以胜任力为导向的住院医师规范化培训考核体系构建

住院医师规范化培训作为毕业后医学教育的重要组成部分,对于住院医师良好的职业道德、扎实的医学理论知识和临床技能的培养起着不可或缺的作用。如何保障培训质量、提高培训效果是工作中亟待解决的问题。文章结合安徽医科大学第二附属医院住院医师规范化培训工作实践,探索构建住院医师规范化培训考核体系,为提高住院医师规范化培训质量提供有力抓手。     

肝胆外科住院医师规范化培训教学探讨

住院医师培训是医学教育中重要环节之一,是提高临床医疗水平的关键。因此,如何探索科学、合理的住院医师培养方案,已成为临床医学教育探索的重要课题。本文对肝胆外科住院医师规范化培训的实践进行了总结分析,希望对提高肝胆外科住院医师规范化培训效果起到一定的促进作用。     

建立住院医师规范化培训管理体系的探索

住院医师规范化培训是医学生向医生转变的必修科目,也是住院医师向高层次医师迈进的必由之路,对于提高住院医师临 床技能及完善医疗水平极为重要。目前,我国住院医师规范化培训存在很多弊端,相关管理体系缺乏统一、完善的评价标准。因 此,建立一个完善的住院医师规范化培训管理体系是我们应该重视的问题。本文结合医院临床教学实习所积累的经验,并学习借 鉴发达国家及地区对住院医师规范化培训管理制度的优点与长处,探索建立住院医师规范化培训管理体系的新方法,旨在促进 住院医师规范化培训工作的持续发展。     

住院医师规范化培训临床教学查房的实践与体会

在国家住院医师规范化培训持续深入推进的背景下,以医院加强住院医师规范化培训临床教学查房为基础,分析了住院医师规范化培训临床教学查房的内涵及特点,提出了组织临床教学查房的实施方案,并就如何实现住院医师规范化培训临床与教学有机融合提出了意见建议。     

住院医师规范化培训管理现状调查与分析

目的 调查分析医院开展住院医师规范化培训现状。方法 选取2011—2013年进入医院住院医师规范化培训基地的住院医师,采用现场发放调查问卷方法进行无记名调查分析。将调查内容分为报名招录、轮转培训、各类考核、组织管理和其他板块。结果 96.7%认为医院招录过程合理或基本合理,92.6%认为培训计划制定具有一定的合理性,90.1%住院医师能够按照规定完成培训内容,各类考核内容基本能够反映住院医师的培训水平。在众多培训期间存在困难中,依次为收入偏低、个人婚恋生育计划难以实施以及工作和学习压力过大。结论 住院医师基本认同目前医院的培训管理制度和方法,逐步提高住院医师薪酬待遇,有效疏导培训压力和加强师资队伍建设是提高住院医师培训积极性和培训质量的保证。     

我院医学影像科（放射科）住院医师规范化培训模式的构建及经验初探

住院医师培训是国、内外公认的医师成长必由之路。2010年上海市实施新形势下的住院医师规范化培训,医学影像科作为独立的学科进行住院医师规范化培训,如何在新的体制下构建医学影像科住院医师规范化培训模式面临新的挑战。本文针对医学影像科的特点,从我院医学影像科住院基地的概况、生源构成及培训的初步经验进行了探讨。     

我院住院医师规范化培训模式实践创新探索

临床住院医师规范化培训是我国加快年轻医师成长成才的极为重要又不可缺少的阶段,是我国提高医疗卫生服务质量的重要保障。哈尔滨医科大学附属第一医院自1993年实施住院医师规范化培训工作,建立了以住院医师为中心,以培训职业胜任力为核心的全方位内容、多渠道方法、全过程评价的管理模式：推进管理创新,完善体系建设;学习先进理念,创新带教模式;完善质量评估,实施全程质控;加强基地建设,改善住培条件;促进协同交流,提升示范作用。     

儿科临床路径管理引导住院医师规范化培训的探讨

?????? 目的 研究应用儿科临床路径管理的方法对住院医师规范化培训管理的价值。方法 采用对照研究的方法,用SPSS10.0软件计算χ²,确定统计学意义。结果 新方法的应用儿科理论成绩明显提高,住院医师定专业成功率提高,住院医师被患者投诉明显减少。结论 儿科临床路径管理应用于住院医师规范化培训管理,管理流程化,充分调动了培训医师的积极性和创新性,提高了学习效率和效果。     

对编写上海市医学影像科(放射科)住院医师规范化培训教材的思考与探讨

始于2010年的上海市住院医师规范化培训模式是我国新的医师培养模式,经历3年的实践及完善,从制度及培训基地建设与管理、培训模式及教学经验等方面均取得了可喜的成绩。鉴于放射科住院医师在一定程度上的特殊性,本文以我院放射科基地为例,从基地医师的教育及知识背景、后续的继续教育及职业规划等方面对编写上海市医学影像科(放射科)住院医师规范化培训教材的必要性及可行性进行了分析与探讨,然后对编写此教材的定位、知识体系、参编人员构成、教材编写中的注意事项等提出了具体的看法并进行了初步探讨,供各基地教学实施过程中借鉴,共同推动上海市医学影像科(放射科)住院医师规范化工作,提高医学影像学(放射科)规范化培训医师的整体水平。     

