With the rapid development of the technology of information network and the era of big data,information technology is now widely used in the field of education.Comprehensive popularity of mobile phones,computers,table...With the rapid development of the technology of information network and the era of big data,information technology is now widely used in the field of education.Comprehensive popularity of mobile phones,computers,tablet computers and portable communication devices and WIFI also facilitate the widespread use of online learning,learning in free time,free learning and other modes.The emergence of microlecture follows the learning mode and trend of modern society,special for young medical students who are highly passionate in accepting new things and have a strong ability in using information technology.In this paper,the necessity and feasibility of self-directed teaching methods related to microlecture and flipped classroom in the teaching in a non-directly affiliated hospital.Using the advantages of the"microlecture and flipped classroom"teaching model,it is possible to improve the learning effect of medical students,construct high-quality online courses,and make quality teaching resources widely shared.展开更多
Purpose:A key question when ranking universities is whether or not to allocate the publication output of affiliated hospitals to universities.This paper presents a method for classifying the varying degrees of interde...Purpose:A key question when ranking universities is whether or not to allocate the publication output of affiliated hospitals to universities.This paper presents a method for classifying the varying degrees of interdependency between academic hospitals and universities in the context of the Leiden Ranking.Design/methodology/approach:Hospital nomenclatures vary worldwide to denote some form of collaboration with a university,however they do not correspond to universally standard definitions.Thus,rather than seeking a normative definition of academic hospitals,we propose a three-step workflow that aligns the university-hospital relationship with one of three general models:full integration of the hospital and the medical faculty into a single organization;health science centres in which hospitals and medical faculty remain separate entities albeit within the same governance structure;and structures in which universities and hospitals are separate entities which collaborate with one another.This classification system provides a standard through which publications which mention affiliations with academic hospitals can be better allocated.Findings:In the paper we illustrate how the three-step workflow effectively translates the three above-mentioned models into two types of instrumental relationships for the assignation of publications:"associate"and"component".When a hospital and a medical faculty are fully integrated or when a hospital is part of a health science centre,the relationship is classified as component.When a hospital follows the model of collaboration and support,the relationship is classified as associate.The compilation of data following these standards allows for a more uniform comparison between worldwide educational and re search systems.Research limitations:The workflow is resource intensive,depends heavily on the information provided by universities and hospitals,and is more challenging for languages that use nonLatin characters.Further,the application of the workflow demands a careful evaluation of different types of input which can result in ambiguity and makes it difficult to automatize.Practical implications:Determining the type of affiliation an academic hospital has with a university can have a substantial impact on the publication counts for universities.This workflow can also aid in analysing collaborations among the two types of organizations.Originality/value:The three-step workflow is a unique way to establish the type of relationship an academic hospital has with a university accounting for national and regional differences on nomenclature.展开更多
目的本文以大学附属教学医院的卒中急救绿色通道培训医师为主要研究对象,旨在提高新进医疗岗位医师的学习效率,改善临床工作的多种质控指标。方法设计多元化教学方法,包括临床案例式协作教学法、基于问题教学法、翻转课堂、一带一学习...目的本文以大学附属教学医院的卒中急救绿色通道培训医师为主要研究对象,旨在提高新进医疗岗位医师的学习效率,改善临床工作的多种质控指标。方法设计多元化教学方法,包括临床案例式协作教学法、基于问题教学法、翻转课堂、一带一学习、情景模拟及临床疗效反馈等,以一家教学医院区域性高级卒中中心的绿色通道患者和医师为调查对象,收集多环节时间点的质控指标以及教学互评反馈来评价教学效果。结果纳入2021年6月—2023年7月急诊卒中绿色通道诊疗环节中符合条件的患者194例,其中接受单纯静脉溶栓治疗者171例(88.14%),桥接治疗或者直接机械取栓者23例(11.86%),纳入观察学员为低年资住院医师10名,高年资住院医师5名。培训前收治患者88例(45.36%),培训后收治患者106例(54.64%),人口学基线特征差异无统计学意义。中位入院至静脉溶栓时间(door-to-needle time,DNT)缩短了4 min(44 min vs.48 min,P=0.150),DNT≤60 min比例分别为73.86%、65.09%(P=0.188)。培训后,中位知情同意谈话时间缩短了3.5 min(6.5 mi n vs.10 min,P=0.001);溶栓相关出血事件减少(培训前:牙龈出血1例,硬膜下血肿1例,消化道出血1例;培训后:无相关事件);大血管闭塞患者血管内治疗比例提升(16.98%vs.5.68%,P=0.015)。高年资与低年资住院医师对多元化教学模式绿色通道教学方法的认可度、对绿色通道学习方式的兴趣程度、病例质控环节提升满意度、影像库对解决问题适配度、文献指南库对解决问题适配度和自我学习能力提升6个方面的满意度相当,差异均无统计学意义。结论多元化培训方案可以提高绿色通道医师的卒中急救应对能力、谈话沟通技能及诊疗水平,改善工作质量和教学满意度,而且对低年资和高年资住院医师的临床学习均有帮助。展开更多
