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Air Force Medical University has constructed an integrated clinical diagnosis curriculum system for undergraduate students based on military medical service and established the teaching methods of diagnostic evidence orientation, diagnostic method guidance, and diagnosed case practice. In the context of the new epidemic situation, we have also formed the blended teaching model of "triad training" and "four methods", optimized the teaching process of theory and practice, incorporated the contents of military medicine, determined the teaching objectives of this curriculum system at the three levels of knowledge, ability, and quality, completed the construction of the core curriculum, and applied it to the teaching practice. This curriculum system has achieved significant improvements in the degree of satisfaction among teachers and students and the excellent rate of military medical skill examination, which better meets the practical needs of medical service personnel training in air force.
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Centering on the strategic transformation of Chinese Navy and focusing on military medical education in battlefield, troops, and the future, this article explores the actual combat-based innovation and reconstruction of the course of Military Nautical Psychology in Navy Medical University. This article analyzes the existing problems in combat-oriented teaching in the original course and then proposes to deepen the actual combat-oriented teaching reform of the new course. The new course should adjust teaching contents according to actual combat and place more emphasis on the teaching of combat stress and mental health service support, so as to form the teaching mode of "self-study+theoretical lectures+practical teaching+naval exercises". Moreover, the course should create an actual combat-oriented teaching environment relying on cutting-edge technology and establish an actual combat-oriented teaching team to realize the complex transformation of teachers to theory, skills, and experience, in order to improve the post competencies of peacetime mental health maintenance, psychological injury treatment on battlefield, and wartime mental health service support among cadets.
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Objective:To assess the levels of self-compassion, psychological resilience, and academic adjustment of undergraduate students in a military medical university, and analyze their influencing factors and interactions.Methods:A total of 341 undergraduate students were selected by convenience and purposive sampling in a military medical university from April to May, 2022 for surveys with the General Information Questionnaire, the Chinese version of the Self-Compassion Scale, the Chinese version of the Connor-Davidson Resilience Scale, and the Academic Adjustment Scale for College Students. The collected data were analyzed through univariable analysis and multiple linear regression analysis to determine the influencing factors. AMOS 23.0 was used for path analysis.Results:The scores of self-compassion, psychological resilience, and academic adjustment of the students were at slightly high levels, with a significant positive correlation between one and another ( r s=0.580-0.611, all P<0.001). The influencing factors included professional identity, the level of received support, grade, time spent in student clubs, and the plan of postgraduate study (all P<0.05). The standardized direct effect of self-compassion on academic adjustment was 0.285 ( P=0.001), and the sum of the standardized mediating effects of psychological resilience and professional identity on self-compassion and academic adjustment was 0.314 ( P=0.001). The total mediating effect accounted for 52.42% of the total effect. Conclusions:The levels of self-compassion, psychological resilience, and academic adjustment of undergraduate students in the military medical university are influenced by multiple factors. Relevant departments should pay attention to specific populations and take targeted measures to increase the students' self-compassion, psychological resilience, and academic adjustment.
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Objective:To establish a post competency model for clinical medical students in military medical universities to explore the qualities most needed by outstanding graduates.Methods:Through behavioral event interview (BEI) method, the complete interview data of 82 graduates (40 students in excellent group and 42 students in normal group) from a military medical university were obtained. The respondents were asked to recall the three most successful and unsuccessful cases in their past work, and fill in the checklist. The interview data were coded, marked and classified, the interview recording data were analyzed, and the comparison was made between the frequency of competency characteristics and the collection points of excellent graduates.Results:Top 9 competency features with the highest frequency and no difference between the two groups were respectively internal quality (82 students, 100%), clinical medical service capacity (52 students, 63.4%), continuous learning ability (36 students, 43.9%), teamwork ability (38 students, 46.3%), career (66 students, 80.5%), enterprise (46 students, 56.1%), sense of responsibility (42 students, 51.2%), execution (42 students, 51.2%), and coordination of team members (36 students, 44.0%). The proportions of excellent graduates to mention the ability to apply information tools ( χ2=6.80, P=0.009),; master English literature ( χ2=4.42, P=0.036), and be self-disciplined and fame and fortune-weakened ( χ2=6.90, P=0.009) were higher than those of the ordinary ones. Conclusion:This study has scientifically constructed a post competency model for clinical medicine students in military medical universities, including the benchmark competency model (9 characteristics with the highest frequency and non-differentiated between two groups) and the identification competency model (3 characteristics of excellent graduates higher than those of ordinary ones).
