医学创新的跨学科特征分析

以诺贝尔生理学和医学奖获奖者群体为样本,从该群体的知识背景、研究方法、科研协作方面入手,进行计量分析和实证研究,揭示医学创新研究的跨学科特征,认为跨学科知识背景是获得创新性成果的前提和基础,进而指出医学创新研究最终会导致新的医学跨学科体系的建构,推动整个医学的发展.     

Swanson的非相关文献知识发现法对医学发展的思考

198 5年美国芝加哥大学医学教授Don .RSwanson创立了一种医学方法———非相关文献知识发现法 ,并且设计了相应的人机交互系统Arrow smith。它对医学的发展有何作用 ?其哲学意义如何 ?都值得我们深入的思考和探索。1　Swanson的知识发现法的背景2 0世纪中叶 ,科学家就在积极地探讨科学知识分裂现象 ,但一直没有很好的解决方案。Swanson教授从 3个方面对知识分裂理论进行论述[1] :(1)客观知识的总量与人类吸收知识的能力之间存在着巨大的差距 ,并且这种差距在不断地扩大 ;(2 )在信息爆炸时代 ,随着科学技术的越来越专业化 ,跨学科的信息传…     

诺贝尔医学奖计量研究及对我国医学创新的启示

通过统计诺贝尔生理学和医学奖获得者群体的年龄构成、学位结构、毕业院校和研究领域等基本信息,试图阐明杰出医学工作者成长及创造世界尖端医学科技成就可能遵循的基本途径,从而为我国在医学体系中的培养科研创新方面提供较为细致的新思路.     

医学人文运动与知识考古--中国人文医学的战略与策略

后现代理论影响和刺激了医学人文学,医学人文学学科意义与价值更加显明,医学需要人文学,人文学需要医学,医务人员迫切需要人文医学教育。经济发展、高新生命科学技术入驻世俗生活、医学模式转变、医疗改革与价值论哲学影响,这五大因素构成中国医学人文运动的背景;中国医学人文运动正在兴起。研究医学人文学的知识背景对制订人文医学战略与策略有重要意义。     

学业成就、创造力与跨学科概念图创作能力的关系

为了从知识基础和创造性思维视角探讨跨学科知识整合的条件,以125名高二学生为被试采用相关研究设计考察了学业成就、创造力与跨学科概念图创造能力的关系。结果发现：（1）学业成就与跨学科概念图创作能力正相关;高成就组在命题、交叉和总分维度上的表现优于低成就组;而中成就组在命题和总分维度上的表现优于低成就组;（2）创造力与跨学科概念图创作能力正相关;创造力的流畅性和独创性与跨学科概念图的所有维度正相关;灵活性与概念图创作的命题、交叉、范例和总分正相关;（3）学业成就与创造力能够中等程度地预测跨学科概念图创作不同能力组被试的分布。这表明学业成就和创造力是跨学科知识整合的基础。     

医学方法学课程的形成渊源、学科特征及其科学意义

具有学科渊源多维性、价值体现间接性和知识组织程序性特征的医学方法学课程,强化了以知识获取与知识发现为标志的创新能力的培养,体现其特有的科学价值:医学科学认识新途径——知识综合创新;医学知识发现新方法——医学数据挖掘;医学创新能力培养的新思路——强化医学方法学课程教学.     

跨学科概念图创作能力与科学创造力的关系

采用科学领域的跨学科概念图创作任务, 探讨了跨学科概念图创作能力与科学创造力的关系。研究发现：（1）跨学科概念图创作能力与科学创造力显著正相关;（2）概念图创作的命题、交叉连接与创造力的流畅性、独创性、灵活性显著相关;交叉连接与独创性显著相关;（3）跨学科概念图创作能力的个体差异表现在科学创造力的各个方面。研究表明,跨学科概念图创作任务与科学创造力测验考察了学习者相似的心理能力;跨学科概念图创作不仅可以用于促进跨学科信息整合和知识建构,还可以作为理解学习者创造性思维能力的有效工具     

整合医学研究进展与趋势分析

基于469篇整合医学相关文献的综合研究,阐述整合医学的产生背景及发展历程,分析国内外整合医学研究现状、研究热点、关注点以及发展趋势,重点论述我国整合医学概念的提出和内涵,分析我国整合医学发展现状和实践应用情况,从而指出整合医学是现代医学理念的创新,完善理论体系是整合医学发展的重要任务;开拓临床疗效与应用机制研究是整合医学发展的关键;构建联网互动整合信息平台是发挥整合医学作用的有效途径。     

