[Objective] To learn the existing circumstances how the medicos in Sichuan understand the standardized training system of residents and specialists and the factors affecting them,so that we can provide the health administrations and hospitals suggestions on how to promote the training system.[Methods] We organized a sampling inquiry of 1 800 medicoes in Sichuan to collect data and use statistical software SPSS16 to analyze the data.[Results] The study showed that a lot of students didn' t known the standardized training system of residents and specialists and there was differences between the students in different schools and grades and the students whose parents had different jobs.Most of the students chose postgraduate medical education or work directly after graduating while a few students chose to be a resident receiving the training and the factors affecting it included which schools students were in,the grades students had,gender,parents' jobs and how student known about the reformation.[Conclusion] It is essential to improve the medicos' and the social understanding to the standardized training of residents and specialists and make more students attend the training by the propaganda and education,which is helpful to promote the development of postgraduate medical education.

目的:通过对医学本科生关于择业意向的调查,了解医学本科生择业意向的整体情况及其影响因素,为医学院校开展就业指导和解决医学生就业问题提供科学的决策依据.方法:以四川大学华西临床医学院临床医学(五年制)学生为调查对象;利用统一自制的问卷进行调查;用Epidata3.0输录数据,采用SPSS16.0分析.结果:共下发问卷400份,回收有效问卷359份(有效回收率89.8%),调查结果显示:医学本科生在工作地点、工作单位及月薪期望方面定位均较高;生源地是影响医学生就业地区选择的重要因素;生源地、助学贷款和担任职务是学生月薪期望的重要影响因素.结论:加强对医学本科生择业观的教育,端正医学生的择业观念,重视医学生职业生涯规划的指导,扩大医学生的就业范围及其可能性,对解决医学本科生就业问题有重要作用;同时,加大对西部医学教育的支持,通过政策鼓励,引导医学本科生到西部和农村服务,不但可以解决医学生就业问题,而且对提高我国医疗服务公平性具有重要意义.

Michelsen HB, Krogh K, Buntzen S等人为了研究夜间关闭刺激器是否会对骶神经刺激的临床结果有影响,纳入了经骶神经刺激成功治愈大便失禁的患者20例,并随机分为A、B 2组.A组在前3周一直使用刺激器,后3周在夜间关闭刺激器;B组安排顺序相反.在此期间记录患者每天的大便情况,并按Wexner和St.Mark标准为大便失禁评分.