Abstract:Clinical medical graduate students are a key force in promoting the development of the healthcare services.It is crucial to carry out ideological and political education for them,and we must pay attention to both moral integrity and professional competence,fostering their comprehensive development.The theoretical implications of ideological and political education for clinical medical graduate students with both moral integrity and professional competence are reflected in three aspects:moral education is the fundamental guidance,talent cultivation is an important responsibility,and the ultimate goal is to have both moral integrity and professional competence.The ideological and political education of clinical medical graduate students has such problems as insufficient attention,inadequate institutional mechanisms,and incomplete ideological and political teams.Higher medical colleges should adhere to the core of moral education,promote the integration of"Party building+ideological and political education"and"mentor+ideological and political team",and guard the three major positions of"school,hospital and society".Based on the four stages of enrollment education,pre-employment training,mid-term assessment and graduation education,the education should grasp the five dimensions of ideological guidance,innovation guidance,psychological counseling,reward and assistance for education,and employment services,fully exerting the function of ideological and political education,and cultivating high-level medical talents with both morality and ability.

Abstract:Objective To explore the effects of reverse hospice care on terminal cancer patients.Methods Sixty patients with advanced lung cancer hospitalized in our hospital from May 2023 to April 2024 were selected.They were randomly divided into two groups:an observation group(30 patients)and a control group(30 patients).Both groups received routine diagnosis,treatment,and care,while the observation group additionally underwent personalized education incorporating reverse hospice care.Quality of life scores were compared between the two groups.Results After the intervention,the functional assessment of cancer therpy-lung(FACT-L)score in the observation group was(123±1.6),which was better than that in the control group(112.6±1.2)(P<0.05).The scores of the lung cancer symptom scale(LCSS)and trial outcome index(TOI)in the observation group were also higher than those in the control group(P<0.05).Conclusion Reverse hospice care demonstrates significant application value for terminal cancer patients and is worthy of promotion.

Abstract:From its origins,literature has been closely intertwined with diseases.As a discipline concerned with the exploration of huaman conditions,literature takes examining individuals as its own responsibility,unable to avoid writing diseases.The history of literary development reveals that disease narrative has an ancient and long-standing tradition.Exploring the relationship between literature and diseases from an interdisciplinary perspective and decoding the portrayal of diseases in literature will provide new possibilities for enriching reading strategies and expanding the interpretive space of literature.At the same time,strengthening research on literature and diseases will also play an important role in promoting the development of medicine and improving human health.

Abstract:Relationality,empathy and negative emotions are the three fucuses in narrative medicine.The Yongjia Medical School proposes that the causes of diseases can be categorized into three types,namely"internal causes","external causes",and"causes neither internal nor external".A comparative study revealed that the etiological concept of the"Three Causes Theory"proposed by the Yongjia Medical School demonstrates a bottom-up logical resonance with the Triple Focuses Theory in narrative medicine.The ideas of"internal causes","external causes,"and"causes neither internal nor external"in the"Three Causes Theory"correspond to the emphasis on relationality,empathy,and negative emotions in narrative medicine,respectively.It is evident that as early as in the Southern Song Dynasty,medical practitioners of the Yongjia Medical School had already begun the practice of narrative medicine.Through the practice of tracing the origins of the"Three Causes",an implicit community in narrative sense has been constructed between doctors and patients,thus achieving harmony in the doctor-patient relationship of traditional Chinese medicine.This discovery provides a new perspective for the interpretation of narrative medicine in China and the integration of medical humanistic thoughts between China and the West.

Abstract:Under the dual pressures of contemporary social transformation and technological alienation,mental health issues among college students have become widespread,long-lasting,phased,and concealed.Traditional psychological counseling models face limitations such as passive response and the reinforcement of stigma.Whether there is a way to improve the mental health quality of teachers and students without relying on professional psychological therapists in colleges and universities becomes particularly critical and important.This paper,based on the theory of narrative medicine,proposes to establish a teacher-student narrative community and build a campus narrative ecosystem to empower a full-cycle mental health support system.This approach aims to transform the educational environment into a narrative space for life growth and achieve a paradigm shift in mental health support from crisis intervention to developmental empowerment.

