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OBJECTIVE To establish the index system of quality evaluation standard for pharmacist training in cough and wheeze pharmaceutical care （CWPC） outpatient department， and to provide a basis for the selection of CWPC pharmacist training teachers and the improvement of training plans. METHODS Based on Kirkpatrick model， using the Delphi method， a total of 15 experts from 13 tertiary hospitals in 10 provinces in China were consulted to establish the standard index system of the quality evaluation for CWPC pharmacists training. Analytic hierarchy process （AHP） was adopted to determine the weights of each indicator and quantify the index system according to the weights of indicators at all levels. RESULTS The coefficient of expert authority was 0.810， the judgment coefficient was 0.727， and the familiarity coefficient was 0.893. The Kendall coordination coefficient of each index was 0.308-0.687. The P values of χ2 test were all less than 0.05， which indicated that the degree of coordination of the experts was high. After two rounds of correspondence， Kirkpatrick model-based index system of quality evaluation standard for CWPC pharmacist training was determined. The index system included 4 first-level indexes （participants’ reaction layer， learning gain layer， behavior improvement layer， training outcome layer）， 12 second-level indexes （such as training needs， teaching methods， theoretical knowledge， practical skills， job abilities， patient benefits， etc.） and 44 third-level indexes （such as clear training objectives， core system of CWPC， special device operation and evaluation， professional knowledge related to the treatment of cough and wheeze patients， promoting the construction of CWPC， improving patient compliance）. CONCLUSIONS The constructed index system of quality evaluation standard for CWPC pharmacist training has a certain level of authority and scientificity， and provides a scientific theoretical basis for quality evaluation of CWPC pharmacist training.
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Objective:To construct a practical education training quality evaluation system that can monitor the entire training process for the master of public health, and to provide a basis for improving the public health education system.Methods:Based on the survey of the current status of the master of public health, combined with the literature survey, the focus group discussion and the expert forum, an evaluation system was established, and the weight coefficient of each index was determined by the analytic hierarchy process (AHP). All data were entered by Excel double-person, and matlabR2018a was used to calculate the weight, and determine the maximum characteristic root of the matrix, consistency index and consistency ratio.Results:The evaluation index system consisted of 7 first-level indicators and 24 second-level indicators. The average authority coefficient of 32 experts was 0.791. The top three items with the highest weight in the first-level indicators were mentor guidance (0.213), professional practice (0.157) and scientific research topics (0.149). The weight coefficient consistency ratio ( CR) was 0.040, showing that the consistency test passed ( CR<0.1). Conclusion:The educational quality evaluation system of the master of public health constructed by the institute is scientific, and the weight of the evaluation index reflects the focus of the postgraduate training process of the master of public health, which can provide a reference for improving the quality of public health professionals.
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The quality of public cardiopulmonary resuscitation training plays an important role in improving the survival rate of patients with cardiac arrest. Various forms of training have been carried out all over China, which plays a great role in promoting the work of cardiopulmonary resuscitation. However, there is still a lot of room for improvement in the quality management and effect sustainability of training. This paper reviews the current situation and deficiencies of quality management of public cardiopulmonary resuscitation training, and the role of training quality in enhancing people's self-confidence in learning and rescue, training contents, training methods, quality evaluation indicators, evaluation methods, and quality influencing factors and retraining time requirements, and so on. And it puts forward some practical suggestions on the quality management of public cardiopulmonary resuscitation training in China. Such as it will more emphasize standardized training, deliberate practice, proficient training, National Training, long-term maintenance of knowledge and skills, and using useful tools to improve the quality of cardiopulmonary resuscitation training, etc. In order to improve the training quality management level of the public, so that the trainees can really master cardiopulmonary resuscitation skills, so as to improve the rescue rate and survival rate of patients with cardiac arrest. To promote the sustainable development of people's health.
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The present clinical doctorate system has some irrationalities in the connection with professional qualification . According to analyses of main problems in recruitment , training objective , curriculum design and clinical examination, we proposed some suggestions for carrying forward the comprehensive pilot system: clarify the training objective and improve the overall understanding of reform;improve the examination condition and standardize the recruitment process; improve the curriculum system and reform the teaching method; strengthen the way of quality examination and supervision; attach more attention on constructing tutor teams and explore the way of joint guidance.
