Refresher Doctors Research Articles

Evaluation on applicationof virtual reality technology in dental implant process training

Objective: To explore the application effect and evaluation of virtual reality technology in oral implant therapy training. Methods: In November 2018, one adult patient (female, 36 years old) with missing right mandibular first molar was treated in the Department of Implantology, School and Hospital of Stomatology, Fujian Medical University. The three-dimensional virtual models of mandible and implant surgery tools were established, and the virtual reality software (Unity 3D 5.5.1) was imported. Combined with the virtual reality head mounted display, a virtual reality training system simulating the dental implant treatment process was independently developed. Ten refresher doctors and 20 graduate students in Department of Implantology, School and Hospital of Stomatology, Fujian Medical University from September 2018 to December 2019 were recruited as the experimental objects (no clinical experience was found). According to the level and seniority of doctors, they were randomly divided into virtual training group and conventional training control group, which made the two groups comparable, with 15 in each group. Subjective scores (including anatomical structure, surgical field of vision, cavity preparation, implant placement and process mastery) were given after the corresponding training in the two groups, and the virtual reality training system was used to test. The mesial and distal direction, buccolingual direction, depth and angle deviation of implants before and after the training were analyzed, and the differences between the two groups were compared. Results: The subjective scores of five dimensions in the virtual training group were significantly higher than those in the conventional training control group (P<0.05). In the virtual training group, the mesial and distal, buccolingual, depth and angle deviation of implants were (0.73±0.33), (0.78±0.41), (0.61±0.32) mm and 6.66°±3.87°. All of them were significantly lower than those in the control group [(0.85±0.32), (1.12±0.38), (0.89±0.24) mm and 9.68°±3.74°] (P<0.05). Conclusions: The self-developed virtual reality system of oral implant has good application effect, good operability and predictability. It can be effectively carried out in implant education and training, and it can strengthen skills of doctors, and is conducive to the practical operation.

The Research of Mental Health Status Among Medical Personnel in China: A Cross-Sectional Study

Background: In China, burnout, anxiety, depression, and suicidal thoughts among medical staff are common and have been associated with high-intensity work, patient complaints, pressure from public opinion, misunderstanding, and long training and working cycles. However, mental health status of medical personnel has not been well described at a national level. To estimate the mental health status of medical staff, focusing on identifying healthcare providers in the high-risk groups, and executing positive psychological intervention, counseling, treatment initiatives, and moreover, carry out crisis interventions in advance. Methods: This study was using data collected from both the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores, representing the national sample of the medical staff in China, collected from May 2016 to July 2019. The three componentsof mental health, emotional well-being, psychological well-being, and social well-being, were used to evaluate the mental health status of the target population. The survey covered 10 basic information and 40 psychological questions. The main questionnaires were from both the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS), as well as gender, age, marital status, education, professional title, salary, job category, and hospital levels, which were made an electronic questionnaire format by questionnaire star. We sent the message to the healthcare workers’ Wechat group. The responses from 4403 medical physicians (included medical students, refresher doctors, training physicians, and doctors), as well as nursing staff, and medical technicians, were utilized. Findings: The overall pooled prevalence of depression or depressive symptoms among medical personnel in China was 27.8%, and symptoms of anxiety were reported from 22.3% (980 out 4403) physicians. Among these medical staff, the secondary hospital ( P =0.017, P =0.049) and night shift frequency less than 5 days ( P =0.002, P =0.000) and unemotional management-related learning and training ( P =0.000, P =0.000) were significantly associated with SAS and SDS scores. In addition, the study showed that sleep quality (sleep deprivation) were related to gender ( P =0.006) and marital status ( P =0.045), while suicidal ideation were statistically associated with age ( P =0.025), marital status ( P =0.021), occupation ( P =0.028), hospital-level ( P =0.048), professional title ( P =0.037), annual income ( P =0.029), and whether there was emotional management learning ( P =0.001). Interpretation: In this Chinese national study of medical personnel, the findings indicated that the prevalence of depression and anxiety in hospitals at three levels were high. Further research is needed to better understand and identify the high-risk groups of medical staff under high-stress circumstances and to address these issues properly. Trial Registration: Chinese Clinical Trial Registry ChiCTR1800019542 Funding Statement: The National Institute on Minority Health and Health Disparities, a component of the National Institutes of Health (5G12MD007592 and 2U54MD00759226). Declaration of Interests: The authors declare no competing interests. Ethics Approval Statement: The West China Hospital approved this study and waiver of informed consent of the Sichuan University institutional review board.

