浅析“医师体”现象中的法律问题

"医师体"现象并不鲜见,病患对其苦不堪言的同时,也带来了一些法学理论上的讨论和司法实务中的问题。本文从该现象入手进行分析,剖析了"医疗病历"这一常见文书所具有的的法律特征,着重解释了"医师体"现象所反应出的法律问题,并对我国医疗现状进行了相关思考。     

提高医学院校学生人文素质的探究

近年来,医学院校忽视对在校学生进行人文素质教育,对此,作者从对医学院校学生进行人文素质教育的必要性、医学院校学生人文素质教育现状和对策三方面给出了切实可行的建议。     

颅脑损伤患者术后拔管的住院医师规范化培训教学体会

颅脑损伤患者病死通常由其脑神经损伤引起,脑外器官功能障碍亦常见,其中最常见的并发症是呼吸功能障碍。颅脑损伤(traumatic brain injury,TBI)患者在全身麻醉手术后,多数仍需呼吸支持。颅脑损伤患者术后拔管时机一直是临床研究的热点和难点。该文从急诊颅脑损伤患者麻醉评估、拔管条件、拔管时机等方面入手,对麻醉专业住院医师规范化培训的教学进行系统总结。     

Do teachers know more about specific learning difficulties than general practitioners?

In this article, Dr Amanda Kirby, medical director at the Dyscovery Centre in Cardiff, Rhys Davies, a researcher for the School of Education at the University of Wales, and Amy Bryant, a psychology student at Cardiff University, report on their investigations into teachers' and general practitioners' (GPs') knowledge of six specific learning difficulties. It was hypothesised that the knowledge of both groups would be similar. The recent development of a labelling culture has resulted in confusion over the terms and the actual difficulties encountered by the individual. The authors asked 105 teachers and 105 GPs to define six categories of learning difficulties (dyspraxia; developmental co-ordination disorder (DCD); attention deficit disorder (ADD); deficit in attention, motor control and perception (DAMP); Asperger's syndrome; and dyslexia) on a questionnaire.
The teachers gave significantly more correct definitions than the GPs. However, knowledge from both professional groups was limited, with correct responses only demonstrating a cursory awareness. There are implications for both groups of professionals. Teachers will not be able to recognise or accommodate the child with learning difficulties in class if their knowledge is limited. Similarly GPs will find it difficult to detect and appropriately refer children with learning difficulties. Finally, and most importantly, there are implications for the identification and support of the child, in both the short term and the long term, and associated psychological issues such as lowered self-esteem, depression and anxiety. Amanda Kirby, Rhys Davies and Amy Bryant make suggestions for improving the level of knowledge among professionals through training and discuss, in this engaging and frequently amusing article, some of the issues surrounding the current labelling system.     

社会转型期乡村医生的角色变迁——基于差序格局理论的分析

农村社会的变革与调整影响着每一位农村居民.乡村医生作为农村社会有机的一员,他们身上亦在发生深刻复杂的变化.传统的乡土社会中,他们是农村差序格局中的精英,居于农村社会分层的中高层.当前农村社会转型期,农村居民的异质性凸显,农村社会分层不断调整.这一时期乡村医生的社会地位已不若传统乡土社会中的社会地位,这深刻影响着乡村医生的行为方式;同时,他们肩负着农村的基本医疗卫生事业,和新时期农村医改密切相关.把握他们的角色变迁,对于推进新时期农村医改有着重要的参考价值.     

我国临床医学教育综合改革的探索和创新--“5＋3”模式的构建与实践

上海市5所高校围绕临床医学教育改革进行了系统的理论研究和实践探索,构建了适合国情的“5＋3”临床医学人才培养模式。该模式不仅探索了我国研究生临床技能水平提高的根本途径,实现了临床医学专业学位教育与住院医师规范化培训的实质性结合,促进了住院医师规范化培训制度的建立健全,而且创新了“5＋3”为主体的我国临床医学人才培养体系,明确了医学教育结构优化和学制学位调整的改革方向,同时也引领了我国其他领域专业学位教育模式改革。     

战时中共改造乡间医生的尝试——以太岳根据地为分析个案

太岳根据地政府通过对乡间医生进行的尝试性的改造，适应了战时需要，提升了医卫实力，保证了民众健康、兵员输送、生产支前，支撑着战争走向胜利。