Exploration of the Integration of Curriculum Ideology and Politics into the Educational Pathway of Standardized Training for General Practice Residents

In recent years,the national higher education reform has proposed the concept of curriculum ideological and political education as a major element.This integration into the standardized training of general practice residents(commonly referred to as general resident training)is an unavoidable trend in the teaching field.Based on the actual situation of our unit at The First Affiliated Hospital of Xi’an Medical University,this paper emphasizes the necessity of incorporating ideological and political education into the general resident training curriculum,despite the absence of pertinent practical experience in how to effectively incorporate such courses into comprehensive residential training.In our hospital,we must assess the ideological and political education in the curriculum of general resident training,proposing a scientific,reasonable ideological and political education concept system for general practice courses,integrating ideological and political education with general practice resident training,and strengthening the team of ideological and political education physicians to teach them to carry out such education,this would foster enthusiasm and initiative.Strengthening admission education and training for general practice resident training,as well as regularly hosting symposiums to share ideas and understand the mission of doctors can provide effective experience for ideological and political education in general resident training courses.

Application Research of Fragmented Case Teaching in Standardized Training of Residents in Anesthesiology Department

Objective:To explore the effect of fragmented case teaching in the standardized training of residents in anesthesiology department.Methods:80 doctors who participated in the standardized training of residents in anesthesiology department from January 2021 to January 2022 were selected as the research objects,and the 80 doctors were divided into experimental groups according to the clinical teaching mode(n=40,implemented case fragmented teaching method)and the control group(n=40,traditional teaching method).The training lasted for 2 months,and the medical history collection,medical record analysis,practical operation ability,theoretical assessment results,and the degree of satisfaction towards the training of the two groups of doctors were compared.Results:After 2 months of training,the theoretical knowledge and operational ability of the doctors in the two groups have improved to a certain extent,but the medical history collection,medical record analysis,practical operation ability,theoretical assessment results and satisfaction of the doctors in the experimental group were significantly better than those in the control group(P<0.05).Conclusion:The effect of the fragmented case teaching method in the standardized training of anesthesiology residents is significantly better than the traditional teaching mode.The abilities of doctors have significantly improved after the training.Hence,the fragmented case teaching method is worthy of promotion in clinical practice.

Effectiveness of Participatory Teaching Methods in the Standardized Training of Respiratory Medicine Residents

Objective:To explore and analyze the application effect of participatory teaching method in the standardized training of respiratory medicine residents.Methods:The study period was from May 2022 to May 2023.20 doctors in the standardized training of respiratory medicine residency in our hospital were taken as research subjects and grouped into the participatory group(n=10)and the routine group(n=10)by using the random number lottery method.The participatory group practised participatory teaching methods,and the routine group practised routine teaching methods.The results of discharge assessment,teaching evaluation,and mini-Clinical Evaluation Exercise(mini-CEX)assessment were compared between the groups.Results:The theoretical assessment,operational assessment,and total scores of the participatory group were significantly higher than those of the routine group,and the difference was statistically significant(P<0.05).The teaching evaluation of independent learning,theoretical mastery,teamwork,clinical thinking,communication,and learning interest of the participatory group was significantly higher than that of the routine group,and the difference was statistically significant(P<0.05).The mini-CEX assessments of history inquiry,organizational effectiveness,professionalism,physical examination,clinical diagnosis,communication skills,and overall clinical competence of the participatory group were significantly better than those of the routine group,and the difference was statistically significant(P<0.05).The teaching satisfaction of the participatory group was significantly higher than that of the routine group,the difference was statistically significant(P<0.05).Conclusion:Participatory teaching methods can improve the overall level of doctors in the respiratory medicine residency standardized training,and the teaching satisfaction is improved.

Post competency training in standardized training of resident physicians and integrated postgraduates

We focus on the importance and necessity of post-competency-based training in medical education alongside its current challenges and opportunities.Integrating post competency training into standardized educational frameworks is increasingly recognized as a critical component of preparing residents and postgraduates for real-world clinical practice.Post competency training represents a commitment to excellence in medical education,striving to produce competent,skilled practitioners to meet the challenges of modern healthcare.