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To adapt to the general educational requirements for military academies to prepare for victory under the new situation, the present paper proposed the overall thought of strengthening the post education for military hygiene through analyzing the main problems and causes existing in the current education, combined with the experience and practice of foreign military post education. Moreover, we combined the current situation and reality of post education in military medical universities, and analyzed the corresponding countermeasures from the aspects of teaching staff, course construction, information construction, teaching method and assessment model, expecting to provide guidance and help for better carrying out the post education of military hygiene in the future.
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Objective:To explore the relationship between proactive personality, resilience and achievement motivation of military cadets, and to explore the mediating role of resilience between proactive personality and achievement motivation, as well as the moderating effect of cadets’leading ability on this mediating role.Methods:In this study, 109 military cadets were measured with proactive personality scale, Connor-Davidson resilience scale (CD-RISC) and achievement motivation scale. SPSS 26.0 was used for descriptive statistical analysis and correlation analysis.Results:①There was a significant correlation among the total scores of proactive personality, resilience and achievement motivation ( Ps<0.01). ②Proactive personality could significantly predict the level of achievement motivation ( a=0.454, P<0.001), and resilience could significantly predict the level of achievement motivation ( b=0.231, P=0.019). ③Resilience significantly mediated the relationship between proactive personality and achievement motivation ( c′=0.3, P=0.003). ④Cadets' leading ability moderated the effect of resilience on achievement motivation (index=0.338, 95% CI: 0.057 to 0.881). The mediating effect of resilience between proactive personality and achievement motivation was significant for cadets' leaders (Effect=0.381, 95% CI: 0.085 to 1.005), but not significant for other students (Effect=0.043, 95% CI: -0.069 to 0.252). Conclusion:The proactive personality of military cadets can affect the level of achievement motivation through psychological resilience, which is also moderated by cadre identity, suggesting that military education should improve the level of achievement motivation in many ways.
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Taking the curriculum integration of skin diseases as an example, this paper summarizes the skin diseases with high incidence in the army such as acne, tinea pedis, warts, folliculitis, corns and calluses, sunburns, etc. The results have been applied to the integration of the skin disease curriculum in Air Force Medical University. During the course integration process, we integrated the courses of dermatology, plastic surgery and burn surgery together, and simplified the teaching content according to the "organ-system" orientation and features of military medical university. In the teaching process, the PBL teaching method was used to guide the students to discuss with the problems. At the end of the course, the students were assessed by tests, and the satisfaction evaluation were carried out. The results showed that the application of high incidence of skin diseases in the army in curriculum integration can help improve the teaching effect and the satisfaction of students, which will provide a certain reference for the curriculum integration reform of military medical universities.
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This study comprehensively analyzes the course of Military Medical Psychology from 7 aspects including the nature and status, teaching objectives, teaching principles, teaching concepts, classroom teaching, practical teaching and lecturing principles, and finally summarizes the characteristics of the course and points out its shortcomings and prospects. The study found that the Military Medical Psychology is an important interdisciplinary course between medical psychology and military science; the teaching objectives include two categories, the overall goals and classified ones; the teaching principle emphasizes the forces of developing practice ability of service orientation; the teaching concept includes combining the theory with practice, focusing on the students, informatization and lectures; the mode of classroom teaching should be cases-introduction, theory-interpretation and case-analysis; the practical teaching should strengthen teaching skills, emphasize connection, stimulate interest and improve the health; lecturing principles emphasize the focus of content. This study has preliminarily completed the teaching design of the course of Military Medical Psychology, which is conducive to the smooth implementation of this course and the cultivation of professional talents of military medical universities.