目的通过对中南大学湘雅医院近10年发表的科学引文索引(SCI)论文研究领域、合作机构进行统计分析,探索本院医学与多学科交叉研究现状,为医院跨学科交叉研究的深入开展提供参考。方法本研究采用文献计量分析法,基于Web of Science(WOS)...目的通过对中南大学湘雅医院近10年发表的科学引文索引(SCI)论文研究领域、合作机构进行统计分析,探索本院医学与多学科交叉研究现状,为医院跨学科交叉研究的深入开展提供参考。方法本研究采用文献计量分析法,基于Web of Science(WOS)数据库及医院科研管理系统,获取2013—2022年以中南大学湘雅医院为第一或通信单位署名的SCI论文;同时以WOS入藏号为检索条件,获取论文的发表年度、作者地址、学科规范化引文影响力等数据。利用Incites数据平台分析Citation Topics学科引文主题。结果2013—2022年,本院发表的以第一或通信单位署名的SCI论文9523篇,涵盖十大Citation Topics学科引文主题中的200个中观主题、889个微观主题。医学与生命科学领域论文占总发文量的89.6%(8536/9523),包括127个中观主题、707个微观主题;该领域与国内其他单位合作论文占比最高、为36.7%(3130/8536),其次为医院单独署名论文占比26.8%(2293/8536)。非医学与生命科学相关论文占比10.4%(987/9523),包括73个中观主题、182个微观主题;该领域医院单独署名论文占比最高、为35.5%(350/987),其次为与国内其他单位合作论文占比29.4%(290/987)。非医学与生命科学研究领域主要以化学,农业、环境和生态学,工程和材料科学为主。结论校内医学学科之间的交叉融合是医院科学研究的显著特点,跨院系、跨学科的交叉合作需要进一步深化,跨单位、跨地区的交流合作是医院科研活动的重要组成部分。展开更多
基金This work was supported by the Weifang Medical College 2019 University-level Teaching Reform and Research Project(Grant No:2019ZXSJ029).
文摘With the rapid development of the technology of information network and the era of big data,information technology is now widely used in the field of education.Comprehensive popularity of mobile phones,computers,tablet computers and portable communication devices and WIFI also facilitate the widespread use of online learning,learning in free time,free learning and other modes.The emergence of microlecture follows the learning mode and trend of modern society,special for young medical students who are highly passionate in accepting new things and have a strong ability in using information technology.In this paper,the necessity and feasibility of self-directed teaching methods related to microlecture and flipped classroom in the teaching in a non-directly affiliated hospital.Using the advantages of the"microlecture and flipped classroom"teaching model,it is possible to improve the learning effect of medical students,construct high-quality online courses,and make quality teaching resources widely shared.
基金supported by RISIS-Research Infrastructure for Research and Innovation Policy Studies an EU FP7 Research Program Project(grant agreement no:313082)。
文摘Purpose:A key question when ranking universities is whether or not to allocate the publication output of affiliated hospitals to universities.This paper presents a method for classifying the varying degrees of interdependency between academic hospitals and universities in the context of the Leiden Ranking.Design/methodology/approach:Hospital nomenclatures vary worldwide to denote some form of collaboration with a university,however they do not correspond to universally standard definitions.Thus,rather than seeking a normative definition of academic hospitals,we propose a three-step workflow that aligns the university-hospital relationship with one of three general models:full integration of the hospital and the medical faculty into a single organization;health science centres in which hospitals and medical faculty remain separate entities albeit within the same governance structure;and structures in which universities and hospitals are separate entities which collaborate with one another.This classification system provides a standard through which publications which mention affiliations with academic hospitals can be better allocated.Findings:In the paper we illustrate how the three-step workflow effectively translates the three above-mentioned models into two types of instrumental relationships for the assignation of publications:"associate"and"component".When a hospital and a medical faculty are fully integrated or when a hospital is part of a health science centre,the relationship is classified as component.When a hospital follows the model of collaboration and support,the relationship is classified as associate.The compilation of data following these standards allows for a more uniform comparison between worldwide educational and re search systems.Research limitations:The workflow is resource intensive,depends heavily on the information provided by universities and hospitals,and is more challenging for languages that use nonLatin characters.Further,the application of the workflow demands a careful evaluation of different types of input which can result in ambiguity and makes it difficult to automatize.Practical implications:Determining the type of affiliation an academic hospital has with a university can have a substantial impact on the publication counts for universities.This workflow can also aid in analysing collaborations among the two types of organizations.Originality/value:The three-step workflow is a unique way to establish the type of relationship an academic hospital has with a university accounting for national and regional differences on nomenclature.
