构建高质量的外科医学教育体系

医学教育是贯穿医疗职业生涯全过程的行为,是伴随医学进步和发展的重要工程.医学教育的质量直接影响医疗的质量和医学人才的素质,尤其是外科学领域,是以有创性的手段、方法治疗疾病.医生的职业素养、医疗水平均取决于医学教育的结果.医疗质量不能简单地用医生的学历衡量,学历教育是载体,其中应充实培养能力的教育项目、内容,以适应未来就职、就业的社会需求.医疗质量、医疗水平对医院而言是生命线,是生产力.同时,医生的教育及教育的质量是医疗质量的基础与保障.随着医学的飞速发展,医疗技术的日新月异,医学模式的改变,构建新的医疗环境下的医学教育体系,显得更为重要.     

The Role of Sketching States in the Stimulation of Idea Generation: An Eye Movement Study

Sketching is widely used in design to generate creative ideas. Design studies present stimuli during sketching to enhance creativity. This study examines the effect of stimuli presented during different sketching states, especially of those presented during the stuck period. It conducted a sketching experiment that enrolled 41 students with an average of 5.7 years’ practice in industrial design. The sketching with stimuli presented at regular intervals, those with stimuli presented during the stuck period, and those without stimulus were compared. Eye movements during the sketching processes were recorded. The attention to stimuli, and the direct applications of stimuli to design ideas, and the idea connection and idea differentiation were analyzed. Participants sketching with stimuli presented during the stuck period had a higher sketching quality, compared with those in other experimental conditions. They fixated longer on stimuli, built more links among related ideas, and had a more differentiated and balanced exploration. This study then proposed the mechanisms of stimuli processing. The stimuli presented at regular intervals were stored and acted as additional memory. The stimuli presented during the stuck period were dissected and acted as supporter, inducing a more creative sketching.     

National Survey of Client's Perceptions of Chinese Psychotherapist Practices

The present study is a cross-sectional survey that investigates ethical practices among Chinese psychotherapists from the perspective of a large representative sample of Chinese clients (N?=?1,100). In reports from clients, we found that psychotherapists did poorly in providing informed consent and had other ethical difficulties in the therapeutic setting and with dual relationships. We conclude that Chinese culture, especially Confucianism, had significant impact on the attitudes toward the psychotherapists' ethical practices, which complicated ethical dilemmas. It is important for cross-cultural psychotherapists to become sensitive to the influences of traditional Chinese culture when counseling Chinese clients.     

How Speech Modifies Visual Attention

Auditory distractions can have serious consequences in critical situations such as driving. Mobile phones, radios, media players, and information devices that interpret and produce speech are increasingly common in vehicles, but the threats to visual attention are not yet fully understood. In three experiments, we found that most speech tasks had relatively small adverse effects on the detection of a briefly presented target among distractors across a 60° subarea of the visual field. Although there was a little impact on detectability, moderately difficult speech tasks slowed responding relative to silence. Our most demanding condition—generating and speaking a word beginning with the last letter of another word—had the greatest effects on accuracy and latency, with responding slowed by about 900 ms. An impairment of this magnitude presents a significant threat to safe driving and calls into question the belief that hands‐free voice‐controlled devices are the answer to the problem of driver distraction. Copyright © 2013 John Wiley & Sons, Ltd.     

Mapping the time course of the positive classification advantage: An ERP study

The aim of the present study was to investigate the time course of the positive advantage in the expression classification of faces by recording event-related potentials (ERPs). Although neutral faces were classified more quickly than either happy or sad faces, a significant positive classification advantage (PCA)—that is, faster classification for happy than for sad faces—was found. For ERP data, as compared with sad faces, happy faces elicited a smaller N170 and a larger posterior N2 component. The P3 was modulated by facial expressions with higher amplitudes and shorter latencies for both happy and neutral stimuli than for sad stimuli, and the reaction times were significantly correlated with the amplitude and latency of the P3. Overall, these data showed robust PCA in expression classification, starting when the stimulus has been recognized as a face revealed by the N170 component.     