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Objective:To investigate the level of psychological stress, anxiety and posttraumatic stress disorder (PTSD) of military medical students under the condition of normalized prevention and control of the epidemic.Methods:A total of 225 students from a military university were selected by random sampling method. Chinese perceived stress scale (CPSS), Perceived social support scale (PSSS), Self-rating anxiety scale (SAS) and PTSD Checklist-5 (PCL-5) were used to measure the mental health of the subjects and influencing factors. SPSS 26.0 was used to conduct independent sample t test and ANOVA analysis. Pearson correlation analysis was conducted, and multiple regression equation was used to further analyze the relationship between psychometric factors. Results:The SAS scores of 22.2% (50/225) of the subjects and PCL-5 scores of 30.7% (69/225) of the subjects reached the positive standard. The results of correlation analysis showed that the total score of PSSS was negatively correlated with CPSS ( r=-0.315, P<0.01), SAS ( r=-0.336, P<0.01) and PCL-5 ( r=-0.137, P<0.05) scores. The score of family support negatively predicted the level of psychological stress ( B=-0.595, P<0.001), anxiety ( B=-0.635, P<0.001) and PTSD level ( B=-0.769, P=0.006) of the students. Conclusion:Social support, especially family support, has a significant protective effect on psychological stress, anxiety and PTSD during the period of normalized prevention and control of the epidemic.
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Resumen Con motivo del centenario de su graduación como médico militar, se presenta una síntesis biográfica y curricular del General de Brigada Médico Cirujano Federico Gómez Santos, para destacar sus aportaciones a la pediatría.
Abstract On the centenary of his graduation as a military doctor, a biographical and curricular synthesis of General de Brigada Médico Cirujano Federico Gómez Santos is presented, to highlight his contributions to pediatrics.
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Objective To investigate the application effect of the teaching method of team-based learning (TBL) combined with case-based learning (CBL) in the teaching of military positive psychology. Methods A total of 100 medical undergraduates of the class 2017 in Army Medical University were selected and randomly divided into TBL+CBL teaching group and traditional teaching group , with 50 undergraduates in each group . The teaching effect of the two methods was evaluated by assessment of theoretical knowledge and case analysis, questionnaire survey, and psychological evaluation. SPSS 19.0 was used to perform the t-test. Results Compared with the traditional teaching group, the TBL+CBL teaching group had significantly higher scores of theoretical knowledge (54.87±4.98 vs. 48.65±3.51) and case analysis (36.84 ±2.73 vs. 32.37 ±2.34). As for the results of psychological evaluation, compared with the traditional teaching group , the TBL+CBL teaching group had a significantly lower score of Symptom Checklist-90 (143.31±43.62 vs. 149.89±46.96) and significantly higher scores of ERC (48.76±5.37 vs.43.58 ±5.79) and GWB (107.87 ±15.56 vs. 102.32 ±12.13). In addition, the satisfaction rate of the TBL and CBL teaching method reached 95.83％ (46/50) in the TBL+CBL group. Conclusion The teaching method of TBL combined with CBL can achieve good teaching results in the teaching of military positive psychology and improve students' abilities of knowledge application and psychological adjustment. Therefore, it has good feasibility and applicability.
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Human anatomy is one of the most important courses of preclinical medicine. This paper discusses that during human anatomy learning at the beginning of students' freshman year, how to optimize the humanistic education in military medical universities and to create strong medical humanistic atmosphere and deepen theoretical and practical understanding under the strategy of "Healthy China 2030".
