Sharing papers among medical freshmen
In order to meet the needs of social development, we should not only pay attention to the skills training of students, but also strengthen the professional ethics education of students in school education, so as to cultivate high-quality talents needed by society. The following are my papers for freshmen medical students. Welcome to read them for reference!
Abstract Post-medical education refers to the stage in which medical students study and practice clinical courses in the fourth grade, which is the continuation of school education, the process in which students apply theoretical knowledge to clinic, and the transition from medical students to doctors. With the increasingly diversified demand for social medical and health services, professional ethics has become one of the components of the core competitiveness of medical institutions. In the process of medical education, especially in the later stage of medical education in colleges and universities, we should always pay equal attention to medical ethics education and professional education, and cultivate good quality.
keywords: medical ethics education for medical students
professional ethics education is the need to promote the construction of socialist spiritual civilization: putting prevention first, saving lives, implementing revolutionary humanitarianism and serving the people wholeheartedly are the professional ethics of medical staff in China, which is not only an important part of the construction of socialist spiritual civilization, but also a key link to improve the social fashion of the medical industry. The ideological and moral quality and professional quality of clinical interns will directly affect the status and development of China's future medical career. Therefore, it is the need of socialist spiritual civilization construction to pay attention to cultivating their noble and rigorous medical ethics in the probation and internship stages. This paper discusses the necessity, connotation, ways and methods of developing professional ethics education for clinical medical students in the later stage.
1. Necessity of professional ethics education for medical college students
1. Needs of modern medical development
In order to meet the needs of social development, we should not only pay attention to the skills training of students, but also strengthen the professional ethics education of students in school education, so as to cultivate high-quality talents needed by society. The medical model has changed from the traditional biomedical model to the "bio-psychological-social" medical model. This requires medical students to improve their moral quality and humanistic quality to a new height. In addition, in medical education, the post-education of clinical medical students mainly focuses on clinical probation and practice, which requires students to adapt to the new open medical education system where humanities and medicine intersect as soon as possible and become people-oriented and comprehensive talents with basic, clinical and preventive medical knowledge. Therefore, the professional ethics education of medical students' later study must be based on breaking away from the pure biomedical thinking mode, cultivating the humanistic quality of observing people in society, improving the analysis ability of patients' psychological and social factors, and learning to make an all-round diagnosis and analysis of diseases from the social background and psychological changes of patients.
2. The needs of higher education
In the talent training programs of medical majors, it is clearly stated that the training of medical senior talents with all-round development of "morality, intelligence, physique, beauty and labor" is the training goal of each major. Broadly speaking, the stage of colleges and universities (including higher vocational colleges) is a crucial period for the formation of moral quality in a person's life, and moral education is an important part of youth education. Strengthening youth moral education is not only the need of healthy growth, but also the need of socialist builders and successors who meet the requirements of the times. Since the reform and opening up, especially after China's accession to the WTO, a large number of western cultural products have poured in, making it easy for students to feel various ideologies and get in touch with the world's multiculturalism. The mixing and collision of various cultures will aggravate the difficulty of choosing and establishing values during the growth of students. Under the new historical conditions, school moral education must also be deepened and expanded. [1] On the other hand, in the current fierce social competition, many parents unilaterally understand the cultivation of their children as mastering cultural knowledge, but ignore the education of moral quality, all of which require colleges and universities to carry out moral education for students, especially professional ethics education, which is of great significance.
