development, work environment, emotional support, and self worth, on medical students' willingness to work at the grassroots level.Results　57.43% of medical students are willing to go to the grass-roots level for employment. Four equivalent paths lead to medical students willing to go to the grass-roots level for employment, and two paths lead to medical students not having willingness to go to the grass-roots level for employment.Conclusion　The five antecedent variables of salary, career development, work environment, emotional support, and self worth all play a key role in improving the willingness of medical students to seek employment at the grass-roots level. Specific measures include improving the environment of primary medical institutions, providing positive emotional support from families, and emphasizing theoretical education guidance and practical activities in schools.

A qualitative study of undergraduate midwifery students' real-life experiences in the delivery ward

Li Shenmei, Li Huimin

2024, 10(1): 124-130. doi:10.3969/j.issn.2096-045X.2024.01.021

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Objective　To explore the real-life experiences of midwifery undergraduate students in the delivery ward.Methods　A semi-structured in-depth interview was conducted on 10 midwifery undergraduate interns, using the phenomenological research method, and the data were analyzed by Colaizzi 7-step method.Results　The real-life experiences of the midwifery undergraduate internship in the delivery ward were extracted into four themes: three stages of psychological reaction, two stages of interpersonal relationship processing, dissatisfaction with internship management and conflict between teaching and learning.Conclusion　The real-life experiences of midwifery undergraduate internship in the delivery ward is multi-dimensional, prompting managers to pay attention to the psychological response of interns, using specific psychological counseling and other methods to enhance the psychological resilience and the psychological expectations of interns, to attach importance to the construction of teacher-student relationship system, to reform the teaching mode, and to improve the quality of teaching, and to enhance the sense of belonging of internships.

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