医学人文教育是突显医学人文价值和实现医学宗旨的根本。本文针对目前医学人文教育的现状，提出应从提高教师队伍人文素养、用人文精神培育学生、培养医学生职业意识三方面着手，加强医学生人文精神的培养，为社会输送符合时代要求的复合型医学人才。
Objectives The Faculty of Medicine of National Yang-Ming University is committed to helping students enhance intellectual, personal, and professional development while fully supporting students during this time of intense training and personal growth. The student portfolio system has sprung from the Faculty’s devotion to innovative medical education initiatives and is one attempt to fulfill our obligations to our past and future, to our society and to the rest of the world. The basic approach toward helping students enhance their cognitive, personal and professional development while coping with internal or external environmental stressors would be to identify and provide supportive elements within medical education. In order to achieve the goal, we explore possible factors, both micro and macro elements of the students’ environment, which may contribute to their stress, mental disturbances and status attainment. Methods We established a multi-dimensional and multi-functional “student portfolio” framework that integrated dynamic, timely, and continuous exploration as well as modification of students’ learning processes, mental status and environmental impact. The first step in this project was to locate and validate students’ “red flag”: factors that contributed to their stress, mental disturbances and status attainment. Self reports by the students were used for the “risk factor” analyses. Results Status achievement by students was associated with their parents’ educational attainment, in particularly the educational attainment of their mothers. This was associated with the student’s stress, mental disturbance, attitude toward life and status achievement. The educational attainment of the parents of our students increased yearly, suggesting that the social economic status and marital matching situation of individuals were associated with social environment and time. Conclusions The associations of cognitive processes, family condition, societal values, mental status and learning behaviors are intertwined dynamically with time and environment. However, longitudinal and multi-dimensional research in this area is very limited. It is important for contemporary medical education to develop a framework for the theory and practice of the development of medical students that leads to their attainment of professional, sociological, and psychological competencies. This study suggests that particular social economic status factors may increase the risk that medical students will experience stress, mental disturbances, and status attainment.
目的:调查在校医学生对医疗相关法律法规及医患关系的认知,为医学生教育提出建议。方法:使用自制调查问卷,对四川大学华西校区不同专业方向及学历层次的在校医学生进行整群随机抽样,将所得数据录入计算机建立数据库,进行统计分析。结果:(1) 在对医疗法规相关知识的知晓率上,研究生高于本科生,临床相关专业高于非临床相关专业;(2) 医学生对医疗法规相关知识及医患关系的认知主要来自于课外,来自于课堂教学的很少,并且大多数医学生支持开设相关法律课程;(3) 过半数的医学生认为医患沟通不足是导致医疗纠纷的首要原因;(4) 大多数医学生认为目前医患之间存在信任危机,且这种状况对他们今后的择业观造成了负面影响。结论:在医学生中开展相关医疗法律课程等人文学科课程是符合当前国内医疗卫生事业发展需要的。
ObjectiveTo analyze the long-term effect on cardiopulmonary resuscitation skill between video-led and scene simulation training and traditional instructor-led courses in medical student with eight-year program.MethodsNinety-nine medical students with eight-year program who studied in Peking Union Medical College were trained in cardiopulmonary resuscitation skill from January to February 2018. They were randomly divided into two groups, 53 students participated in basic life support course training, which belonged to video-led and scene simulation training as the trial group, and 46 students were trained by traditional instructor-led courses as the control group. In January 2019, the above 99 students were re-evaluated for cardiopulmonary resuscitation, and the outcome of cardiopulmonary resuscitation skill test in total scores and sub-items scores between two groups were compared. The data were analyzed using t test and Wilcoxon rank sum test.ResultsThe total average scores of the trial group (8.02±1.11) was higher than that of the control group (6.85±1.50) (P<0.05). The sub-items scores of the trial group in the three aspects of on-site assessment, chest compressions and simple respirators (1.64±0.37, 3.38±0.46, 1.52±0.58) were higher than those of the control group (1.33±0.45, 2.80±0.76, 1.19±0.58) (P<0.05). In terms of opening airway, there was no significant difference in scores between the two groups (1.02±0.47 vs. 1.10±0.45, P>0.05). The excellent rate of the trial group (60.3%) was significantly higher than that of the control group (30.4%) (P<0.05), and the unqualified rate (5.6%) was significantly lower than that of the control group (21.7%) (P<0.05).ConclusionsThe video-led and scene simulation training has a better effect on cardiopulmonary resuscitation skills acquisition and long-term maintenance than traditional instructor-led courses for medical student with eight-year program.