3. Strengthening professional ethics education can alleviate the contradiction between doctors and patients
At present, one of the main factors causing the tension between doctors and patients is the service attitude of medical staff. Some doctors' service concepts and ways of thinking still remain at the level of "regarding doctors as the most important" and "neglecting people who are seriously ill", and their service words and deeds show reluctance to explain more to patients, lack of respect for patients in communication, and lack of humanistic communication and emotional communication. Modern medicine requires a qualified doctor to have not only superb skills, but also a sense of social conscience and social responsibility. Paying more attention to patients' care, understanding, strategies and skills is not only a demonstration of their perfect quality, but also the cornerstone of establishing a harmonious new doctor-patient relationship. Therefore, from the internship stage, we began to pay attention to cultivating the concept of medical students serving patients wholeheartedly, which played a positive role in correcting the industry style and building a harmonious doctor-patient relationship.
second, the connotation of medical professional ethics education
Chinese traditional ancient medical writings summarized the connotation of medical ethics education from four aspects: ① the ultimate care for health and life; (2) to utilitarian values of life; (3) the spirit of being unconventional and brave in exploration; ④ Prudent and rigorous medical practice style. [2] At this stage, although there is no specific fixed model requirement for medical ethics in China, it is in accordance with the overall goal and requirements of socialist moral construction; Combined with the Interim Provisions on the Management of Clinical Practice of Medical Education jointly issued by the Ministry of Health and the Ministry of Education, the requirements of medical professions and the ideological and moral status of medical students, on the basis of summarizing the practical experience of medical ethics education for many years, we explore the connotation of medical ethics education.
First of all, the education of socialist core value system: guiding students' medical ethics education with "three meanings" education; putting patriotism, collectivism and socialism education through the whole process of medical ethics education, and putting them in a guiding position to cultivate reliable successors with Socialism with Chinese characteristics career.
Secondly, through the education of world outlook, outlook on life and values, students can basically master the basic viewpoints, principles and methods of dialectical materialism and historical materialism, and can correctly look at the world, society and life. And with professionalism, he can deeply understand the humanistic connotation of medicine, establish correct medical values, and improve his ability to judge medical social value and moral value and his ability to choose medical behavior.
Third, education on humanitarianism and social morality should be carried out, so that medical students can form the qualities of loving, respecting, trusting and treating others equally, abide by social morality, be honest, frank and helpful, and correctly handle the relationship between individuals and the collective, doctors and patients, medical care and colleagues.
Fourth, medical humanistic spirit education. Guide students to understand that the purpose of studying medicine is to love and care for people. Make medical students love life, respect patients, stress justice, pursue harmony, do good and beautiful things, and have the professional ethics of saving lives, practicing humanitarian spirit and serving the people wholeheartedly. [3]
Gao Qiang, former Minister of Health, pointed out in the "Speech at the National Hospital Management Year Work Conference in 26": "In the training of medical talents, we should not only pay attention to the professional and technical level, but also pay attention to ideological, moral, work style education and legal and disciplinary training ... so that young medical personnel can master solid medical technology and establish noble professional ethics." "In a harmonious society, doctors can do their best.
Third, the ways and methods of cultivating medical ethics in the later education of medical students
1. Improve the quality of medical students and cultivate humanistic quality.
Improve the quality of medical students, strengthen humanistic cultivation, introduce the method of "spiritual midwifery", internalize moral cognition into moral concepts, and externalize it into moral behavior medicine. While it has obvious natural science attributes, it also has obvious humanistic nature. [4] Society calls for humanistic spirit, advocates people-oriented and cherishes and cares about life. For doctors, humanistic care is their most basic service attitude. There are some differences in the ideological and moral qualities of medical students, which are determined by the degree of acquired cultivation. A few students indulge in the colorful contemporary society and neglect the improvement of their own ideological and moral quality. They have not yet fully established a correct outlook on life, or the self-cultivation of social morality has left defects. The essence of "spiritual midwifery" is that truth exists in people's hearts in a potential form. The main task of teachers is not to impart ready-made knowledge, but to eliminate mistakes and vague understanding through conversation and discussion, awaken students' consciousness, and thus discover the truth, [5] so that students can achieve the unity of knowing and doing. Therefore, as a humanist in the future society, one must strengthen one's humanistic cultivation during school and constantly cultivate one's humanistic qualities such as "respecting life, advocating justice, loving one's post and being dedicated, and being broad-minded". Only in this way, patients will not feel the coldness of therapeutic instruments and their loneliness and helplessness when they see a doctor.
