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Objective:To investigate the application of modified mini-clinical evaluation exercise (Mini-CEX) in the probationary teaching of dermatology and venereology for eight-year program students.Methods:From 2019 to 2020, a modified Mini-CEX was used to grade 58 eight-year program students at the Third Affiliated Hospital of Sun Yat-Sen University at the early, middle, and late stages of the probationary teaching of dermatology and venereology. The modifications included refining various evaluation indicators. Specifically, medical history collection involved dynamic changes in rashes, negative symptoms with differential diagnostic significance, past history/personal history/family history, and other important medical history; physical examination involved the specialized condition of rashes, systematic physical examination, and negative signs with differential diagnostic significance; humanistic care involved caring for patients, health education, and privacy protection; clinical judgment involved principles of diagnosis, differential diagnosis, and treatment; communication skills involved proficiency, prioritization, and body language; organizational effectiveness involved time allocation, patient compliance, and preparation work; overall performance involved calmness and fluency, neat writing, and preliminary clinical thinking. SPSS 20.0 was used to perform the t test. Results:Compared with the early stage of probation, the 58 eight-year program students improved their scores in clinical comprehensive ability evaluation and scores in each specific evaluation at the middle and late stages of probation ( P < 0.001). The dynamic changes in rashes and the specialized situation of rashes (identification and description of rashes) were specific to this discipline. Conclusion:The modified Mini-CEX is an objective, comprehensive, concise, and efficient assessment tool, which meets the needs of teaching reform and practice of dermatology and venereology.
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Background: In developing countries like Bangladesh, skin diseases are very much prevalent. On the other for the difference of climate and environment, the pattern of skin diseases differs from one country to another and even crosswise diverse parts within the same country. The prevalence of skin disease in the overall population varies from 11.16 % to 63 %. Moreover, this prevalence differs in different ages of the inhabitants of the same country. Aim of the study:The aim of this study was to assess the pattern of skin diseases in patients attending the OPD of Dermatology and Venereology in a tertiary care hospital in Bangladesh.Methods: This cross-sectional study was conducted in the outpatient department of Dermatology and Venereology in Kustia Medical College, Kustia, Bangladesh from January 2019 to December 2022. In total 400 skin diseases patients were included as the study population. According to the inclusion criteria of this study, patients of several age either male or female suffering from any kind of skin disease for at least one month were included as the study subjects. A predesigned questioner was used in data collection. All data were collected, processed and analyzed by using MS Office and SPSS version 23.0 programs as per need. Results:In this study, majority of the participants (55%) were with non-infective skin diseases. Besides this, 37% were with infective skin diseases and the rest 8% were with both infective as well as non-infective skin diseases. Among infective skin diseases group patients, the highest number of patients were with scabies which was found in 13.75% casas. Besides this, the frequencies of tinea infection, pyoderma, pityriasis versicolor, STD and herpes zoster were also noticeable. On the other hand, among non-infective skin diseases group patients, the highest number of patients were with eczema which was found in 15.25% patients. Besides this, the frequencies of ‘miscellaneous & mixed’ acne vulgaris, urticaria, psoriasis, nevoid disorder and alopecia were also noticeable.Conclusion: As per the findings of this current study we can conclude that, the prevalence of non-infective skin diseases is higher than that of infective skin diseases in Bangladesh. The frequencies of infective skin diseases like scabies, tinea infection, pyoderma, pityriasis versicolor, STD and herpes zoster as well as non-infective eczema, acne vulgaris, urticaria, psoriasis, nevoid disorder and alopecia claim more attention of physicians as well as health policy makers of Bangladesh.