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There nearly have 1 year for the medical postgraduate exempted from admission examination to enjoy the postgraduate life,meanwhile to finish the clinicalpractice task as a medical undergraduate.For students,supervisors and the university,analysis of opportunities and difficulties faced by the medical postgraduate exempted from admission examination in this stage can be made,feasible training plan can be developed,in advance to allow students to avoid the psychological confusion,change the way of learning,lay the foundation for scientific research and improve their clinical skills.These measures will contribute to improve the quality of the medical postgraduate exempted fmm admission examination and the education quality.
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Aiming at the problems faced by the medical postgraduate students in the cooperative medical education and the classified training mode,combined with the characteristics of the cultivation of medical postgraduates,the article constructed the quality guarantee system of graduate education based on project management.From the three dimensions of time dimension,corpus dimension and objective dimension,the article established a model of training quality guarantee system and analyzed the four work modules:construction of project organization,standardization of whole life cycle process,control of project quality and integration of project information.In addition,the article introduced the practice of this quality guarantee system in Binzhou Medical University.
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Objective:To improve the training quality of neurology clinical pharmacist. Methods:The experience during the training of neurology clinical pharmacists in recent ten years was summarized. Results:The students were taught in groups according to their majors and promoted in stages according to the teaching plans. Besides,various teaching methods were carried out timely. After tutored by the methods mentioned above,the students could quickly raise their working ability to play good roles of clinical pharmacist and work independently with more confidence. Conclusion:The training quality of neurology clinical pharmacists has been effectively improved by teaching in groups,promoting in stages and providing various teaching methods timely.
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Objective To investigate the effects of a novel standardized training program on the satisfaction and training quality of general practitioners (GPs). Methods 114 GPs trained in Wuxi People's Hospital between 2009 and 2013 were included, 52 GPs and 62 GPs were trained before and after the reform respectively. The measures of teaching reform included improvements in curriculum provision, theory teaching, learning modality and skills training. The evaluation indexes of satisfaction questionnaire and examination were confirmed by literature method and small-group discussion. Self-report satisfaction ques-tionnaire were distributed to graduate GPs and valid questionnaires were collected, while the results of entrance examination and graduation examination of GPs were recorded before and after the teaching reform. The research data were analyzed by chi-square test using SPSS 16.0 software. Results The basic characteristics of GPs and results of entrance examination before and after the teaching reform were compa-rable (P>0.05), however, GPs' satisfaction with curriculum, theoretical education, study form and skill training were increased significantly after teaching reform (P<0.05). Besides that,the results of graduation examination of GPs after the teaching reform, both the theory and skill examination, were improved signifi-cantly (P<0.05). Conclusion The study showed that GPs satisfaction with training modality and the results of graduation examination were improved greatly through our innovative teaching reform.
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The current enrollment system, curriculum, teacher quality, the quality of doctoral thesis research and scientific research and innovation ability are the main factors influencing the quality of doctoral cultivation of traditional Chinese medicine. By analyzing these influence factors, the article try to explore traditional Chinese culture quality assurance factors of doctoral students, that is, to control the quality of students, to clear training objectives, to strengthen the responsibility of instructors, to supervise the quality and training of scientific research and innovation ability of students and so on.
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Strengthening the construction of supervisor team has great effects on the improvement of the quality of postgraduate education.Some problems exist in China's current situation of the construction of supervisor team.For example,the quality of supervisors needs to be improved,the quantitative evaluation system is not scientific,the quantity of professional degree supervisors is not enough,and the dynamic evaluation mechanism is imperfect and so on.Strengthening the construction of supervisor team from the development of scientific and rational quantitative evaluation index system,the selection of professional degree supervisors,the enhancement of supervisor training and some other aspects,can effectively improve the quality of postgraduate education.
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Quality is the lifeline of graduate education and the tutor team plays an important role in postgraduate training. To control the selection of tutors strictly, to implement the combination of openness and stability in tutor team, and to carry out academic exchanges actively are the keys to construct an excellent tutors staff and to ensure the quality of graduate student training.
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Resident training is an important part of after-graduation education for medical students,and is also an important way to cultivate qualified medical talents.With 20 years management experience of resident standardized training,Xuan-Wu Hospital has found 8 aspects,including leaders'attention and implement,process management,base construction,test assessment,24-hour system,guiding teacher system,rewards and punishment system,and scientific research were related to the quality of the resident standardized training.
