Objective Exploring the application value of the teaching model combining Learning in Context(LIC)and Multidisciplinary Team(MDT)in clinical internships of thoracic surgery.Methods Eighty-eight undergraduate clinical medical students who underwent clinical internship in the Department of Thoracic Surgery at our hospital from September 2022 to June 2023 were selected as study subjects.They were randomly divided into observation group(n=45)and control group(n=43)u-sing random number table method.The control group received traditional clinical teaching,while the observation group received LIC combined with MDT teaching model.Theoretical knowledge mastery,clinical operational skills,and clinical thinking abilities were compared between the two groups,with 6-month long-term learning effectiveness follow-up evaluation.Time series analysis and radar chart analysis were employed to assess dynamic changes in teaching effectiveness and core competency development.Results The observation group showed significantly higher scores than the control group in theoretical knowledge,clinical opera-tional skills,clinical thinking abilities,teamwork and communication competencies,teaching method satisfaction,and autono-mous learning.Six-month follow-up evaluation revealed that the observation group's comprehensive development level was signifi-cantly higher than the control group.Time series analysis demonstrated that the observation group exhibited a steeper learning curve with greater improvement amplitude compared to the control group.Radar chart analysis showed more balanced development across eight core competency dimensions in the observation group.Conclusion The LIC combined with MDT teaching model can significantly improve thoracic surgery clinical internship students'theoretical knowledge mastery,operational skills,and clinical thinking abilities.

Objective Exploring the application value of the teaching model combining Learning in Context(LIC)and Multidisciplinary Team(MDT)in clinical internships of thoracic surgery.Methods Eighty-eight undergraduate clinical medical students who underwent clinical internship in the Department of Thoracic Surgery at our hospital from September 2022 to June 2023 were selected as study subjects.They were randomly divided into observation group(n=45)and control group(n=43)u-sing random number table method.The control group received traditional clinical teaching,while the observation group received LIC combined with MDT teaching model.Theoretical knowledge mastery,clinical operational skills,and clinical thinking abilities were compared between the two groups,with 6-month long-term learning effectiveness follow-up evaluation.Time series analysis and radar chart analysis were employed to assess dynamic changes in teaching effectiveness and core competency development.Results The observation group showed significantly higher scores than the control group in theoretical knowledge,clinical opera-tional skills,clinical thinking abilities,teamwork and communication competencies,teaching method satisfaction,and autono-mous learning.Six-month follow-up evaluation revealed that the observation group's comprehensive development level was signifi-cantly higher than the control group.Time series analysis demonstrated that the observation group exhibited a steeper learning curve with greater improvement amplitude compared to the control group.Radar chart analysis showed more balanced development across eight core competency dimensions in the observation group.Conclusion The LIC combined with MDT teaching model can significantly improve thoracic surgery clinical internship students'theoretical knowledge mastery,operational skills,and clinical thinking abilities.

Objective:To evaluate the curative effect of Moshen Decoction combined with routine western medicine on idiopathic membranous nephropathy (IMN) of spleen-kidney qi deficiency syndrome and explore its influences on renal function, C1q, PLA2R and E-cadherin levels.Methods:A total of 62 patients with IMN meeting inclusion criteria in the hospital were enrolled between January 2018 and January 2021. According to simple random grouping method, they were divided into control group (hormones combined with cyclophosphamide) and observation group (Moshen Decoction on basis of control group), 31 in each group. Both groups were treated continuously for 6 months. Before and after treatment, TCM syndromes were scored. The levels of blood urea nitrogen (BUN), serum creatinine (SCr), cystatin C (Cys-C), anti-phospholipase A2 receptor (PLA2R) and E-cadherin (EC) were detected by ELISA. The level of serum complement C1q was detected by immunoturbidimetry. The 24 h urine was collected for quantitative determination by full-automatic biochemical analyzer. The adverse events during treatment were observed and recorded. And clinical curative effect was evaluated.Results:The differences in total response rate between observation group and control group were statistically significant [93.55% (29/31) vs. 74.19% (23/31); χ2=4.29, P=0.038]. After treatment, scores of TCM syndromes (edema of lower limbs, fatigue and poor appetite, lusterless complexion) in observation group were significantly lower than those in the control group ( t=10.07, 10.80, 4.34, 4.57, P<0.001). After treatment, levels of serum Cys-C [(0.51±0.05) mg/L vs. (0.55±0.06) mg/L, t=2.85], 24 h urine protein quantification [(0.95±0.19) g vs. (1.38±0.23) g, t=13.32] in observation group were lower than those in the control group ( P<0.01), and levels of serum PLA2R [(17.53±1.84) Ru/ml vs. (19.62±2.05) Ru/ml, t=4.22], EC [(2.74±0.26) μg/L vs. (3.05±0.37) μg/L, t=3.82] and complement C1q [(152.34±15.62) mg/L vs. (169.33±16.77) mg/L, t=4.13] in observation group were significantly lower than those in the control group ( P<0.01). During treatment, there was no significant difference in incidence of adverse events between observation group and control group [12.90% (4/31) vs. 16.13% (5/31); χ2=0.13, P=0.781]. Conclusion:Moshen Decoction combined with routine western medicine can improve renal function and clinical curative effect in patients with IMN of spleen-kidney qi deficiency syndrome. Its mechanism of action may be related to reducing urine protein, complement C1q, PLA2R and EC.