Application Effect of Remote Ultrasound Teaching in Standardized Residency Training

Objective:To explore the application effect of remote ultrasound teaching in the standardized training of residents.Methods:42 students who participated in the standardized residency training in the Department of Ultrasonography of our hospital from August 2022 to August 2023 were selected and divided into the control group(n=21)and the observation group(n=21)by using the random number table method.The control group was taught routinely,and the observation group was taught with remote ultrasound on the basis of the control group.The general data,teaching effect,ultrasound diagnostic compliance rate,and teaching satisfaction of the participants in the two groups were observed.Results:The baseline data of the two groups were not statistically significant(P>0.05);the theoretical and practical assessment scores of the observation group were significantly better than those of the control group(t=2.491,t=2.434,P=0.05);the ultrasound diagnostic compliance rate of the participants in the observation group was significantly higher than that of the control group(78.33%)(χ2=33.574,P=0.000<0.001);the overall satisfaction rate of students in the observation group(20/95.24%)was significantly higher than that of the control group(14/66.67%)(χ2=3.860,P=0.049<0.05).Conclusion:In standardized residency training,remote ultrasound teaching can effectively improve the comprehensive ability of students,enhance diagnostic accuracy,and improve students’teaching satisfaction.

Exploring the Application Effect of Flipped Classroom Combined with Problem-Based Learning Teaching Method in Clinical Skills Teaching of Standardized Training for Resident Doctors of Traditional Chinese Medicine

Objective: To explore the application effect of flipped classroom combined with problem-based learning teaching method in clinical skills teaching of standardized training for resident doctors of traditional Chinese Medicine. Methods: The study used the experimental control method. The study lasted from September to November 2022. The subjects of this study were 49 students of standardized training for resident doctors of traditional Chinese Medicine from grades 2020, 2021 and 2022 of Dazhou integrated TCM & Western Medicine Hospital. They were randomly divided into experiment group (25) and control group (24). The experiment group adopted flipped classroom combined with problem-based learning teaching method, and the control group adopted traditional teaching method. The teaching content was 4 basic clinical skill projects, including four diagnoses of traditional Chinese Medicine, cardiopulmonary resuscitation, dressing change procedure, acupuncture and massage. The evaluation method was carried out by comparing the students’ performance and a self-designed questionnaire was used to investigate the students’ evaluation of the teaching method. Results: The test scores of total scores in the experimental group (90.12 ± 5.89) were all higher than those in the control group (81.47 ± 7.96) (t = 4.53, P P Conclusions: The teaching process of the flipped classroom combined with problem-based learning teaching method is conducive to improving the efficiency of classroom teaching, cultivating students’ self-learning ability, and enhancing students’ willingness to learn.

Analysis on the results of graduate examination for standardized medical residency training in general hospital---- Takes The First Affiliated Hospital of Kunming Medical University as an example

[ 目的] 对昆明医科大学第一附属医院（ 以下简称昆医附一院）2016 -2017年住院医师规范化培训结 业综合考核结果进行分析和总结,查找培训过程中存在的问题,提出提高住院医师规范化培训质量的建议. [方法] 将云南省住院医师规范化培训管理平台中公布的昆医附-院2016 - 2017年住院医师规范化培训结业综 合考核的结果录入Excel, 按照考试站点各专业考核情况进行分类统计,并对数据进行分析.[结果] 各站点考 试的合格率分别为综合知识部分95.26%,辅助检查部分88.23%,病史采集部分97.64%,体格检查部分 96. 14% ,病例分析部分97.21%,临床操作部分94.21%,门诊病例书写部分97.42%,医患沟通部分98.07%. 各专业综合考核第-阶段的不合格率：最高的为泌尿外科63. 64 %,最低的为内科学6.25%.各专业综合考核 第二阶段的不合格率：最高的为神经内科33.33%,最低的为超声科6. 67 %.[结论] 结业考核结果中,除辅助 检查部分外,其余七站均达到90 %以上的合格率,说明辅助检查判读的部分是该院参培住院医师的薄弱环节, 应加强检查结果判读培训,以确保提高住院医师规范化培训的综合质量.

Exploration and Practice of Training for Management Cadres of Standardized Nurse Training

We have made a summary for Chongqing Standardized Nurse Training Class at several aspects, including the basic information of trainees, the configuration of teachers, the setting of courses, and the effect analysis. Meanwhile, some improvement measures are proposed according to the comments and suggestions. This study provides a reliable basis for cultivating the management cadres of standardized nurse training.

Application Experience of Quality Feedback in Standardized Practical Skills Training for Clinicopathology Residents

In recent years,there are increasingly more standardized trainings for doctors based on the standardized training outline that is suitable for different grades.Hierarchical training has gradually formed a relatively sound training mode.In reflecting students’learning effect,there is a need for an ideal quality feedback system in the standardized practical skills training for clinical pathology residents.This feedback system can help students achieve the training objectives through understanding and grasping the learning content.