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Background: Head injury is one of the most important causes of death caused by trauma. Decompressive craniectomy is said to be the best way to reduce otherwise intractable intracranial pressure and its complications in traumatic brain injury. But we have not enough information regarding the outcomes and effectiveness of decompressive craniectomy in traumatic brain injury. The aim of this study was to assess the outcomes and effectiveness of decompressive craniectomyin in traumatic brain injury.Material & Methods:This prospective observational study was conducted in Khwaja Yunus Ali Medical College and Hospital, Sirajganj and TMSS Medical College & Hospital, Bogura, Bangladesh in collaboration with the Department of Neurosurgery during the period from July 2018 to December 2021. In total 32 patients with severe traumatic brain injury diagnosed and treated in the above-mentioned hospitals were recruited as the samples for this study. The outcomes of the patients evaluated by the Glasgow Coma Scale (on which scores range from 3 to 15, with lower scores indicating reduced levels of consciousness). All patient data were collected, processed, analyzed as well as disseminated by using MS Office 2019 and SPSS version 23 programs as per the necessity.Results:In analyzing the duration of hospitalization we observed, the mean (±SD) days of mechanical ventilation, days of ICU staying and days of hospitalization were 8.88 ± 2.54, 10.21 ± 3.16 and 15.57 ± 4.51 days respectively. Finally, the mean (±SD) Extended Glasgow Outcome Scale score of all the patients was found as 9.1. On the other hand, the unfavorable Extended Glasgow Outcome Scale score (1 to 4) was found in 56% patients. In this study, finally death cases were found 22%.Conclusion:Decompressive craniectomy ensures better outcome in term of survival but the limitation is quality of life issues after survival especially among poor GCS (3-6) group. Prompt hospitalization, early diagnosis and proper ICU and ventilation facilities can ensure more satisfactory outcomes for the patients with traumatic brain injury.
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Objective:To evaluate the effect of the task-based learning (TBL) teaching mode on improving the knowledge of clinical skin diseases for non-dermatology and venereology residents.Methods:Sixty internal medicine physicians who had undergone standardized residency training in the Department of Dermatology and Venereology of Affiliated Zhongshan Hospital of Dalian University from January 2017 to December 2019 were selected as the research subjects, and they were randomized to experimental group and control group in average. The experimental group adopted the TBL teaching mode, and the control group adopted the traditional teacher-student internship model for the residency training. After one month of regular rotation, we observed the theoretical assessment and clinical case consultation of the two groups. The questionnaire was set for evaluating the satisfaction of physicians on the effectiveness of the residency training. SPSS 19.0 was performed for t test. Results:The average theoretical scores of the experimental group were (82.80±4.31) points, and those of the control group were (77.20±4.41) points. The average scores of the clinical case diagnosis and treatment in the experimental group were (54.73±2.65) points, and those of the control group were (44.13±4.26) points, and the experimental group scored significantly higher than the control group ( P<0.001). The average scores of the satisfaction survey questionnaire in experimental group were (78.13±2.87) points, and those of the control group were (63.73±4.32) points. The experimental group scored significantly higher than the control group ( P<0.001). Conclusion:The TBL teaching mode can promote non-dermatology and venereology professional physicians to have a certain theoretical basis of dermatology and venereology and the ability to solve practical problems.
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Taking the course's characteristics and advantages into account, this study explores the systematic implementation of standardized teaching rounds in the clinical probation sessions of the Dermatology and Venereology course , and evaluates its effect by analyzing the cases of 125 medical students from grade 2015 of Sun Yat-sen University . The results showed that the implementation of standardized teaching rounds has positive effect on the course.
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Medical ethics education in clinical practice stage is especially critical to improve medical students' humanistic, medical ethics and professional accomplishment. Compared with other clinical disciplines, dermatology and venereology has many characteristics. To strengthen medical ethics education in dermatology and venereology clinical practice, we should persist in promoting and cultivating core values of Chinese socialism, accurately grasp the characteristics of various skin diseases, educate and guide students to flexibly apply the basic principles of ethics and improve their ethical decision-making ability. In the process of teaching implementation, we should pay attention to the coordination of education, enrich teaching means and strengthen practical teaching, so as to improve the quality of education.
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A total of 105 undergraduate students of the class 2014 majoring in clinical medicine in Sun Yat-Sen University received probation teaching in our department from October 2017 to May 2018,according to the syllabus of dermatology and venereology of clinical medicine.Senior teachers in our department were responsible for probation teaching,with the help of the independent wards in our department and probation teaching at the outpatient service.The teachers recorded the whole teaching process and evaluated the students' memory after probation.Through the teaching in wards and at the outpatient service,the students mastered the requirements in the syllabus of dermatology and venereology and achieved good results.
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Objective Purpose to study the domestic conditions of co-authorship in the field of dermatology and venereology in recent five years.Methods Taking 9 higher impact factor periodicals of the field as samples and using UCINET software to conduct research from following three perspectives,density,degree centrality,betweenness centrality and subgroup analysis.Results The density of co-authoring network is 0.3313.SUN Jian-fang possesses the highest value of degree centrality,and HUANG Chang-zheng's value of betweenness centrality is the highest.Ten 2-plexes are found in 122 core authors.Conclusions The study found that papers in this field have a high co-authored rate.But the lower network density and isolated nodes indicate that the connection between core authors is loose.There are more notable differences between active authors than inactive ones.The consistency of overall network is poor and other authors’ dependence of central authors is weak across the entire network.Meanwhile,authors of this field have not yet formed a subgroup phenomenon.
