Remember in more than 10 years ago, I do breathing professional professor in former West China Medical University, often lectures over, I think of this problem: education is carrying the burden of responsibility, how? When I went to the leadership post, from the initial medical university Vice Chancellor, the provincial health department director, Vice Minister of the Ministry of health, to the present Chinese Doctor Association, although never in charge of the teaching work, but the problem is often haunt me, thinking has never stopped, even today, the answer is becoming increasingly clear, clear! It is to develop education, to progress, the first education idea must undergo profound changes, the connotation of education must be greatly extended, we must reform the teaching mode. Specific to the medical education, there are a few points: my personal views on Teaching: first, medicine is related to the life, health science, and therefore must be emphasized rigor; second, medicine is a borderline science, and is developing very fast, it should be stressed that teachers knowledge constantly updated, growth ability and accept new knowledge in theory, the expansion of demand, meet the students' knowledge; third, the medical work in addition to mend his ways to save him, but also relates to ethics, moral, lawA series of problems, such as law, medicine education should increase the number of social science knowledge, and strengthening the training of medical students humanistic spirit; fourth, the medical profession more morphological courses, learning need to memorize the hard back, but the actual use are very stressed flexibility. Therefore, attention to the cultivation of image thinking and logical thinking of students, that is usually what we call the clinical thinking ability, this is an important point. In the text: first, the content in the emphasis on "three basic" at the same time, should be able to reflect the development and change of disease spectrum and discipline; second, pay attention to content in science at the same time, should be for the sake of teaches and scholars, is complicated, profound knowledge, represented by text or graphics simple; third, teaching materials should fully reflect the characteristics of medical of this discipline, that is, the content of many morphological method. Therefore, should do with pictures, and even some contents of available video to express. Although he has some ideas of teaching and teaching material construction, but the higher education press asked me to order this set of textbooks of medicine, but I was very embarrassed. One is I leave education, many years of clinical work; two is previous I invited a lot of other experts to do the order or sequence to a lot, the authors do not would favour one more than another suspected. But I read the materials planning and part of the chapter, a bright eyes, can not help but let go. This set of teaching materials have many novel in the content, form 1 Basic Disciplines: materials that combine the theory and clinical, cut to make the subject system and give simple and complex content, highlighting the characteristics of clinical service, laying the foundation of the. 2 clinical teaching materials according to the changes of disease spectrum in recent years, emphasis introduces the clinical common disease, frequently occurring disease diagnosis and treatment knowledge, technology, and increase in recent years is recognized, mature new knowledge, new technology. 3 this is the three-dimensional teaching material, a set of real significance not only Tu Vin Unionmaw, and equipped with students and teachers teaching multimedia CD-ROM CD-ROM. CD rich in content, there are a large number of pictures, the medical record analysis, advances in lectures, exercises. Greatly enriches the content of teaching materials, to medical education should be based on visual teaching objective. 4 this set of textbook author editor contingent of young, average age 50 years old, for the returned personnel as the backbone, and active in teaching, clinical a gleam of.
"Diagnosis" the history, physical examination, laboratory diagnosis, inspection equipment, medical records, steps of diagnosis and clinical thinking method, commonly used in clinical diagnosis in 7 chapters, the 33 chapter 144. Illustrations and diagrams of the book length 30% ~ 40%. Book written form and reasonable framework adjustment. For example: physical examination paper adds "anatomy and physiology, common symptoms, special inspection method"; experimental diagnosis added "leukemia immunophenotyping and cytogenetic analysis, urine dry chemistry analyzer examination, endocrine dynamic function test, transplantation immunology detection, heart disease and pancreatic diseases laboratory examination, bacterial resistance check the" delete "; gastric and duodenal fluid examination and laboratory examination of liver disease" in the "blood coagulation factor determination", etc.. Equipment inspection report added a "special cardiac examination (including cardiac catheterization, angiography, cardiac radionuclide ambulatory blood pressure, etc.), clinical examination of the heart B ultrasound examination, retrograde cholangiopancreatography, endoscopic ultrasonography examination" and other new. Delete the old "collection of gastric and duodenal drainage". This material is suitable for the medical profession five years of undergraduate and seven year graduate.
Introduction the first history the first chapter common symptoms of fever, dyspnea in three, two, four, five, cyanosis of chest pain edema in six, nausea and vomiting, jaundice seven eight, dysuria in nine, disturbance of consciousness and coma second day interrogation, interrogation of a successful required humanities quality two, special circumstances of the inquiry, three the inquiry and physical examination record second chapter second basic examination method first inspection section second section third percussion section fourth auscultation, palpation fifth olfactory diagnosis in third chapter general examination and vital signs section 1 general examination, gender and age two, state of consciousness, the nutritional status of three four, faces five, posture, gait and pose six, development and shape of seven, weight and body mass index second vital sign a, temperature two, pulse, breathing, blood pressure three four third fourth fourth chapter skin lymph node of head, neck section head, hair and scalp to check two, head second section face and organ one eye, ear, two three, the nose, mouth and pharynx four five, six, third day neck parotid gland of larynx One, the neck contour and division two, three, four, thyroid and trachea of carotid artery and jugular vein five, neck special inspection method block fourth Festival, evaluation of exophthalmos in two, check the nasolacrimal duct obstruction fifth chapter chest and lung section anatomy and physiology of second common symptoms, cough and expectoration, hemoptysis third two section chest examination, chest a positioning mark two, lung and pleura in the chest position three, chest wall and thoracic four, breast examination five, axillary examination...... The sixth chapter of seventh chapter of the heart and blood vessels abdomen eighth chapter, ninth chapter, genital anal rectum spine and extremities tenth chapter neural systems third laboratory eleventh laboratory introduction chapter twelfth chapter of clinical hematology test in the thirteenth chapter the fourteenth chapter nephropathy urine test commonly used laboratory examination of liver disease commonly used laboratory examination fifteenth chapter sixteenth chapter endocrine and metabolic diseases laboratory check the seventeenth chapter heart disease laboratory chapter eighteenth commonly used clinical biochemistry examination of other nineteenth chapter coelomic fluid, secretion and excretion test in the twentieth chapter of twenty-first chapter of Clinical Immunology Examination clinical pathogen examination fourth pieces of equipment inspection chapter twenty-second chapter twenty-third other common ECG electrocardiogram examination thirty-fourth chapter ultrasound Beckoning figure thirty-fifth chapter heart other special inspection thirty-sixth chapter pulmonary function tests thirty-seventh chapter endoscopy fifth disease history writing the twenty-eighth chapter of history writing Chapter twenty-ninth basic requirements of medical writing type, format and content of sixth diagnosis Clinical diagnosis of clinical thinking method step thirty-first chapter thirty-second chapter disease step and clinical thinking methods. The thirtieth chapter to diagnose disease types, content and format of seventh commonly used in clinical diagnosis and treatment technology of the thirty-third chapter common clinical diagnosis technology appendix a clinical laboratory reference value index
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