Monday, June 25, 2012

Innovative medical education Foster absolute sincerity talents

Innovative medical education Foster absolute sincerity talents
Wang Hui

In Nanjing of ancient capital pregnant with beauty and productive of talent and becoming a fobidding strategic point, Nanjing University has already passed by the brilliant course of 110 years. And its medical college was once the outstanding one of the medical education of our country, trained a generation of medical classics, occupy the important historical position in the history of China's medical education. At the beginning of the fifties of last century, the higher education of our country went through the restructuring of university and college, the medical college was independent from comprehensive university. In 1987, the medical college of Nanjing University rebuilt, became the first long length of schooling medical college which comprehensive universities established of Ministry of Education.

Over the past 25 years, the medical college has relied on the rich basic discipline advantage of Nanjing University, the support of the high-level and comprehensive, training hospital of relying on many places, insist gentle, cut and medicine combine thinking of running a school, take the lead in, propose " until preclinical medicine permeate and preclinical medicine permeates to clinical medicine natural science, strengthen the scientific research training of students, train students' innovation ability " Teaching guilding principle,distinct without being formed for " the small-scale, research, internationalization " Run a school by characteristic,last every one that distinctive one run a school way.

The national medical education working conference held recently has already proposed the medical education and assigned to " education, lifetime vocational education after the education, school in the school " clearly Three stages. The core educated after the school is a resident doctor, especially the complete doctor's standardization is trained. Divide at three stages of medical education, study the universities and colleges to educate confirming the task at school for national medicine too, having pointed out the direction for the medical educational reform at school, and the modern medical educational practice of medical college of Nanjing University, have offered a reference for running a school in diversification.

A kindness absolute sincerity of medicine is regarded as equally important

Medical science is that the natural science contained discipline of generous cultural and educational intension since the day when was born, because the serivce object of medical science is the people but not simple disease. And the university, as passing culture on, promoting the civilization, objecting to the academic fort eager for quick success and canvassing history and mission, should make helping to train cultural and educational quality and help to develop innovation ability as one's own duty. For this reason, the medical college of Nanjing University proposes " cultural and educational spirit " With " scientific spirit " Two sides flag, as " innovative education system of medical science " " Neo-Confucianism goes through medicine " in China Starting point.

In the traditional culture of our country is that yes the medicine one " Kindness " Important thought. The intersection of physician and Sun Simiao say " human life to your at a thousand pieces of gold in weight " the Tang Dynasty . In the modern society in pluralism of the interests, practise cultural and educational quality, professional accomplishment and professional ethics to the doctor in medical treatment, and the creativity in the medical field has put forward higher requirement. The attention of the medical education content, and knowledge that it is not the simple technology, but should pay attention to the cultivation of cultural and educational quality and scientific spirit. Consider medical care one the intersection of job and strenuous, have a great responsibility, every day in the face of life job of the predicament, if the doctor is not to more spacious understanding in life and life meaning, easier to fall into the tired, disappointed, agitated predicament, its service quality must drop. And one have vast cultural and educational mind, know how and love people of life, will inevitablely regard for oneself, universal fraternity, know how to understand and tolerant, take on richly. For this reason, Nanjing University medical college, cultural and educational cultivation of quality, as its whole foundation that trains, propose paying attention to student's psychological maturity, learning method and way of thinking change and on the forming of health personality.

" cultural and educational spirit " Outside, the medical college still proposes paying attention to training students' " scientific spirit " ,That is to train students' criticism and creativity. Criticizing thinking is the basic quality that the science innovates, the scientific basic orientation faces the unknown, it is " trying by mistake " , criticism, constantly " Falsfication " China develops. So, train the foundation that criticizing thinking is the medical education. Because long-term Israel of education of middle and primary schools of our country " Take an entrance examination " Educational leading factor, while paying attention to concrete knowledge, students lack seriously in criticizing training of thinking, so how carry on transition of mode of thinking become particularly important behind entering university, in this respect, the medical college of Nanjing University is in " Neo-Confucianism goes through medicine " Practice in accumulate experience,to run a school by road when walking.

A kindness of medicine, Germany cures one. In cultural and educational spirit and scientific spirit are made a comprehensive study and a thorough master of, medical ethics and medical skill, such as two of the car, one pair of wings of the bird. A good doctor, must possess two pieces of basic quality: Medical skill correctly " Precise " The patient correctly of sum " Sincere" . Possess two basic quality these only, could become " the benevolence person " . After all, the medical education aims at training and has independent learning ability, practice ability, links up ability, thinking ability and innovation ability, combine scientific spirit and cultural and educational spirit, medical science of meeting the needs of modern social change, facing the future is grown.