2. Improve the professional ethics of teaching teachers and improve the exemplary role.
Due to the intensified conflict of values among medical students and diversified values, the traditional "high", "big" and "all-round" model demonstration method has weakened its effect, and even caused some students to resent it. [6] Students all have the characteristics of imitating teachers, and teachers' attitudes, standpoints, words and deeds have become important educational factors in the teaching process. Therefore, in clinical teaching, teachers should first have good professionalism, take the lead in setting an example in the teaching process, be decent, aboveboard and adhere to the scientific attitude of seeking truth from facts. Be serious, considerate and kind to every patient in clinic; Treat patients equally, be not humble to the venerable, be not proud of the poor, do not engage in personal affairs with the convenience of occupation, be strict with yourself, and be totally self-loving. As a clinical medicine teacher, it is equally arduous and important to cure patients and educate students, but the latter has a far-reaching impact on society. If we cultivate a good doctor, it may benefit one party; If we cultivate a quack or greedy doctor, it may harm one side.
3. Strengthen the cooperation between schools and clinical hospitals
Schools. Before students enter the clinic, the school should help them to establish a new concept of "bio-psychological-social" medical model and medical ethics, enhance the professional responsibility of medical students, and lay a solid foundation for their clinical medical ethics practice. In the course study, students can be systematically educated in ideological and moral character, code of conduct, legal system and discipline through entrance education, ideological and moral cultivation courses and basic legal courses, so as to establish socialist morality and legal system. Through medical ethics, students are systematically educated in the principles, norms and categories of socialist medical ethics, and the relationship between medical ethics and medical skills is clarified. At the same time, through "early contact with clinical practice", we can contact the society, hospitals and clients through multiple channels, angles and levels in hospital visits, internships, health surveys and other activities, accept the influence and infection of medical ethics, and gradually understand that a qualified doctor should not only have superb medical skills, but also have noble medical ethics.
hospitals. As the executor and manager of medical students' later teaching, the hospital plays a vital role in the cultivation of their medical ethics. Medical ethics education in clinic can arouse students' enthusiasm, such as carrying out bedside teaching and helping students sum up their experiences and lessons in medical services in combination with patients' actual problems; Organize students to discuss and analyze accidents and cases caused by violation of medical ethics and loss of medical ethics, so as to urge students to locate in comparative thinking, consciously improve medical ethics, develop good medical ethics behaviors and habits, and finally urge students to transform external medical ethics principles and norms into internal medical ethics beliefs and qualities, and firmly establish the value orientation of "health depends on life". In the specific work, we should first strengthen the construction of hospital culture, form a good environment for medical ethics education, improve the rules and regulations of medical ethics education, strictly manage and combine rewards and punishments to ensure the smooth progress of medical ethics education.
In short, the medical ethics education of clinical interns' later teaching can't stick to one form. We should combine the characteristics of the health industry, adopt the methods of "three-dimensional, multi-faceted education with collective influence" and "combination of theory and practice", pay close attention to medical ethics education while practicing professional skills, cultivate medical students' professional spirit and professional consciousness, and adhere to medical humanistic beliefs, so as to become "virtuous and capable" and "virtuous and artistic".
references
1 Zhu Jing. On the professional ethics education of college students [j]. Vocational Education Forum, 24(26)
2 Ji Chunyuan, Zou Li. The connotation of medical ethics education in ancient medical literature [j]. Health Vocational Education, 27 (12): 28 ~ 29
3 Wu Haifeng. 29 (8): 113 ~ 114
4 Li Fengying. Integrating medical ethics education into the construction of campus culture [J]. China Medical Ethics, 28 (4): 16, 18
5 Department of Philosophy, Peking University. Selected readings of western philosophy (Volume I) [M]. Beijing: Commercial Press.