Purpose:To explore the application effect of the cultivation mode of Curriculum Ideology and Political Integration of Medical Humanities to enhance the core values of medicine in the clinical internship stage of medic...Purpose:To explore the application effect of the cultivation mode of Curriculum Ideology and Political Integration of Medical Humanities to enhance the core values of medicine in the clinical internship stage of medical students.Methods:Students in the clinical internship stage of the First Affiliated Hospital of Baotou Medical College were selected,and a total of 156 students in one random class in each grade were taken as the observation group and received the integration cultivation mode;148 students were taken as the control group and employed the traditional mode.The teaching effect of interns in the two groups was analyzed.Results:The teaching performance of students in both groups after clinical internship teaching was improved compared with that before admission;the teaching performance,teaching effect,teaching evaluation,and teaching satisfaction of the observation group were higher than that of the control group.Conclusion:The integration of the medical humanities training model with curriculum ideology and politics in the clinical internship of medical students is conducive to the improvement of teaching performance,teaching evaluation,teaching satisfaction of teachers and students,and the development and improvement of core values of medical students,which is of good value for teaching application.展开更多
Medical education is an important cornerstone for the development of healthcare,and medical humanities education,as an integral part of medical education,plays an irreplaceable role in cultivating people’s health gua...Medical education is an important cornerstone for the development of healthcare,and medical humanities education,as an integral part of medical education,plays an irreplaceable role in cultivating people’s health guardians with high medical ethics.We adopted the method of stratified random sampling to select 309 students and 107 faculty members from three independent medical colleges in Sichuan province as the research subjects and distributed questionnaire surveys investigating in three dimensions:overall cognition of medical humanities,evaluation of medical humanistic qualities,and the current situation of medical humanities education,supplemented by an in-depth literature review and interviews with subject matter experts.We found that“tech-centrism”still has a great influence,the self-evaluation of medical students’humanistic quality is generally not high,the educational concept of“emphasizing professional skills over morality”of faculty and staff is still quite prevalent,and there is still the“last mile”phenomenon in medical humanities education.In order to promote the integrated development of“new medicine”and“new liberal arts”and break the barriers of“tech-centrism”and“instrumental rationality,”it is necessary to change the educational concept and strengthen the education of all employees,break through the bottleneck of internships and strengthen the whole process of education,integrate educational resources and strengthen all-round education,improve the incentive mechanisms,strengthen the assessment methods,and provide Chinese wisdom and Chinese solutions for the development of medical humanities education.展开更多
The coronavirus disease 2019 pandemic represents an enduring transformation in health care and education with the advancement of smart universities,telehealth,adaptive research protocols,personalized medicine,and self...The coronavirus disease 2019 pandemic represents an enduring transformation in health care and education with the advancement of smart universities,telehealth,adaptive research protocols,personalized medicine,and self-controlled or artificial intelligence-controlled learning.These changes,of course,also cover mental health and long-term realignment of coronavirus disease 2019 survivors.Fatigue or anxiety,as the most prominent psychiatric“long coronavirus disease 2019”symptoms,need a theory-based and empirically-sound procedure that would help us grasp the complexity of the condition in research and treatment.Considering the systemic character of the condition,such strategies have to take the whole individual and their sociocultural context into consideration.Still,at the moment,attempts to build an integrative framework for providing meaning and understanding for the patients of how to cope with anxiety when they are confronted with empirically reduced parameters(e.g.,severe acute respiratory syndrome coronavirus type 2)or biomarkers(e.g.,the FK506 binding protein 5)are rare.In this context,multidisciplinary efforts are necessary.We therefore join in a plea for an establishment of‘translational medical humanities’that would allow a more straightforward intervention of humanities(e.g.,the importance of the therapist variable,continuity,the social environment,etc)into the disciplinary,medial,political,and popular cultural debates around health,health-care provision,research(e.g.,computer scientists for simulation studies),and wellbeing.展开更多
