临床医学期刊在健康科普中的作用

随着泛在网络时代的到来,新媒体已成为人们获取健康知识的首要途径;但当前网络健康知识来源芜杂,各种夸大甚至歪曲医学事实的报道层出不穷,健康科普的“含金量”亟须提高。临床医学期刊是权威医学成果发布和交流的重要平台,拥有由作者、审者和编者等众多优秀医学专业工作者组成的专家团队,具有天然的健康科普优势和媒体属性。《协和医学杂志》通过将医学论文科普化、捕捉新闻热点、培养科普人才、充分利用新媒体平台等途径,证明临床医学期刊有责任更有能力在健康科普中发挥重要作用。     

基于法律思维能力培养的法学教育改革刍论

我国法学教育改革应该以培养学生法律思维能力为核心,树立学生学习的主体地位,构建包含专业基础课、专业课和法律思维知识课在内的合理的法律课程体系,引进诊所法律教育,重构法学实践教学,实行案例教学等启发式、发现式教学方法。     

Acquiring Clinical Knowledge from an Online Video Platform: A Randomized Controlled Experiment on the Relevance of Integrating Anatomical Information and Clinical Practice

Basic subjects in medical education, such as anatomy, are often taught through teaching formats that do not always sufficiently demonstrate the relevance of this basic information for clinical practice. Accordingly, it is a recent trend in anatomy education to link anatomical information more explicitly to clinical practice. This article presents an online video platform (Tuebingen’s Sectio Chirurgica [TSC]) as one means of explicitly integrating preclinical anatomical knowledge and clinical application. The purpose of the study presented here was to examine the effects of videos through which medical students were educated about Anterior Cruciate Ligament reconstruction. A TSC video about this surgical procedure was compared to a video with a traditional lecture providing the identical information. Participants (n = 114) perceived the TSC video to be superior in comprehensibility of the presentation (P = 0.003) and conceivability of the surgical procedure (P = 0.027), and to be more entertaining (P < 0.001). Moreover, participants in the TSC condition acquired more clinical knowledge than in the lecture condition (P = 0.043) but did not differ in their acquisition of anatomical knowledge. Mediation analyses indicated that the effect on the acquisition of clinical knowledge was mediated by comprehensibility, conceivability, and entertainment. These findings are discussed regarding their implications for medical education in terms of contributing to the general trend of linking preclinical anatomical knowledge to clinical application. A discussion about the limitations of the study and suggestions for future research are also provided.     

基于《医疗法规与医患沟通》课程进行“早期接触临床”的教学实践与思考

《医疗法规与医患沟通》课程目标是培养医学生对患者及其家属进行有效沟通的能力和对医疗相关法规理解、掌握并应用的能力,最终获得医疗相应岗位的职业沟通技能和职业法律素养,为将来从事医疗服务工作奠定扎实的基础。＂早期接触临床＂的初衷包括培养医学生与病人的交流沟通能力,这与本课程的开设目的一致。将两者有机结合更有助于培养学生的职业素质,激发学习兴趣,达到教育教学改革的目的 。     

后期教学中的医学人文教育探索

培养具有良好人文素质的合格医学人才已成为医学发展的必然和需要。后期教学中,应着力培养医学生的道德感和责任感,将医学人文教育全方位渗透到临床教学和医疗实践中去。     

慕课教学应用于临床护理教学中的价值评价

目的:评价慕课教学在临床护理教学中的应用价值。方法:选取128名参加培训的护理学员为研究对象,随机分为对照组(传统教学模式)和观察组(慕课教学模式),调查学员的理论考试测评成绩(单选题、多选题、填空题、简答题)及对教学的评价(认知领域、情感领域、精神运动领域)。结果:观察组学员的总成绩升高明显,且对教学的认知领域、情感领域、精神运动领域的同意率上升明显,与对照组相比较,差异显著(P<0.05)。结论:我国未来的教学模式将会是混合式的教育模式,不仅可以体现在线教学的优势,也强化了课堂的面对面互动,对知识的探索将进入一个全新的层面,而临床护理教学也会得到长足的发展。     

加强临床教师培养促进非直属临床医学院的建设

非直属临床医学院,是近几年因高等医学院校扩大招生后应运产生的,本文从管理、教学方式和理念、培养方法等方面,提出了如何加强临床教师的培养,促进非直属临床医学院建设的措施。     

Evaluation of adverse drug reaction formatting in drug information mobile phone applications

Objective:To evaluate the differences in presentation (formatting) of adverse drug reaction (ADR) information within drug monographs in commonly used drug information (DI) mobile device applications.Methods:A cross-sectional analysis of ADR formatting of twenty commonly prescribed oral medications within seven DI mobile applications was performed. Databases were assessed for ADR information, including presence of placebo comparisons, severity of ADR, onset of ADR, formatting of ADRs in percentile (quantitative) format or qualitative format, whether references were used to cite information, and whether ADRs are grouped by organ system. Data was collected by two study investigators and discrepancies were resolved via consensus.Results:The seven DI mobile applications varied significantly on every analyzed ADR variable with the exception of ADR onset, which was absent in all databases. Significant differences were found for variables known to impact clinical judgment such as placebo comparisons and qualitative versus quantitative formatting. Placebo comparisons were most common among monographs in Lexicomp (30%) but were absent among monographs within other applications. Quantitative information was commonly used in most databases but was absent in Epocrates. Qualitative formatting was present in all Epocrates and Micromedex applications but absent in the majority of other applications. Substantial variations were also found in severity and grouping information.Conclusion:Substantial variation in ADR formatting exists among the most common DI mobile applications. These differences may translate into alternative interpretations of medical information and thus impact clinical judgment. Health care librarians and clinicians should consider ADR formatting when choosing between DI applications.