How far to give birth to from medical science to the doctor's distance

How far to give birth to from medical science to the doctor's distance
Reporter of staff reporter Liu Ping'an Zhong YanYu Because a farmer sprays insecticide " Poisoned " Fall down to the ground, the help sound scratches the quiet mountain village, " 120 " The ambulance is drawn " Poisoners " March on towards hospital, first aid swift as lightningly therefore expansion. This national higher medicine study clinical the intersection of skill and the intersection of end and an examination paper of contest, university student of universities and colleges, on the second in hold by Beijing recently, cure and study 3 teams that broke out in the representative teams of universities and colleges from the whole country 113, who can finish this stupor " patient " correctly within fixed time Rescue,who can pluck laurel. When the players treat and cure racing against time, excited " patient " Relatives rush into the emergency ward, some players make no adequate defense, push and shove relatives out briefly, some communicate with relatives patiently At this moment, the teachers and students viewing and emulating the match outside the examination hall through the video are not from sighing over with feeling - -This examination paper is too lifelike! And the mainly organizing one of the people, director of people in Peking University Wang Shan to think of this contest, this clinical skill contest, what did in the test is students on the platform, it was the school that did in the test under the platform, it is to a pressure test of the whole medical education system, can " measure " from it Publish and give birth to from medical science the distance between the doctors. It was the afternoon of May 15 of overall qualities that did in the test, sponsored by Ministry of Education, Ministry of Public Health this, the contest which the clinical teaching centre of the medical education of Ministry of Education undertakes enters the last finals. 32 teams such as Hebei Medical University enter elimination series, on the same day, they will contest the top three. The reporter sees, the players are sewing up a section of small intestine in the competition through the video of the on-the-spot broadcasting while showing up, the following examination paper is that the gypsum of fracture fixes, fetches the ring, stomatology department patient and checks for women and the traumatic patient of traffic accident rescues etc. separately, still some examination papers need the students participating in the contest to start to operate after analysing and judging. During that time, representative teams are claimed to be out successively, the tense atmosphere makes everybody unable to breath. Peking University the intersection of the People's Hospital and QingHuan Zhou, division chief of education department, introduce, comb, happen by expert system 94 of contest this do in the test some, , the woman, child and facial features department while containing, is the clinical most basic skill that needs, cut-out, sterilize, bone marrow puncture shallow tie, bladder breach sew up and blood vessel separate, cut off ligature,etc. with slide, table. Meanwhile, according to the clinical first aid scene, set up and shook such simulation questions of outdoor scene as the heart and lungs recover that the vein punctures some, bleeds on the surface and arrests blood, double under the situation. Zhou QingHuan says: "Medical science can't only possess sturdy theory knowledge while growing, there is consummate skill of touching it even more, train and temper overall qualities through the skill. We incorporate and test medical key elements such as clinical thinking, humanity caring about, job spirit,etc. in some, reflect the respect to the life. " The clinical skill trains the environment to have Li Yan, vice section chief of Dean's Office of Central China University of Science and Technology of secret worries and say, have offered the skill lesson under the guidance of studying the universities and colleges and paying attention to the idea operated in practice in most medicine now, explained and demonstrates all operation projects by the teacher, it is essential for this pair of medical science to grow, much action experience, touching it, will know what's what. But medical science grow clinical skill train great change of environment let in the industry to guide, think worried. Li Yan says, on one hand, gives birth to and expands the short board which employs prominent teachers' strength in medical science, the scale of students at school is often three or four thousand people, the clinical motor learning of the students at school has nearly been turned into fighting only on paper; On the other hand, the practice chance of practising stage after restraining medical science from growing and graduating in laws and regulations that " operation medicine is imitated ", these factors make the distance that give birth to from medical science between the doctors farther and farther. Chief chief referee, clinical professional teaching committee member of supervisory committee, late treasure honour professor of Jilin University of Ministry of Education of this contest think, 3 problems exist in the present medical education: It is the confusion of length of schooling at first, range from 2 -year system to 9 -year system; Secondly it is that a teaching material is confused, the standard is not unified between various editions, and there is much incompatibility; It is the teaching that is short of money finally, had and dissected two students of lesson to use a corpse in the past, 20 students watch the multimedia now. Imitate people to it is introduced, in a situation that medical science grow the skill and train the environmental great change in place of the true man, imitate people's teaching and arise at the historic moment, a lot of hospitals have furnished funds for setting up clinical skill and testing the teaching centre, the simulation people that possess through the sound, light, electricity train students. This contest has been used in a large amount " The standard patient " Wait for simulation people, Wang Shan introduces, the mould used for this contest comes from nearly one hundred clinical medical treatment, the staff members of the medical education first line and the medical education expert's hands of our country, they especially design according to the needs of reality that the clinical skill is practised. Wang Shan says, because of the development of artificial science and technology and computer technology, simulation people have reached the intensity remarkably true to life, can exchange with doctor in the form of sound, light, electricity. 2006 grades of students of Central China University of Science and Technology, this contestant Zhang JinMing say, the difficult operation such as belly puncturing, catheterization, because there are few chances to operate on patient, can only remedy by watching more, operating on the model. "At the very beginning, teacher require us speak to model, for example ' take, give you play anesthetic needle by I, don't be tense ',etc., the classmates all felt very funny originally, as if talked to oneself, it became the habit imperceptibe but later. " Wang Shan says: "We require student take dummy seriously people treat, but how prevent them from to become behind the doctor in the future, do not treat true man as the dummy? This is a key proposition of our medical education, it is the direction idea transmitted through the contest too. " It is to it is reported at all to improve the daily level of education, compare on the first, a lot of schools pay more attention to the match now. Some school choose ring upon ring, convene outstanding the intersection of teachers and strength again some go on and strengthen training to the player one by one according to do in the test. However, experts do not think the player trained, chosen out like this can represent the true level of the school. Wang Shan says, the contest in the future will also adjust the rule, will imagine except list which the school recommends, increase and collect students at random to participate in the contest, thus lead the school to pay attention to daily education solidly, improve the clinical skill level that whole medical science grows. It is said that medicine of Ministry of Public Health is in charge of the long prize-awarding ceremony of Zhang Zong, chief of department after comparable to, the clinical skill contest is to train medical science to grow the effective way of the ability of clinical practice, will impel and cure learning to explore that set up scientific clinical skills training system in the universities and colleges.

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