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Background: Classrooms are the central front for education. In China's fight against COVID-19, doctors have saved lives with their exquisite medical skills and humane professional spirit and won widespread praise from the people. This is related to China's long-standing insistence on strengthening ideological and political education in the classroom and integrating medical humanistic elements into the medical curriculum. To consolidate the education’s effect, the Chinese government calls for integrating the content of ideological and political education into professional courses and puts forward the concept of ‘curriculum ideology and politics’, which coincides with the idea of strengthening medical humanistic education in medical courses. Therefore, curriculum ideology and politics have effectively integrated medical humanities into medical curriculum education. This study aimed to create an ‘Ideological and Political Teaching Evaluation Index System for Medical Courses’ to evaluate the effect of ideological and political education in medical courses. Methods: This study organically combined ideological and political education, medical humanities, and medical professional curriculum education to construct an ‘Ideological and Political Teaching Evaluation System for Medical Courses’. This study used the Delphi method and recruited 13 Chinese medical education experts with senior professional titles to revise and assess the teaching evaluation index system and use the analytic hierarchy process to analyse the index system. The constructed ‘Ideological and Political Teaching Evaluation System for Medical Courses’ contained three first-level, nine second-level, and 27 third-level indicators. Results: The index evaluation matrix satisfied the consistency test at all levels, with a consistency ratio of less than 0.1. Among them, the weight coefficients of the three first-level indicators such as value leading, knowledge teaching and quality training, are 36.782%, 30.460% and 32.759%, respectively. The weight distribution of each indicator is relatively balanced, and the second-level and third-level indicators’ setting is relatively reasonable. Conclusions: This index system can guide medical courses’ ideological and political construction. At the end of the course, the teaching quality can be evaluated from the perspectives of teachers and students, which can effectively evaluate the ideological and political education and medical humanities improvement effect of this course and ensure the teaching quality.

Background: This study aims to explore public hospital managers’ perceptions of permitting Physician dual practice (PDP) with restrictions in China.Methods: A cross-sectional study among 1,513 public hospital managers in 31 provinces of mainland China was carried out from January to October, 2019. Presidents in charge of medical affairs, and directors of medical affairs departments in Chinese public hospitals were recruited for this study. Exploratory factor analysis (EFA) was conducted to determine the factorial validity of perceptions of permitting physician dual practice with restrictions (institution-oriented restriction, IR; physician-oriented restriction, PR). Generalized linear models (GLM) were used to explore and analyze perceptions of permitting PDP with restrictions of public hospital managers with demographic and working-related characteristics.Results: Public hospital managers’ decision of prohibiting PDP, allowing PDP, and implementing PDP with restrictions was 5.7%, 8.9%, 85.4%, respectively. Mean scores of IR and PR were 16.49 ± 3.03 and 10.84 ± 2.55 respectively. General hospital managers (coefficient of -0.52; P P P P P P Conclusions: From the perspectives of the public hospital managers in China, permitting PDP with restrictions would be feasible compared to completely prohibiting or allowing PDP, which could be further enforced in terms of IR and PR. Moreover, public hospital managers hold a slightly more positive view about IR than PR.

Background This study aims to explore the effect of public hospital managers’ risk and gain perception on their attitude towards physician dual practice (PDP). Methods A cross-sectional study enrolling 1513 managers from public hospitals in the East, Middle and West of China was conducted. Generalized linear mixed models (GLMM) were used to identify the determinants of managers’ support for PDP. Results The rate of managers’ support for allowing PDP or implementing PDP with restriction, was 94.3% (95% CI: 0.93, 0.95). The mean score of managers’ risk perception was 67.7 ± 14.46, and the mean score of managers’ gain perception was 24.0 ± 5.56. After controlling for individual and institutional characteristics, the GLMM presented the score for risk perception increased 1 score and the rate of managers’ support for PDP decreased by 5% (OR = 0.95, 95% CI: 0.93, 0.97); while the score for gain perception increased 1 score and the rate of managers’ support increased by 18% (OR = 1.18, 95% CI: 1.12, 1.24). Conclusions Our data demonstrate that the majority of Chinese public hospital managers are in favor of allowing or implementing PDP with restrictions. Although gain perception is comparatively weaker than risk perception, a stronger influence in determining public hospital managers’ support for PDP is demonstrated.