ABSTRACT
Endoscopic teaching has always been a difficult point in clinical medical skill teaching.A standardized teaching plan was set up for the beginners to learn gastroscopy skills,which took 16 weeks.This training program included teaching the basic structure of a gastroscopy,the theory of operation skills,cleaning and disinfection of gastroscopy,and the operation of the virtual digestion endoscopy simulation training system.Only by passing the examinations of what mentioned above,could a beginner do gastroscopy of clinical subjects and write reports.According to a questionnaire survey of 15 trainees,100％ of trainees believed that virtual digestive endoscopy was necessary for the teaching of endoscopic skills.It was believed that the teaching plan were very strict and strict with 63.3％ and 33.3％ respectively.Therefore,this teaching plan with higher recognition and acceptance is suitable for the clinicians specializing in liver diseases and infectious diseases in infectious diseases specialist hospitals,who want to learn gastroscopy skills.
ABSTRACT
Objective: To analyze the published domestic documents of the clinical trial for treatment of anal fissure in past 10 years, to evaluate the quality of literatures about anal fissure randomized controlled clinical trials, and to provide references of clinical studies for the treatments of anal fissure in Traditional Chinese Medicine (TCM). Methods: In term of principles of evidence-based medicine, we evaluate the published domestic literatures of the randomized controlled clinical trial for treatments of anal f issure in past 10 years. Results: We analyze 52 literatures which are in the method of randomized controlled clinical studies. 28 literatures (accounting for 53.85%) record diagnostic criteria, 38 literatures (accounting for 73.08%) make sure standards of evaluating the effect and 18 literatures (accounting for 34.62%) mention comparability between groups without describing the baseline statistics. Only 5 are marked as a funded research projects. Conclusion: in current published literatures of randomized controlled study for treatments of anal fi ssure, the problems are focused on: ① Experimental idea is unclear and design is unreasonable, ② The description of implemented process in randomized control is unspecif ic, ③ Signifi cant parameters in statistical data are missed and with less credibility, ④ Criteria of diagnosis and effi cacy are different, ⑤ Evaluation indicators are fuzzy. All above clue to the quality of clinical research needs to be improved rapidly, and standardized evaluation of eff icacy also needs to be created urgently.