In this paper, we conduct research on the literary reading and teaching form under the perspective of medical humanitiespermeation. The complex of human nature is that it not only has natural property, including socia...In this paper, we conduct research on the literary reading and teaching form under the perspective of medical humanitiespermeation. The complex of human nature is that it not only has natural property, including social and general spiritual attribute. Therefore,medical humanities connotation fi rstly embodies in the fear of life, love life and maintains the inherent in the human life and health. Literaryclassics is naturally formed in the process of human civilization and social development, it is carrying the human understanding of nature andsociety in history. This paper integrates the principles of the related issues to propose the new idea of the issue that will be the core meaning ofthe research.展开更多
To conform to the college English teaching reform from English for General Purposes (EGP) to English for Academic Purposes (EAP) in the vital transfer era, the Foreign Language Department of Second Military Medical Un...To conform to the college English teaching reform from English for General Purposes (EGP) to English for Academic Purposes (EAP) in the vital transfer era, the Foreign Language Department of Second Military Medical University (SMMU) launched an English for Medical Academic Purpose (EMAP) curriculum with English Forum on Medical Humanities (EFMH), a project-based teaching practice. Based on Rogers' learner-centered humanistic teaching approach which emphasizes students' involvement and experiences in learning, EFMH puts students and their practice in a central place. After four-year exploration and operation, the Forum has developed from a small-scaled embryo into an internationalized, standardized and professionalized event, having produced fruitful outcomes. It is expected that the success of EFMH will provide inspiring experiences and enlightenments for higher medical education in terms of academic English teaching and teachers' responsibilities to foster high-quality medical students.展开更多
Ionizing radiation （IR） is a potential carcinogen. Evidence for the carcinogenic effect of IR radiation has been shown after long-term animal investigations and observations on survivors of the atom bombs in Hiroshi...Ionizing radiation （IR） is a potential carcinogen. Evidence for the carcinogenic effect of IR radiation has been shown after long-term animal investigations and observations on survivors of the atom bombs in Hiroshima and Nagasaki. However, IR has been widely used in a controlled manner in the medical imaging for diagnosis and monitoring of various diseases and also in cancer therapy. The collective radiation dose from medical imagings has increased six times in the last two decades, and grow continuously day to day. A large number of evidence has revealed the increased cancer risk in the people who had frequently exposed to x-rays, especially in childhood. It has also been shown that secondary malignancy may develop within the five years in cancer survivors who have received radiotherapv, because of IR-mediated damage to healthy cells. In this article, we review the current knowledge about the role of medical x-ray exposure in cancer development in humans, and recently recognized epigenetic mechanisms in IR-induced carcinogenesis.展开更多
Exactly how can we become a successful doctor in the future? It has been widely accepted that chasing perfection in our field of expertise alone is not enough. Here in China, doctors have the liability to do more. Chi...Exactly how can we become a successful doctor in the future? It has been widely accepted that chasing perfection in our field of expertise alone is not enough. Here in China, doctors have the liability to do more. Chinese doctors are relatively more prone to confronting difficult situations in a more complex manner. Therefore, the humanity factor in medical practice is discussed, and some essential communication skills are suggested for medical practitioners, with heartfelt anticipation for a better medical environment as well as a more pleasant Doctor-Patient relationship.展开更多
On April 1st 2013, HUNG Yang, a medical master student in Fudan University, was poisoned by his roommate, LIN Senhao Unfortunately, HUANG died 15 days later. It＇s quite a shock to the whole society. We have to recons...On April 1st 2013, HUNG Yang, a medical master student in Fudan University, was poisoned by his roommate, LIN Senhao Unfortunately, HUANG died 15 days later. It＇s quite a shock to the whole society. We have to reconsider our education, and our expectancy to doctors. We have to ask ourselves ＂How to become a qualified doctor？＂Leam to release the pressure from studies and lives; learn to defend ourselves from danger. Is it enough？ No~ Whatever happened, never do harm to others. Medical humanity is the most important thing we should always remember展开更多
