Modern medical education faces multiple challenges, and there is a gap between the social needs and the methods of cultivating medical talents. The current undergraduate education in clinical medicine is subject centered, and the traditional model is difficult to cultivate students’ clinical abilities, practical skills, and research thinking effectively. Therefore, West China Hospital/West China School of Medicine of Sichuan University has proposed a new education model of “Four-Early and Three-Entry”, aiming to cultivate students’ professional ethics, clinical abilities, and scientific research innovation abilities through early clinical practice, scientific research participation, and social integration. This article will introduce the practice and preliminary results of the “Four-Early and Three-Entry” model, aiming to provide effective ways to improve the quality of medical undergraduate education and cultivate more comprehensive medical professionals.
The cultivation of clinical medical postgraduates is a way to provide qualified doctors for clinical practice, which is more focused on clinical practice. The cultivation of clinical medical postgraduates depends on their understanding of knowledge. In response to the problems existing in traditional education, the Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University has introduced new media into the cultivation of clinical medical postgraduates. New media can concretize abstract content, which is more conducive to improve learning efficiency. This article combines practical experience to explain the advantages, teaching effectiveness, challenges faced of new media, and how to better apply new media teaching.
Objective To evaluate the application value of X-ray fluoroscopy-based 3D visualization in cerebrovascular anatomy learning for clinical medical students. Methods Undergraduate students majoring in clinical medicine from the West China School of Medicine, Sichuan University, were enrolled between June and August 2025. Using a random number table method, the enrolled students were divided into an experimental group and a control group. From cerebrovascular angiography images, two images with a 3° separation angle were selected and synthesized into left-right 3D images for the experimental group, while identical images were merged into left-right planar images for the control group. After standardized classroom instruction, the experimental group viewed the 3D images, while the control group observed the planar images. The two groups were compared regarding their evaluations of image quality, image-reading time, and accuracy in identifying cerebrovascular lesions. Results A total of 42 students were included, with 21 in each group. There were no statistically significant differences in age or gender between the two groups (P>0.05). The total image-reading time in the experimental group was significantly shorter than that in the control group [(279.95±66.14) vs. (407.24±149.67) s, P=0.001], and the lesion identification accuracy was higher in the experimental group [(0.96±0.06)% vs. (0.88±0.14)%, P=0.022]. Moreover, subjective evaluations regarding image stereopsis and perceived difficulty in lesion identification were significantly better in the experimental group (P＜0.001). Conclusions The application of X-ray fluoroscopy-based 3D visualization significantly improves the learning outcomes of cerebrovascular diseases among clinical medical students.
