In order to better implement the fundamental task of upholding morality and cultivating people, it is of far-reaching significance to integrate political and virtuous education into the surgical curriculum. In this article, 159 students of ″5+ 3″ clinical medicine major in grade 2019 and 8-year clinical medicine major of Zhejiang University who were rotating in surgery department of the Second Affiliated Hospital of Zhejiang University School of Medicine were selected. This research refines the elements of education as ″five loves and six directions″, fully excavates the materials of moral education to permeate the professional courses of surgery, and forms a "three-whole" (whole staff, whole process and whole course) education teaching mode. Meanwhile, ″three-dimensional integration″ spiral mechanism promotes curriculum feedback. The results showed that, among 159 students, there were 150(94.3%), 151(95.0%), 146(91.8%), 156(98.1%) and 152(95.6%) students who thought that integration of political and virtuous awareness education into surgical courses could promote the concept of humanistic care, the sense of responsibility of doctors, professional identity, patriotism, understanding of medical history and clinical innovation, respectively. Therefore, political and virtuous awareness education in surgery is conducive to the spiritual formation of medical students, and improves course satisfaction and guarantees the teaching quality.

目的:探讨基于胜任力为导向的案例式教学在口腔科学教学中的应用效果.方法:选取本校临床医学本科生按照班级随机分组,对照组采用传统教学法,实验组采用以胜任力为导向的案例式教学方式,比较两组的授课效果并进行评价.结果:实验组的测试成绩显著高于对照组,授课方式也更受学生青睐,差异具有统计学意义(P<0.05).结论:以胜任力为导向的案例式教学应用于临床医学本科生的口腔科学课程有助于提升授课效果和教学质量.

目的:探讨TBL教学法在外科实习中班病例讨论中的应用效果.方法:针对浙江大学临床医学五年制实习生开展TBL教学,并进行数据分析.结果:超九成学生认可教师的表现和TBL的教学效果,所有学生均认为TBL教学效果优于传统中班病例讨论.绝大多数的教师认为TBL教学法更能促进学生进行课前知识预习和提高课堂学习效果.结论:TBL教学法应用于外科实习中班病例讨论值得推荐.

见习学生随机分为一分钟教学法(OMP)联合翻转课堂(FC)教学组(实验组)和传统讲授式(LBT)教学组(对照组),采用书面考核及问卷调查方式评估教学效果.结果提示实验组考试得分优于对照组.问卷结果显示实验组在理解所学内容、理论考试、病史采集、病历书写、临床思维等5方面的评价中优于对照组.

目的:探讨MDT模式下,CBL-TBL联合教学法在直肠癌的本科教学中的应用效果.方法:对实习生分别采用直肠癌MDT模式下CBL-TBL教学(实验组)和传统中班病历讨论模式(对照组),并统计分析问卷调查数据.结论:直肠癌MDT联合CBL-TBL教学方法在临床教学的应用,有利于调动学生主动学习的积极性,而且提高了学生的专注度和实践能力,值得进一步探索.

当前虚拟仿真教学蓬勃发展,但其存在着教学成本高、教师力量相对薄弱、学生管理难度大、地区发展不平衡等问题,且疫情影响了集体学习.我们利用SWOT方法分析了在综合性大学附属某医院外科开展虚拟仿真本科生教学的内部能力和外部因素,并提出了具体的应对策略——传承百年名院"3H"(Heart/Head/Hand)理念,基于数据整合教学资源及学科交叉融合促进课程改革,促进自主研发,形成师生互联的教学和管理网络,驱动教师团队信息化步伐,引入多种学习方法创建线上线下智慧型学习生态,以培养学生自主和团队学习能力,提高教师数字化管理和有效反馈能力,实现围绕虚拟仿真教学方法的课程体系,努力打造"金课",构建"5G"虚拟仿真系统医联体来发展远程教学,为我国进一步普及和深化医学教育信息化改革提供经验借鉴.

教学查房是临床医学专业本科生实习过程中重要的教学形式.目前多采用教师直接授课方法,学生参与程度低,学习积极性欠缺.如何充分调动学生学习积极性,改善教学查房教学效果是实习生临床实践教学中面临的亟待解决的问题.该研究将团队为基础的教学引入教学查房,通过团队讨论协作,提高学生参与度,促进知识获取,达到教学目的.

PDCA循环是美国质量管理专家戴明首先提出,是全面质量管理所应遵循的科学程序.PD-CA循环注重过程管理,对管理过程进行持续的质量控制,做到一环扣一环,不停顿地周而复始地运转.本研究将PDCA循环应用于临床教学管理,将“医学生对临床指导老师带教满意度”设立为监测指标,按照PDCA的循环方式运转.通过不断发现、解决临床带教中存在的问题,不断地持续改进,来提高医学生对临床指导老师的带教满意度,从而达到提高临床教学质量的目的.

临床医学是实践科学,临床见习则是医学生在临床学科理论阶段为巩固所学的理论知识而进行的初步实践,是将理论与实践融合的重要桥梁,也是医学院校临床教学的重要组成部分.因此如何提高医学生临床见习的质量,是教学管理的重要内容之一,我们根据PDCA循环管理程序,将医学生临床见习教学分为四个阶段进行管理,即教学计划、实施、组织和处理.通过循环不断发现新问题、修订计划、实施,不断规范教学管理行为,提高临床带教老师水平,从而达到提高临床教学质量的目的.

It is the prerequisite and foundation to set up the institutional ethics committee of organ transplantation that holds a proper structure for ethics committee to play a key role effectively.In terms of our reality and based on the successful practices and guidelines of international organizations of ethics committee,some suggestions and guidelines on reasonably standardizing the structure of ethics committee for organ transplantation in China are given to guarantee ethics committee to fulfill its target functions.

Equitable,just and public allocation of health resources is an essential rule in organ transplantation.We reviewed the allocation principles of China and the United States of America and then proposed our strategy.First,establishing transplantation organ library is mainly depending on the medical organ transplantation society.Secondly,formulating the sorting and allocation rules of transplantation organ.Finally,upon the institutional review board,-ing surveillance and management institution to ensure equitable,just and public in allocation of health resources.