The cognitive advantage for one’s own name is not simply familiarity: An eye-tracking study

Eye-tracking technique and visual search task were employed to examine the cognitive advantage for one’s own name and the possible effect of familiarity on this advantage. The results showed that fewer saccades and an earlier start time of first fixations on the target were associated with trials in which participants were asked to search for their own name, as compared to search for personally familiar or famous names. In addition, the results also demonstrated faster response times and higher accuracy in the former kind of trials. Taken together, these findings provide important evidence that one’s own name has the potential to capture attention and that familiarity cannot account for this advantage.     

A biased-competition approach to spatial cueing: Combining empirical studies and computational modelling

We examined the effects of cue luminance on visual orienting. Experiment 1 established that the commonly-found early facilitation and late inhibition of return (IOR) effects were independent of cue luminance with single cues in terms of their amplitude, although IOR was delayed in the low compared to the high luminance cue condition. In contrast, Experiment 2 revealed that, with dual cues of mixed luminance, both facilitation and IOR effects were found only with bright cues. When cues had equal luminance, however, there were cueing effects for two cued locations but only when the cues were bright. The data were accommodated in a neural network model of biased competition in which cueing effects emerge at more than one location provided input activation is sufficient to overcome competitive damping of the selection system.     

Updating beliefs in light of uncertain evidence: Descriptive assessment of Jeffrey's rule

Jeffrey (1983) proposed a generalisation of conditioning as a means of updating probability distributions when new evidence drives no event to certainty. His rule requires the stability of certain conditional probabilities through time. We tested this assumption (“invariance”) from the psychological point of view. In Experiment 1 participants offered probability estimates for events in Jeffrey's candlelight example. Two further scenarios were investigated in Experiment 2, one in which invariance seems justified, the other in which it does not. Results were in rough conformity to Jeffrey's (1983) principle.     

学龄儿童的情景记忆与心理理论的关系

为考察学龄儿童心理理论与情景记忆的关系,111名小学4-6年级儿童在两周内完成了心理理论(包括二级错误信念、失言和白谎等)和情景记忆(回忆过去"一个星期内"、"一个月内"和"一年内"亲历的具体事件;以及想象将来"一个星期内"、"一个月内"和"一年内"可能发生在自己身上的具体事件)等任务。控制了年龄效应后,线性回归分析发现儿童回忆过去时"谈及他人"、想象将来时"谈及自我"和"谈及他人"与心理理论的认知成分存在显著关联。而儿童回忆过去时"谈及他人"与心理理论的情感成分有显著关联。结果表明,学龄儿童心理理论可以分为认知成分和情感成分,情景记忆与心理理论不同成分的关系存在差异。     

A neural autopilot theory of habit: Evidence from consumer purchases and social media use

This article applies a two-process “neural autopilot” model to field data. The autopilot model hypothesizes that habitual choice occurs when the reward from a behavior has low numerical “doubt” (i.e., reward prediction errors are small). The model toggles between repeating a previous choice (habit) when doubt is low and making a goal-directed choice when doubt is high. The model has ingredients established in animal learning and cognitive neuroscience and is simple enough to make nonobvious predictions. In two empirical applications, we fit the model to field data on purchases of canned tuna and posting on the Chinese social media site Weibo. This style of modeling is called “structural” because there is a theoretical model of how different variables influence choices by agents (the “structure”), which tightly restricts how hidden variables lead to observed choices. There is empirical support for the model, more strongly for tuna purchases than for Weibo posting, relative to a baseline “reduced-form” model in which current choices are correlated with past choices without a mechanistic (structural) explanation. An interesting set of predictions can also be derived about how consumers react to different kinds of changes in prices and qualities of goods (this is called “counterfactual analysis”).