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Objective To improve the training system of the combined education mode between professional master degree students of clinical medicine and resident standardization training (RST) in Zhe-jiang province, and improve the professional quality of medical graduate students. Methods A question-naire was designed through literature review and expert interview, and the data of 77 clinical training post-graduates were collected, and the effect of the training was evaluated by taking the reaction level, learning level, behavior level and achievement level of Ke's evaluation as the breakthrough point. Statistical analysis was performed by SPSS 20.0, and the mean score was used as the standard deviation. The scores were compared with t test, and the scores of multiple groups were made variance analysis. Results The RST attitude value in reaction layer was 9.26±1.08, RST content value was 29.29±4.36, RST teacher enthusiasm value was 11.13±2.17, RST experience value was 17.38±3.10, which indicated that residents' overall satisfaction to RST was high, but the satisfaction on teachers, evaluation and compensation was relatively low;The grade difference before and after RST in learning layer was statistically significant (P<0.05), indicating that before and after RST the grades were obviously improved, and the sense of belonging is high. The behave layer showed the residents' behavior changed obviously before and after RST (P<0.05), and their abilities in various aspects such as ward round and dealing with common diseases were largely improved;The result layer showed 77 graduate students had no medical accident and complaint , and all of them passed the annual assessment and participated in the research projects. Conclusion In general, RST graduate students are relatively satisfied with the plan, content and methods of the training, on the other hand, there are problems such as the absence of timely information feedback, teachers' poor enthusiasm, lack of effective competition mechanism, etc. Kirkpatrick Model made a comprehensive and objective eval-uation on graduate students RST from a overall perspective, and it can be introduced into the effectiveness evaluation for graduate students RST.
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Objective:Total 621 cases of medical disputes occurred during 2000 to 2013 were analyzed retro-spectively, to investigate the dispute factors and analysis of improvement, to promote doctor-patient relationship. Methods:621cases of medical disputes from 2000 to 2013, on a case by case attributes are classified, analyzed two year interval comparison, find the dispute factors in evolution.Results:Through the analysis of 621 cases of disputes over property, complications of the disease cause dispute case first, economic reasons, the second medical defect.Conclusions:Analysis of the two year interval comparison shows:how to strengthen the hospital scientific management, innovative service mode, the medical system implemented is the important link of reducing medical disputes.
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Rapid progress of medical imaging equipment technology is challenging the competence of the medical imaging teams.92 medical imaging professionals in 10 hospitals in Shandong were surveyed with questionnaire,and six senior medical imaging experts were interviewed.Based on the findings,new pathways and measures were recommended for medical imaging professionals development mechanism in China,regarding higher education,continuing education and learning of foreign languages and computer skills.
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A questionnaire study on doctor-patient relationship was made to the public servants,people at large,medical staff and patients in Beijing in 2007.It found the relationship to be harmonic in general,given tense to some extent,and the main legal causes for tense relationship were incomplete medical legislation,poor awareness of medical subjects in medical service provision and seeking according to law,and incomplete legal systems to handle medical disputes.In this consideration,the paper proposed to enhance healthcare legislation in an effort to:build a better medical and healthcare legal system;upgrade the capabilities of both doctors and patients in medicine practice and service seeking according to law;build a diversified medical dispute resolution mechanism and legal measures of patient rights assurance.