临床跨学科团队建设与管理初探

建设临床跨学科团队是当今时代临床科研取得成果的有效方式,但其理论及实践方面的研究仍然处于不断的探索之中。概述跨学科及临床跨学科团队的主要特征,完善其建设与管理的机制是在"大科学时代"中获得成果的必经之路。本文就跨学科概念以及它与整合医学联系等方面进行简要述说,针对临床跨学科团队建设与管理中存在问题给予指出,并从团队意识、资源整合以及制度管理方面提出相应的意见。旨在为临床跨学科团队模式的建设与管理发展提供参考。     

论医学生从业素质的要求与培养

21世纪的高等医学教育应该适应卫生事业发展、医学模式转变,特别是社会进步与医学科学发展的宏观背景,以综合素质、创新能力和创新精神、适应社会需求、多维学科结构等要素为培养目标,以脑科学研究和信息技术为重要手段,改革和构建21世纪医学教育新模式,以培养出更多优秀的21世纪所需要的创造性医学人才。     

Interdisziplin?re Systemintegration und Innovationsgenese: Ein methodologischer Zugang f��r die interdisziplin?re Forschung

The increasing significance of inter- and transdisciplinary research raises the demand for principles with respect to methodology and philosophy of science. The discussion of this question leads to the development of an interdisciplinary research process with two methodic core areas: system integration and inducement of innovation. It will be shown that interdisciplinary research can be understood as a discipline of its own, while its potential of synthesis cannot be declared as a central distinctive feature relative to other disciplines. In fact the developed methodology is firstly aligned analytically, with a focus on the research potential from the area of tension between individual disciplines. This results in an interdisciplinary methodology, generating epistemological progress, which can be applied to complex and cooperation intensive research in academia as well as industry and society.     

The Second Essential Tension: on Tradition and Innovation in Interdisciplinary Research

In his analysis of “the essential tension between tradition and innovation” Thomas S. Kuhn focused on the apparent paradox that, on the one hand, normal research is a highly convergent activity based upon a settled consensus, but, on the other hand, the ultimate effect of this tradition-bound work has invariably been to change the tradition. Kuhn argued that, on the one hand, without the possibility of divergent thought, fundamental innovation would be precluded. On the other hand, without a strong emphasis on convergent thought, science would become a mess created by continuous theory changes and scientific progress would again be precluded. On Kuhn’s view, both convergent and divergent thought are therefore equally necessary for the progress of science. In this paper, I shall argue that a similar fundamental tension exists between the demands we see for novel insights of an interdisciplinary nature and the need for established intellectual doctrines founded in the classical disciplines. First, I shall revisit Kuhn’s analysis of the essential tension between tradition and innovation. Next, I shall argue that the tension inherent in interdisciplinary research between, on the one hand, intellectual independence and critical scrutiny and, on the other hand, epistemic dependence and trust is a complement to Kuhn’s essential tension within mono-disciplinary science between convergent and divergent thought.     

The Evolution of Psychology as a Basic Bio-behavioral Science in Healthcare Education

For over a century, researchers and educators have called for the integration of psychological science into medical school curricula, but such efforts have been impeded by barriers within medicine and psychology. In addressing these barriers, Psychology has re-examined its relationship to Medicine, incorporated psychological practices into health care, and redefined its parameters as a science. In response to interdisciplinary research into the mechanisms of bio-behavioral interaction, Psychology evolved from an ancillary social science to a bio-behavioral science that is fundamental to medicine and health care. However, in recent medical school curriculum innovations, psychological science is being reduced to a set of “clinical skills,” and once again viewed as an ancillary social science. These developments warrant concern and consideration of new approaches to integrating psychological science in medical education.     