文摘目的本文以大学附属教学医院的卒中急救绿色通道培训医师为主要研究对象,旨在提高新进医疗岗位医师的学习效率,改善临床工作的多种质控指标。方法设计多元化教学方法,包括临床案例式协作教学法、基于问题教学法、翻转课堂、一带一学习、情景模拟及临床疗效反馈等,以一家教学医院区域性高级卒中中心的绿色通道患者和医师为调查对象,收集多环节时间点的质控指标以及教学互评反馈来评价教学效果。结果纳入2021年6月—2023年7月急诊卒中绿色通道诊疗环节中符合条件的患者194例,其中接受单纯静脉溶栓治疗者171例(88.14%),桥接治疗或者直接机械取栓者23例(11.86%),纳入观察学员为低年资住院医师10名,高年资住院医师5名。培训前收治患者88例(45.36%),培训后收治患者106例(54.64%),人口学基线特征差异无统计学意义。中位入院至静脉溶栓时间(door-to-needle time,DNT)缩短了4 min(44 min vs.48 min,P=0.150),DNT≤60 min比例分别为73.86%、65.09%(P=0.188)。培训后,中位知情同意谈话时间缩短了3.5 min(6.5 mi n vs.10 min,P=0.001);溶栓相关出血事件减少(培训前:牙龈出血1例,硬膜下血肿1例,消化道出血1例;培训后:无相关事件);大血管闭塞患者血管内治疗比例提升(16.98%vs.5.68%,P=0.015)。高年资与低年资住院医师对多元化教学模式绿色通道教学方法的认可度、对绿色通道学习方式的兴趣程度、病例质控环节提升满意度、影像库对解决问题适配度、文献指南库对解决问题适配度和自我学习能力提升6个方面的满意度相当,差异均无统计学意义。结论多元化培训方案可以提高绿色通道医师的卒中急救应对能力、谈话沟通技能及诊疗水平,改善工作质量和教学满意度,而且对低年资和高年资住院医师的临床学习均有帮助。
文摘目的通过对中南大学湘雅医院近10年发表的科学引文索引(SCI)论文研究领域、合作机构进行统计分析,探索本院医学与多学科交叉研究现状,为医院跨学科交叉研究的深入开展提供参考。方法本研究采用文献计量分析法,基于Web of Science(WOS)数据库及医院科研管理系统,获取2013—2022年以中南大学湘雅医院为第一或通信单位署名的SCI论文;同时以WOS入藏号为检索条件,获取论文的发表年度、作者地址、学科规范化引文影响力等数据。利用Incites数据平台分析Citation Topics学科引文主题。结果2013—2022年,本院发表的以第一或通信单位署名的SCI论文9523篇,涵盖十大Citation Topics学科引文主题中的200个中观主题、889个微观主题。医学与生命科学领域论文占总发文量的89.6%(8536/9523),包括127个中观主题、707个微观主题;该领域与国内其他单位合作论文占比最高、为36.7%(3130/8536),其次为医院单独署名论文占比26.8%(2293/8536)。非医学与生命科学相关论文占比10.4%(987/9523),包括73个中观主题、182个微观主题;该领域医院单独署名论文占比最高、为35.5%(350/987),其次为与国内其他单位合作论文占比29.4%(290/987)。非医学与生命科学研究领域主要以化学,农业、环境和生态学,工程和材料科学为主。结论校内医学学科之间的交叉融合是医院科学研究的显著特点,跨院系、跨学科的交叉合作需要进一步深化,跨单位、跨地区的交流合作是医院科研活动的重要组成部分。