This paper sketches the history and the author’s involvement in the development of narrative medicine in China.It also describes“narrative medicine with Chinese characteristics,”explaining why narrative medicine is...This paper sketches the history and the author’s involvement in the development of narrative medicine in China.It also describes“narrative medicine with Chinese characteristics,”explaining why narrative medicine is regarded as a tool to materialize the medical humanities in clinical practice,and detailing the features of narrative medicine in China.The features include the wide acceptance of the“22334 model”of narrative medicine,and borrowing theories and practice from Traditional Chinese Medicine.Finally,the author argues that the medical humanities should be given a“Class-A discipline”status,and narrative medicine should be a class-B discipline under the medical humanities.展开更多
This study aims to explore the causes of medical staff turnover in county public hospitals from the perspective of developmental psychology and put forward effective countermeasures.Through qualitative research method...This study aims to explore the causes of medical staff turnover in county public hospitals from the perspective of developmental psychology and put forward effective countermeasures.Through qualitative research method,a semi-structured in-depth interview was conducted with 23 medical staff in Liannan County Hospital to analyze the current situation and influencing factors of their loss.The study found that difficult working environment,lack of career development opportunities,poor sociocultural adaptation and inconsistency between personal values and organizational goals were the main reasons leading to the turnover of medical staff.In response to these problems,the research puts forward countermeasures and suggestions to improve the working environment,provide career development platform,strengthen social and cultural support,and promote the integration of individual values with organizational goals.The results of this study provide a new perspective for understanding and solving the problem of medical staff turnover in county public hospitals,and provide a reference for relevant policy formulation and hospital management practice.展开更多
The voice of calling for humanistic concern is always from uncountable doctor-patient conflicts, from which we often hear a doctor is killed or injured for disputes. Prejudice has been rooted in mind that all doctors ...The voice of calling for humanistic concern is always from uncountable doctor-patient conflicts, from which we often hear a doctor is killed or injured for disputes. Prejudice has been rooted in mind that all doctors and nurses are interest-centered and cold-blooded. To some extent, it's true that patterned questions with a poker face are always more than gentle words with warm smile. Nurses are the ones who keep patients company for the longest time. Therefore, caring matters more for them. The explicit concept of "caring" will be introduced and we will attach great importance to how nurses can achieve caring. From the following aspects:the practices of loving kindness, the instillation of faith and hope, sensitivity to indicators of disease, improvem ent of healing environment, communication arts etc, you will understand why nurse is the symbol of angel. We can begin with caring about people around us. Our duty is not only to deal the ill but to warm the chill.展开更多
If a patient is dying and still suffering great pain, what is the least harmful alternative? Here we prefer continuous sedation until death (CSD). CSD differs from physician-assisted death (PAD) in many aspects. First...If a patient is dying and still suffering great pain, what is the least harmful alternative? Here we prefer continuous sedation until death (CSD). CSD differs from physician-assisted death (PAD) in many aspects. Firstly, CSD is not used to shorten life or cause death, but instead its intention is to relieve suffering. Secondly, once CSD is associated with a reduction in or suspension of food intake, the duration of sedation is too short to have an impact on survival rate. Thirdly, CSD is titrated while PAD is often overdosed. Fourthly, the sanctity of life could be maintained since sedation is used merely as a means of quelling suffering. Last but no least, for unconscious patients, the same medicines are frequently used for both palliative sedation and standard surgical procedures.展开更多
Document Of World Medical AssociationWorld medical association declaration of Helsinki Ethical principles for medical research involving human subjects
In the history of medicine, relatively little attention has been paid to the way medical illustration circulated globally---or to the issues raised by the cultural ＂translation＂ of such images. My goal here is to fl...In the history of medicine, relatively little attention has been paid to the way medical illustration circulated globally---or to the issues raised by the cultural ＂translation＂ of such images. My goal here is to flesh out some of the history of this circulation and translation by exploring the aesthetic and medical connections be- tween two specific anatomical collections, both housed at the Gordon Pathology Museum at Guy＇s Hospital, London. The Joseph Towne collection of anatomical waxes and the Lam Qua paintings of the patients of medical missionary Peter Parker were both produced in the nineteenth century. Significantly, the two collections were part of related but culturally specific shifts in the way bodies （and diseased bodies） were viewed, represented, understood and treated. I explore some of the convergences and divergences between Western and Chinese medical and artistic priorities and will address some of the issues raised by them. These two collections are important, I argue, because they demonstrate how aesthetic considerations shape medical knowledge and wider attitudes about the human body.展开更多