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Objective To explore the application of PBL in dermatology and venereology teaching. Method According to random principle, 120 students were divided into experimental group and control group (60 students per group). The experimental group received PBL, and the control group received tradi-tional teaching. The teaching contents included systemic lupus erythematosus, pemphigus, psoriasis, syphilis. The course needed 16 periods totally . the traditional teaching group applied 8 classes extensive class teaching and 8 classes clinical trainee, and the PBL teaching group implemented case-based teaching 4 hours each time. Teaching satisfaction evaluation and test scores would be analyzed at the end of the semester. SPSS 17.0 was used for t test. Results The teaching satisfaction (contains professional values and ethics, communication skills, clinical skills, community health and health systems, information management, critical mind and research, etc.) of experimental group was higher than control group (P<0.05); The test scores of experimental group was higher than control group (P<0.05), especially in total score of theoretical examina-tion, comprehension and application. The difference mainly came from PBL teaching (P<0.05). Conclusion PBL is conductive not only to the comprehension and application of knowledge but to training the students' abilities of independent learning.
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Objective To study the effect of theory and practice integrated teaching in der-matology education and to explore the effective teaching means. Methods 53 five-year program stu-dents of Grade 2008 who major in clinical medicine were subjects. 26 students involved in the inves-tigation were taught with theory and practice integrated teaching. 27 students were taught with tradi-tional teaching method. In order to understand the teaching effect, we use questionnaire in experimental group and carry on comprehensive evaluation in both group at the end of the course . Descriptive statistics method was applied to describe the experimental group students' evaluation of the theory-practice integration teaching methods; The results of the two groups of students were applied t-test to perform statistical analysis and the difference was statistically significant (P<0.05). Results The stu-dents in the experimental group hold positive attitudes to theory and practice integrated teaching. 25 students (96.2%) in experimental group confirmed the necessity of it and considered that it could improve the communication skill. 24 students (92.3% ) confirmed it attractive and considered that it could improve the learning interest and capacity of clinical practice. 23 students (88.5% ) thought active learning and learning efficiency were promoted and theoretical knowledge was consolidated. 22 students (84.6%) considered that it could promote the comprehension of dermatology. Besides, the ex-perimental group students' medical ethics, theory and skills were significantly higher than those of the control group (P<0.05). Conclusion Theory and practice integrated teaching in dermatology edu-cation is effective. It can promote students' learning interest and initiative. It can improve the profes-sional quality of students and comprehensive quality of teachers.
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Objective To learn the academic level and scientific impact of the Chinese Journal of Dermatology by using bihliometric methods. Methods Citation frequencies, first authors and their affiliation, citing journals of cited articles published in the Chinese Journal of Dermatology from 2002 to 2007 were statistically analyzed according to the database of Chinese Medical Citation Index (CMCI) by using bibliometric methods. Results From 2002 to 2007, a total of 2259 original papers were published in the Chinese Journal of Dermatology. Of them, 1224 were cited with a total citation frequency of 3963, citation rate of 54.1%, average citation frequency per paper of 3.2 and top citation frequency of 204. The number of first authors of cited papers amounted to 893, and 61 (6.63%) authors published 3 or more cited papers during this period. These authors were distributed in 30 provinces, municipalities, autonomous regions and 1 foreign country; Jiangsu, Beijing, Zhejiang, Guangdong, Shanghai and Shandong ranked in the top 6 regions with high total citation frequencies. There were 517 journals citing articles published in the Chinese Journal of Dermatology from 2002 to 2007;the top citing frequencies were observed in the Chinese Journal of Dermatology, China Journal of Leprosy and Skin Diseases, The Chinese Journal of Dermatovenereology, Journal of Clinical Dermatology and Southern China Journal of Dermato-Venereology, etc. Conclusions The articles in the Chinese Journal of Dermatology have a high academic quality and citation frequency. Chinese Journal of Dermatology is an important publication in the dermato- venereology field as well as a core periodical in medical field of China.
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To explore the application of Problem-Based Learning( PBL) method in the clinical teaching of dermatology,we discuss the specificity in teaching and problems in application of dermatology and venereology from the relations between dermatology and venereology and other subjects,between summary and each chapters,and the relationships between each diseases.