立德树人是高校的立身之本,课程思政是实现高校立德树人根本任务的途径.将课程思政融入课程建设,需要将思想政治内容贯穿于课程目标设计、教学活动安排和教学评价等各个重要环节.一致性建构理论是以学生为中心的课程设计方法,课程设计需要遵循预期学习成效、教学活动、评价任务和成绩评定四个步骤.基于一致性建构理论,遵循其四个步骤探讨了高校课程思政的建设路径,以期为高校课程思政建设提供指导.

目的:探究医学生自主学习的现状、特点及影响因素,为提高医学生自主学习能力提供科学依据.方法:对1342名医学生进行问卷调查,对数据进行统计描述、秩和检验、logistic回归等统计分析.结果:统计分析结果显示,5年制医学生相比8年制医学生有更加浓厚的学习兴趣(P=0.008)、更能高效的学习(P=0.008).核心家庭的医学生相对于主干家庭、单亲家庭、重组家庭有更强烈的学习兴趣、和更高效的学习效果(P<0.05).医学生的兴趣和信心、自我调节、自主学习方法是医学生自主学习能力的影响因素(P<0.001).结论:医学生自主学习能力受家庭环境、医学生的兴趣和信心、自我调节、自主学习方法的影响,应从医学生家庭、个人、学校不同主体出发,采取综合措施以提高医学生自主学习能力.

当前,我国医学人才培养存在着院校办学的层次结构失衡、卫生技术人员的学历(职称)结构失衡、人才队伍的学科结构失衡、资源分布的区域结构失衡、人才培养的质量结构失衡等主要问题.提出适应经济社会发展需求调整人才培养规模结构、顺应卫生事业发展方向调整人才培养体系、遵循医学教育规律变革人才培养方式、结合地方经济发展状况调整政策资源投入、基于医学人才需求特点建设质量保障体系等五项策略,推进我国医学教育供给侧结构性改革.

目的:探索广东省某医科大学基于教学学术的教师发展项目的实施效果及影响因素,为我国医学院校开展基于教学学术的教师发展项目提供参考.方法:选取广东省某医科大学美国国际医学教育与研究促进基金会区域中心2016级和2017级项目成员共38人为研究对象,采用问卷调查法和访谈法评价该项目的实施效果.结果:问卷调查显示学习者增长了医学教育和领导力的理论知识(P＜0.001),提高了教学能力、教育研究能力和项目管理能力(P＜0.01),从而促进了其职业发展(P＜0.001).访谈结果表明基于教学学术的教师发展项目通过改变教师的知识、技能和态度来促成其行为的变化.结论:良好的教学学术环境是教师提高教学质量的必要条件之一,同时医学院校加强基于教学学术的教师发展项目的开发有助于促进教与学.

目的 分析来自我国24所医学院校教师的教学学术研究课题,探索我国医学院校教师教学学术研究趋势.方法 对南方医科大学-FAIMER区域中心项目成员的60份教学学术研究课题进行内容分析,运用NVivo 12软件统计研究主题和关键词.结果 我国医学院校教师教学学术研究主要围绕六大类主题展开,即教学方法、课程建设、学习评价、临床教学、教师发展和组织发展.结论 教学方法和课程改革是我国医学院校教师教学学术研究的主流;学习评价方法研究是我国医学院校教师教学学术研究的重点;教师发展是我国医学院校教师教学学术水平提升的必要条件.

目的:梳理并分析国外有代表性的基于领导力的医学院校教师发展项目,并对其有效性进行评估,为我国相关研究与实践提供有效的参考.方法:分析了发表于2000-2019年间相关英文文献,并以柯氏四级培训评估模型为依据,分析了文献所涉及的14个教师领导力提升的教师发展项目.结果:6个项目(42.9％)评估了反应层面的变化;5个项目(35.7％)评估了学习层面的变化,包括态度、知识和技能的变化;所有项目(100％)都显示了行为变化;7个项目(50％)展示出组织变革方面的成果水平.结论:项目评估是保障教师领导力发展项目质量的有效手段.

目的 :探讨翻转课堂教学模式在有机化学课程的应用效果.方法 :选取临床医学五年制大一学生为研究对象,实验组(n=105)采用翻转课堂进行教学;对照组(n=101)采用传统模式进行教学;授课结束后两组学生均参加测试;实验组学生填写满意度调查问卷.结果 :实验组学生的考试成绩高于对照组;实验组学生对翻转课堂教学模式比较满意.

