医学与英语120903课件

医学与英语教育

杨军林英语专业现状全国近五年新增留学回国人员54万余人

——新华网，2012广东归国人员以每年20%增长，并逐年递增，六成硕士，一成博士

——中国教育和科研计算机网

目前国内英语教育主要课程：语言、文学、历史、政治、经济、外交、社会文化等基本理论知识专业方向：外事、经贸、文化、新闻、教育、研究、旅游（师范、翻译、商务三大就业方向）就业形势非英语专业学生英语水平提高近一亿成人和近3亿中小学生学英语留学归国人员增多具备单一英语技能的人才就业需求饱和英语法学计算机科学与技术会计学国际经济与贸易工商管理………英语专业连续3年跻身失业榜前十英语与法学专业位居失业榜首，均为9万人——2011年——新浪教育知识的有机融合专业性学科有所了解目标是朝阳产业英语技能熟练复合型人才ADBC英语专业人才+非英语专业知识市场需求大<就业渠道窄人才饱和

英语专业就业遇冷

>中国教育在线,2012学习医学英语的瓶颈是什么？没有医学专业知识没有实际医疗语境10医学专业分支广泛生命科学医学临床医学外科学骨科学脊柱外科学我院临床医学①设有69个专科②专业间分工精细③学科跨度大骨科的特点创伤、关节、脊柱、肿瘤

显微、小儿、运动等

分科广泛最难、技术要求最高的专科

脊柱脊柱侧弯手术是骨科最大最难的手术代表脊柱最高水平——脊柱侧弯高风险高并发症高额费用团队的力量胜于一个医生的能力脊柱侧弯“三高”150°125°81°70°NutritionalSpineSurgeryChestSurgeryVascularSurgeryRehabiliationNeurosurgeryPlasticsurgeryUltrasound

RadiologyCardiologyPediatricRespiratoryAnesthesiologyNeuromonitoringSICU&PICUOperationRoomRespiratoryFunctionTestLabincluding17departments

over50specialistsScoliosisTeaminChina(2008)SingaporeNationalHospitalSingaporeCentralHospitalTaiwanSpineCenterUSABarnes-JweishHospitalDanmarkAarhusUniversityHospitalEnglandNottinghamUniversityHospitalJapanNagoyaCityHospital

TeamExchangeatinternationalscoliosiscenter

TeamSpecializedinSpinalDeformityPeterNewton,U.S.AJamesZucherman.U.S.AKenHsu,U.S.ALenke

U.S.AOgilvie,U.S.ACody,DenmarkMichaelGrevitt,U.KMichaelOgen,AustriaMonicaBRAZIL,Dr.Morcuende,U.S.AManbuIto&YuichiroAbe.JapanVallespir,SpainRandalR.Betz,U.S.AImproveourEffective&FeasiableGuidelineOverseasSpecialistsVisitOurCenterPeterNewtonU.S.AJamesZucherman.U.S.AKenHsu,U.S.ASevereKyphoscoliosisT5-7VCR(onestage)M,27

ysPre：FVC22%,FEV120%H-traction4

ms：FVC28%FEV122%75°75°165°155°Pre-opPost-op2ysFVC<30%

85°67°59°168°111°172°

F，31ys

Pre：FVC

24%

FEV122%SevereKyphoscoliosisT4-6VCR

(onestage)Pre-opPost-op2ysFVC<30%

SevereKyphoscoliosisT6-T12SPO(Onestage)F,

11ys,

AIS129°132°Pre-op

115°65°Traction

72°

45°Post-op4ys

Pre-Traction：FVC%24%，FEV127%Delayedspinalcordinjury5hourafteropatSICUdepartment→releasecorrectionFVC<30%

160°64°170°62°F,7yspre-op:Incompleteparalysis

FVC21%post-op:NormalmusclepowerSevereCongenitalKyphoscoliosis

onestageT6-7VCR

(SCEPonly)pre-oppost-op6monsFVC<30%+Paralysis

M,15yspre-op:Incompleteparalysispost-op:Normalmusclepower96°45°SevereCongenitalScoliosis

withParalysis

pre-oppost-oponestageT4-5VCR

(SCEPonly)Paralysis

110°34°

SevereKyphoscoliosis

withChiarideformity

T3-4VCR

(onestage)M,21ysSpineCordDeformity

SevereScoliosis

withBoneDiastematomyeliaF,10ys,OneStageT11VCRConimedullarisatL4，noadhesionT11-L2

bonediastematomyeliaT2-T5Centralcanaldilation，spinalcanal

dilationbelowT9withsacralcanalcyst

PostOp:normalneuralfunctionPre-opPost-op3ys110°55°46°28°SpineCordDeformity

SevereKyphoscoliosis

withDiastematomyeliaF,17ys,OneStageT12VCR

EP:LeftabnormalRightnormal125°140°61°62°Pre-opPost-op6mons

SpineCordDeformity

SevereKyphoscoliosiswithSyringomyeliaF，13ys,OneStage

T7VCRPre-op：FVC40%

FEV143%pre-oppost-op122°135°55°53°SpineCordDeformity

M,16ys,OneStage

T6-12SPOPre.:leftabdominalreflex↓

normalneuralexaminationPost.:normalneuralexamination

SevereScoliosiswithcavernoushemangiomaPre-opPost-op2ys78°81°26°23°SpineCordDeformity

myelomeningocele86°

SevereNeurofibromatosisScoliosis

withmyelomeningoceleM,14ys,OneStageL2VCRPre-Op：NormalneuralexamPost-Op:NormalneuralexamPre-opPost-op1ys7°SpineCordDeformity

M,10ys

Paralysisafter1stopinotherhospital

Incompleteparalysisafterimplantremoval

3rdopinourhospital,neuraldeficitrecoveredCongenitalScoliosisRevision

Pre-opPost-op3ys94°80°40°45°HeightIncreased8.5cmT5-6VCR

(onestage)

RevisionSevereCongenitalKyphocoliosisRevisiononestage

L2-3

VCR

(Thefourthcorrection)107°128°43°25°pre-oppost-op6monsM，19ysRevisionSevereCongenitalKyphoscoliosisRevision

T11-L1VCR

(onestage)Revision160°116°70°63°pre-opM，14yspost-op6monsT6-T9SPO+T11VCR(onestage)127°100°100°34°76°30°SevereKyphoscoliosisM,25y,AISscoliosisapex:T8,L1

kyphosisapex:T11

Post-op2ys

Pre-opKyphosisApex≠ScoliosisApexSevere

KyphoscoliosisT8-T11SPO

+T12VCR(onestage)123°120°109°61°53°57°pre-oppost-opM,15ysscoliosisapex:T10,L2kyphosisapex:T12KyphosisApex≠ScoliosisApex150°125°163°81°70°60°Severe

KyphoscoliosisT9-10VCR+T5-8SPO+T12-L3SPO

(onestage)M,21ysscoliosisapex:T7,L2kyphosisapex:T10

pre-oppost-opKyphosisApex≠ScoliosisApex中心国际化发展障碍国际深层次交流——不仅限于书面与幻灯手术深层次交流——实时细节即可深入探讨中心技术现成为国际一流、国内领先的团队解决障碍的瓶颈是什么？没有实际医疗语境没有语言教学技能没有语言教学技能没有实际医疗语境没有医学专业知识医疗专业和英语专业结合的共同瓶颈未来展望创建共同语境，互利共赢空有