Practice of the curriculum ideological and political education in metabolism-related curriculum chain of clinical medicine: taking Tongji University School of Medicine as example / 中华医学教育探索杂志

Guided by the development of new medical science proposed by Ministry of Education and the "Education and Training Plan for Excellent Doctors 2.0", shifted from treatment-oriented to whole life-health cycle, we have explored curriculum ideological and political education in metabolic-related curriculum chain. Firstly, we constructed a core teaching team and had the training of curriculum ideological and political education. The top-level design was made with the integration of moral education into medical education. Secondly, the syllabus was comprehensively revised, containing the connotation of "morality education". The elements relevant to curriculum ideological and political education hidden behind professional courses were excavated. Finally, the mixed teaching mode of online combining with offline was carried out. Metabolism-related curriculum chain, focused on "metabolism, diabetes, obesity and patient education", formed a progressive link from basic medical science to practice to clinical, strengthening the "prevention, treatment and health care" based "one health" philosophy and giving full play to the implicit curriculum ideological and political education hidden behind professional courses. Our practice shows that the implementation of curriculum ideological and political education in metabolism-related curriculum has been accepted by students, and curriculum ideological and political education has been become part of professional courses. The "gene chimera" mode for curriculum ideological and political education incorporation into professional courses needs to be infiltrated imperceptibly, and the effect will be visualized in the future.

Mediating effect of coping styles on aggressive behaviors against bus drivers and their mental health status / 中国职业医学

OBJECTIVE: To explore the mediating effect of coping styles on aggressive behavior against bus drivers and their mental health status. METHODS: A total of 447 bus drivers were selected as the research objects using the method of judgment sampling. The aggressive behavior, mental health status and coping style of bus drivers were investigated using the Questionnaire of Aggressive Behaviors Against Bus Drivers, Symptom-Checklist 90 and Questionnaire of Simplified Coping Style Questionnaire. RESULTS: The median scores of aggressive behavior against bus drivers, positive coping style, negative coping style and mental health status were 50.0, 22.0, 10.0 and 125.0, respectively. Aggressive behavior against bus drivers and negative coping style were positively correlated with mental health status [Spearman correlation coefficient(r_S) were 0.27 and 0.42, respectively, P<0.01]. Positive coping style was not correlated with mental health status(r_S=-0.08, P>0.05). The total effect of aggressive behavior against bus drivers on their mental health status was 0.30. The mediating role of negative coping styles on aggressive behavior against bus drivers and their mental health status was 0.10, accounting for 33.1% of the total effect. CONCLUSION: Negative coping styles play a partial mediating role on the impact of aggressive behavior against bus drivers′ mental health status.