Abstract:Under the background of global digitalization,digital construction is playing an increasingly important role in medical education,and clinical medicine,as an important part of medical education,is experiencing a subversive innovation to the traditional teaching model.This paper summarizes the current digital application of clinical medical education.For example,clinical theory teaching can adopt the combination of online and offline teaching modes,and clinical practice teaching can use virtual reality technology to build virtual anatomy laboratory,virtual surgery laboratory,panoramic teaching laboratory,etc.,changing the traditional single teaching evaluation mode to a personalized assessment based on big data.By improving the construction of digital teaching infrastructure,enhancing teachers'digital literacy and abilities,piloting digital teaching,and promoting excellent cases,the implementation path of clinical medical digital education development can be achieved.

Abstract:As a subject with both scientific and humanistic attributes,the core of medicine is not only to treat diseases,but also to care for life.Medical humanities education emphasizes the combination of theory and practice,humanistic care and technical application.Artistic cultivation is the process of acquiring aesthetic ability and ideological depth through feeling,experiencing and understanding of artistic works.The deep integration of artistic accomplishment and medical humanities can reshape the temperature of medical education and practice,provide more comprehensive professional quality support for medical students and practitioners,and further explore new forms of art education,such as combining digital technology,virtual reality and other means,to enrich the content and form of aesthetic education.Through curriculum reform,practice innovation and cultural infiltration,medical talents with scientific rationality and humanistic temperature can be cultivated.In the future,it is necessary to further break the disciplinary barriers,build an ecosystem of"medical and art peers",and make medicine truly become"the art of caring for life".The cultivation of art and the education of medical humanities are the major plans for rejuvenating China.By constantly improving the education system and promoting the deep integration of art and medicine,it will surely bring new vitality to a healthy China.

Abstract:This study takes Huizhou Third People's Hospital as the research subject and explores pathways for the return of public hospitals'public welfare attributes from the perspective of medical humanities.By analyzing the hospital's experiences and practices in management—including strengthening humanistic care,optimizing medical service processes,organizing public welfare activities,and promoting the"family culture"philosophy—the study summarizes exemplary management strategies for restoring public welfare attributes that other public hospitals can learn from.These insights aim to enhance public hospitals'ability to fulfill their social responsibilities and provide high-quality healthcare services to the public.

Abstract:Marx's discourse on medical ethics originated from his concern for healthcare issues in capitalist society.Based on Marx's relevant records of healthcare workers,medical labor and other healthcare situations,it can be examined from three dimensions:generation logic,connotation and new era value.From the perspective of the integration of Marxist political economy and historical materialism,the basic framework of Marx's discourse on medical ethics can be divided into three parts:professional medical ability as premise,caring for people's health as core,and public welfare as principle.Marx's discourse on medical ethics not only provides scientific theoretical guidance for resolving the medical ethics issues for practitioners in the construction of China's healthcare services,but also has important value in promoting the high-quality development of the Healthy China Strategy,building high-level socialist healthcare services,and meeting the people's pursuit of a healthy life.

Abstract:With the development of advanced medical technology,precision medicine as the main treatment method for cancer continues to advance,but the quality of life for advanced cancer patients still remains a serious issue.Palliative care,as a comprehensive care management model,aims to provide physical,psychological,social and spiritual support for terminally ill cancer patients to improve their quality of life.This article mainly explores the application of end-of-life care in the comprehensive management of end-stage cancer patients,including its definition,goals,implementation strategies and challenges faced.

Abstract:Chinese narrative medicine is a new model of medical education and clinical practice built on the basis of absorbing the essence of Chinese traditional medicine culture and integrating the concepts of Western narrative medicine.Traditional Chinese medicine advocates that inner diseases should be treated with inner medicine,which is to"keep the right mind".Narrative medicine actively prevents diseases and improves chronic diseases by improving the subject's bio-health narrative awareness and through self-narrative adjustment or physicians'narrative intervention.On the basis of elaborating the concept of narrative adjustment in narrative medicine,this article compares it with the concepts of"mind-protecting medicine"and"cultivating both body and mind"in traditional Chinese medicine,discusses their similar philosophical foundations and ethical principles.It advocates the common characteristics and healing value of practitioners in practice,and advocates that contemporary doctors be good at using mind-protecting medicine,mobilizing patients'inner resources,and developing narrative adjustment practices that are beneficial to the health of the whole person.

