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临床思维与决策能力培养是医学生不可或缺的一门必修课程,临床医生实际上每天处于临床决策之中,必须为疾病提供诊断和治疗的决策.而当前临床医学生在此方面训练甚少,临床工作具有很大的不可预知性和不可确定性,尤其是在手术室繁忙、变化的环境中,进行高效的临床决策就显得尤其重要.本文阐述了临床思维与临床决策在医学教育中的重要地位及其相互关系,分析当前医学生临床实践中的思维与决策方面存在的问题.并从临床实际角度出发,探讨如何提高医学生临床思维与决策能力的方法,对促进医学教育模式改革,提高医学教育质量具有重要推动作用. 相似文献
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临床药学作为一门新兴学科,是医院药学的一个分支.日本作为药学教育发展较快的发达国家,在临床药学人才培养领域积累了丰富的经验.在分析社会对临床药学人才需求的基础上,总结日本临床药学人才培养目标、培养模式及课程设置特点,期望为我国临床药学教育和人才培养模式改革提供借鉴. 相似文献
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临床路径是现代医院管理的前沿技术之一,对于提高医疗服务质量和降低医疗费用具有现实意义.通过对急性胰腺炎病人的临床路径研究,探讨了我国临床实践中临床路径的实施方法,并在此基础上进一步研究了该疾病医疗保险费用结算标准的分类标准. 相似文献
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器官移植的临床决策难题——医务人员面临的伦理尴尬 总被引:1,自引:0,他引:1
器官移植技术在临床的推广应用,在有效救治病人同时,也面临着复杂的伦理问题,医务人员身处诸多两难的尴尬境地,已成为临床决策过程中亟待解决的难题。 相似文献
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临床路径是现代医院管理的前沿技术之一,对于提高医疗服务质量和降低医疗费用具有现实意义。通过对急性胰腺炎病人的临床路径研究,探讨了我国临床实践中临床路径的实施方法,并在此基础上进一步研究了该疾病医疗保险费用结算标准的分类标准。 相似文献
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随着我国的药物临床试验过程逐渐完善,药物临床试验水平不断提高,但伦理学方面并不十分完善.临床研究者和受试者应该明确自己的权益和义务,并在药物随机临床试验中,使受试者的权益得到更好的保护.本文论述并总结了药物临床试验中出现的问题,并提出了改进措施. 相似文献
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培养科学的临床思维——由一例延误诊治病例引发的哲学反思 总被引:1,自引:0,他引:1
临床工作中,误诊误治在所难免,重要的是我们能否对其进行反思,从中积累经验教训提高诊疗水平。本文首先从哲学的角度分析了造成误诊的原因,然后指出防止或减少误诊的途径是培养科学的临床思维,并提出了在临床过程中培养科学临床思维应注意的8个方面。 相似文献
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临床工作中,误诊误治在所难免,重要的是我们能否对其进行反思,从中积累经验教训提高诊疗水平.本文首先从哲学的角度分析了造成误诊的原因,然后指出防止或减少误诊的途径是培养科学的临床思维,并提出了在临床过程中培养科学临床思维应注意的8个方面. 相似文献
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There is an old but powerful argument for the claim that exhaustive divine foreknowledge is incompatible with the freedom to do otherwise. A crucial ingredient in this argument is the principle of the “Fixity of the Past” (FP). A seemingly new response to this argument has emerged, the so-called “dependence response,” which involves, among other things, abandoning FP for an alternative principle, the principle of the “Fixity of the Independent” (FI). This paper presents three arguments for the claim that FI ought to be preferred to FP.
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Two types of matching designs, static and dynamic, are differentiated. While all matching designs are logically the same in terms of the probability model which determines chance level of performance, an attempt is made to demonstrate that there is an interaction between the tactics, strategies, and actual knowledge ofS and the type of design used which will, in turn, lead to different results even whenS's knowledge is held constant. It is suggested that analogous situations may exist within the framework of the traditional psychometric model.The work reported in this paper was supported by a National Science Foundation Undergraduate Research Participation Grant (NSF-G15797) to the senior author. The authors are indebted to Joel E. Greene for his advice and criticism. 相似文献
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《Canadian journal of philosophy》2012,42(3):303-321
If practical reasoning deserves its name, its form must be different from that of ordinary (theoretical) reasoning. A few have thought that the conclusion of practical reasoning is an action, rather than a mental state. I argue here that if the conclusion is an action, then so too is one of the premises. You might reason your way from doing one thing to doing another: from browsing journal abstracts to reading a particular journal article. I motivate this by sympathetically re-examining Hume's claim that a conclusion about what ought to be done follows only from an argument one of whose premises is likewise about what ought to be done. 相似文献
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