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[Abstract] Objective To explore the mediating effect of fatigue on the relationship between negative emotion and burnout in military medical university students. Methods By random sampling, depression anxiety stress scale 21 (DASS-21), multidimensional fatigue questionnaire (MFI-20) and Maslach burnout questionnaire (MBI) were used to investigate the negative emotion, fatigue and burnout of five-year undergraduates of clinical medicine in a military medical university. Pearson product moment correlation and multivariate hierarchical regression were used to analyze the relationships among different variables. Structural equation model was constructed and Bootstrap test was used to analyze the mediating effect. Results A total of 270 questionnaires were distributed, and 250 valid questionnaires were enrolled, with a response rate of 92.6%. The scores of three dimensions (depression, anxiety and stress) of negative emotion were significantly higher than the norm (all P0.01). The score of physical fatigue was significantly higher than the norm (P0.01), and the scores of mental fatigue, power loss and activity reduction were significantly lower than the norm (P0.05, P0.01). There were no differences between the scores of emotional exhaustion and cynicism and the norm, but the low achievement score was significantly higher than the norm (P0.01). There were significant correlations between negative emotion, fatigue and burnout in all dimensions (all P0.01). Multivariate hierarchical regression analysis showed that fatigue could explain 53.3% of variance variation of burnout (F＝71.140, P0.01). Both physical fatigue and mental fatigue had positive predictive effects on burnout (β＝0.516, P0.01; β＝0.188, P0.01). On the basis of fatigue, negative emotion could independently explain 1.9% of variance variation of burnout (F＝44.243, P0.01). Anxiety, depression and stress could explain 33.5% of the variation variance of burnout (F＝42.333, P0.01), and depression and stress had positive predictive effects on burnout (β＝0.236, P0.01; β＝0.258, P0.05). On the basis of negative emotion, fatigue could independently explain 21.7% of variance variation of burnout (F＝44.243, P0.01). Physical fatigue and mental fatigue had positive predictive effects on burnout (β＝0.423, P0.01; β＝0.166, P0.01). Mediation effect models and Bootstrap test results showed that negative emotion could indirectly affect burnout through fatigue (χ2＝74.508, df＝17, χ2/df＝4.383, comparative fit index [CFI]＝ 0.955, incremental fit index [IFI]＝0.956, relative fit index [RFI]＝0.943, Tucker-Lewis index [TLI]＝0.926). The mediating effect of fatigue was 65.3%. Conclusion Fatigue plays a mediating role between negative emotion and burnout. The military medical students with high anxiety, depression and stress need more attention and effective measures should be adopted to avoid the aggravation of their fatigue and burnout.
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Objective: To investigate the relationship between mobile phone addiction and sleep quality of military medical students, so as to provide evidence for improving their mental health. Methods: A total of 237 cadets from freshman to senior majored in medicine were tested by the Pittsburgh sleep quality index (PSQI) scale and mobile phone addiction tendency scale (MPATS). Results: Eventually, 227 valid questionnaires were collected, with the effective response rate being 95.8%. The mean score of PSQI was 5.78±2.26, and the mean score of MPATS was 38.65±11.32. Females had a worse sleep quality than male military medical students (6.12±2.11 vs 5.49±2.35, P < 0.05). Junior cadets had the highest MPATS score (42.51 ± 10.81). The score of PSQI was positively correlated with the score of MPATS among military medical students (r 0.280, P<0.01). Regression analysis showed that mobile phone addiction had significant impact on sleep quality of military medical students (P < 0.01). Conclusion: Mobile phone overuse has a negative impact on sleep quality among military medical students, especially in females. It is necessary to strengthen the management mobile phone use among junior cadets.
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Military flying labor hygiene is a discipline that focuses on influences of special flight environment and labor condition on human body and related prevent measures, with the core of flight fatigue. Health information and technique training can help flight surgeons to enhance professional competency and improve the prevention and recovery of military flying fatigue. The course construction of teaching system in this study included survey of demand, arrangement of content, identification of strategy, determination of evaluation, and feedback of results. Meanwhile, the textbook compilation, cultivation of teaching team and construction of laboratory were also needed. After a 4-year practice, a formal teaching system has been established and its teaching effectiveness has basically fulfilled the professional requirement for flight surgeons.