Abstract:Objective By learning about the basic situation of narrative cognition among medical workers,medical educators and others,and analyzing its influencing factors,it's hoped that a reference and theoretical basis can be provided to improve the narrative cognition ability of medical workers and others.Methods Convenience sampling method was used to select 280 medical workers and medical educators,etc.in Henan Province as the research subjects,and the survey was conducted through the general information questionnaire and the narrative cognitive ability scale.Results Multiple response frequency analysis indicates that the concepts of narrative and narrative medicine are the most frequently mentioned and applied concepts.The total score for narrative cognitive ability is(77.58±11.86);there is a significant positive correlation between the dimensions of life health narrative awareness and professional narrative thinking;the results of univariate analysis show that there are statistically significant differences(P<0.05)when comparing the total score of medical narrative ability based on gender,age,and whether the hospital or medical institution has established a narrative center.Conclusion The narrative cognitive ability of medical workers is at a good level,but from the results of frequency analysis,most of the research subjects have never heard of narrative medicine,indicating that there is still a lot of room for development,and narrative medicine education should be strengthened to improve narrative cognitive ability.In addition,it is necessary to pay attention to the synergy between professional narrative thinking and life and health narrative awareness,so as to comprehensively improve the narrative cognitive ability of medical workers.

Abstract:As a treasure of the Chinese nation,the inheritance and innovation of Chinese medicine is of great significance to the promotion of the Healthy China Strategy and the enhancement of cultural self-confidence.However,the current dissemination of TCM culture faces challenges such as fragmentation of resources,insufficient grassroots penetration,and public cognitive disconnection.Taking Bao'an District of Shenzhen as an example,based on the theory of collaborative governance,we systematically analyze the"four-dimensional mechanism"of TCM culture dissemination under the leadership of Party construction,namely,goal unification,policy driving,resource aggregation and trust construction,and reveal how grass-roots Party organizations can solve the governance problems through institutional empowerment and relational cultivation to promote TCM culture from"policy advocacy"to"social action",which is important for promoting TCM culture.The study found that the Party construction led the construction of a three-level linkage path of"school-corporation-community"through the integration of multi-departmental resources such as hygiene,education,and subdistrict:at the school level,through the curriculum system,practice bases and teacher training,to strengthen the health literacy of young people and their cultural identity;at the corporation level,to integrate workplace health management with corporate culture,to optimize employee well-being;at the community level,the model of"free clinic+popularization of science+interaction"is adopted to enhance residents'self-health management ability.Practice has shown that the model has effectively solved the problems of resource fragmentation,insufficient grassroots penetration and public awareness disconnection,covering more than 11,500 people,significantly improving residents'health literacy and social acceptance,and forming a replicable paradigm of"Party construction+health".However,the model still faces problems such as insufficient geographical adaptability,lack of long-term effect tracking and digital communication bottlenecks in the process of promotion.In this regard,the following practical suggestions are made:to improve the institutional design,implement differentiated paths,and strengthen digital synergy.The Shenzhen Bao'an model provides a replicable model for the transformation of TCM culture from"policy text"to"social action",and provides theoretical and practical support for the modernization of public health governance.

Abstract:The organic integration of Red Medical Spirit into the integrity culture education in medical schools is a crucial approach to cultivating high-quality medical talents with both moral integrity and professional competence.Incorporating Red Medical Spirit into integrity culture education holds significant importance in inspiring its contemporary value,innovating the content of integrity education,and strengthening the political beliefs of medical students.Red Medical Spirit and integrity culture education share inherent logical consistency in terms of knowledge content,political education,educational objectives,target groups,and educational challenges,enabling their organic integration.By systematically analyzing the formation logic,profound connotation,and contemporary value of Red Medical Spirit,and leveraging the coordinated efforts of the"first classroom","second classroom",and"third classroom",Red Medical Spirit is organically integrated into the integrity culture education system in medical schools.This promotes the internalization and externalization of these values among medical students,driving their comprehensive development.

