A methodology for teaching ethics in the clinical setting: A clinical handbook for medical ethics

The pluralism of methodologies and severe time constraints pose important challenges to pedagogy in clinical ethics. We designed a step-by-step student handbook to operate within such constraints and to respect the methodological pluralism of bioethics and clinical ethics. The handbook comprises six steps: Step 1: What are the facts of the case?; Step 2: What are your obligations to your patient?; Step 3: What are your obligations to third parties to your relationship with the patient?; Step 4: Do your obligations converge or conflict?; Step 5: What is the strongest objection that could be made to the identification of convergence in step 4 or the arguments in step 4? How can this objection be effectively countered?; and Step 6: How could the ethical conflict, or perceived ethical conflict, have been prevented?     

“Educating the Whole Body”: Addressing and Equipping the Imagination in Theological Education

This paper seeks to explore the relationship of the imagination to the processes of integration in theological education. It describes the way in which the Holocaust Museum in Washington, D.C. addresses the imagination. It draws on those insights to summarise an understanding of imagination, particularly how imagination relates to conceptualisation and the naming of God. It then explores the way in which valuing the imagination effects pedagogy in pastoral theology. In conclusion, it names what might be involved in creating an environment in theological education that values and encourages the imagination.     

剖宫产率上升的原因及对策

近年来,剖宫产率日益上升,严重影响母婴利益,作为教学医院,也影响产科的临床教学质量。为提高产科质量,确保母婴安全,我们通过回顾性分析发现,胎儿窘迫,胎位异常,巨大儿,社会因素是剖宫产率上升的主要原因。相应对策可以通过加强孕产期宣教,实行镇痛分娩,建立待产、分娩、恢复及产后为一体(labor-delivery-recovery,LDR)分娩模式,提高医护人员助产技术水平,健全法制建设等措施,旨在降低剖宫产率。     

教学查房规范化的基本理解与思考

教学查房是以培养医学生为主要目的的临床教学活动,它与医疗查房有着重要区别。三级医师教学查房是我国医学教育的基本模式,目前存在诸多问题,如何使教学查房规范化是大家面临的共同困惑。在临床教学实践中,教学查房规范化是现代化医学教育的迫切要求。     

加强青年医师素质培养进一步提高临床教学水平

探讨青年医师应具备的临床素质:优秀的道德品质、较高的文化素养、扎实的专业知识、较强的身心素质和不断的创新意识。分析目前存在的问题,高学历与实际能力不符、轻视临床思维分析、功利主义思想严重。指出如何强化青年医师的素质培养,规范化培训、注重学习和实践、制定合理政策。     

医学哲学课堂教学效果的问卷调查与分析

运用问卷调查的方法对参加"医学哲学"公选课学习的99名学生进行调查,结果显示:通过教学,学生在中西医比较、医学文化、死亡观、疾病观的认识等方面收获较大;教师的学术声誉和教学内容等因素对学生的学习动机有较大的影响.     

Goal conflict and facilitation as predictors of work–family satisfaction and engagement

In a study of working adults (N = 131; Mean age = 43.52 yrs; 62 males) in Germany and Finland, the mean level of goal facilitation was found to be significantly higher than that of goal interference. Hence, many individuals seem to be rather successful in constructing a personal goal system that is functional in terms of supportive links. As hypothesized, goal conflict and facilitation were associated with work-related outcomes, especially with work satisfaction. The associations with family-related outcomes were less pronounced when the focus was exclusively on either supportive or interfering goal relationships. However, when the intraindividual relation between goal conflict and goal support was taken into account, we found that the relative dominance of facilitation was clearly positively associated with both work-related and family-related indicators of positive functioning.     

Called to be holy: the transformative potential of Christian service programmes in Catholic schools

This is the second in a series of four papers which seeks to articulate theologically and practically the consequences of the ecclesial identity of the Catholic school. The series is based on the principle that the ‘marks’ of the Church – one, holy, catholic, and apostolic – are also marks of the Catholic school, since the Catholic school is within the Church and derives its ecclesial identity from the Church. Each paper analyses one of these ‘marks’, discerning what it means theologically and practically for the Catholic school. In this paper, the second of the marks of the Church and therefore of the Catholic school – holiness – is discussed in terms of what it means to be, and to continually become, holy. In reference to a current research project, Christian service programmes in Catholic schools are analysed in regard to what they already contribute to the formation in holiness of Catholic students, but also in terms of what more they may become. It is argued that for their potential for growth in holiness for teachers and students to be fully realised, Christian service programmes need to be more than just charitable works, and that they need to engage critically with inequity and injustice in keeping with the Church’s radical social teaching.     

Suicidal Thinking and Perfectionism: The Role of Goal Adjustment and Behavioral Inhibition/Activation Systems (BIS/BAS)

The current study investigated the associations among perfectionism, goal adjustment, behavioral activation sensitivity (BAS), behavioral inhibition sensitivity (BIS), and suicidal thinking. Participants (n = 255) completed the Multidimensional Perfectionism Scale, the BIS/BAS scale, the Goal Adjustment scale, and a measure of suicidal thinking. The findings showed that socially prescribed perfectionism was the only perfectionism dimension associated with suicidal thinking. Goal reengagement (but not goal disengagement) is an important construct in the suicidal process. A series of hierarchical regression analyses showed that goal reengagement moderates and mediates the effect of socially prescribed perfectionism on suicidal thinking. BIS was also associated with suicidal behavior but its effect was mediated via socially prescribed perfectionism. The theoretical and treatment implications of the relationships between socially prescribed perfectionism, goal reengagement, and suicidal thinking and between BIS, socially prescribed perfectionism, and suicidal thinking are discussed. Future research is required to determine whether these relationships are predictive of suicidal thinking and behavior over time.