Ours isa world of pandemics Intersecting with and frequently exacerbated by responses to the coronavirus pandemic have been numerous pandemics with much longer histories,including pandemics of other communicable disea...Ours isa world of pandemics Intersecting with and frequently exacerbated by responses to the coronavirus pandemic have been numerous pandemics with much longer histories,including pandemics of other communicable diseases,as well as pandemics of non-communicable diseases,mental illness,addiction,systemicracism,socialinjustice,gender-based violence,and misinformation,all of which have been deeply intertwined with environmental degradation and climate disruption.In our era of multiple intensifying pandemics,not to mention often anemic humanities enrollments,it is crucial that comparative literature go more global:engaging more deeply with abroader array of texts,pathways,and processes than ever before with a focus on providing insights into global challenges and crises aswell as possibilities for ameliorationon avast scale.Thisessay focusesontwo examples the connections between disease and stigmaiand the connections between environmental crises and gender-based violence.展开更多
基金Ideological and Political Project of Scientific Research Fund of Baotou Medical College(BYJJ-SZZX 202303)。
文摘Purpose:To explore the application effect of the cultivation mode of Curriculum Ideology and Political Integration of Medical Humanities to enhance the core values of medicine in the clinical internship stage of medical students.Methods:Students in the clinical internship stage of the First Affiliated Hospital of Baotou Medical College were selected,and a total of 156 students in one random class in each grade were taken as the observation group and received the integration cultivation mode;148 students were taken as the control group and employed the traditional mode.The teaching effect of interns in the two groups was analyzed.Results:The teaching performance of students in both groups after clinical internship teaching was improved compared with that before admission;the teaching performance,teaching effect,teaching evaluation,and teaching satisfaction of the observation group were higher than that of the control group.Conclusion:The integration of the medical humanities training model with curriculum ideology and politics in the clinical internship of medical students is conducive to the improvement of teaching performance,teaching evaluation,teaching satisfaction of teachers and students,and the development and improvement of core values of medical students,which is of good value for teaching application.
基金funded by the Ministry of Education Demonstration Excellent Teaching and Research Team Construction Project:Research on the Effectiveness Improvement of Ideological and Political Theory Courses in Medical Universities(19JDSZK008)the Education Work Committee of Sichuan Provincial Committee of the Communist Party of China“All-staff,Whole-process,and All-round Education”Comprehensive Reform Pilot Colleges(Majors)Project:“Research and Practice on the Collaborative Education Mechanism of the Integration of Medical Humanistic Spirit and Ideological and Political Courses.”。
文摘Medical education is an important cornerstone for the development of healthcare,and medical humanities education,as an integral part of medical education,plays an irreplaceable role in cultivating people’s health guardians with high medical ethics.We adopted the method of stratified random sampling to select 309 students and 107 faculty members from three independent medical colleges in Sichuan province as the research subjects and distributed questionnaire surveys investigating in three dimensions:overall cognition of medical humanities,evaluation of medical humanistic qualities,and the current situation of medical humanities education,supplemented by an in-depth literature review and interviews with subject matter experts.We found that“tech-centrism”still has a great influence,the self-evaluation of medical students’humanistic quality is generally not high,the educational concept of“emphasizing professional skills over morality”of faculty and staff is still quite prevalent,and there is still the“last mile”phenomenon in medical humanities education.In order to promote the integrated development of“new medicine”and“new liberal arts”and break the barriers of“tech-centrism”and“instrumental rationality,”it is necessary to change the educational concept and strengthen the education of all employees,break through the bottleneck of internships and strengthen the whole process of education,integrate educational resources and strengthen all-round education,improve the incentive mechanisms,strengthen the assessment methods,and provide Chinese wisdom and Chinese solutions for the development of medical humanities education.
