West China Hospital of Sichuan University has explored and established an intelligent assistant evaluation mechanism for professional titles based on the personnel information system, which makes the evaluation more convenient, more efficient, and the whole process more open and transparent. This paper aimed to introduce it and to provide references for evidence-based decision-making of medical institutions.
Objective To investigate the trends of cardiopulmonary bypass （CPB） professional development and personnel constitution in the past five years in China， and provide prediction and advice for the trend of Chinese CPB personnel constitution in the future. Methods We conducted 2 questionnaire investigations of Chinese hospitals in which cardiovascular surgeries were performed in the year 2005 and 2010， regarding the number of on-pump and off-pump cardiovascular operations and cases of extracorporeal membrane oxygenation （ECMO）. Data of CPB personnel constitution in the year 2005 and 2010 were analyzed. Results The total number of cardiovascular operation， on-pump cardiovascular operation and ECMO cases was 104 631， 86 155， and 68 respectively in 2005. The total number of cardiovascular operation， on-pump cardiovascular operation and ECMO cases was 170 547， 136 753， and 206 respectively in 2010. There were 708 CPB professionals in 2005， including 40.2% （285/708）full time perfusionists and 23.2% （164/708）perfusionists with senior professional titles. There were 2 111 CPB professionals in 2010， including 37.6% （793/2 111） full time perfusionists and 25.5% （539/2 111） perfusionists with senior professional titles. Conclusion There has been a rapid CPB professional development in the past five years in China. The proportion of full time perfusionists， perfusionists with senior professional titles and higher educational degree will further increase in the future.
ObjectiveTo investigate changes of the psychological heath condition of postgraduates in professional degree (PPD) of clinical medicine under "clinical-practical and medical-educational combination" training mode.MethodsA cluster sampling method was adopted for 101 PPDs and 120 postgraduates in academic degree (PAD) of clinical medicine in grade 2015 of our university. The psychological health condition was evaluated using online questionnaires at the time of enrollment in 2015 and prior to graduation in 2018.ResultsA total of 82 valid questionnaires in PPD group and 96 valid questionnaires in PAD group were collected in 2018. Compared with 2015, the scores of K6 for assessing psychological distress within 1 month, PHQ-9 for the depression module and the PHQ-15 for assessing somatic symptoms within 1 month decreased in 2018 (P<0.05), while the scores of sleep time in Pittsburgh Sleep Index Questionnaire increased in 2018 (P<0.05). The scores of K6 and PHQ-15 within 12 months in the group with excellent academic achievement prior to graduation were higher than those in the other three groups (P<0.05), and the hypnotic scores of the group with poor academic achievement were higher than those of the other three groups (P<0.05).ConclusionsThe emotion, somatic symptoms and psychological feelings of PDDs and PADs are superior than those at the time of admission, and the ability of psychological stress adjustment gradually matured and improved. However, the pressures faced by PPDs and PADs may originate from different aspects, and the "clinical-practical and medical-educational combination" training mode has not included more pressure on the PPDs. Graduates with excellent academic achievements are under significant pressure. However, the ability to adjust is strong, and the physiological health condition of graduate with inferior academic achievements may require more attention from educators.
Moral education and professional quality training remain important part of medical education and talent training. This article aimed to conduct a questionnaire survey on medical college students about their professional ethics status and school education in professional ethics, so as to explore the paths and measures of medical students' professional ethics education. College education bears the primary responsibility for the medical students' professional ethics education, thus reasonable curriculum should be set up and teaching methods should be innovated; Industry environment and social ethos also have important implications on medical students' professional ethics cognition and behavior, so it is necessary to regulate the behavior of the medical industry according to law; Information age requires correct public opinion by means of network guidance, and under the impact of the pluralistic culture and values, doctors need to adapt themselves to our excellent traditional culture.
Traditional medical education is to develop uni-professionals,and is lacking of opportunities for interprofessional communication and interprofessional collaboration.The failure of communication and collaboration is an important cause of medical errors.Interprofessional education is a new strategy to remove professional prejudice,promote interprofessional collaborative competency and improve patients'outcomes.From September 2012,we began to provide Interprofessional Education Program for healthcare undergraduates,and achievements have already been made.