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Military flying labor hygiene is a discipline that focuses on influences of special flight environment and labor condition on human body and related prevent measures,with the core of flight fatigue.Health information and technique training can help flight surgeons to enhance professional competency and improve the prevention and recovery of military flying fatigue.The course construction of teaching system in this study included survey of demand,arrangement of content,identification of strategy,determination of evaluation,and feedback of results.Meanwhile,the textbook compilation,cultivation of teaching team and construction of laboratory were also needed.After a 4-year practice,a formal teaching system has been established and its teaching effectiveness has basically fulfilled the professional requirement for flight surgeons.
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Resumen Se presenta la descripción de la medalla conmemorativa del centenario de la Escuela Médico Militar.
Abstract A description of the commemorative medal of the centenary of the Military Medical School is presented.
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Objective To upgrade No.1 Military Medical Project database from Oracle 8.17 to Oracle 11g so as to solve the problems of server overloading and client terminal failing to connect to the server due to excessive concurrent databases. Methods Exp/Imp and Toad tools of the database were used to generate and modify the upgrade statements as well as to import and export database data,so that the inter-platform and-version database upgrade could be carried out.Results The database was upgraded and the system's operation speed was enhanced greatly.Conclusion The upgrade scheme has easy operation,short time consumed,zero data loss and high reliability,and thus is worthy promoting in medium-and small-scale hospitals.
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Objective To investigate the innovation ability status of undergraduate students in Third Military Medical University,and put forward some effective suggestions.Methods A questionnaire was applied to survey the innovation ability status of undergraduate students in Third Military Medical University.A total of 210 valid questionnaires were collected.The questionnaires covered five aspects including undergraduate students' basic information,innovative consciousness,innovation thinking,innovation skills and basic knowledge.The results were assessed by using SPSS 19.0 statistical software for t-test or ANOVA of students from different grades,majors and academic years.Inspection level was α=0.05.Results The total score of innovation ability in undergraduates was (70.5 ± 8.2) point,and no significant difference was observed in the total score of undergraduates' innovation ability within different grades (P=0.435).However,the innovation thinking ability of undergraduates in Grade Four was significantly higher than that in Grade Two [(77.0 ± 10.7) vs.(72.6 ± 10.9),P=0.030)],and the score of basic knowledge of undergraduates in Grade One was significantly higher than that in Grade Four [(76.2 ± 6.0) vs.(69.3 ± 8.7),P=0.014)].The total score of innovation ability of undergraduates from clinical medicine was significantly higher that of undergraduates from preventive medicine and other majors [(72.5 ± 8.8) vs.(69.9 ± 7.5),P=0.035;(72.5 ± 8.8) vs.(66.7 ± 7.9),P=0.004].There were no significant differences in total score of innovation ability or score of any first level index of undergraduates between eight-and five-year system of preventive medicine (P＞0.05).Conclusion The overall innovation ability of undergraduates in military medical university was relatively high,and undergraduates from different grades,majors and academic years have their own special advantages in innovative consciousness,innovation thinking,innovation skills and basic knowledge,and it is necessary to carry out more researches focusing on educational and training mechanism of innovation ability according to the personality of undergraduates in military medical universities.
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Objective To analyze the research direction of military medical literature published in Chinese and foreign languages.Methods Search the military medical literature through subject cat egory and subject words from CNKI and PubMed database.Results Total number of 10 630 articles were found.384 articles with no information of the author and mainly related to the introduction and information.The remaining 10 246 articles were included as the basis for the analysis of Chinese literature.A total of 22 847 foreign literatures were searched.Conclusions From the analysis of research papers published at home and abroad,both the authors and the contents of the research institutions varies a lot.Foreign research paid more attention to military medical trauma,while focus more on disease occurred in the army and logistic support guarantee in China.Three Military Medical University Affiliated Hospitals and the Military Hospital are the main force in military medical research in China.However,the domestic military hospitals,such as Xijing Hospital and Changhai Hospital published most of their high quality papers in abroad,which may be affected to the mechanism of rewards and punishment of domestic institutions.