Standardized training for resident doctors in China

Medical graduates are not fully trained physicians when they leave medical school.Currently,standardized training for resident doctors in most hospitals in China is carried out according to the Ministry of Health guidelines.However,these guidelines provide only outline guidance,and specific resident training is managed independently by and varies with individual institutions.Therefore,it is important to study training demand to learn about the content and emphasis of training.

Ophthalmology residency training in Jordan:an evaluation of quality and comparison with international standards

AIMTo evaluate Jordanian ophthalmology residency programs in achieving competencies outlined by the International Council of Ophthalmology (ICO) and residents' satisfaction with available training programs in Jordan, and to highlight weakness points that may be improved and strengthened.

Analysis and Perspective of Endodontics Standard Resident Training in China

As an important part of postgraduate education,Standard Resident Training(STR)plays a crucial role in the process of culturing a competent dental care provider who can independently treat the common oral infectious diseases.A systematic and comprehensive evaluation system is desiderating for realization of high-quality Endodontics resident training due to its discipline characteristics of highly specialized and strict operation.This paper analyzes the current status of resident training in our Endodontic Department and discusses how to improve the clinical skills and reasoning ability of residents,in order to construct a comprehensive resident training formative evaluation system in China.

情景模拟结合CBL对提升产科住院医师医患沟通能力的效果分析

目的探讨在产科住院医师规范化培训(简称住培)中进行情景模拟结合以案例为基础的教学对医患沟通技能培训的效果。方法选取50名在产科规范化培训的住院医师为研究对象。培训前进行学员调查和医患沟通能力SEGUE测评。基于产科住培大纲选择5个典型病例情景,由教师录制5个典型病例病情医患沟通的示范视频,并梳理相关背景知识,在产科住院医师中依次开展培训课程,即视频示范、小组讨论、病例背景知识梳理讲解、分角色演练、演练后反馈和评价以及临床实践。培训后再次进行学员调查和医患沟通能力SEGUE测评。使用配对样本的非参数检验方法评价培训效果。结果情景模拟结合以案例为基础的教学的医患沟通技能培训后,学员医患沟通能力SEGUE测评总分提高[13.00(11.00~16.00)vs.22.00(20.00~24.00)],差异具有统计学意义(Z=-6.159,P<0.001);医患沟通能力SEGUE测评总体合格率提高[36.0%(18/50)vs.98.0%(49/50)],差异具有统计学意义(χ^(2)=43.464,P<0.001)。结论情景模拟结合以案例为基础的教学的医患沟通技能培训可有效提高学员医患沟通能力,调动学员的学习主动性,激发学员内在学习动力,建议在产科住培中纳入此类课程。

5A教学模式在普通外科住院医师规范化培训中的应用

目的探讨5A教学模式在普通外科住院医师规范化培训中的应用效果。方法采用随机对照研究方法,以2020年1月至2022年12月在解放军总医院第一医学中心普通外科医学部接受住院医师规范化培训并进入本研究团队主诊组轮转学习的学员为研究对象,随机分为试验组和对照组。试验组20名,采用5A教学模式;对照组20名,采用传统教学模式。对2组学员进行理论考核、临床技能考核和综合能力考核,记录考核成绩,并比较2组的教学效果。结果相对于对照组,试验组学员在消毒铺巾、切开缝合和腔镜技能考核3个方面的成绩得到提高,差异有统计学意义(P<0.05);试验组学员在团队协作和科学研究2个方面的成绩高于对照组,差异有统计学意义(P<0.05);试验组学员带教满意度高于对照组,差异有统计学意义(P<0.05)。结论5A教学模式可以显著提高学员的临床实践操作、团队协作和科学研究能力,可作为普通外科住院医师规范化培训的有效教学方法。

基于模糊综合评判的住院医师规范化培训带教质量评价

带教质量直接影响住院医师规范化培训工作中最终输出人才的质量,对带教质量进行合理、有效的评价,是提升住院医师规范化培训质量、完善住院医师规范化培训制度的重要保证。针对住院医师规范化培训工作中带教质量评价因素的复杂性、模糊性以及定性指标难以量化的问题,提出一种基于模糊综合评判的带教质量评价方法。首先,进行一级评判,通过确定因素集、评价集,进行单因素评价,再确定各因素的权重,进行综合评价;其次,进行二级或多级综合评判,构建基于模糊综合评判的带教质量评价模型;最后,通过带教质量的模糊综合评价实例,对带教质量的评价方法进行研究。