ObjectivesTo investigate the occupational stress and career burnout of postgraduates in professional degree of clinical medicine.Methods70% of postgraduates with professional degree of clinical medicine from grade 2016 to 2018 in West China Hospital of Sichuan University were sampled. The individual characteristics and occupational stress were investigated by a questionnaire, and Maslach Burnout Inventory (MBI) was used to investigate the individual career burnout. ResultsA total of 600 questionnaires were distributed and 520 valid questionnaires were retrieved, with an effective rate of 86.7%. According to the stress results, 17.5% of the students were under severe stress, 44.81% were under moderate stress, and only 1.54% were without stress. Regarding the sources of stress, 63.46% were originated from scientific research while 27.88% were originated from clinical practice. For burnout, the mean score of MBI was 40.56 with 15.00 standard deviation suggesting most of the students were in good working condition. However, a small number of students had career burnout to a certain degree and required adjustment. ConclusionsPostgraduates in professional degree of clinical medicine face the dual pressure of scientific research and clinical work. Improving the existing medical master's training system, relieving postgraduates’ stress, maintaining postgraduates’ physical and mental health are necessary and urgent. In light of this, the teaching quality of postgraduates in professional degree of clinical medicine may require improvement.
Optometry has become the second class course under the allied health professions since 2012, and has been the National undergraduate enrollment directory. According to the definition of optometry provided by the World Council of Optometry, the jobs of optometrist in China include the basic eye care, basic optometry, contact lens fitting, binocular vision anomaly treatment, strabismus and amblyopia treatment, low vision treatment, special ocular examination, maintenance of equipment related to optometry, operation and sales management. At present, the demand of professional optometrist is great. However, the development of optometrical education is limited by the lack of professional ranks. The professional ranks and titles for optometrist, corresponding registration and examination system should be established by the Ministry of Health as soon as possible, in order for the development of optometrical education and human resource management.
Objectives To investigate the employment situation of graduates of West China School of Medicine in Sichuan University. Methods The employment situation of graduates from West China School of Medicine, Sichuan University from 2013 to 2017 were investigated. Student’s information, employment rate, employment satisfaction, self-evaluation of graduates and employment satisfaction were investigated. A descriptive analysis was used. Results A total of 1 789 graduates, including 602 academic degree graduates and 1 187 professional degree graduates, were surveyed. The one-time employment rate of graduates was over 90%, and the employment rate at the end of first year was 100%. The rate of academic degree graduates engaging in medical-related work was on the decline. The top 3 items of graduates' professional competence self-evaluation were professional knowledge and practical skills, teamwork awareness, and pioneering spirit. Graduates' job satisfaction was increased annually. Conclusions The employment satisfaction of graduates of West China School of Medicine, Sichuan University is increasing year by year, while the guidance and service for graduate students should be further strengthened.
Medical institutions of China still face two challenges in hospital infections currently: one challenge is from infection, including infectious diseases, multidrug-resistant bacteria healthcare-associated infection (HAI), and classic HAI; the another challenge comes from the management of HAI in medical institutions, such as lack of full-time staff and insufficient capacity, inadequate infection control organizations, insufficient awareness of infection control among medical staff, and unbalanced development. To cope with these severe challenges, we must do the following three aspects: establishing the discipline of HAI, and improving people’s infection control ability through human-orienting; improving the management organization and system of HAI; improving the awareness of infection control among all medical staff, carrying out scientific and orderly infection prevention and control work in accordance with the law, and adhering to evidence-based infection control.
ObjectiveTo analyze the status of scientific papers published by clinical medicine postgraduates during the "double-track integration" training period. MethodsData of publications of 634 clinical medicine postgraduate students who were been trained in the "double-track integration" system in West China School of Medicine, Sichuan University from 2015 to 2017 were collected. The data of the papers published during the concurrent training and residency were retrospectively analyzed. Results634 postgraduates with master degree in clinical medicine published 1 038 papers in total. Students from 3 grades published 1.606, 1.554 and 1.785 papers on average respectively, and the overall average number of publications was 1.637 per person. The composition ratios of the journal types of articles were: SCI, 37.96%; MEDLINE, 6.55%; Chinese core journals, 55.49%. Statistical differences were found in the types of journals published in the three grades. The composition ratios of article types were: case report, 24.56%; review, 34.01%; original study, 41.43%. There was no statistical difference in the composition of article types in 3 grades. All 634 graduate students met the requirements for thesis publication and succeeded in completing the training. ConclusionsIn the "double-track integration" training system, postgraduates with master degree in clinical medicine can meet the training requirements of publishing relevant articles prior to graduation.