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Objective:To explore the application and preliminary evaluation of multidisciplinary rounds (MDRs) in the clinical teaching of urology.Methods:A total of 20 pediatrics medical students in the clinical medicine were selected as the control group, and the traditional single department teaching rounds were used. Another 20 clinical medical students in the same grade were taken as the experimental group, and MDRs were used. The teaching officer of urology served as the general ward round teacher, combined with nephrology physicians and imaging ultrasound physicians to conduct bedside teaching rounds, and the length of the rounds was about 60 to 90 minutes. Through the teaching evaluation form and the test scores, the effect of teaching ward rounds was evaluated. SPSS 21.0 was used for statistical evaluation data, and the unpaired t-test was performed to make comparison between groups. Results:In terms of theoretical test, the average score of students in the experimental group was (92.15±0.60), which was higher than that in the control group (90.05±0.71), and the difference was statistically significant ( P=0.030). In the experimental group, 95.0%(19/20) of the medical students affirmed the MDRs model, and 100% of them thought it was necessary to introduce this model in clinical teaching. Conclusion:MDRs are patient-centered, emphasize interdisciplinary cooperation, and are operable, which deepens the understanding of medical students on urological diseases, promotes the exchange of clinical teaching experience between urology and interdisciplinary research, and improves the quality of teaching.
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We herein overviewed the history,achievement and plan of the twelfth-five program for the development of key medical disciplines in Zhejiang Province.We summarized the practice and characteristics of establishing of the key medical discipline in the Zhejiang Province,and a systemic survey was conducted on the effectiveness of the program.We then proposed several improvements strategies including academic training,multidiscipline coordination,and fund managements to eventually establish the new pattern of discipline development.
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Objective To discuss curative effect of comprehensive nursing intervention on patients with chronic heart failure (CHF) during rehabilitation. Methods Eighty-four cases of patients with CHF were selected and divided into routine nursing group and nursing intervention group at random. The patients in two groups were given routine drug medical treatment in Department of Medicine,and the patients in routine nursing group and nursing intervention group were given routine nursing and comprehensive nursing respectively for 6 months. The changes of compliance, heart function improvement and nursing satisfactory of patients in two groups were observed. Results After 6 months' inter-vention,the total treatment compliance rate of patients in nursing intervention group was much higher than that in rou-tine nursing group (95.24% vs 78.57%),the difference was significant(χ2=5.13, P<0.05). The total treatment compli-ance rates of patients in two groups obviously rose than before after 6 minutes' walking test (P<0.05 or P<0.01),and the rising rate in nursing intervention group was much higher than that in control group (P<0.05). The service at-titude,technique level,health education,caring for patients,mental support and other nursing satisfactory of patients in nursing intervention group were all much higher than those in routine nursing group (P<0.05 or P<0.01). Conclusion Comprehensive nursing intervention has reliable curative effect on patients with CHF during rehabilitation, which can enhance the treatment compliance of patients, improve the heart function,stabilize the condition of illness, motivate the early rehabilitation and increase the nursing satisfaction.
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Medical science and technology are important as they concerns people's life. Innovation of medical science and technology is therefore significant for the development of the science and technology. This article discussed the current situation of medical science and technology in China,and analyszed its opportnities and challenges. In addition, strategies for its development during the Twelfth Five-year Plan period are proposed, namely, to develop HLS, construct the innovative systems of medical science and technology, and to promote the coordinated development of the medicine and science and technology.