The project-based model is widely used abroad in faculty development which trains faculty members to be Education Scholars. In this article, the authors cited Harvard Macy Institute, Medical Education Scholars Program, Wisconsin Teaching Fellows & Scholars Program, and Foundation for Advancement of International Medical Education and Research as the examples. In the meantime, this paper introduced Southern Medical University which attempted project-based model in China to provide an example of the faculty development for medical university in China.

Objective To evaluate the value of the combined method of several genetic testing for hemophilia, through analyzing the prenatal diagnosis results of pregnant hemophilia gene carriers. Methods Genetic tests were done in 258 carriers of hemophilia gene who had their prenatal diagnosis, using combined LD-PCR, MlPA, and gene sequencing. At the gestation age of 11-13 weeks, DNA tests of fetus were done by chorionic aspiration. At the gestation age of 18-28 weeks, fetus had their test by amniocentesis. Positive rates of genetic test and of each method were calculated. Results Among 258 cases of pregnant hemophilia carriers, Hemophilia A accounted for 225 cases ( 87. 2％) , while hemophilia B for 33 cases ( 12. 8％) . In the prenatal diagnosis, positive hemophilia A was in 84 cases ( 37. 3％) , while hemophilia B in 5 cases ( 38. 6％) . No adverse event was reported in 131 cases of chorionic aspiration and 127 cases of amniocentesis. In 84 cases of hemophilia A, 39 were Intron 22 inversion in F8 gene, 4 were Intron 1 inversion, 3 with large deletion in genes, and 38 with spot mutation. Among 5 patients with hemophilia B, 2 had G-A spot mutation in Exon 4, 2 had lost G base in 5 Exon, and 1 had A-T mutation in 4th base of 5'side of Intron 5. Fetus tested negative were followed up for 1-2 years. No false negative was reported. Conclusion Combination of LD-PCR, MLPA and gene sequence can serve as an effective diagnosis for hemophilia.

目的 探讨围侵入性产前诊断术的孕妇中产前抑郁患病率及其影响因素.方法 选取2016年10月-2017年5月在南方医科大学南方医院高危产科门诊接受侵入性产前诊断术的高危妊娠孕妇280例.在接受侵入性产前诊断术前了解孕妇的基本情况,并使用爱丁堡产后抑郁量表(EPDS量表)评估其术前的抑郁状况.在术后再次进行EPDS量表的评估其术后抑郁状况.并进一步分析该人群围术期的抑郁状况并分析术前影响孕妇抑郁状况的相关因素.结果 本研究共纳入接受侵入性产前诊断术孕妇280例,其中术前患产前抑郁的有64例,占22.9％.而术后患产前抑郁为42例,占15.0％.术前及术后的抑郁状况比较差异有统计学意义(Z=-3.317,P=0.001).职业(x2=6.990,P=0.136)、家庭收入(x2=5.868,P=0.118)与术前是否抑郁相关性较高,但差异无统计学意义(P＞0.05).进一步的Logistic回归分析提示,家庭收入与抑郁状况有相关性(OR=0.704,P=0.027).是否期待胎儿性别、孕妇受教育程度、是否为计划外妊娠、是否为初产妇及产前诊断方式与抑郁状况相关性不大.结论 在接受侵入性产前诊断术的高危妊娠孕妇中发生产前抑郁现象较高.且该人群的术前产前抑郁患病率高于术后、术前抑郁情况较术后抑郁情况严重.而社会经济是影响该人群术前抑郁状况的相关因素.

Objective To optimize the procedures of free prenatal screening nursing service in obstetrics outpatient,and to improve patients' satisfaction.Methods One hundred patients from April to May 2012 in obstetrics outpatient accepting routine prenatal screening were selected as control group and experiment group included another one hundred patients from June to July 2012 receiving one-stop free prenatal screening nursing service,which involved nurses finished all the nursing procedures such as information checking,registering,billing and blood drawing in one room.Results Patients' waiting time during information checking,registering,billing and blood drawing was significantly shortened and patients were obviously more satisfied(P<0.01).Conclusion One-stop service to optimize the procedures of free prenatal screening is proved to be effective for shortening patients 'waiting time and improving patients' satisfaction.