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Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of death of urban and rural residents in China, and dyslipidemia is the most important pathogenic risk factor for the occurrence and development of ASCVD. Faced with the increasing ASCVD burden in China, there is an urgent need to improve the lipid management in China. Clinical blood lipid testing is an important component of lipid management, and the accurate test results are a fundamental requirement for effective lipid management. The "China guidelines for clinical lipid profile testing" and "China guidelines for lipid management (2023)" are newly published. With the continuous updating of concepts on clinical lipid profile testing and lipid management, it is essential to further strengthen the communication and cooperation between clinical medicine and laboratory medicine, widely promote and apply the new concepts of updated guidelines, in order to better guide clinical practice, comprehensively improve the level of clinical lipid profile testing and lipid management in China, and assist in the standardized prevention and treatment of ASCVD in China and the early arrival of the turning points.
ABSTRACT
Cardiometabolic disease mainly refers to the cardiovascular disease caused by the increased metabolic burden, including hypertension, diabetes, dyslipidemia, coronary heart disease, stroke, and so on. In China, the incidence of this kind of disease is continuous rising, and cardiometabolic disease is more and more diagnosed in patients in younger age. Currently, continuous exploration of new biomarkers and detection methods, standardization of testing techniques, strengthening of clinical and laboratory communication and cooperation, and cultivation of interdisciplinary talents are the major focuses in term of promoting the development of laboratory medicine in the field of cardiovascular metabolism.
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Objective:To explore the reform path of clinical laboratory technical talents training in local universities under the background of "New Medicine".Methods:The present situation of medical laboratory technical personnel training under the background of "New Medicine" was analyzed, and the teaching mode, teaching platform and practical teaching were reformed according to the reality of Guizhou Medical University.Results:An open education system of "healthcare-education collaboration and academia-industry alliances" and the talent training mode of "three-oriented drive, four-sided integration" had been formed, which improved the training quality and provided a large number of qualified medical laboratory technical undergraduate talents to the grass-roots of Guizhou Medical System.Conclusion:The reform and practice of applied talent training in Guizhou Medical University can be used as a reference for local colleges and universities to educate applied medical laboratory technical talents.
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Objective:To establish a reasonable and effective formative evaluation system based on the characteristics of practical teaching of medical laboratory to evaluate the effect of practical teaching and improve the quality and level of teaching.Methods:A survey and research method was used to screen the elements needed for the formative evaluation system, so as to construct the framework and evaluation indicators of the practice teaching of this specialty. The students from Batch 2016 were scored before and after implementing formative evaluation, and the results were statistically analyzed by paired t test with SPSS 20.0 software. Results:The survey results of a total of 30 teachers (experts) and 121 students in this major were counted. According to the practical characteristics of this major, the evaluation system included two first-level indicators, five second-level indicators, and corresponding third-level and fourth-level indicators. After statistical analysis, students' learning interest, practical ability, self-learning ability, team assistance ability and knowledge development ability were all significantly improved after the implementation of formative evaluation ( P<0.01- P<0.05), and students' enthusiasm for class also increased ( P<0.05). Conclusion:It proves that the constructed formative evaluation system conforms to the characteristics of practical teaching of medical laboratory, which helps to improve the effect of practical teaching and lays a foundation for its application in the practical teaching of this professional course.
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After participating in the student selection training and on-site refereeing of the clinical examination skills competition for college students in Sichuan-Chongqing region twice in succession, the author combined the on-site performance and competition results of the participating students with pre-match training experience and normal teaching experience. A comprehensive analysis found that the students' proficiency in basic testing skills, psychological quality and humanistic quality have an important impact on the results of the competition. Teachers should not only pay attention to the quality of basic skills training and theoretical knowledge teaching in practical teaching, but also pay attention to the cultivation of students' teamwork ability and good working habits. Therefore, the clinical laboratory skills competition has a strong leading role in promoting the education and teaching reform of medical laboratory technology and improving the quality of professional practice teaching. It is hoped that more medical colleges and universities will pay attention to and participate in it, and further promote the development of practical teaching of medical laboratory technology.
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The undergraduate four-year medical laboratory technology major aims to cultivate advanced medical application-oriented talents. The realization of this purpose depends on the construction of an innovative practical teaching curriculum system. This article combines the four modules of basic practice, professional practice, vocational skill practice, and innovative practice to improve the problems existing in the traditional practice teaching system, and proposes a "3+1" three-dimensional practice teaching model in order to adapt to the rapid development of medical laboratory technology.
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In order to train professionals in medical laboratory technology who are directly engaged in medical examination and medical laboratory work and who have strong practical ability and can adapt to the development of precision medicine, the reform of precise teaching for experiment is implemented. Through the precise stratification of experimental projects and knowledge points, the design of precise teaching activity and the construction of precise evaluation system for experiments, guided by precision medicine during the experimental process, the standardization and precision training of basic skills for students are strengthened in clinical laboratory test. The students can more well adapt to the needs of society for technical and innovative talent in the new period. The precise teaching for experiment will become one of the main characteristics of medical laboratory technology education in our school.
