医院青年医师培养工作的实践与体会

青年医师是医院竞争发展的生力军,关系到医院的人才队伍建设和未来发展。我院通过加强培训、实施人才工程、提高科研能力和临床水平及加强学术交流等措施对青年医师进行全方位培养,青年医师的科研、临床实力均有大幅提高。体会：青年医师的培养需要引进和使用并举,建立人才库,做好追踪,加强考核与管理。     

Differences in Simulated Doctor and Patient Medical Decision Making: A Construal Level Perspective

Background

Patients are often confronted with diverse medical decisions. Often lacking relevant medical knowledge, patients fail to independently make medical decisions and instead generally rely on the advice of doctors.

Objective

This study investigated the characteristics of and differences in doctor–patient medical decision making on the basis of construal level theory.

Methods

A total of 420 undergraduates majoring in clinical medicine were randomly assigned to six groups. Their decisions to opt for radiotherapy and surgery were investigated, with the choices described in a positive/neutral/negative frame × decision making for self/others.

Results

Compared with participants giving medical advice to patients, participants deciding for themselves were more likely to select radiotherapy (F_{1, 404} = 13.92, p = 011). Participants from positive or neutral frames exhibited a higher tendency to choose surgery than did those from negative frames (F_{2, 404} = 22.53, p<.001). The effect of framing on independent decision making was nonsignificant (F_{2, 404} = 1.07, p = 35); however the effect of framing on the provision of advice to patients was significant (F_{2, 404} = 12.95, p<.001). The effect of construal level was significant in the positive frame (F_{1, 404} = 8.06, p = 005) and marginally significant in the neutral frame (F_{2, 404} = 3.31, p = 07) but nonsignificant in the negative frame (F_{2, 404} = .29, p = 59).

Conclusion

Both social distance and framing depiction significantly affected medical decision making and exhibited a significant interaction. Differences in medical decision making between doctors and patients need further investigation.     

Absence of Strong Heterosis for Life Span and Other Life History Traits in Caenorhabditis Elegans

We have examined crosses between wild-type strains of Caenorhabditis elegans for heterosis effects on life span and other life history traits. Hermaphrodites of all wild strains had similar life expectancies but males of two strains had shorter life spans than hermaphrodites while males of two other strains lived longer than hermaphrodites. F(1) hermaphrodite progeny showed no heterosis while some heterosis for longer life span was detected in F(1) males. F(1) hybrids of crosses between two widely studied wild-type strains, N2 (var. Bristol) and Berg BO (var. Bergerac), were examined for rate of development, hermaphrodite fertility, and behavior; there was no heterosis for these life history traits. Both controlled variation of temperature and uncontrolled environmental variation affected the length of life of all genotypes. Significant G X E effects on life span were observed in comparisons of N2 and Berg BO hermaphrodites, or N2 hermaphrodites and males, or N2 and a Ts mutant strain (DH26). Nevertheless, within an experiment, environmental variation was minimal and life spans were quite replicable.