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Objective:To investigate the current status of psychosomatic medical service competence and training needs among general practice resident physicians.Methods:An online questionnaire survey was conducted from August to September 2021, among general practice resident physicians selected by cluster sampling from 4 affiliated hospitals of Tongji University. The questionnaire contained the basic information, the self-assessment and training needs of psychosomatic medical service competence of participants, and psychosomatic medical service requirements of patients in the community.Results:A total of 159 questionnaires were distributed, and 140 were collected (88.1%). The survey showed that 25.7% (36/140) of participants believed that 50% or more patients had physical symptoms accompanied by emotional problems; 29.3% (41/140) thought that 50% or more patients had sleep problems, but 60.0% (84/140) of them failed to provide appropriate treatment. The rate of "core knowledge and concepts of psychosomatic medicine" was 47.5% (665/1 400) and the correct rate of "common psychosomatic diseases" was (64.6±23.4)%. Merely 21.4% (30/140) participants reported satisfaction with the psychosomatic medical service competence; 62.8% (88/140) respondents believed that the coverage rate of the above-mentioned competence training in the current general practice residential training program was less than 50%, and 66.4% (93/140) supported that more psychosomatic training was "necessary". The acceptance rate of online training, workshops, MDT, and clinical practice ranged from 56.4% (79/140) to 63.4% (89/140).Conclusions:The survey indicates that there are large needs for psychosomatic medical services among patients in community, but the competence and confidence of general practice resident physicians to provide the service are significantly insufficient. Therefore, it is suggested to strengthen the training of psychosomatic medical service competence in the general practice residency training program.
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Objective:To evaluate the compliance with Chinese Residency Training Program of radiation oncology and provide reference for the improvement of system reform and base construction.Methods:An survey was conducted among residents who had completed residency training program of radiation oncology by online questionnaires in four dimensions, including the fulfillment of training center in hardware, personnel and procedures, the compliance with syllabuses, mechanism of trainee evaluation, and the passing rate and satisfaction degree of trainees.Results:The results showed that most training centers fulfilled the requirement of equipment, mentoring personnel and procedures. The training syllabuses had been followed and integrated with organization multi-modalities. The trainees with high degree of satisfaction accounted for 65.6%, and the final qualification passing rate reached 75.5%. However, there were less reference textbooks, insufficient training in general medicine, limited clinical practice, and low output in academic publication.Conclusions:The residency training program of radiation oncology has been established in China and achieved notable progress. For the further improvement, quantitative optimization of procedures, increasing opportunity of practice and strengthening scientific research involvement would be beneficial.
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@#AIM: To describe the application of image acquisition function of smart phone with slit lamp examination in the ophthalmology residency training program.<p>METHODS: The supporting set for smart phone can be securely connected to the ocular lens of slit lamp microscopy. The anterior or fundus photos and dynamic videos were obtained through slit lamp examination with non-contact lens, three-mirror lens or gonio lens. Acquired images or recorded videos were transmitted to ophthalmology trainee by using wireless local area network(WLAN), WeChat and other software.<p>RESULTS: High quality images and dynamic video could be successfully taken with smart phone and supporting set by slit lamp examination, which could clearly display tissue details and pathological features. The fast transmission of image data can enable more trainees to access clinic education resource simultaneously and communicate with each other timely and effectively.<p>CONCLUSION: High resolution smart phones are wildly used and supporting sets are very accessible; thus high quality of images could be easily obtained for clinical teaching purpose. Furthermore, it enriches the clinical teaching resources. So the application of image acquisition function of smart phone with slit lamp examination is worthy in the standardized training of ophthalmology residents.
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OBJECTIVES: The authors evaluated the environment and conditions of Korean psychiatric residents to identify important factors for them in determining their satisfaction with training programs. METHODS: Questionnaires on the residency training program were administered to 513 Korean psychiatric residents from 2016 to 2017. The questionnaire was composed of sociodemographic background, work environment and status of the training program. The authors analyzed questionnaire according to the residents' grade and hospital type and identified the significant factors for satisfaction with their training. RESULTS: Compared to the 1st grade, the 4th grade psychiatric residents have significantly less working time, duty days, and more sleep time, mealtime, and annual salary. In the hospital type, the residents of general hospitals and university hospitals have more working time, annual salary, and accessibility to educational material than mental hospitals. The satisfaction with their training is higher in the 1st grade than in the 4th grade, in those with more than six hours of sleep time, and in residents who are satisfied with the accessibility of educational materials. CONCLUSION: Compared to the 1st grade, the working intensity of 4th grade psychiatric residents is lower and their welfare is better. To improve the satisfaction with the training program, it is necessary to make efforts to increase the sleep time of residents, improve the accessibility of educational material, identify the problem of the training program, particularly in the 4th grade, and make institutional improvements.