Application of CBL combined with LBL in the training of refresher doctors in reproductive medicine

Objective The aim of this study was to evaluate the value for CBL and LBL teaching method in the training of refresher doctors in reproductive medicine. Methods A questionnaire survey was conducted among 186 refresher doctors who had studied in the reproductive medicine center at Peking University Third Hospital from January 2016 and December 2017 one year after their graduation. We tested 33 refresher doctors in observe group and 33 refresher doctors in the CBL+LBL group who graduated at the same period. Results Ninety-two refresher doctors responded to the investigation. The questionnaire survey showed that 84.78% of the refresher doctors thought that CBL and LBL teaching method could improve their learning abilities, clinical problem analysis and solving skills, and surgical techniques, which was conducive to promoting their assisted reproductive technology. Besides, 63.04% of refresher doctors believed this method improved their research abilities. In CBL+LBL group, examination scores of theoretical knowledge were significantly higher than the observe group (P<0.05). Conclusion The combination of CBL and LBL is effective and feasible in the training of refresher doctors in reproductive medicine. Key words: Case-based learning; Lecture-based learning; Reproductive medicine; Refresher training

Application of Delphi method to construct the teaching evaluation index system of clinical departments in three grade hospitals

Objective To construct the evaluation index system of medical education for clinical departments in grade-three hospitals. Methods Questionnaire were answered by the clinical experts, medical education directors and VP for education in the grade-three hospitals. According to the principle of Delphi method, the survey included the basic situation of experts, the relative importance of each index and the degree of expert authority. SPSS 16.0 was used to analyze the data. Results The questionnaire recovery rate was 90%, with authority of the average value 0.88, and coordination coefficient 0.348. The coordination coefficient was tested by chi square test, P=0.000. Five first level indexes by the authoritative coefficient after correction (residency training, postgraduate education, academic education, continuing medical education, teaching for refresher doctors) of the weighted value (%) were 22、22、22、19 and 15 respectively. Conclusion The experts in this study represent strong and high enthusiasm and authority. After practical application, the index system is supposed to have practical application value. Key words: Delphi method; Medical education; Index system

The teaching strategies of clinical EEG for refresher doctors

The electroencephalography (EEG) has a wide range of content, complex graphics and abstract theory. Meanwhile, there are differences in professional level, learning ability and subjective initia-tive among refresher doctors. In order to improve the quality of teaching, and to better serve the refresher doctors, the following strategies have been applied in the teaching process. We not only make the training target according to the actual condition of every refresher doctors, but also make them take a correct attitude towards study and follow the teaching arrangement. Besides, we not only orient at the operational skills training, including electrode installation, EEG evoked test, Point-of-Care test to eliminate the interference, but also promote the refresher doctors to seek the law of the diagram in the actual interpretation process with longitudinal development view and horizontal comparison perspective. Furthermore, we not only stan-dardize their report, but also broaden their view. Key words: Electroencephalogram (EEG); Refresher doctors; Teaching strategies

Exploration of standard training and management for pediatric refresher doctors

Refresher training is the most important ways of continuing medical education. This paper introduces the training situation of refresher doctors of Children＇s Hospital of Fudan University by distribution of professional title, education departments and experience in training. We have summarized the management mode of refresher doctors from such aspects as the entrance management, pre-job training, authorization to work, strengthening clinical practice to expand knowledge, clinical research training, self-learning ability improvement, strengthening emotional communication, humanization management, emotional bonds establishment and creation of a follow-up development environment. Key words: Education for refresher doctors; Standardized management; Pediatrics

Application of Journal club teaching method in continuous education for neurosurgical refresher doctors

Tangdu hospital of the fourth military medical university explored the aim,method,critical points and effect for organizing a neurosurgical continuous education Journal club and summarized the key factors important for its successful organization and the improvement of its short-term and long-term educational effects in order to discover a Journal club education pattern which could satisfy the demand of for neurosurgical refresher doctors.Paying attention to these factors could better satisfy the demand of for neurosurgical refresher doctors,achieve their participating aims,promote their understanding of the advancing front of the discipline and improve their literature analyzing competence and problem solving ability.The wide application of continuous education Journal club is helpful to improve the level of neurosurgical continuing education in our country. Key words: Journal club; Neurosurgery; Teaching method; Continuous education