Abstract:With the development of modern computer technology and virtual reality technology,simulation medical training has become an important part of medical education.However,in this process,the importance of medical humanistic care spirit is often ignored or unclear,which not only affects students'understanding of doctor-patient relationship,but also hinders their ability to integrate humanistic care into clinical practice.This paper discusses the necessity,present situation and existing problems of cultivating humanistic care spirit in simulated medical training,and puts forward corresponding reform measures.By clarifying the training objectives,improving the evaluation mechanism,enriching the course content and enhancing the demonstration role of teachers,we can effectively integrate the concept of humanistic care into the simulated medical training and cultivate more professionals with professional quality and social responsibility.

Abstract:Background A positive doctor-patient relationship is the shared aspiration of medical professionals and patients alike.Recently,the"Life Has Pain,but Apricot(apricot metaphor doctor)Brings Warmth"joint tree-planting initiative has quietly emerged as a novel form of expressing gratitude toward healthcare providers.Objective To establish a scientific pathway for public low-carbon health actions by quantifying carbon emissions from medical activities and their corresponding carbon sequestration through tree planting.This initiative aims to uphold the medical humanistic spirit of"Warmth in an Apricot Forest"from traditional Chinese culture.By transforming the abstract concept of carbon neutrality into tangible,participatory carbon-inclusive practices through the humanistic appeal of joint tree planting,it embodies the principle that"lucid waters and lush mountains are invaluable assets."Methods The main components of the medical carbon footprint were categorized and refined.Calculations were performed based on major carbon emission sources such as inpatient medical behaviors,diagnostic and treatment procedures,and transportation,leading to the formulation of a total medical carbon emission estimation formula.Tree planting was then adopted as the primary carbon offset method to construct a calculation formula for the relationship between the number of trees planted and carbon sequestration.Results The concept and calculation method of the"medical green carbon index(MGCI)"were explicitly proposed,quantifying the relationship between medical carbon emissions and arboreal carbon sequestration.Conclusion Joint participation by doctors and patients in low-carbon practices offers an innovative approach to green healthcare development.This innovative practice in medical humanities helps propel the mutual reinforcement of the"Healthy China"and"Beautiful China"initiatives.

Abstract:Deepening the innovation of grassroots Party construction work ideas and models in public hospitals is of great significance for improving hospital service quality and promoting high-quality development of hospitals.At present,there are many problems in the grassroots Party construction work of public hospitals,such as"emphasizing business over Party affairs","emphasizing form over effectiveness","emphasizing assessment over results",which affect the quality of Party construction and restrict the development of hospitals.In response to the current problems,the project team combined with the actual situation of the hospital to carry out Party construction work by building a Party construction grid management framework,establishing Party construction system norms and standards,building the brand influence of Party construction projects,and forming a Party construction evaluation feedback mechanism.Significant results have been achieved,providing relevant experience and reference for the high-quality development of grassroots public hospitals.

Abstract:To track and analyze the hotspots and development directions of research on the professional ethics of domestic physicians,relevant literature on the professional ethics of physicians since 2001 was retrieved from the China National Knowledge Infrastructure Database.Bibliometric analysis was conducted on the authors,institutions,keywords and other factors included in 453 articles.Using CiteSpace 6.3.R1 software,a corresponding knowledge graph was drawn to observe the temporal distribution,spatial distribution and hotspots of research on the professional ethics of domestic physicians.Based on the research themes and prominent words displayed in the graph,further trends in the research on the professional ethics of physicians were explored.From 2001 to February 22,2024,the number of research literature on the professional ethics of domestic physicians showed a wave-like change,and the spatial distribution showed the relevant characteristics of journal distribution,author distribution and research institution distribution in this field.High frequency keywords indicated that professional ethics,medical students,doctor-patient relationships,medical ethics,physicians and medical colleges were current research hotspots.The analysis of prominent words showed that the research on"professional autonomy","dual capital",and"red doctor spirit"would be an important trend in the future study of physician professional spirit.