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Education , Hospitals, General , Hospitals, Psychiatric , Hospitals, University , Internship and Residency , Meals , Salaries and Fringe BenefitsABSTRACT
Psychiatry residency training in South Korea currently has many limits in developing proper competencies of residents. To address this problem, the Korean Neuropsychiatric Association has been developing a new competency-based training program since 2015, using the educational systems of advanced countries such as Canada, the United Kingdom, the United States, and Australia as references. It was found that within the referenced countries' residency training systems, objectives based on competencies are stated in detail by psychiatric topics as well as various assessment methods and feedback about the resident's competency level. In addition, we surveyed psychiatric resident training hospitals, and found that more than 80% of the respondents answered positively in reference to the new training program. This paper briefly reviews competency-based residency training systems of advanced countries and compares them to the current training program in South Korea. Many resources are needed to run a new competency-based training program, and governmental supports are essential to improve the quality of the residency training system.
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Australia , Canada , Competency-Based Education , Curriculum , Education , United Kingdom , Internship and Residency , Korea , Surveys and Questionnaires , United StatesABSTRACT
Standardization of residency training aims to improve the overall quality of residents and bring up high-quality medical students.Research capabilities and innovative spirit of young physicians play important roles in the sustainable development of hospitals.This article describes the experience in strengthening research training in the United States residency program,provides recommendations to resolve the problems of our residency standardized training and new ideas for the domestic medical institutions to strengthen the young physicians' sense of innovation and scientific research ability.
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Chinese medical student's education system is quite different from that in western countries.Besides,Chinese residency training program is just starting.The professional training of pathologists,who make the final diagnosis in the hospital,is not satisfied.The present situation in China is that overall quality of pathologists is low and varied.The pathology department of Xijing Hospital started to carry out the pathology residency training program since 2009.It is expected to search for a model of pathology residency training program with Chinese characteristics.
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A shortage of physicians in rural areas has become a serious problem of the new residency training program in Japan. To address this problem, we propose a model for attracting physicians to rural areas by improving residency training programs and by evaluating a curriculum introduced to Kainan Hospital, a community hospital. In this second paper, we describe the middle-term curriculum evaluation and present our model.1) Interviews of program directors revealed 8 items necessary to improve residency training programs.2) After the residents finish their training, they remain at the same hospital, and the number of the number of physicians at the hospital increases, if the fellowship programs are well-organized.3) Because universities are interested in hospitals at which many residents and fellows work, attracting attending physicians to these hospitals is easier.4) Although attracting enough physicians by improving residency training programs requires 3 to 5 years, achieving this goal by increasing the larger number of medical students would take even longer.
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A shortage of physicians in rural areas has become a serious problem of the new residency training program in Japan. To address this problem, we propose a model for attracting physicians to rural areas by improving residency training programs and by evaluating a curriculum introduced at Kainan Hospital, a community hospital. In this first paper, we describe the short-term evaluation of the curriculum.1) We introduced clinical teams in which residents were able to actively participate in clinical practice as team members by being supervised by senior physicians. We also introduced teaching rounds and case conferences for residents.2) Focus-group interviews of residents showed that "giving educational opportunities to residents" and "an explicit policy of the hospital to improve the residency training program" are examples of ways to improve residency programs.3) The number of residents working at Kainan Hospital increased. The residency training program was somewhat improved.4) An effective and easily generalized way to provide residents with more learning opportunities is to involve clinicians in teaching residents in hospitals.
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PURPOSE: This study was aimed to evaluate the current status and problems of surgical residency training program in Korea and to compare 'ward system'(WS) with 'team system'(TS). In WS, residents assigned to a ward take care of the patients in their ward regardless of diseases or specific staffs. In TS, residents assigned to a team or a specific staff treat the patients with specific diseases. METHODS: A questionnaire on residency training program was sent to 637 surgical residents working in 69 surgical training hospitals in September 2005. Twenty questions about education, patients' care, and training system were included in the questionnaire and analyzed according to the training systems. RESULTS: The response rate was 18%(113/637). Nineteen residents work in WS, 83 in TS and 11 in other system. Mean education time per week and mean operative time per weekday were longer in WS. The continuity of patients' care was better in TS. The responders chose their own training system as the better one. CONCLUSION: WS residents considered the advantages of WS as comprehensive training and residents' autonomy and TS residents regarded that of TS as consistent, specialized and intensive training for specific diseases. The results of this study can be used to improve and develop residency training program in surgery.
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Humans , Internship and Residency , Korea , Operative Time , Surveys and QuestionnairesABSTRACT
1) “To live as a family physician” is the central value of the residency training program at the Hokkaido Centre for Family Medicine where the trainees practice specialty approaches of family practice everyday supervised by their family physician trainers in the communities in which they reside.<BR>2) Training at multiple facilities enables the trainees to experience family practice in different communities where their culture, social context, health resources, health issues and the age composition vary. The trainees can also enjoy their relationship with their trainers-role models for them who show the various practice and training styles.<BR>3) The definition-based curriculum in family practice is indispensable, enabling medical students and resident physicians in Japan wishing to become family physicians to understand that “family practice is a specialty in medicine that can be learned concretely.”<BR>4) Trainers can evaluate their trainees by using a “Core Component” curriculum, which is based on the new working definition of family practice, and a “Common Problems Component” curriculum, which covers all the specialties in clinical medicine.<BR>5) In addition to residency training programs in family practice, a residency review committee, an evaluation and certifying examination program, and programs for continuing professional development to allow certified family physicians to keep themselves up-to-date are needed.