Infectious disease rotation for general practice residency training / 中华全科医师杂志

The ability of prevention, treatment and management of infectious diseases is a basic requirement for general practitioners. This article introduces our experience in the infectious disease rotation for general practice residency training, focusing on the rotation management at different stages of training to explore how to improve teaching quality and the ability of trainers in a short period of the rotation.

Application of daily electronic assessment in standardized training of anesthesiology resident / 基础医学与临床

Objective To study the effect of electronic daily assessment on the application of standardized training for residents of anesthesiology department. Methods Compared the feedback rate of the previous paper evaluation form and the electronic daily evaluation submission,and summarized the results of the daily evaluation of residents of different grades and different sources through the electronic system. Results The feedback rate of the paper form and the electronic for was 59.5% and 96.7% separately. Comparing the scores of different grads, the total score and sub option scores gradually increased from grade one to grade three. The lowest score of sub options in all grades were anesthetic plan/crisis management scores. The worst overall rating(performance worse than expected)happened in the second-year residents. The best overall rating(performance better than expected) happened in the third-year resident. The residents form other hospitals had higher scores than PUMCH(Peking Union Medical Col-lege Hospital)'s residents and graduate students except for the score of theoretical knowledge. The PUMCH's resi-dents got lower score in overall rating.The teaching staff rescheduled and modified the training program according to the educational defect,so as to individualize resident training. Conclusions The daily electronic assessment helps to monitor daily performance of residents in a timely and comprehensive manner, so to adjust teaching methods, and contributes to conduct formative evaluation,which has a positive impact on improving teaching effectiveness.

Effect of quality management on the training effect of cardiopulmonary resuscitation / 中国小儿急救医学

Objective The quality management method was introduced into the teaching of pediatric cardiopulmonary resuscitation(CPR),and to improve the quality of training and realize teaching objectives. Methods Quality management team analyzed the examination results of CPR by Plato method,and cleared the risk factors associated with quality problem. A standard operating procedure was used in teaching and assessment of the CPR,and doctors′examination results of CPR would be analyzed by a statistical approach. Results Platonic analysis showed that heart compressions and artificial ventilation were risk factors associat-ed with quality problem in CPR. In the total frequency of deductions,the proportion of the heart compressions was 36. 8% and artificial ventilation was 15. 7%. According to the standard operating procedure,the quality of heart compressions in CPR was improved. In the total frequency of deductions,the proportion was only 3. 5%. Conclusion The quality management method can be applied in the teaching of cardiopulmonary resuscitation,which can improve the teaching quality.

Teaching experience of cardiac surgery rotation for standardized training residents not majoring in cardiac surgery / 中华医学教育探索杂志

Cardiac surgery is the latest and fastest growing subject in surgery, which is character-ized by complex diseases and strong specialization.The standardized training of non cardiac surgery is short of time for the residents in cardiac surgery, and the teaching has certain complexity and particularity. The department of cardiac surgery of the Xinjiang Uygur Autonomous Region people's Hospital has analyzed the subject characteristics of the major, and explored the reform of cardiac surgery teaching. We adopted a variety of teaching forms to enhance clinical thinking ability and clinical practice ability as the focus of training, and strengthen clinical operation skills according to individual differences among residents. We improved the enthusiasm and initiative of the non-cardiac surgery residents to learn, training residents standardized,standardized diagnosis and treatment behavior,improve the quality of training.

Evaluation of OSCE in the phase Ⅰ skill examination of standarlized training of Beijing radiology residents / 基础医学与临床

This study evaluated the application of the objective structured clinical examination ( OSCE) in the stageⅠskills examination of the standardized training of radiology residents in Beijing .The subjects were selected from the radiology residents who took the phase Ⅰthe skill examination from 2014 to 2016.The composition of the can-didates , the average score and pass rate of the candidates were evaluated .The subjective evaluation was impliment-ed by questionnaire feedback .The results show that the proportion of undergraduate education in the composition of the candidates gradually increased , the doctoral and master 's pass rate is higher than the undergraduate students , the average score of the overall score for the doctoral examination average higher than the master 's degree and un-dergraduates;survey results show that the concept of OSCE was more and more familiar in the candidates through the 3 years, the candidates also agree with the popular form of this examination , but the concept of competency in the training process remains to be further promoted , in particular , to strengthen the communication skills training; for the examination process organization , the candidates generally reflects good .According to the analysis of the OSCE examinations and questionnaires from 2014 to 2016 , we believe that the future training of radiology residents should combine the training content with the academic qualifications .Candidates are highly receptive to OSCE in the form of daily training , especially focus on competency and communication skills training .

