The key points of development trend and clinical practice of global donation after cardiac death / 器官移植

Organ transplantation has brought hope for healing of patients with end-stage organ failure. However, the shortage of human organs has become one of the important factors that severely restrict the development of human organ transplantation. Donation after cardiac death (DCD) is a safe way to expand the source of donors. While trying to make extensive effort to increase the quantity of donation after brain death (DBD), countries attempt to grasp the opportunity of DCD when conditions permit. In this article, the historical background and global development trend of DCD, fundamental conditions for the implementation of controllable DCD, key issues and ethical review in the practice of controllable DCD were discussed.

The prevalence study and training thinking about the knowledge structure of family planning tech-nical personnel in Zhejiang Province / 中华医学教育探索杂志

Objective The present study aims to establish a professional knowledge structure for the family planning technical team at the current stage in Zhejiang Province so as to meet the needs of training and offer reference evidences for specific and effective training. Methods This study applied a stratified cluster sampling method to carry out a self-administered questionnaire which was anonymous and including general survey, the situation of training, as well as the professional skill structure. This questionnaire was designed through the method of literature review and based on the actual situation of the operation. It col-lected the information from 365 family planning technical staffs who were from different levels of plan family service agencies in four cities, which were Hangzhou, Jiaxing, Taizhou, Wenzhou, respectively, from April to June in 2016. Epidata 3.0 software was utilized to record the data and the data was analyzed using SPSS version 20.0. Subsequently, the relationship between the mastery of professional skill and demographic characteristics was researched by students' t test and one-way analysis of variance (ANOVA) test. Results The education background, major and the professional title structure of the family planning technical staffs varied among different areas. At present, it seems that most of the family planning technical staffs have an aspiration to attend training and 97.53% of them wanted to get professional knowledge through training. The result was not satisfactory when surveyed 298 staff for the mastery of knowledge and skills: 3.66% (9/246) for pelvic floor rehabilitation training, 7.42% (19/256) for genetic counseling, 4.9% (12/245) for prena-tal screening, 5.26% (13/247) for screening and prevention of common breast diseases and 6.22% (15/241) for infertility treatment. There was a significant difference (P=0.000) among the different levels of plan family service agency, education background, major, occupation type and professional title in the mastery of professional knowledge and skill. Conclusion It is necessary to improve the training plan and conduct clas-sification and layering training since the knowledge and skills of family planning technical personnel can not meet the needs of reproductive health services at the new period.

Practice and experience of the score system in promotions made by the hospital / 中华医院管理杂志

Introduction to the specific practice and policies of the hospital for academic promotions. The emphasis is placed on "quality priority" and "work performance", making an overall assessment of the applicants on their professional virtue, academic skills, research outcome and social services. Among all these indicators, appraisal of the clinical skills and teaching skills is prioritized,encouraging the creativity and incentives of clinicians for clinical and teaching work.

Practice and lessons learnt from building the“surgeon qualification admittance system” / 中华医院管理杂志

An introduction to the practice of introducing the“ surgeon qualification admittance system”in the hospital and a description of its management framework,basic principles,rules of classification for surgical operations,application and approval procedure,and supportive management regulations.The authors hold that this system has normalized behavior of medical activities,clarified operation authorities of medical doctors at various levels,and intensified the awareness of risk exposure.Therefore this system can safeguard the quality and safety of surgical operations and its efficiency to a great extent,in addition to better building the team and backup forces.