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@#ObjectiveTo explore the influence of antipsychotics combined with skill traning on quality of life and social function of patients with schizophrenia at recovery.Methods80 patients with schizophrenia were randomly divided into study group (n=40, antipsychotics plus skill training)and control group (n﹦40, only antipsychotics) for 1-year treatment. At pre-treatment and end of treatment, both groups were assessed with Positiveand and Negative Symptom Scale (PANSS), Generic Quality Of Life Inventory-74 (GQOLI-74) and Social Disability Screening Schedue(SDSS) respectively to evaluate their effects, quality of life and social funtion.ResultsAfter 1-year treatment, the general scores of PANSS and each factors in both groups decreased significantly compared with the baseline(P<0.05～0.01), and the significant difference was found between two groups(P<0.01). Improvement of each factor score of FAD(except factor of the material life) and SDSS in study group were more better than those in control group(P<0.05～0.01).ConclusionTreatment with antipsychotics plus skill traning is helpful to release the mental syndrome, improve quality of life and social funtion, and facilitate the recovery of the patients with schizophrenia at recovery.
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O treinamento muscular periférico (TMP) pode promover a redução dos sintomas relacionados à patologia de base e ao tratamento, além da melhoria funcional. este estudo avalia os efeitos do TMP na capacidade funcional e na qualidade de vida (QV) de pacientes em hemodiálise. Método: Ensaio clínico. Estudaram-se sete indivíduos com idade entre 29 e 84 anos, portadores de DRC. Os pacientes foram avaliados antes do protocolo e após, por meio do Teste de Caminhada de 6 minutos (TC6M), de questionário de QV SF-36 e pelo Teste de Caminhada de 6 minutos (TC6M), de questionário de QV SF-36 e pelo teste de 1 RM para extensores de joelho. Foram aplicados duas vezes por semana durante cinco meses. A carga utilizada foi de 50% da obtida no teste de 1RM para força e, para resistência, utilizaram-se 30% da carga obtida no teste. Foram trabalhados todos os grupos musculares de membros inferiores (MI), além dos abdominais e glúteos com exercícios isométricos, isotônicos e isotônicos livres de carga. Resultados: A média das cargas tolerada por MID: 4,17+-3,03 vs 6,07+-2,62 vs8,42+-3,30k; MIE 4,85+-3,13 vs 6,21+-2,82 vs 8,57+-3,99kg, p<0,05. O QQV teve maior média nos domínios: limitação por aspecto físico e vitalidade. No TC6M, não foi verificado melhora. Conclusão: O TMP, durante a hemodiálise, é capaz de promoveraumento de força muscular de MI, além de alterar positivamente domínios referentes à QV. Como desfechos secundários, foram observados redução da dor em MI, das cãimbras e da necessidade de medicação para controle destes sintomas.
The peripheral muscle training (TMP) can promote the reduction of symptoms related to underlying disease and treatment, as well as functional improvement. This study evaluates the effects of TMP in functional capacity and quality of life (QOL) of hemodialysis patients. Method: Clinical trial. We studied seven subjects aged between 29 and 84 years, with CKD. Patients were evaluated before and after the protocol, through the test 6-minute walk (6MWT), the QOL questionnaire SF-36 and the Test of 6-minute walk (6MWT), the QOL questionnaire SF-36 and the test of an MRI for knee extensors. Were applied twice a week for five months. The load used was obtained in 50% of 1RM test for strength and for resistance, we used 30% of the load test result. We worked all the muscle groups of the lower limbs (MI) in addition to abdominal and gluteal exercises with isometric and isotonic sports drinks free of charge. Results: The average load tolerated by MID: 4.17 + -3.03 vs 6.07 + -2.62 VS8, 42 -3.30 + k; MIE 4.85 + -3.13 vs 6.21 + 8.57 + -2.82 vs -3.99 kg, p <0.05. The QQV had the highest average in the areas: limitation by physical appearance and vitality. In the 6MWT, was not seen improvement. Conclusion: TMP during hemodialysis, can promoveraumento IM muscle strength, and change positively related to QOL domains. As secondary endpoints, pain reduction were observed in MI, the cramps and the need for medication to control these symptoms.
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Humans , Male , Female , Adult , Middle Aged , Aged, 80 and over , Muscle Stretching Exercises/methods , Kidney Failure, Chronic/rehabilitation , Sickness Impact Profile , Exercise Movement Techniques , WalkingABSTRACT
On the basis of the summarization about some MPH education experience in Sun Yat-sen University,we make the assumption concerning construction of MPH training quality assurance system ,expound the content and operating mode of this training quality system,and then offer reference for improvement of MPH training quality.
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Formulating an effective resident training structure is the key to improving training quality and efficiency. The paper discusses training structure from five aspects, viz. the need for learning, the conduction of active learning, the construction of knowledge systems, the holding of examinations at different levels, and the mastery of objectives.