中国卒中杂志 ›› 2016, Vol. 11 ›› Issue (07): 604-606.

• 教学园地 • 上一篇    下一篇

精准医疗与脑血管病:教学实践与探索

郑华光,王伊龙,李姝雅,张宁,董可辉,刘丽萍,王春雪,赵性泉,王拥军   

  1. 1100051 北京首都医科大学附属北京天坛医院神经病学中心;国家神经系统疾病临床医学研究中心;北京脑重大疾病研究院脑卒中研究所 2首都医科大学附属北京天坛医院神经精神医学与临床心理科
  • 收稿日期:2015-12-24 出版日期:2016-07-20 发布日期:2016-07-20
  • 通讯作者: 王拥军 yongjunwang1952@gmail.com
  • 基金资助:

    国家科技支撑计划项目(2013BAI09B03)
    “十一五”科技支撑计划——缺血性卒中急性期病因诊断临床分型及规范治疗(2006BAI01A11)
    “十二五”科技支撑计划——脑血管病急性期诊疗技术规范化应用和医疗质量评价与持续改进技术研究(2011BAI08B02)
    脑血管病创新药物临床评价技术平台建立(2012ZX09303-005-001)
    北京脑重大疾病研究院项目编号:BIBD-PXM2013_014226_07_000084
    北京脑血管病临床数据与样本资源库发展与应用研究(D131100005313003)

Precise Medicine in Cerebral Vascular Disease: Education Practice and Exploration

  • Received:2015-12-24 Online:2016-07-20 Published:2016-07-20

摘要:

目的 阐述精准医疗在脑血管病专业研究生教学中的模式和意义。 方法 在临床实践、研究和教学中,通过观察与访谈,了解脑血管病专业研究生对精准医疗概念的 理解以及应用精准医疗的理念和进展指导临床实践的能力进行评价。 结果 研究生在脑血管病精准医疗的知识结构和能力素养方面尚需提高。临床流行病学、生物统计 学、分子生物学和计算机科学是精准医疗的学科基础,临床医学与这些基础医学的结合教学有利于 研究生精准医学概念的建立。 结论 精准医疗的教学中应努力使专业学位研究生建立多个交叉学科的复合知识结构,应采用项目 导向的方法进行综合能力训练。

关键词: 精准医疗; 脑血管病; 研究生; 教学模式

Abstract:

Objective To describe the definition of precise medicine and its application status in the field of cerebral vascular disease and to evaluate the effectiveness of different education patterns in professional postgraduate teaching. Methods Observation and interview methods were used in this qualitative study during the course of clinical practice, research and education.The acquaintance on progress in thrombolysis, anticoagulation and antiplatelet therapy in acute ischemic stroke and the comprehension of the relationship between guideline and precise medicine were investigated, so as to evaluate the competence of application of precise medicine in guiding clinical practice. The optimal structure of knowledge and the efficient teaching approach were established with the experience from the western countries. Results The precise medicine consists of the precise imaging, big data and genomics and is used widely in clinical practice, research and development of new drugs. The precise medicine can also be helpful to set up the guideline and the health policy. The knowledge structure and the accomplishment of the medical students with a Master or Doctor degree still need to be improved. Clinical Epidemiology, Biostatistics, Molecular Biology and Computer Science are the foundation for the discipline of the precise medicine. To cultivate the competencies in the creating, clearing up and analyzing the database in project-based training program might be an effective education mode. Conclusion The precise medicine is the result of standardized healthcare development and the future of medical service. Medical students should build an inter-discipline knowledge background and get to be well-trained in the management of database in precise medicine project.

Key words: Precise medicine; Cerebral vascular disease; Graduate student; Education mode