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To realize the education and training program of excellent doctors in China and meet the ethical requirements of clinical practice, it is crucial to carry out clinical medical ethics education for medical staff. Clinical medical ethics education is an important component of medical education and a necessary and important way for doctors to practice medical professional ethics. Starting from the concept of clinical medical ethics, this paper discussed the meaning, objectives, and content of clinical medical ethics education, and then distinguished its substantive differences from existing medical ethics education, which were manifested in clinical practice ability, situational embodiment, and action standardization. Furthermore, by summarizing and analyzing the current situation of clinical medical ethics education, it was found that it has shown its shortcomings in insufficient practicality. Finally, based on sorting out the previous countermeasures, this paper proposed strategies to strengthen the practicality of clinical medical ethics education, including adopting the integration approach of "time-space-teacher" and establishing a three-level responsibility system of "government-institution-teacher".
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Objective:To recognize the overall situation of the core competency of medical professional postgraduate, analyze the advantages and disadvantages of the training process, and provide basis for better optimization and revision of training objectives and training plans.Methods:An anonymous online questionnaire was conducted among 264 postgraduates majoring in clinical medicine to recognize the cognition and self-evaluation of core competence, and analyze the differences in scores of different grades and types. SPSS 23.0 was used for independent-samples t test; and one-way analysis of variance to analyze categorical variables. Results:The doctoral degree students' core competency results were higher than those of master degree students, and those of the senior students were higher than junior students ( P<0.05). "System Improvement Ability" [master degree students (2.94±1.07), first-year students (2.82±0.97)], "Patient Management" [(first-year students (2.77±1.22)], "Academic Research" [first-year students (2.90±1.03)], and 4 other indicators were the weakness of students (all less than 3 scores). Conclusion:The students have a good sense of professional identity for doctors. The different depth of the clinical practice education is the possible cause which brings about the differences among students with different degrees. We should focus on strengthening the training for the "shortcomings" in the core competence of students.
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Objective:To explore the application of virtual patient in the reexamination of clinical medical professional masters (hereinafter referred to as "clinical masters"), and to provide reference for the reform of clinical masters reexamination.Methods:The correlation between the clinical thinking scores of 97 candidates (Western medicine) in the reexamination of clinical masters in a university in 2019, the scores of comprehensive ability of clinical medicine (Western medicine) in the initial test and the interview scores in the reexamination was analyzed, and the differences between the clinical thinking scores of current and previous candidates were compared. SPSS 21.0 software was conducted for t test, chi-square test and Pearson correlation analysis. Results:The Person correlation analysis showed that the correlation coefficient between the scores of clinical thinking and the scores of comprehensive clinical medicine (Western medicine) and the scores of interview in the reexamination were 0.09 and -0.05 respectively( P>0.05). At the same time, there was no statistically significant difference between the clinical thinking scores of current and previous candidates ( P >0.05). Conclusion:There was a poor correlation between the scores of clinical thinking and the scores of comprehensive clinical medicine (Western medicine) and the scores of interview in the reexamination. The consideration is concerned with the difference in the purpose of the three assessment forms. It can provide references for other medical colleges to optimize the evaluation content of postgraduate reexamination.
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Objective:To explore the role of WeChat official account platform (WOAP) in knowledge acquisition for medical professionals (MPs), and to provide a new way for continuing medical education.Methods:With the help of the "Tencent Questionnaire" platform, an electronic version of the questionnaire was designed, which was sent to the MPs through "Spine Jizhu" WOAP, and forwarded by WeChat groups and friends circle. The survey included the general information of MPs, the evaluation on "Spine Jizhu" WOAP and the influence of medical WOAP on their knowledge acquisition. The questionnaires were collected and analyzed descriptively.Results:A total of 901 valid questionnaires were recovered, and 91.9% (828) of the MPs chose the rest time as the most suitable push time, with the most choice from 18: 00 to 21: 00, and the most push frequency of "twice a week"; 97.3% (877) of MPs selected "very satisfied" or "relatively satisfied" for the overall evaluation of "Spine Jizhu" WOAP; MP rated the quality of articles pushed by "Spine Jizhu" WOAP with a score of (8.5±1.4); 79.1% (713) of MPs followed 5 or more medical WOAPs, and most of them valued the quality and reliability of the pushed contents; 92.7%(835) of MPs believed that the medical WOAP was "very helpful" and "relatively helpful" in enhancing their professional knowledge. In terms of access to the latest professional knowledge, 68.4%(616) of MPs chose "WOAP pushed articles", while only 18.4%(166) of MPs chose "traditional paper media (periodicals, magazines, newspapers and books)".Conclusion:WOAP is aimed at followed people and pushes original articles at a fixed time and frequency to help MPs to acquire knowledge and provide a new supplementary form for continuing medical education.