医学“交叉学科”浅析

医学交叉学科是现代医学教育不可或缺的学科,医学没有交叉学科作支撑,很难成为实实在在的医学,也很难培养出适应新世纪医学发展需要的具有综合素质的优秀医学人才。在以往研究的基础上具体阐述了医学交叉学科的内涵、主要交叉形式;分析了医学交叉学科出现的意义以及未能引起足够重视的诸多原因。目的在于提高医学人才培养、医学科学研究过程中对医学交叉学科的重视程度。     

Advancing Psychology as a Bio-behavioral Science

Concerns for the integrity of psychology as an independent discipline have caused some psychologists to object to introducing any knowledge from the biological sciences into the training of psychologists. However, calls for the greater incorporation of the behavioral sciences in medical education, increased attention to research on the mechanisms of bio-behavioral interaction, and initiatives in translational medical research and clinical care, have prompted increased interest in interdisciplinary research, health care, and teaching. These changes, in turn, are resulting in a re-conceptualization of the structure of academic medicine with increasing emphasis upon multidisciplinary knowledge and interdisciplinary collaboration, and less emphasis upon disciplinary insularity and competitiveness. If clinical health psychology is to play a role in this evolving concept of academic health care, it must adequately prepare its trainees to function in interdisciplinary academic health care settings. This will require not only expertise in the role of behavioral factors relevant to medical disorders, but also some basic familiarity with the biological processes to which those behavioral factors relate. With the evolution of its fund of knowledge, clinical health psychology has the potential to utilize its science to discover, describe, interpret, teach and clinically apply knowledge of the mechanisms of interaction between biological functions and behavioral, learning, cognitive, socio-cultural and environmental processes. By failing to seize this initiative, clinical health psychology risks becoming irrelevant to the evolving model of medical research, education and health care. Presented, in part, to the Association of Psychologists in Academic Health Centers, Minneapolis, MN, May 2007.     

对临床科学研究存在的问题的思考

学风浮躁、急功近利、弄虚作假,困扰着临床医学研究,影响着临床医学的创新和发展。这不仅与当前的科技评价、管理制度有关,更与科研工作与领导的政绩、业绩有关。遵循科学研究的自然规律,让学术回归学术,建立同行评议制度,恢复学者的诚信,是临床医学研究创新发展的前提。同时,结合医院的分级管理,临床医学研究也应分类管理。     

盆底结构MRI研究进展及思考

盆底结构精细复杂,传统的解剖学以尸检为依据,现代影像学则提供了活体观察功能形态的有效方法。盆底结构核磁共振成像研究的新进展,体现了医学技术创新的稳健性、后发性、综合性,其发展取决于现代科学技术的进步。因此影像医学工作者作为医学科技主体,只有具备综合型知识结构,才能更好地进行医学技术创新。     

Embedding philosophers in the practices of science: bringing humanities to the sciences

The National Science Foundation (NSF) in the United States, like many other funding agencies all over the globe, has made large investments in interdisciplinary research in the sciences and engineering, arguing that interdisciplinary research is an essential resource for addressing emerging problems, resulting in important social benefits. Using NSF as a case study for problem that might be relevant in other contexts as well, I argue that the NSF itself poses a significant barrier to such research in not sufficiently appreciating the value of the humanities as significant interdisciplinary partners. This essay focuses on the practices of philosophy as a highly valuable but currently under-appreciated partner in achieving the goals of interdisciplinary research. This essay advances a proposal for developing deeper and wider interdisciplinary research in the sciences through coupled ethical-epistemological research. I argue that this more robust model of interdisciplinary practice will lead to better science by providing resources for understanding the types of value decisions that are entrenched in research models and methods, offering resources for identifying the ethical implications of research decisions, and providing a lens for identifying the questions that are ignored, under-examined, and rendered invisible through scientific habit or lack of interest. In this way, we will have better science both in the traditional sense of advancing knowledge by building on and adding to our current knowledge as well as in the broader sense of science for the good of, namely, scientific research that better benefits society.     

医生的探索与发现

临床工作中有着许多未知、疑难问题,这就是医生们探索与发现的起点。通过对桂希恩等多位医学专家临床探索发现事例的分析,得到许多启示,指出临床探索发现是一个系统的科学活动过程,也是临床决策的重要组成部分;找到客观存在的事物或规律,有利于疾病的诊治,充满了大医精诚精神;有利于人才培养,医学创新和进步,应予大力提倡和鼓励。     

医学创新之大忌:急功近利

急功近利是医学创新中的一种不良现象,给我国医学科学的发展带来了十分严重的后果.急功近利背离了正确的科学功利观,是对医学创新功利关系的严重错位.