Application of Standardized Patient in Medical International Students' Graduation Practice Assessment / 中国医学伦理学

Objective:To determine the effect of standardized patients in medical international students' graduation practice assessment.Methods:The students were divided into two groups ofstandardized patient assessment and traditional assessment,the theoretical and professional performance was compared and analyzed after the assessments.All the students were investigated using questionnaire.Result:The students assessed using standardized patients reported higher skill scores than those with traditional assessments,and the difference was statistically significant.However,no difference was observed in theoretical scores.Gorcltusion:The introduction of standardized patient to medical international students' graduation practice assessment alleviates the status that emphasizes theory but ignores practice due to the lack of clinical resources,eliminates the obstacles in the communication between students and patients,and is conducive to the cultivation of humanistic quality and adaptability of the students.It is worthy popularizing in international students' graduation practice assessment.

A survey on hypertension knowledge mastering among in-service training general practitioners / 中华全科医师杂志

A survey was conducted on a sample of 67 general practitioners ( GPs ) receiving in-service training in Beijing in 2012.Hypertension knowledge mastering and training status were investigated through a self-administered questionnaire .Results showed that the accuracy rates of the 4 domainitems (basic knowledge and skill, lifestyle modification, drug therapy, health management ) were 42.3%(340/804), 48.0%(225/469), 27.8%(96/335) and 70.6%(473/670), respectively with an overall accuracy rate of 49.8%(1 134/2 278).Trainees from urban scored higher than those from rural areas (P<0.01).About one third of trainees indicated that the 3 main teaching sessions they took part in did not cover the content of hypertension management .The hypertension guideline ( primary care version 2009) was most frequently used for training GPs , but only 33.9%(21/62) accessed such training .The results indicate that hypertension knowledge level seems to be generally low among GPs on in-service training in Beijing and the current training situation need to be further improved , particularly for those from rural areas .

Evaluation on the position competency of residents in the first year in a third grade hospital / 中华医学教育探索杂志

Objective To investigate the position competency of residents in the first year and to search for the standardizing training which aims at advancing position competencies. Method Twenty residents of the first year and 40 of superior doctors were taken as research targets. Question-naires including 8 aspects (basic ability, occupational spirit, communication skills, medical knowl-edge, team work, public health, information and management, and academic research) were con-ducted and were scored namelessly. The scores of items in one kind of ability were summed up to serve as the total score of this ability. The mean score of one kind of ability and the mean score of 8 kinds of abilities of residents and superior doctors was calculated. SPSS 17.0 was adopted to make statistical analysis. t-test was adopted to test the difference between the score from residents and superior doctors with P<0.05 representing statistics significance. Results The scores of 8 kinds of abilities were much lower than full scores. The scores of basic ability, occupational spirit, and team work from residents (78.5, 87.4, 41.9) were higher than those from superior doctors (72.6, 80.5, 39.5), with statistical significances (P=0.020, 0.013, 0.045). Conclusions Residents are lack of position competency and awareness, which demonstrates the gap between the training model and the demand of work. It is sug-gested that we should design the training system and evaluation methods based on doctors' compe-tences, add training for comprehensive ability and evaluate abilities of all aspects. An excellent hu-manity education should be built and quality cultivation should be taken attention to. Objective and measurable indices should be developed to increase residents' knowledge.

Research and discussion on criteria quantization of scholarship of clinical postgraduates / 中华医学教育探索杂志

Objective To discuss the effects of applying comprehensive evaluation of quantitative index to choose scholarship of clinical postgraduates.Methods Totally 259 clinical postgraduates of Beijing Friendship Hospital affiliated to Capital Medical University,who took part in the choosing of scholarship during 2008-2011 were enrolled.During the graduating year,comprehensive evaluation of quantitative index was adopted to choose scholarship through appraisal on postgraduates.Results were described as percentage and were analyzed by SPSS 15.0.Results Seventy-seven postgraduates won the scholarship (during 2008-2011),among which there were 20 doctors (26.0％),57 masters (74.0％).Thirteen persons won the first scholarship,26 persons the second scholarship,38 persons the third scholarship.Distribution of the majors of the winner was appropriate.Conclusions Comprehensive evaluation of quantitative index is effective in choosing scholarship for clinical postgraduates and it is beneficial to guide clinical postgraduates to improve their comprehensive quality.

Current status and training requirements for retraining program of general practitioner / 中华全科医师杂志

The current status and training requirements for general practitioner (GP) were surveyed with questionnaires in 84 trainees from the first Beijing GP retraining program.Results showed that three most demanded skills of health service in community were electrocardiogram (98.8％),clinical lab results reading (96.4％),dressing change (90.5％).The services not provided but should be provided in community were aerosol rebreathing method (23.8％),resection of small superficial lumps (22.6％) and reading X-ray films (20.2％).The reasons for services not provided were insufficient resources (41.7％),lack of skilled personnel (35.7％) and staffing shortage (20.2％).The most required training skills were reading X-ray films (64.3％),electrocardiogram (54.8％) and laboratory results reading (51.2％).There were some skills inadequately trained including cricothyroid membrane puncture,suprapubic bladder puncture and resection of superficial small lumps.The results indicate that the required skills in community health service and individual demands of general practitioners should be the priority of the future training programs.

Infections Mononucleosis Treated by Chinese Materia Medica, Report of 123 Cases / 中医杂志

123 cases were treated by Chinese herbs, with 17 cases treated by western drugs as control for comparison. Results showed that the average days of abatement of fever and the duration of disappearance of vesicular rale in the treating group were superior to the control group (P