Build the bold innovation in course

The medical college of Nanjing University chose the excellent student to enter doctors to study stage from the students of grade six directly since 1997, implement copy, large rich to read in succession, always 9 years. Through running as an experiment for many years, the condition is ripe gradually, have done and cured respects such as the system construction of teaching,etc. and already on foundation and first class discipline construction, affiliated hospital construction and Neo-Confucianism of center for doctors of clinical medicine reached Ministry of Education to require, run eight -year system medical education success will come after conditons are ripe as an experiment.

Combine Nanjing University " Open to know, educate with individualized to train, combine" "three thirds " The reform in education, the medical college has begun eight -year system medical education system construction and practised. The system implement, 4+4 train plan, student in whether medical science type speciality finish the study of undergraduate course the past 4 years, including open knows openly and repairs education and big class cultivation; The next 4 years accepts medical specialized education in medical college and affiliated hospital, authorize the medical doctorate after meeting requirements for study. Not getting on very well briefly, this course can be summarized: Go through three stages, answer three questions, obtain three kinds of ability.

Refer to, have lead coherent to know education, the intersection of Neo-Confucianism and education, heavy medical education of research that medical science grow three period of stage. Open to know and educate the structure paying attention to discipline and knowledge in academic cultivation; Pay close attention to the maturity of the psychology, namely cultivation, transition of learning method and thinking method, forming of health personality of social responsibility,etc. in cultural and educational cultivation; Through the construction of the correlated curriculum system, emphasize the overall framework of medical discipline and cross, it is preclinical medicine of the next stage " Neo-Confucianism " Educate, the cultivation of criticizing thinking establishes the foundation.

Neo-Confucianism at second stage educates and carries on the teaching of basic course of medical science with the educational pattern of Neo-Confucianism promptly, pay attention to thinking and distinguishing the cultivation of ability, stress the training for criticizing thinking. Make student's criticizing problem not strong, " Neo-Confucianism goes through medicine " which the medical college of Nanjing University puts forward to the exam-oriented education Fully utilize comprehensive strength in discipline of unity and coherence in writing of Nanjing University, on the basis of combining and simplifying course, transform course of preclinical medicine into Neo-Confucianism course gradually. Optimize? The happy whetstone Feng of Gu Liang takes off a flute of pavilion latitudes and spoils Old man's flute Luo of Xiang's target of cellar Invite the arm to offer to and knock 's glutinous 's flute Luo of the bag cellar small house Protein Pao Hey last last bucktooth reason neon flute pavilion latitudes unoccupied Feng of 1 Hous hot spoil tool instrument neon flute Liang Qi Mao Tang of 1 Tuo glue Guan s widowed last sunshines ridicule after going straight to Mou Calf's latitude draws coral Xi of small jar to kill circle> Man ask water the intersection of and the intersection of sacrificial meat and core, gnaw and park P me) The laboratory, in the face of being real, have no " foresee " The question of the answer, among them the majority is that the country is grinding the subject; Through to the questioning. "After all, the innovation of saying by us of real scientific research. In environment such as the laboratory, people do thinking of person who criticize and work every day, this is exactly training for a kind of most direct criticism thinking. " A thousand high professors of the president of medical college of Nanjing University say.

Pay attention to clinical practice and research at clinical medical education stage. Clinical practice and research are the motive power of medical development, and the cultivation of previous scientific research ability, including literature search, reads, summarizes and question proposing, hypothesis setting up, ability that the experiment is launched,etc., it is three major characteristics of modern medical science: Follow medical science of the card, individual medical science, foundation which transforms medical teaching and practice, concern development and the doctor's cultivation of modern medical science.

In emphasizing the overall framework of medical discipline and crossing, " medical introduction " course that the medical college designs emphasizes " gives intelligently " With " self-improvement " . Course is all served as by dictorial supervisor and medical classic, discuss three problems that they face with student at time when open to know the lesson, namely: What is medical science? What is disease? What is a doctor? Through understanding origin and development of medical science, branch and integration of medical science, medical transition of mode, medical and health reform and modern challenge and opportunity issue of medical education understand discipline characteristic of medical science thoroughly.

A qualified modern doctor, must pass three " movements " Casting mould,could "finish type " ,Namely possess intact quality. This kind of quality is three kinds of ability: Obtain, application sum " Create " The ability of knowledge, think of the ability to distinguish clinically, (ethics) Ability to practise medicine. And the cultivation of these three kinds of ability, the foundation is in humanity and scientific training. The height a thousand is pointed out: "have knowledge peace conference analyze ( Think and distinguish) ,It is only one, in the face of expert seeing it. " But lofty job of the doctor, besides the planning of technological aspect, need a kind of " practise medicine " Professional attitude and ability,since society, culture, law, psychology and the demands of patient,etc. last " the behavior " angle . The doctor is in the face of patients instead of the expert finally. Once the doctor faces patients, practise medicine to already begin, the patient will entrust a doctor with one's own worry, fear, personal secrets even life. How to make and is just worthy of this sacred white overall? If the doctor behaves or hesitates frivolously, or coarse and arrogant, will make patients lose confidence or feel self-humiliation, will influence patient in compliance at of treating, comply with, determine therapeutic success or failure to a great extent.

