Supported by the theory of narrative medicine， this study focused on specific practical paths for embedding medical social work into the doctor-patient community with a shared future. It adopted an action research method to conduct an empirical exploration in the Department of Hematology and Oncology of Hospital M. Based on demand investigation， medical social workers stimulated the willingness of doctors and patients to express themselves through progressive narrative guidance. They also relied on carriers such as life story sharing sessions and parallel medical record writing to realize the reconstruction of the meaning of illness， and built venues for narrative sharing through the renovation of physical spaces and the construction of online platforms. On this basis， a multi-stakeholder mechanism with coordinated goals， roles， and procedures was established， effectively improving patient satisfaction， family care capacity， and the efficiency of interdisciplinary collaboration. This study provided a practical paradigm for narrative medicine to empower medical social work and promote the doctor-patient relationship from technical cooperation to emotional coexistence， possessing certain reference value for building harmonious doctor-patient relations in the new era.

Diseases of oral mucosa are characterized by complex etiology, diverse and confused clinical manifestations, as well as lack of special therapeutic drugs and methods. So it has always been a non-evasive teaching conundrum. This paper explored a multiple three-dimensional interactive teaching mode, a combination of problem-based learning (PBL), case-based learning (CBL), multimedia, internet and evidence-based medicine. It is hoped that its application in the teaching of the diseases of oral mucosa will arouse the students' learning interest, broaden their professional perspective, cultivate their self-learning ability to find, ask, analyze and solve problems, and strengthen their clinical practice capacity.
Humans ; Mouth Mucosa ; Problem-Based Learning ; Students

Objective To explore the possible correlations under the interaction of multi-genes action at different stages and analyze the primary histophotomacrographic changes of hind buds tissue in congenital clubfoot and the pathodynamic developmental procedure.MethodsSeventy-seven female Wistar rats were administered with retinoic acid on the 10th day after pregnancy. And the hindlimb, buds and spinal cord were detected through transmission electron microscopic and molecular biological experiments.ResultsThere was clubfoot-like deformity in 61.8% of the experimental animals. Persistence of the embryonic position of the talus and tibia in fetuses was observed. Poor overlapping between talus and calcaneus was seen. Cell apoptosis at the anterior corner of spinal cord and hind buds were seen.ConclusionCongenital clubfoot deformities appear at early stage and exaggerate along with developmental procedure.