ObjectiveTo explore the status of the career maturity of medical students (eight-year program) and its related factors. MethodsFrom April to June in 2010, College Students Maturity Self-test Questionnaire was used for the investigation of the career maturity of the medical students (eight-year program) at West China Medical School of Sichuan University. ResultsThe subjects were graded into three groups according to the scores of their questionnaires:high, moderate, and low career maturity. The proportion of each group was 15.2%, 13.8%, 71.0%, respectively. Gender difference was not found in the overall career maturity (Z=-0.206, P=0.837), while there was positive correlation between grade and overall career maturity (rs=0.180, P=0.030). ConclusionThe medical students (eight-year program) with relatively low overall career maturity account for a larger proportion than those with high and median career maturity. As grade increases, career maturity changes significantly. This research suggests that long schooling medical students are in urgent need for prompt and valid professional career education.
ObjectiveTo investigate the knowledge related to evidence-based medicine (EBM) in the medical students of Hubei University of Medicine using a cross-sectional survey approach. MethodsWe conducted an investigation on 600 medical students (extracted by stratified random sampling) from different majors and different grades who were at school using a pre-designed questionnaire from May 10th to May 12th, 2013. The data were analyzed with Microsoft Excel 2007. ResultsA total of 545 valid questionnaires were recovered with an effective recovery rate of 90.8%. The results showed that 58.5% of the participants heard of EBM for the first time or once heard of it but knew nothing; 38.2% had learnt some knowledge about EBM. However, only 3.3% were familiar with it; all the participants suggested EBM teaching should be performed. ConclusionThe knowledge related to EBM in the medical students of Hubei University of Medicine is low. However, their study attitude towards EBM is pretty good. The level of EBM teaching needs to be improved.
Objective To investigate the status of communication skills among medical students in order to provide targeted and operational interventions. Methods We designed the questionnaire ‘Questionnaire investigating the status of medical students’ communication skills’ to investigate the status of communication skills of medical students of the West China Clinical College. The sample was extracted by the way of stratified sampling. Results We put out 570 questionnaires and received 548 completed questionnaires. There was a statistical difference between students who came from the city and countryside in terms of communication skills. There was also a statistical difference between students with different backgrounds in communication skills. Conclusion ① Medical students have lots of advantages in interpersonal communication, but there are also lots of defects in their skill set. ② Medical students have been aware of the necessity of learning the basic theories of interpersonal communication to improve the physician-patient relationship in the future. ③ It has become a trend to carry out interpersonal education in medical universities. ④ Medical colleges need to integrate internal and external resources, professional education, moral education, and the construction of campus culture to foster medical students with good interpersonal skills.
Modern medical education faces multiple challenges, and there is a gap between the social needs and the methods of cultivating medical talents. The current undergraduate education in clinical medicine is subject centered, and the traditional model is difficult to cultivate students’ clinical abilities, practical skills, and research thinking effectively. Therefore, West China Hospital/West China School of Medicine of Sichuan University has proposed a new education model of “Four-Early and Three-Entry”, aiming to cultivate students’ professional ethics, clinical abilities, and scientific research innovation abilities through early clinical practice, scientific research participation, and social integration. This article will introduce the practice and preliminary results of the “Four-Early and Three-Entry” model, aiming to provide effective ways to improve the quality of medical undergraduate education and cultivate more comprehensive medical professionals.