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Objective@#To investigate the current status of knowledge and practice pertaining to nosocomial infection control among medical professionals in grassroots healthcare institutions, so as to provide the evidence of improving the level of infection control in grassroots healthcare institutions.@*Methods@#All medical professionals working in grassroots healthcare institutions in Pukou District, Nanjing City, were enrolled. The participants' demographic features and knowledge and practice of nosocomial infection control were collected using self-designed questionnaires and descriptively analyzed.@*Results@#A total of 402 participants were enrolled, included 116 men ( 28.86% ) and 286 women ( 71.14% ). The respondents were predominantly at ages of 41 years and older ( 187 subjects, 46.52% ), with bachelor and above as the predominant educational level ( 200 subjects, 49.75% ) and intermediate title and above as the predominant professional title ( 168 subjects, 41.79%) , and there were 236 participants ( 58.71% ) with the length of service for more than 10 years. The awareness rate of nosocomial infection control knowledge was 56.22% among medical professionals working in grassroots healthcare institutions, with the highest awareness for COVID-19 prevention and control ( 89.55% ) and the lowest awareness for the key aspects in nosocomial infection control ( 39.55% ). The formation rate of implementing nosocomial infection control practices was 84.08%, with a low rate for “Implement satisfactorily the isolation interventions for patients with multidrug resistant bacteria” ( 71.14% ) and “Implement satisfactorily the control measures for nosocomial infections in key departments and key aspects”( 64.68% ).@*Conclusions@#Low levels are seen in the awareness of nosocomial infection control, behaviors of multidrug resistance management and key aspects in nosocomial infection control among medical professionals in grassroots healthcare institutions in Pukou District.
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Background: Pharmacovigilance is of core importance for the prevention of adverse effect by signal generation. It developed as a science and Practice. Central database collecting international reports helpful in generating signals, improving safety profile, prevention of future adverse effects, thus provide a key data to national drug regulatory to make regulation. It is not only a science but act as a law and regulation. Underreporting of ADRs by healthcare professionals remains a major problem. Clinician’s collaboration is needed to come up with the challenges of underreporting. Spontaneous reporting plays a cardinal role in Pharmacovigilance practice.Methods: Cross Sectional, questioner-based study, 56- postgraduates, 42- first year,60- Second year, 35- Third year students of Institute of Medical Sciences were included with prior consent and Ethical committee permission. Structured pre-test questioner on, Knowledge-10, Attitude-02, Practice-06 were asked. Seminar was conducted on the ‘Pharmacovigilance in India: current Scenario, Study material were distributed to students. Prior to seminar and one week after conduction of seminar again the questioner was distributed again, and the same study was conducted, the difference in the response and attitude after transformation of knowledge were recorded.Results: After transformation of knowledge 77% JR responded that ADR and medication both should be reported which was earlier only 31%. 80% JR replied that ADR should be reported as early as possible which was earlier 38%. It indicates that transformation of knowledge is a pillar to bring the change in practise. 100% second year students responded that they have seen ADR reporting form which was only 30% before seminar.Conclusions: Up gradation of Knowledge by seminar, research papers, awareness pamphlets, Apps will promote the reporting and will strengthen the signal generation systems.
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Foreign medical professional spirit cultivation has made much successful experience in cultivating concept , cultivating mode , evaluation method , and so on .It provided important enlightenment for the medical eth-ics quality training of excellent medical talents in our country .Drawing lessons from the beneficial practice , we can do further attempts in the aspects of medical ethics quality training of excellent medical talents in our country .For example , we can enhance the humanity of the medical ethics quality training curriculums , explore the diversity of medical ethics quality training methods , adhere to the comprehensiveness of the medical ethics quality assessment , and strengthen the professionalism of medical ethics quality training organizations .
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This paper analyzed the three basic principles of medical professionalism established in the Medical Professionalism in the New Millennium:Physician Declaration and influencing factors of a series of clear professional responsibilities from the medical technology , medical ethics , medical professional responsibility and medical equity four levels .The study found that the proportions of doctors and patients ' identification with the elements of medical professionalism were relatively high , of which the proportion of doctors was higher than patients .It indicated that the basic principles and professional responsibility advocated by medical professionalism had been recognized and accepted by medical staff and the public .
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Foreign medical professional spirit cultivation has made much successful experience in cultivating concept , cultivating mode , evaluation method , and so on .It provided important enlightenment for the medical eth-ics quality training of excellent medical talents in our country .Drawing lessons from the beneficial practice , we can do further attempts in the aspects of medical ethics quality training of excellent medical talents in our country .For example , we can enhance the humanity of the medical ethics quality training curriculums , explore the diversity of medical ethics quality training methods , adhere to the comprehensiveness of the medical ethics quality assessment , and strengthen the professionalism of medical ethics quality training organizations .
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This paper analyzed the three basic principles of medical professionalism established in the Medical Professionalism in the New Millennium:Physician Declaration and influencing factors of a series of clear professional responsibilities from the medical technology , medical ethics , medical professional responsibility and medical equity four levels .The study found that the proportions of doctors and patients ' identification with the elements of medical professionalism were relatively high , of which the proportion of doctors was higher than patients .It indicated that the basic principles and professional responsibility advocated by medical professionalism had been recognized and accepted by medical staff and the public .
