世界主要发达国家医学的学术体系发展比较及启示

“新医科”的建设对于加强中国医学学术体系提出了新的要求。研究确立了包含学术训练、学术研究、学术评价的医学学术体系分析框架,检索和梳理了美、英、日、德、法五个国家医学的学术体系建设的历史沿革、显著特征以及发展趋势。发达国家具有教研一体的协同培养机制、严格的教育质量监管体系、多元筹资机制和注重应用的多维评价体系。建议我国医学教育促进学科交叉融合、注重应用为导向的科研经费分配与监管、重视医教产研合作的考核体系,以完善我国医学的学术体系建设。

     

消化内镜医师培训的现状及计算机模拟训练系统的应用

传统的以患者为基础的消化内镜医师培养模式已不能适应消化内镜的快速发展和病患对内镜操作技术的高要求,通过多媒体和虚拟现实技术建立的计算机辅助的内镜模拟训练系统相对于传统的消化内镜医师培训方式是一个巨大进步,它能帮助初学者较快掌握消化内镜诊疗操作的基本技能,使各级消化内镜培训中心的规范化教学成为可能.但是,模拟内镜训练必须结合实际病例的操作才能巩固从模拟内镜得到的内镜操作技能.本文总结了目前消化内镜医师培训的现状,重点对消化内镜模拟训练系统在内镜医师培训中的作用和存在的问题进行探讨,并提出了自己的观点.     

Critical factor analysis: An exploratory general model for understanding diverse systems

Critical Factor Analysis (CFA) is presented as an exploratory general model for uniting the sciences and the humanities through identification and use of critical factors common to both. Two primary and eight subordinate critical factors, with corresponding principles, are identified and placed in a model that can be used for prediction, analysis, and design of systems. Use of CFA could conceivably raise system IQ, reduce unnecessary variety, and assist with the general acceptance of systems science.     

Creating a sustainable global society— the evolutionary path

Many indicators suggest that modern society is presently in a period of transition. The older order is showing obvious signs of decline, and elements of a new order appear to be forming. Growing numbers of people are coming to recognize that the worsening global dilemmas are best viewed as symptoms of an underlying disorder involving some of the most deeply underlying assumptions of modern society. The ultimate resolution of these dilemmas will come about, not through politically implemented “solutions,” but through our further evolution to a fundamentally different, “trans‐modern” society. The key challenge to individuals and organizations is to understand the necessary evolutionary change well enough to contribute toward its taking place with a minimum of attendant social disruption and human misery.     

Charles Darwin,Paul MacLean,and the lost origins of “the moral sense”: Some implications for general evolution theory

This paper reports the discovery of a lost part of Charles Darwin's theory of the origins of “the moral sense,” its apparent corroboration by what are in effect lost findings by brain researcher Paul MacLean, and the implications of these findings for the advancement of General Evolution Theory and humanity.     

Invited Essay: A New System Of Politics: Government,Governance, And Political Decision Making In The Twenty-First Century

The present system of politics is based on the centrality of economics. This system is not capable of coming to grips with the problems confronting humanity. A culture-based system of politics is required to do this and prevent ecological disaster. This system would make it possible to reduce the demands human beings are making on the natural environment and situate human welfare, environmental well-being, and the public interest at the core of the political process. The risks of such a system could be reduced through cultural education and improved cultural understanding.