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Experimental teaching occupies an important position in the teaching of medical laboratory technology. At present, many experimental projects cannot be carried out due to the high cost and the long process of the experiment, the difficulty of morphology teaching and the biological safety of clinical specimens. Virtual simulation experiment platform can break through the limitations of conventional experimental teaching in time, space and safety by integrating course experiment, increasing the experiment test item, building morphological inspection data repository, the virtual operation platform for inspection instrument and equipment and the virtual experiment assessment operation platform, and play an important role in the experimental teaching. This paper reviews the current situation of experimental teaching of medical laboratory technology, the construction and application, the existing problems and countermeasures of virtual simulation experiment platform, and expects to provide reference for the construction and application of virtual simulation experiment platform for medical laboratory technology in the future.
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Due to the automation of clinical test and analysis, work units like hospitals have reduced the demand for medical laboratory talents, which has increased the employment pressure of graduates. However, the demand for medical laboratory talents is in short supply with the development of the in-vitro diagnosis industry. Guided by the industry development and the employment demand, our school set up the development direction of "in-vitro diagnosis", combined medicine and engineering, established the corresponding curriculum system, adopted school-enterprise (institution) collaboration and explored the talent training mode of "special direction tutor system". In addition, we provided a special course of "Introduction to Medical Laboratory" to freshmen, helping them select direction and plan their career, and exploring how to cultivate medical and engineering compound applied undergraduate talents of medical laboratory major.
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Due to the automation of clinical test and analysis,work units like hospitals have reduced the demand for medical laboratory talents,which has increased the employment pressure of graduates.However,the demand for medical laboratory talents is in short supply with the development of the in-vitro diagnosis industry.Guided by the industry development and the employment demand,our school set up the development direction of " in-vitro diagnosis ",combined medicine and engineering,established the corresponding curriculum system,adopted school-enterprise(institution)collaboration and explored the talent training mode of "special direction tutor system".In addition,we provided a special course of "Introduction to Medical Laboratory" to freshmen,helping them select direction and plan their career,and exploring how to cultivate medical and engineering compound applied undergraduate talents of medical laboratory major.
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Medical Laboratory Technology now belongs to the first-level discipline of medical technology and focuses on the cultivation of technical talents.At present,there are some problems in this professional education,such as emphasizing theoretical knowledge teaching,neglecting practical skills training,weak practicability of some courses and graduates' lack of professional quality.In this study,we have combined "Teaching,Clinical and Scientific research" together.By improving the teaching staff,increasing the proportion of experimental courses,clinical skills and scientific research training,relying on "verification-synthesis-design" experiments,laboratory opening and undergraduate scientific research competitions,we have carried out professional personnel training,and have achieved better educational results,which is also helpful to the development of laboratory discipline.
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The new training standards of medical laboratory technology demand the graduates of medical laboratory technology should have the basic scientific research ability and quality. In order to com-plete the teaching work better and achieve the above training objectives, the members of the research group have made some attempts, adopting PBL, CBL and other teaching methods in theoretical teaching, develop-ing open experiments and comprehensive design experiments in experimental teaching, organizing students to study extracurricular undergraduate subject in spare time, in order to provide some basis for the training of students majoring in medical laboratory technology.
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Guided by the demands of society,we propose a new professional training objectives of medical laboratory technology,which is to cultivate comprehensive talents covering the entire industrial chain of medical laboratory technology with profound foundation,broad caliber,high quality and outstanding ability.According to the training objective,we build up 4321 talents training system and try to carry out preliminary practice and exploration on talent cultivation model from the following aspects,such as the construction of curriculum system,the reform of the teaching contents and methods,training of students' professional skills and entrepreneurial innovation spirit.
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In order to adapt to the training target of medical laboratory technology professionals under the condition of five to four educational system,we reformed the experimental teaching of medical laboratory technology.The experiment teaching was divided three phases (traditional classroom teaching + simulated clinical laboratory training + clinical laboratory teaching).Classroom teaching focused on the cultivation of students' basic skills test;simulation laboratory training focused on strengthening the students' operating skills and basic post ability and professional quality;hospital laboratory teaching focused on strengthening the students' ability of medical laboratory management,test comprehensive analysis and scientific research.The reform practice of two sessions of the students showed that the students' examination skills and comprehensive quality improved significantly,which could better adapt to the social demand for technical personnel.
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Objective To study the job demand of vocational medical laboratory technology in Jiangsu Province ,and as a basis to build curriculum system of vocational medical laboratory technology .Methods We surveyed 128 medical laboratory related institu‐tions in Jiangsu Province ,the survey included the demand for talent ,changing needs of reasons ,demand for vocational talent and job skill requirements ,data of the survey results were collected and analyzed .Results Demand for vocational talents for tertiary hospi‐tals were small ,while the primary health care institutions and relevant private medical institutions and companies were exuberant . The main jobs were clinical testing technology direction and pathological examination technical direction .In addition ,blood transfu‐sion and transfusion technology direction ,testing reagents and equipment marketing direction and technical for andrology laboratory direction also were needed .Conclusion According to the survey results ,we determine educational objectives ,basic requirement and specialty orientation of vocational medical examination major ,and propose clinical laboratory specializing in the basic platform+specialty orientation modulefor the curriculum system of vocational medical examination major .