The situation of tobacco control remains grim. Tobacco dependence is still a problem difficult to solve because of factors including unawareness of tobacco harm and reluctance to quit smoking among the public, poor treatment effects and compliance, and unmanageable smoking population, which leads to increasing health risk of nicotine dependence to smokers and even the whole society. Internet of Medical Things (IoMT) purses the aim “complex problems are simplified, simple problems are digitized, digital problems are programmed, and program problems are systematized”. Using QSapp 5A system, it intends to build medical model of smoking cessation with a strong community base and wide coverage, providing solutions to current problems. However, IoMT still cannot get rid of time and space limitation. Such intractable limit gives rise to metaverse in medicine in which virtual reality and augmented reality are combined with medicine. BRM tries to break through time and space limit by holographic construction, holographic simulation, virtual-real integration and virtual-real linkage, promoting tobacco control to an unprecedented level. 

Key Words: tobacco control; metaverse in medicine; internet of medical things

The metaverse in medicine is a cutting-edge conception in the field of medicine centered on technologies such as virtual reality, the Internet of Things, artificial intelligence, and digital twins, which seeks to resolve the dilemmas of the current situation of healthcare in China. However, the lack of legal regulation has objectively limited further development of metaverse in medicine. Starting from digital twins, a representative technology with great potential in this field, we discuss the institutional response and value reconstruction of related laws. The medical application of digital twins involves human rights, medical affairs and algorithms. How to improve informed consent mechanism, how to limit subject scope qualification, and how to clarify damage responsibility attribution together contribute the key issues in resolving the controversies. From the dispute resolution of digital twin medicine application, we can conclude an improvement approach of the overall legal regulation of metaverse in medicine. On the domestic organization mode, a stable legal interest protection core should be found to establish a new legal order of the algorithmic society. On the international organization mode, the public international law can play a coordinating and restraining function to establish a globalized medical metaverse. 

Key Words: metaverse in medicine; digital twin; legal regulation

Objective: To evaluate the effectiveness of incorporating ideological and political education into anesthesiology residency training, using the Mini Clinical Evaluation Exercise combined with Direct Observation of Procedural Skills. Methods: Sixty resident physicians undergoing standardized training in the Anesthesiology Department of Jiangsu Cancer Hospital from December 2023 to June 2024 were randomly assigned to a control group and an observation group, with 30 residents in each. The control group received traditional clinical skill training, while the observation group received additional ideological and political education on the basis of control group. Both groups were evaluated using Mini Clinical Evaluation Exercise and Direct Observation of Procedural Skills. Patient satisfaction with the residents was rated anonymously, and student feedback on the training model was collected via a questionnaire. Results: The residents in the observation group demonstrated superior performance in doc tor-patient communication, humanistic care, and professional competence compared to the control group (P<0.05). Patient satisfaction scores were also higher in the observation group (P<0.05). Conclusion: Integrating ideological and political education into standardized anesthesiology residency training can significantly enhance residents’ communication skills, humanistic care, and professional competence, leading to higher patient satisfaction.