文摘The coronavirus disease 2019 pandemic represents an enduring transformation in health care and education with the advancement of smart universities,telehealth,adaptive research protocols,personalized medicine,and self-controlled or artificial intelligence-controlled learning.These changes,of course,also cover mental health and long-term realignment of coronavirus disease 2019 survivors.Fatigue or anxiety,as the most prominent psychiatric“long coronavirus disease 2019”symptoms,need a theory-based and empirically-sound procedure that would help us grasp the complexity of the condition in research and treatment.Considering the systemic character of the condition,such strategies have to take the whole individual and their sociocultural context into consideration.Still,at the moment,attempts to build an integrative framework for providing meaning and understanding for the patients of how to cope with anxiety when they are confronted with empirically reduced parameters(e.g.,severe acute respiratory syndrome coronavirus type 2)or biomarkers(e.g.,the FK506 binding protein 5)are rare.In this context,multidisciplinary efforts are necessary.We therefore join in a plea for an establishment of‘translational medical humanities’that would allow a more straightforward intervention of humanities(e.g.,the importance of the therapist variable,continuity,the social environment,etc)into the disciplinary,medial,political,and popular cultural debates around health,health-care provision,research(e.g.,computer scientists for simulation studies),and wellbeing.
文摘In this paper, we conduct research on the literary reading and teaching form under the perspective of medical humanitiespermeation. The complex of human nature is that it not only has natural property, including social and general spiritual attribute. Therefore,medical humanities connotation fi rstly embodies in the fear of life, love life and maintains the inherent in the human life and health. Literaryclassics is naturally formed in the process of human civilization and social development, it is carrying the human understanding of nature andsociety in history. This paper integrates the principles of the related issues to propose the new idea of the issue that will be the core meaning ofthe research.
文摘To conform to the college English teaching reform from English for General Purposes (EGP) to English for Academic Purposes (EAP) in the vital transfer era, the Foreign Language Department of Second Military Medical University (SMMU) launched an English for Medical Academic Purpose (EMAP) curriculum with English Forum on Medical Humanities (EFMH), a project-based teaching practice. Based on Rogers' learner-centered humanistic teaching approach which emphasizes students' involvement and experiences in learning, EFMH puts students and their practice in a central place. After four-year exploration and operation, the Forum has developed from a small-scaled embryo into an internationalized, standardized and professionalized event, having produced fruitful outcomes. It is expected that the success of EFMH will provide inspiring experiences and enlightenments for higher medical education in terms of academic English teaching and teachers' responsibilities to foster high-quality medical students.
文摘Ionizing radiation （IR） is a potential carcinogen. Evidence for the carcinogenic effect of IR radiation has been shown after long-term animal investigations and observations on survivors of the atom bombs in Hiroshima and Nagasaki. However, IR has been widely used in a controlled manner in the medical imaging for diagnosis and monitoring of various diseases and also in cancer therapy. The collective radiation dose from medical imagings has increased six times in the last two decades, and grow continuously day to day. A large number of evidence has revealed the increased cancer risk in the people who had frequently exposed to x-rays, especially in childhood. It has also been shown that secondary malignancy may develop within the five years in cancer survivors who have received radiotherapv, because of IR-mediated damage to healthy cells. In this article, we review the current knowledge about the role of medical x-ray exposure in cancer development in humans, and recently recognized epigenetic mechanisms in IR-induced carcinogenesis.
文摘Exactly how can we become a successful doctor in the future? It has been widely accepted that chasing perfection in our field of expertise alone is not enough. Here in China, doctors have the liability to do more. Chinese doctors are relatively more prone to confronting difficult situations in a more complex manner. Therefore, the humanity factor in medical practice is discussed, and some essential communication skills are suggested for medical practitioners, with heartfelt anticipation for a better medical environment as well as a more pleasant Doctor-Patient relationship.
文摘On April 1st 2013, HUNG Yang, a medical master student in Fudan University, was poisoned by his roommate, LIN Senhao Unfortunately, HUANG died 15 days later. It＇s quite a shock to the whole society. We have to reconsider our education, and our expectancy to doctors. We have to ask ourselves ＂How to become a qualified doctor？＂Leam to release the pressure from studies and lives; learn to defend ourselves from danger. Is it enough？ No~ Whatever happened, never do harm to others. Medical humanity is the most important thing we should always remember
基金This paper is funded by the National Social Science Fund of China project“Building of and the Database Construction of Health for All”(21ZDA130).
文摘This paper sketches the history and the author’s involvement in the development of narrative medicine in China.It also describes“narrative medicine with Chinese characteristics,”explaining why narrative medicine is regarded as a tool to materialize the medical humanities in clinical practice,and detailing the features of narrative medicine in China.The features include the wide acceptance of the“22334 model”of narrative medicine,and borrowing theories and practice from Traditional Chinese Medicine.Finally,the author argues that the medical humanities should be given a“Class-A discipline”status,and narrative medicine should be a class-B discipline under the medical humanities.