标准化PDCA循环管理在助理全科医生培训中的应用效果

目的:研究助理全科医生培训中应用标准化PDCA循环管理提高教学质量的效果。方法:数据取自蚌埠市第一人民医院2022年1月—2023年12月符合纳入标准的48名助培全科医生,依照双盲法分为参照组、研究组各24例,分别采取常规管理和PDCA循环标准化管理,将两组管理效果比较分析。结果:管理前两组考核成绩、管理质量无差异,P>0.05;管理后较参照组,标准化PDCA循环管理组考核成绩更高、管理质量评分更高,标准化PDCA循环管理组满意率(95.83%)高于参照组(75.00%),P<0.05。结论:标准化PDCA循环管理用于助理全科医生培训中可提高助理全科医生培训的管理质量、考核成绩,获得认可,值得推崇。

住院医师规范化培训师资队伍能力提升路径探讨

住院医师规范化培训(简称“住培”)指导医师的综合能力和素质是培养优秀住院医师的重要保障,也是影响住培质量的关键要素。随着我国住培管理制度的不断完善,住培师资队伍能力提升最主要的途径已不仅限于师资培训,骨干师资培育计划也逐渐成为高效提升住培师资能力的创新途径。骨干师资培育计划将住培师资培养目标进行了更加细致的划分,指导医师以自身教学业绩及教学能力水平等为基础,通过开展一系列的教学活动逐步提高综合教学能力。教学管理部门组织专家通过遴选体系、培训体系、考核体系对骨干师资培育对象进行严格的三级培育体系管理,严把入口、过程、出口三个关键环节,强调过程管理和目标考核,并引入住培督导反馈机制,同时配套资助及激励政策。骨干师资培育计划的开展探索了住培师资队伍建设的新途径,对逐步分层次提升住培师资能力提供新的思路。

基于临床路径的多元混合教学法在内分泌住院医规范化培训中的探索

目的探讨基于临床路径(CP)的多元混合教学法在内分泌住院医规范化培训中的教学效果。方法对2020年1月-2020年12月内分泌科轮转的内科及全科住院医规范化培训97学员按照入科时间分为对照组(CPL+PBL+CBL)和观察组(CPL+PBL+改良CBL),通过教学效果、学员岗位胜任力、教学满意度三个维度进行定量研究。结果两组间出科考试理论成绩、教学满意度差异无显著性,P>0.05。观察组学员病例分析能力和岗位胜任力(CCMTV住培管理系统中360度评估)优于对照组,P<0.05。结论以CP教学法为基础,联合PBL、CBL教学法的多元混合教学模式适用于内分泌住院医规范化培训,在此基础上改良CBL教学法有利于学员临床思维和岗位胜任力的培养。基于临床路径的混合教学法在内分泌住院医规范化培训中具有良好的应用前景。

双轨合一模式下超声医学专业学位硕士研究生科研能力培养问题探讨

超声医学专业学位硕士研究生(简称专硕)与住院医师规范化的“双轨合一”培养是我国医学教育的必然趋势,大大地提高了培养成效,学生的临床能力得到了显著提升,然而在较为繁重的临床学习任务中极易导致科研能力培养的不足,通过探讨“双轨合一”培养后专硕在科研能力培养面临的问题和挑战,并以问题为导向提出相应的对策和建议,为进一步做好专硕培养提供参考。

慕课在普通外科住院医师规范化培训中的应用效果

目的分析慕课在普通外科住院医师规范化培训中的应用效果。方法选择2021年1月—2022年1月在佳木斯大学院临床医学院轮转的100名普通外科住培医师为研究对象,采用随机数字表法分为对照组(传统临床教学模式)和观察组(慕课结合传统临床教学模式),每组50名。比较2组的评判性思维、理论考核、操作技能、手术技巧、医患沟通能力评分及满意度。结果开课前,2组住培医师的评判性思维评分比较,差异无统计学意义(P>0.05);开课后,观察组住培医师的评判性思维评分高于对照组,差异有统计学意义(P<0.05)。观察组住培医师的理论考核、操作技能、手术技巧、医患沟通能力评分[(91.32±5.23)分、(94.66±3.54)分、(8.96±1.15)分、(9.32±0.23)分]高于对照组[(86.69±4.56)分、(88.67±5.64)分、(7.01±1.12)分、(7.69±1.56)分],差异均有统计学意义(P<0.05)。观察组住培医师的满意度高于对照组,差异有统计学意义(P<0.05)。结论慕课对普通外科住院医师规范化培训的综合应用价值更高,在对住培医师的临床教学中,采用慕课的教学模式能进一步提升外科住院医师的批判性思维、理论知识以及实践技能,同时外科住院医师对培训结果的满意度更高,该临床教学模式的综合价值较高。