‘The girls are out there’: professional perspectives on potential changes in the diagnostic process for,and recognition of,autistic females in the UK

There is widely growing recognition of autism in girls, and both researchers and community members have called for improvements in the diagnostic process. What is not yet known is whether these recommendations are being taken up by professionals. In this study, nine semi-structured interviews were conducted with a variety of professionals involved in the autism diagnostic process. The collected data were analyzed using thematic analysis. Three main themes were identified: gendered differences; lack of services; and informal change. Our study found that diagnostic professionals are aware of gender differences in presentation, and they make a range of informal adaptations to their processes for girls. While this is positive for those girls who interact with knowledgeable professionals, our data highlight the need for more systematic changes to ensure equality of access to diagnosis and post-diagnostic support.     

临床医学线上教学实践与思考

随着科技的发展,线上教学呈现出新的特点。首先,总结凝练了线上教学的内涵、特点和发展脉络。然后,基于临床医学线上教学实践活动,总结做法,升华经验,以期提供可能的借鉴:一是因材施教,以机器学习视角考察教学对象,构建用户画像,在群体和个体两个维度深化对所教之材的理解;二是在画像的基础上,围绕精准教学、创新工具、内容串接、形式导向与概括点睛等具体教学实践过程展开,形成方法、总结经验。最后,结合技术发展观察形成思考感悟,提出临床医学线上教学成长路径。     

Curriculum of gross anatomy education in Korean dental hygiene programs: Perceptions of clinical dental hygienists

It is essential for dental hygienists to have basic knowledge of gross anatomy to provide efficient treatment. However, gross anatomy course is relatively neglected due to their disparity from actual clinical dental practice. This study aimed to propose an effective dental hygiene gross anatomy curriculum that reflects the opinions of professional clinical dental hygienists. The study had an online-based cross-sectional design and the survey was distributed to clinical dental hygienists via social networks (n = 200). The questionnaire consisted of questions on the utilization of anatomical knowledge in clinical practice, opinions on the contents and methods of gross anatomy education, and general characteristics. The present study found that 186 (93%) used anatomical knowledge at an above-average level. Qualitative analysis indicated that dental implant surgery, radiography, and extraction were the clinical procedures that required the most anatomical knowledge. The clinical dental hygienists answered that the most-necessary knowledge is that of the mandibular nerve, followed by that on the temporomandibular joint, mandible, maxilla, maxillary nerve, and masticatory muscle. The methods proposed to improve gross anatomy education were (in decreasing order of importance) using videos or photographs (X-rays, CT, MRI, etc.), integrating education with clinical subjects, and using a three-dimensional visualization program. Higher education levels of respondents have increased their tendency to believe that the contents and methods of the presented education were necessary. Dental hygienists who utilized anatomical knowledge more often tended to be had a greater appreciation of the necessity of all educational contents and methods.     

医学人工智能发展态势分析及问题浅析

为探究医学人工智能发展态势以及我国医学人工智能存在的问题，从医学人工智能领域论文、临床试验、医疗器械产品3个维度进行态势分析，量化分析结果显示我国和全球医学人工智能发表论文数量均呈迅速增长趋势，发文数量及高被引论文方面我国处于国际前列；人工智能临床试验开展数量和面向疾病种类较多，但临床试验注册质量有待提高；我国人工智能医疗器械获批数量逐年增加，医疗人工智能产品认证稳步推进。医学人工智能发展的同时在理论层面、技术层面、伦理法律层面以及应用层面依旧面临着诸多问题和挑战。     

Supervision experiences of trans/gender expansive counselors-in-training: An interpretative phenomenological analysis

Clinical supervisors should be culturally competent working with transgender or gender expansive (TGE) counselors-in-training; however, minimal research exists regarding TGE counselors’ experiences in supervision. This interpretative phenomenological analysis study explored the supervision experiences of five TGE counselors-in-training. Findings revealed four super-ordinate themes and two sub-themes, and implications are discussed.     

OSCE的持续改进:复旦大学上海医学院的经验

复旦大学上海医学院持续不断地对OSCE项目进行研究改进,包括OSCE项目的组织与运行、SP队伍的发展与管理、病例的新增与优化、考站的安排与设置、反馈方式与对象等,取得了良好的理论和实践效果。