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。     

膝关节贴扎技术的临床应用研究进展

膝关节疾病易发多见,贴扎技术作为主要的非侵入性治疗技术也已广泛应用于临床。结合各类膝关节受累疾病总结了近年贴扎相关的临床应用研究进展,为贴扎技术改善膝关节各类主诉尤其是运动功能障碍方面提供一定参考。     

牵引状态下点振为主治疗脊柱病变的临床研究

目的:观察牵引状态下点振为主与常规牵引推拿治疗脊柱病变的疗效差异。方法:治疗组采用牵引时同时点、按、振等手法为主,辅以针刺,对照组采用常规牵引、推拿、针刺治疗,两组进行比较。结果:治疗组治愈率为75%,对照组治愈为52%,有显著差异性(p<0.05)。结论:本治疗不但效果明显优于对照组,而且疗程较对照组短。     

性侵害受害儿童的评估研究进展

文章从司法评估与临床评估两个方面对性侵害受害儿童的评估研究进展情况进行了归纳和总结,在此基础上进一步指出以往研究中存在的一些不足。最后,作者对该领域的研究趋向做出了展望。     

社会和谐与司法公平视域下高等院校法律援助的出路与发展

与律师作为法律援助主体相比,高等院校法律援助人员在制约法官违法裁判、取得当事人信任、积极化解矛盾等方面有着更为明显的作用。加强高等院校法律援助是实现社会和谐和保障司法公平的重要举措。当前制约高等院校法律援助发展壮大的因素既有财力、物力保障不足等外部环境的制约,也有高等院校法律援助机构自身不足的主观因素。加强高等院校法律援助需要国家提供财力、物力等支持,也需要高等院校法律援助机构自身的规范建设。     

科南特教师教育课程思想研究

科南特的教师教育课程思想体现了当前世界教师教育课程改革的潮流。他在提出强化教师教育学术性的同时,注重教育专业学科的发展;主张大学与中小学紧密合作来做好未来教师的教学实习。特别需要指出的是,科南特提出了“教育临床教授”的实习指导方案,它是其教师教育课程思想中一个突出的亮点和特征。他还主张将教育实习作为检定教师是否合格的重要标准之一,认为负责指导教育实习的教师必须是精通教育专业理论和中小学教学实践的专家。“教育临床教授”是他在否定部分教育专业课程之后对教育学教授的安排,也是对传统教师教育模式的突破。     

Longitudinal assessment of progress in reasoning capacity and relation with self-estimation of knowledge base

The aim of the study was to investigate progress in reasoning capacity and knowledge base appraisal in a longitudinal analysis of data from summative evaluation throughout a medical problem-based learning curriculum. The scores in multidisciplinary discussion of a clinical case and multiple choice questionnaires (MCQs) were studied longitudinally for 213 students from years 2 to 5. The capacity of core knowledge delimitation was calculated as the difference between the levels of average ascertainment degrees given for correct and incorrect answers at MCQ. For both multidisciplinary discussion of a clinical case evaluation and self-estimation of core knowledge, the capacity increases throughout the curriculum. The reasoning capacity assessed through multidisciplinary discussion of a clinical case is positively correlated with MCQ scores and the capacity to discriminate the mastered core knowledge. In conclusion, this study indicates that self-estimation of core knowledge is associated with an increase in reasoning performance through a well-organised knowledge base. Since that ability is related to success or failure, it is suggested that student awareness about delimitation of mastered core knowledge is considered as part of learning.     

Development and implementation of a three-dimensional (3D) printing elective course for health science students

Three-dimensional (3D) printing technology has become more affordable, accessible, and relevant in healthcare, however, the knowledge of transforming medical images to physical prints still requires some level of training. Anatomy educators can play a pivotal role in introducing learners to 3D printing due to the spatial context inherent to learning anatomy. To bridge this knowledge gap and decrease the intimidation associated with learning 3D printing technology, an elective was developed through a collaboration between the Department of Anatomy and the Makers Lab at the University of California, San Francisco. A self-directed digital resource was created for the elective to guide learners through the 3D printing workflow, which begins with a patient's computed tomography digital imaging and communication in medicine (DICOM) file to a physical 3D printed model. In addition to practicing the 3D printing workflow during the elective, a series of guest speakers presented on 3D printing applications they utilize in their clinical practice and/or research laboratories. Student evaluations indicated that their intimidation associated with 3D printing decreased, the clinical and research topics were directly applicable to their intended careers, and they enjoyed the autonomy associated with the elective format. The elective and the associated digital resource provided students with the foundational knowledge of 3D printing, including the ability to extract, edit, manipulate, and 3D print from DICOM files, making 3D printing more accessible. The aim of disseminating this work is to help other anatomy educators adopt this curriculum at their institution.