文摘This study aims to explore the causes of medical staff turnover in county public hospitals from the perspective of developmental psychology and put forward effective countermeasures.Through qualitative research method,a semi-structured in-depth interview was conducted with 23 medical staff in Liannan County Hospital to analyze the current situation and influencing factors of their loss.The study found that difficult working environment,lack of career development opportunities,poor sociocultural adaptation and inconsistency between personal values and organizational goals were the main reasons leading to the turnover of medical staff.In response to these problems,the research puts forward countermeasures and suggestions to improve the working environment,provide career development platform,strengthen social and cultural support,and promote the integration of individual values with organizational goals.The results of this study provide a new perspective for understanding and solving the problem of medical staff turnover in county public hospitals,and provide a reference for relevant policy formulation and hospital management practice.
文摘The voice of calling for humanistic concern is always from uncountable doctor-patient conflicts, from which we often hear a doctor is killed or injured for disputes. Prejudice has been rooted in mind that all doctors and nurses are interest-centered and cold-blooded. To some extent, it's true that patterned questions with a poker face are always more than gentle words with warm smile. Nurses are the ones who keep patients company for the longest time. Therefore, caring matters more for them. The explicit concept of "caring" will be introduced and we will attach great importance to how nurses can achieve caring. From the following aspects:the practices of loving kindness, the instillation of faith and hope, sensitivity to indicators of disease, improvem ent of healing environment, communication arts etc, you will understand why nurse is the symbol of angel. We can begin with caring about people around us. Our duty is not only to deal the ill but to warm the chill.
文摘If a patient is dying and still suffering great pain, what is the least harmful alternative? Here we prefer continuous sedation until death (CSD). CSD differs from physician-assisted death (PAD) in many aspects. Firstly, CSD is not used to shorten life or cause death, but instead its intention is to relieve suffering. Secondly, once CSD is associated with a reduction in or suspension of food intake, the duration of sedation is too short to have an impact on survival rate. Thirdly, CSD is titrated while PAD is often overdosed. Fourthly, the sanctity of life could be maintained since sedation is used merely as a means of quelling suffering. Last but no least, for unconscious patients, the same medicines are frequently used for both palliative sedation and standard surgical procedures.
文摘Document Of World Medical AssociationWorld medical association declaration of Helsinki Ethical principles for medical research involving human subjects
文摘In the history of medicine, relatively little attention has been paid to the way medical illustration circulated globally---or to the issues raised by the cultural ＂translation＂ of such images. My goal here is to flesh out some of the history of this circulation and translation by exploring the aesthetic and medical connections be- tween two specific anatomical collections, both housed at the Gordon Pathology Museum at Guy＇s Hospital, London. The Joseph Towne collection of anatomical waxes and the Lam Qua paintings of the patients of medical missionary Peter Parker were both produced in the nineteenth century. Significantly, the two collections were part of related but culturally specific shifts in the way bodies （and diseased bodies） were viewed, represented, understood and treated. I explore some of the convergences and divergences between Western and Chinese medical and artistic priorities and will address some of the issues raised by them. These two collections are important, I argue, because they demonstrate how aesthetic considerations shape medical knowledge and wider attitudes about the human body.
文摘Ours isa world of pandemics Intersecting with and frequently exacerbated by responses to the coronavirus pandemic have been numerous pandemics with much longer histories,including pandemics of other communicable diseases,as well as pandemics of non-communicable diseases,mental illness,addiction,systemicracism,socialinjustice,gender-based violence,and misinformation,all of which have been deeply intertwined with environmental degradation and climate disruption.In our era of multiple intensifying pandemics,not to mention often anemic humanities enrollments,it is crucial that comparative literature go more global:engaging more deeply with abroader array of texts,pathways,and processes than ever before with a focus on providing insights into global challenges and crises aswell as possibilities for ameliorationon avast scale.Thisessay focusesontwo examples the connections between disease and stigmaiand the connections between environmental crises and gender-based violence.