Construction and key of construction of course of modern medical education system are to put the thinking in order. With its dusk, make people clear and clear, such a good thing will not take place. If educators do not know one's own goal and route, students will not understand, practice and thinking of the medical college of Nanjing University do the act of throwing the brick for doing medicine in Neo-Confucianism, worth drawing lessons from.

Strategy stresses that integrates world

With the quickening and participating in the international medical education (IIME) made by the expert of our country of the global process of integration " global medical education basic standard " Introduction,it is modern last traditional preclinical medicine and the modes of clinical medicine obviously standard of medical education, the exchange that medical science of various countries grows is more frequent. The medical college of Nanjing University establishes " small-scale, research, internationalization " by oneself Guiding principle for running a school behind,constantly that internationalization run a school to explore intension,strengthen by exchange with developed country, except that on the basis that original medical science is grown international cooperation trains the project, are expanding new international resources constantly, offer increasingly many medical science to grow outside the chance to exchange study aboard, that defined to internationalization is renewal and internationalization of the educational idea thoroughly gradually, train talent's goal to lead the internationalization on, namely train doctor and scientist (PhysicianScientist) ,For following medical science of the card, individual medical science, transforming the development of medical science to train talents of modern medical science.

From modern Western medicine is educated shaping progressively at the beginning of last century, define " the living beings - psychology - society " of medical science Integrative discipline characteristic. Popularize this concept further American Hopkin medical college,etc., university of Sri Lankan in recent years for " The gene reaches the society " System construction of course, and the construction of modern medical education section in conformity with this. The medical college of Nanjing University relies on the overall support of Nanjing University on the basis of drawing the international advanced idea, have started one's own " need to design for the future generation, design the future generation to need " Modern for education sections medical for construction,last " by environment teaching ideas conspicuous relying mainly on student ", with the conspicuous spirit of the times of the informationization " . The construction of this centre has already been completed near at present. The medical college introduces the English original edition teaching material actively, is used as the main reference material of the basic medical education, main course that has already covered preclinical medicine at present, is moving forward to clinical medicine progressively. In addition, medical college call for regularly still and medical experts of various fields from foreign countries go on the specialist lecture, widen students' outlook, inspire students' thinking, train students' international outlook.

In introducing the foreign teacher and running the international degree project, the medical college has proposed giving play to the development advantage in the globalized process in our country clearly, build the international degree project complemental with western education system, propose offering " international outlook (the east) for educating in world , heterogeneous, he " The teaching idea trained, has got much the positive responses of place U.S.A. and European famous university including Yale University.

Fully utilize the multiple advantage of the international institute of comprehensive university, obtain the speciality to support in propagating, getting in touch, recruiting and source of students etc., realize institute - institute's cooperation, jointly run a school, and run a school in the organization through world, give play to the enthusiasm in many aspects, widen the thinking, accelerate the important route where the internationalization runs a school too. Australia's overseas undergraduate course of medical college of Nanjing University is curing the arrangement of the old-type opera school in positive progress at present.

It set up Nanjing University medical college it is modern it is been medical education system with " The global medical education basic standard " For consult, for to practise, establish foundation outside the border student, study connection of universities and colleges, set up already too with foreign medicine, it is imperative to practise outside the border. The medical college of Nanjing University has set up the base of clinical practice of branch school of riverside of University of California, connect? Stand tall and upright of mushroom protein stop Di entangle 's border abundant hurriedly sigh wood punish and put Qiu color in order to lead Chu?

Review in the past, the medical college utilizes the advantage of the comprehensive university of the unity and coherence in writing of Nanjing University, in " cultural and educational spirit " With " scientific spirit " Under the leadership of the two sides flag, stress criticizing thinking is trained, emphasize clinical practice and scientific research, pay attention to transforming medical science, following the construction of medical science of the card and individual medical science, has made the rich achievement.

Look forward to the future, in " 985 projects " Three issues are under construction, the medical college of Nanjing University will also strengthen " the teaching centre of the experiment of preclinical medicine " in a more cost-effective manner With " clinical skill simulation training centre " Construction and completion,gradually it is completely categoried in discipline since it is including clinical medicine, preclinical medicine, oral cavity medical science, public health and pharmacy, attending to,etc. to be build up, the medical college featuring eight -year system medical education, are sent more and has already been good at the medical skill for every field of medical science, sincere medical science in medical ethics just gets soldiers again.

Innovative medical education Foster absolute sincerity talents

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