Discussion on standardized training of resident physicians of acupuncture and tuina graduate students / 国际中医中药杂志

The standardized training of resident physicians of Chinese medicine specialized graduate students (standardized training) is a great reform of clinical postgraduate education and a major initiative to improve professional degree graduates education. It contributes to higher professional qualities of clinicians in China. At this stage, the standardized training in our school just started and some problems existed such as department arrangement, training and checking system, curriculum and tutors instruction. Here, taking the standardized training in our school as an example, this paper discussed some issues on the training and put forward suggestion. This will help standardize our training, improve the training quality of our graduate students and develope medical professional talents.

Reflection on improving the quality of the standardized training of resident in orthopaedics rotary training / 中华医学教育探索杂志

We carry out the tutorial system in the standardized training of residents,promote students to grasp the clinical skills and clinical research and thinking,and promote teachers' professional theoretical level and teaching ability.In the orthopedic rotation we define the teaching focus to the trainees of different seniority:for junior trainees,the training of medical records writing and basic clinical skills should be focused,and for senior trainees,the emphasis of training is to improve their clinical capacity of diagnosis and treatment.In teaching,the teaching methods of a combination of Multidisciplinary team (MDT) of bone and soft tissue tumors and problem based learning (PBL) have been actively tried to improve students' learning enthusiasm and initiative,which helps the trainees fully grasp the diagnosis and treatment of certain diseases.

A preliminary study of the training program of doctor-patient communication skills in redia-tric residency standardized training / 中华医学教育探索杂志

To strengthen the pediatric residents' communication ability in rediatric residency standardized training is very important for improving quality of medical provider-patient relationship and prevent medical disputes. At present, in China's pediatric medical units at all levels of medical care for the hospitalized children groups there exist such characteristics as only child, parents doting over their children, excessive stress and fear in diagnosis and treatment and so on. From the analysis of current status, it can be seen that in clinical practice, pediatric physicians' doctor-patient communi-cation is affected by three aspects: children, parents, physicians , and there exist such problems as children's lack of coordination, parents' lack of medical care knowledge, residents' lack of clinical and communication experience. Therefore, it is necessary to strengthen the special training of pediatric residents' doctors and patients in the standardized training period, establish the feedback mechanism of communication between doctors and patients and. make targeted improvements in view of the weak link in the communication between doctors and patients, so as to improve the training program of the pediatric residents' doctor-patient communication ability.

Effect of Shanghai's standardized training of residents on the history taking mode of physicians / 中华医学教育探索杂志

Objective To evaluate the needs of performing a standardized communication skill training program for residents according to the differences in history taking mode of residents with different degrees and before and after the standardized training in Shanghai Changhai Hospital in 2010.Methods History taking modes of 81 residents in 2010 before and after the standardized training in Shanghai Changhai hospital were categorized.History taking modes were classified into:no effectiveness mode,traditional mode,disease-sickness mode and Calgary-Cambridge Guide mode.Distribution differences of history taking mode of residents with different medical degrees were analyzed by Fisher exact probability method (α =0.05).Distribution differences of history taking mode of residents before and after standardized training were analyzed by Pearson x2 test (α =0.05).Results 19.8％ residents took no effectiveness mode,53.0％ took traditional mode and 27.2％ used disease-sickness mode.There were significant differences in history taking modes among residents with different medical degrees (P =0.008).After training,history taking modes of residents were significantly changed (P=0.001),only 1.2％ residents used no effectiveness mode,59.3％ used traditional mode and 34.6％ used disease-sickness mode.But residents using the Calgary-Cambridge mode were not increased.Conclusions There are significant differences in history taking modes among residents with different medical degrees.History taking mode of residents changed after standardized training.But some of the residents still use non-optimal history taking modes; therefore a standardized communication skill training program might be needed in the future.