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In recent years,the humanistic quality education in vast number of medical colleges and universities shows a low level of wandering state.This in not only related with the poor condition of current humanistic quality course,but also related with the diametrically opposed humanistic quality education and medical professional education and lack of organic integration.To improve the medical colleges' educational level is urgent to establish the concept of holographic education of great medicine,great education and great culture,improve the teaching quality of current humanistic quality education,actively explore the deep integration of humanistic quality education and medical professional education,improve the humanistic quality and nurturing ability of teachers staff in medical universities and colleges,and so on.
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Through the interpretation of traditional Honesty, this article is to understand the semantics of credibility andintegrity in traditional ethical culture, to analyze the relationship between the concept of honesty and medical skills, deriving goodness and endowing novelty, further to reveal the revelation for medical professional personality cultivation. Meanwhile, it points out that we should try our best to overcome the shortcomings of tradi-tional concept of honesty,clarify the connotation of honesty and find out the evidence of honesty culture in tradition-al Chinese ethics. This is the tracing and deepening of the connotation of honesty, as well as the highlighting of honesty as the content of medical professional personality. It is further beneficial to strengthen the pathway con-struction of medical profes.
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In order to adapt to the changes in the training model of medical professionals and meet the new re-quirements of information literary recommended by ACRL, medical information literacy education was reformed with the5+3+Xtraining model of clinicians proposed by Capital Medical University as an example, namely strengthening meta-literacy training by establishing new framework of medical information literacy education, implementing open education with new teaching methods, building assistant teaching platform, increasing class hours,etc.
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Objective To study the status of professional commitment and its effect on self-esteem of non-medical undergraduates in medical colleges. Methods Totally 410 non-medical under-graduates and 403 medical undergraduate were investigated by professional commitment of undergrad-uate scales and self-esteem questionnaire of undergraduates. T test,chi-square test,ANOVA,corre-lation analysis and multiple regression analysis were employed to do statical analysis,with P<0.05 be-ing statistical differences. Results Non-medical undergraduates’scores of professional commitment (85.11 ±11.60)and self-esteem (2.57 ±0.37)were lower than those (93.82 ±11.43)and (2.62 ± 0.35) of medical undergraduates. There were statistical differences in non-medical undergraduates’ professional commitment concerning the variables of professional consistency (t=5.657,P=0.000)and grades (F=8.528,P=0.000). Professional commitment of non-medical undergraduates was positively correlated with self-esteem. There was linear regression relationship between the variables of emotion-al commitment (P=0.005),normative commitment (P=0.006)and self-esteem. Conclusions Non-medical undergraduates' professional commitment and self-esteem levels are lower than those of medical undergraduates. The professional commitment could produce obvious effects on self-esteem.
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Chinese medical student's education system is quite different from that in western countries.Besides,Chinese residency training program is just starting.The professional training of pathologists,who make the final diagnosis in the hospital,is not satisfied.The present situation in China is that overall quality of pathologists is low and varied.The pathology department of Xijing Hospital started to carry out the pathology residency training program since 2009.It is expected to search for a model of pathology residency training program with Chinese characteristics.
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Job burnout has been a common problem in modem society, and medical professionals are vulnerable to it. The causes of burnout in medical professionals involve factors of social environment and system, institutional factors, occupational factors and personal factors. The intervention strategies at multiple levels are put forward, including to advocate concerning about the well-being of others and attaching importance to cultural value orientation of qualitative life-style, to construct harmonious doctor- patient relationship and good working environment, to enhance social public relations and establish good media image, to improve management system and operational mechanism at organizational level, and to enhance the coping ability at individual level by training.
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The connotation of the curriculum integration of information literacy education and the medical professional courses was discussed. The mode and strategy of the integration were put forward.
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The development of higher education and economy are closely linked.In order to make the medical institutions of higher learning have their own unique core competence in many similar institutions in the country,it is necessary to precisely position,run schools with our own characteristics,make rational analysis of market demand,have a correct view of the medical degree,guarantee the quality of personnel training and strive to cultivate local talent and innovative features.
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Strengthening practical teaching in medical education is a very important approach of reforming medical education to upgrade the educational quality for production of medical professionals with appropriately practical competences.The author summarized the ways and means for enhancement of the practical medical teaching and analyzed the experiences and impact factors of the practical teaching,from the point of view on the needs of the health work in urban and rural communities.
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With the development of knowledge economy, society has more and more high demand for professional quality. Medical students are the reserve talents for the health care industry of our country, so it plays an important role in keeping people's health by improving the professional quality of medical students. Therefore, we should put more emphasis on the education of professional consciousness, professional moral, professional spirit, professional ideal and professional rights and interests, making students form the healthy medical professional personality, to establish the foundation for the sustainable development of the health care industry.