中医住院医师规范化培训的实践与思考

中医住院医师规范化培训是中医人才队伍建设与储备的重要环节,本文通过分析总结中医住院医师规范化培训的现状及问题,结合我院在实际过程中的经验与做法,对持续提升中医住院医师规范化培训的质量提出思考。

     

Recent advances in the study of Kaposi's sarcoma-associated herpesvirus replication and pathogenesis

It has now been over twenty years since a novel herpesviral genome was identified in Kaposi's sarcoma biopsies. Since then, the cumulative research effort by molecular biologists, virologists, clinicians, and epidemiologists alike has led to the extensive characterization of this tumor virus, Kaposi's sarcoma-associated herpesvirus(KSHV; also known as human herpesvirus 8(HHV-8)), and its associated diseases. Here we review the current knowledge of KSHV biology and pathogenesis, with a particular emphasis on new and exciting advances in the field of epigenetics. We also discuss the development and practicality of various cell culture and animal model systems to study KSHV replication and pathogenesis.     

A Unique Protease Cleavage Site Predicted in the Spike Protein of the Novel Pneumonia Coronavirus (2019-nCoV) Potentially Related to Viral Transmissibility

正Dear Editor,In December 2019, a novel human coronavirus caused an epidemic of severe pneumonia(Coronavirus Disease 2019,COVID-19) in Wuhan, Hubei, China(Wu et al. 2020; Zhu et al. 2020). So far, this virus has spread to all areas of China and even to other countries. The epidemic has caused 67,102 confirmed infections with 1526 fatal cases     

Curcuminoids as inhibitors of thioredoxin reductase: A receptor based pharmacophore study with distance mapping of the active site

Curcumin is the yellow pigment of turmeric that interacts irreversibly forming an adduct with thioredoxin reductase (TrxR), an enzyme responsible for redox control of cell and defence against oxidative stress. Docking at both the active sites of TrxR was performed to compare the potency of three naturally occurring curcuminoids, namely curcumin, demethoxy curcumin and bis-demethoxy curcumin. Results show that active sites of TrxR occur at the junction of E and F chains. Volume and area of both cavities is predicted. It has been concluded by distance mapping of the most active conformations that Se atom of catalytic residue SeCYS498, is at a distance of 3.56 from C13 of demethoxy curcumin at the E chain active site, whereas C13 carbon atom forms adduct with Se atom of SeCys 498. We report that at least one methoxy group in curcuminoids is necessary for interation with catalytic residues of thioredoxin. Pharmacophore of both active sites of the TrxR receptor for curcumin and demethoxy curcumin molecules has been drawn and proposed for design and synthesis of most probable potent antiproliferative synthetic drugs.     

The structure, reproduction and taxonomy of Vidalia and Osmundaria (Rhodophyta, Rhodomelaceae)

Comprises species occurring mostly in subtidal habitats in tropical, subtropical and warm-temperate areas of the world. An analysis of the type species, V. spiralis (Sonder) Lamouroux ex J. Agardh, a species from Australia, establishes basic characters for distinguishing species in the genus. These characters are (1) branching patterns of thalli, (2) flat blades that may be spiralled on their axis, (3) width of the blade, (4) primary or secondary derivation of sterile and fertile branchlets and (5) position of sterile and fertile branchlets on the thalli. Application of the latter two characters provides an important basic method for separation of species into three major groups. Osmundaria , a genus known only in southern Australia, was studied in relation to Vidalia , and its separation from the Vidalia assemblage is not accepted. Species of Vidalia therefore are transferred to the older genus name, Osmundaria. Two new species, Osmundaria papenfussii and Osmundaria oliveae are described from Natal. Confusion in the usage of the epithet, Vidalia fimbriala Brown ex Turner has been clarified, and Vidalia gregaria Falkenberg, described as an epiphyte on Osmundaria pro/ifera Lamouroux, is revealed to be young branches of the host, Osmundaria prolifera.     

New or rare chromosome counts in Artemisia L. (Asteraceae, Anthemideae) and related genera from Kazakhstan

Fifteen chromosome counts of six Artemisia taxa and one species of each of the genera Brachanthemum, Hippolytia, Kaschgaria, Lepidolopsis and Turaniphytum are reported from Kazakhstan. Three of them are new reports, two are not consistent with previous counts and the remainder are confirmations of very scarce (one to four) earlier records. All the populations studied have the same basic chromosome number, x = 9, with ploidy levels ranging from 2x to 6x. Some correlations between ploidy level, morphological characters and distribution are noted.