Different cultural backgrounds between China and western societies determine the differences of their ethical value systems,which are both oriented by group interests and individual health interests.As the society develops,the new type medical service system enrolls various issues including social psychological service,embodying the characteristics and ethical values of medical social work.Therefore,it is necessary to fully make clear and take use of the differences of Chinese and western cultures in the practice of medical social work,apply ethical values in the construction of social welfare system building,and meanwhile guide the development of community social work.

Excellent doctor education training programis a major reform program of medical personnel training carried out by both the Ministry of Education and the Ministry of Public Health. The purpose is to solve the outstanding problems in medical personnel training, to follow the law of education, to conform to the global standards of medical education and the most basic requirements, and to cultivate qualified clinical doctors. The connotation of excellence is not the pursuit of high-grade, but constantly promote the reform of medical training mode, and strive to improve the education quality by means of elite education in accordance with the requirements of the different positions of the medical and health undertakings, in order to meet the needs of health development and health system reform and development.

The article introduces the concepts of medical social work and its performance evaluation,and reviews relevant researches on medical social work home and abroad.In addition,it proposes an operation mechanism and implementation scheme for the evaluation of medical social work in China.

Doctor-patient relationship plays an important role in medical practice. Legal trend of doctor-patient relationship, including the legal attribution of doctor-patient relationship, information consent, rights to privacy, medical confidentiality of patients, rights to know of the medical side and the legal protection of doctor-patients' rights, is the first key element in keeping good relationship of doctor-patient and preventing medical tangles.

Utilization and satisfactiontheory in diffusion science and the advantages of using micro-blog in study were described .Autilization and satisfactionmodel of micro-blog used in study by medical undergraduates born after 1990s was established with measures proposed for improving their study ability using micro-blog.

In the twenty-first Century,with the rapid development and popularization of the In ternet and E-learning,bending learning is given a new definition,which claims the advantage combination of traditional learning and E-Learning,advocates the teaching mode of teachers' leading role and students' predominant position.Micro-lecture is a newly emerging force on teaching.This study probes into the medical micro-lecture design mode based on the concept of blending Learning,illustrates the stages of teaching preparation,micro-lecture design,micro-lecture application and evalua tion in order to improve higher medical education.

MOOC,a Massive Open Online Course,is a new curriculum model,which is having a significant impact on higher medical education in China.The paper discussed the feasibility and theoretical basis of MOOC platform-Coursera which was applied to M-learning for medical students,and tried to explore the way to benefit higher medical education reform.

European countries have long history of medical education.Medical colleges have their independence in comprehensive universities and have high degree of standardization ad systematization in management.Besides,long schooling and high cost,small-size class teaching,good matrabulate quality and the combination of professional and part-time clinic teachers are the characteristics in their talent cultivation,which guarantee the medical education quality and can be used by us for reference.

Objective:To investigate the clinical effects of free posterior interosseous artery perforator flap on reconstruction of the soft tissue defects of multiple fingers in one hand.Methods:Clinical data of 9 patients with soft tissue defect of multiple fingers in one hand admitted to the Department of Hand Surgery, Yongkang Orthopedic Hospital between January 2021 and August 2023 were retrospectively studied. The patients were 7 males and 2 females, aged between 19 and 55 years old. The soft tissue defects of 2 patients with 3 fingers injury and 7 patients with 2 fingers injury were reconstructed with free posterior interosseous artery perforator flaps. The size of defects in single finger was 1.5 cm×2.5 cm-3.0 cm×4.5 cm. The size of flap was 2.5 cm×7.0 cm-3.5 cm×13.0 cm. The posterior cutaneous nerve of the forearm were sutured to the intrinsic nerve of palmar side of the 14 fingers. Donor sites in forearm were directly sutured. After discharge, regular follow-up at outpatient clinic and through WeChat interviews were conducted to observe the appearance and texture of the flaps, finger fullness, donor site function and appearance, as well as patient satisfaction. For the flaps with anastomosis of cutaneous nerve, the recovery of TPD of the flap was tested. Sensory recovery was assessed according to the British Medical Research Council (BMRC) sensory function assessment criteria. Hand functions were evaluated using the Total Active Movement (TAM) of fingers of the Hand Surgery of the Chinese Medical Association.Results:All of the 20 flaps survived and were evaluated through follow-up visits, which ranged from 6 to 25 months with an average of 13 months. The flaps were soft, unbloated and without obvious pigmentation. The protective sensations were recovered with an average static TPD of 14 flaps anastomosed with cutaneous nerve was of 9.7 (7-13) mm. Among them, S 3+ 10 fingers, S 3 4 fingers; 6 fingers of flap without sutured cutaneous nerve, S 2 5 fingers, S 1 1 finger. According to the TAM of Hand Surgery of Chinese Medical Association, the results were excellent for 15 fingers and good for 5 fingers. There was no scar contracture in the forearm donor sites and motor function was not affected. Conclusion:Posterior interosseous artery perforator flap has the advantages of thin flap, similar texture to the hand, good recovery in sensory, and minimal damage to the donor site. Therefore, it is a good option in reconstruction of soft tissue defects of multiple fingers in one hand.