Objective: to adopt the Miller pyramid model in the standardized resident training, and then study the training effect. Methods: a total of 60 doctors is from our hospital ranged in January 2020- J anuary2021, both wi...Objective: to adopt the Miller pyramid model in the standardized resident training, and then study the training effect. Methods: a total of 60 doctors is from our hospital ranged in January 2020- J anuary2021, both with junior college or undergraduate degree or above. By grouping 60 doctors, the conventional and test groups were trained in the conventional mode and Miller pyramid mode, and then the comprehensive score and training effect were compared. Results: the overall score of skills, observation, strain, thinking and communication ability in the test group was better than the conventional group, and the comprehensive ability score in the two groups (P <0.05).The test group resident physician theoretical examination, operation examination, case writing, case analysis and other scores were significantly better than the conventional group, and the overall effect was good. Conclusion: the Miller Pyramid mode can significantly improve the comprehensive ability of residents. Compared with the conventional mode training, the ability is significantly improved and has good results.展开更多
As a crucial assessment tool,the Mini Clinical Evaluation Exercise(Mini-CEX)has gradually garnered attention in the clinical skills training of resident physicians.With the ongoing advancement of medical education ref...As a crucial assessment tool,the Mini Clinical Evaluation Exercise(Mini-CEX)has gradually garnered attention in the clinical skills training of resident physicians.With the ongoing advancement of medical education reform,Mini-CEX not only offers a fresh perspective for evaluating the clinical competence of resident physicians but also establishes a foundation for enhancing their overall quality and professional capabilities.Nonetheless,there are still certain constraints in the application of Mini-CEX,including inconsistent assessment criteria,assessor subjectivity,and inadequate feedback mechanisms.This paper will review relevant domestic and international studies,explore the practical application of Mini-CEX in standardized resident physician training,analyze its strengths and weaknesses in assessing clinical ability,and propose recommendations for future development directions.Through a thorough examination of this field,it aims to provide references and guidance for further optimizing the training model for resident physicians.展开更多
The development of competency-based thinking is transforming medical education by preparing professionals for the new challenges of the 21st century. Its strategies are key to the development of clinical competence an...The development of competency-based thinking is transforming medical education by preparing professionals for the new challenges of the 21st century. Its strategies are key to the development of clinical competence and to improving critical thinking. Objective: This paper aims to evaluate the level of clinical competence of family medicine residents treating patients attending prenatal care in a medical unit in southern Mexico. Materials and Methods: In 2023, a cross-sectional, retrospective, and analytical study with an educational focus was conducted in two phases. The creation and validation of a clinical competence instrument based on five real real-world problem-based clinical cases of prenatal care patients, with indicators related to clinical aptitude. Three rounds of experts were used to validate the instrument following the Delphi method, with a concordance threshold of 80% or higher (Kappa index > 0.80). The Kuder-Richardson formula was used to calculate internal consistency, yielding a value of 0.87. The evaluation instrument was administered to 40 newly admitted medical residents in the second phase in Villahermosa, Tabasco. A descriptive analysis was performed, and the levels of competence were compared using the Chi-square test. Results: Internal consistency was 0.87. Among the residents, 32.5% demonstrated low knowledge levels (know-what), 37.5% showed intermediate skills levels (know-how), and 67.5% exhibited adequate performance in attitudes (know-be). Conclusions: Inclusive strategies are necessary to improve clinical competence levels in prenatal care.展开更多
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 anest...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.展开更多
Objective: To explore and analyze the effect of the WeChat platform combined with the PBL teaching method in the standardized training of anesthesia residents. Methods: 120 anesthesiology residents from January 2018 t...Objective: To explore and analyze the effect of the WeChat platform combined with the PBL teaching method in the standardized training of anesthesia residents. Methods: 120 anesthesiology residents from January 2018 to the end of December 2019 were selected, and divided into a control group and an observation group of 60 each according to the time sequence of admission. The control group adopted the conventional teaching mode, and the observation group adopted the WeChat platform combined PBL teaching method. The scores of theoretical knowledge and anesthesia skills operation after training, the scores of the teaching interest survey, and the satisfaction with the teaching mode between the two groups were compared. Results: The scores of theoretical knowledge and anesthesia skills operation in the observation group were significantly higher than those in the control group, and the indicators of teaching interest in the observation group were also higher than those in the control group. The differences were statistically significant (P < 0.05). The satisfaction degree of the observation group was significantly higher than that of the control group, and the difference was also statistically significant (P < 0.05). Conclusion: The WeChat platform combined with the PBL teaching method is beneficial to improve the training effect of anesthesiology residents, stimulating autonomous learning ability, ensuring the effective practice of theoretical knowledge, and promoting them to move towards a higher standard of anesthesia skills.展开更多
Electromyography is an important diagnostic technique for neuromuscular diseases in clinic, and it is also an important development direction in recent years. The training of residents in neurology department is a pro...Electromyography is an important diagnostic technique for neuromuscular diseases in clinic, and it is also an important development direction in recent years. The training of residents in neurology department is a professional and technical job with high difficulty. How to effectively improve and optimize the training quality of electromyography is the key path to promote the professional level of clinicians. Therefore, in order to further improve the comprehensive education level of neurology, this paper systematically expounds and analyzes the standardized training strategies and methods of electromyography for residents in neurology, hoping to provide help and reference for related workers.展开更多
Objective: to analyze the value and effect of case fragmentation teaching in the standardized training of anesthesiology residents. Methods: from January 2020, 40 residents who implemented standardized resident traini...Objective: to analyze the value and effect of case fragmentation teaching in the standardized training of anesthesiology residents. Methods: from January 2020, 40 residents who implemented standardized resident training in the Department of Anesthesiology of our hospital to December 2020, were divided into control and observation groups based on different training modes, with 20 patients in each group. The control group gave the routine teaching, and the observation group taught the case fragmentation. Compare the academic performance of the two groups of doctors (skill level and theoretical knowledge), clinical ability test results (preoperative visit, anesthesia protocol preparation, preoperative preparation, anesthesia operation, intraoperative management, clinical competence), and teaching satisfaction (very satisfactory, general satisfaction and unsatisfactory). Results: the results of the observation group were higher than the control group, and the results of preoperative visit, anesthesia plan formulation, preoperative preparation, intraoperative management and clinical competence, with P <0.05;the teaching intervention was 95%, higher than the control group, but the difference was not obvious (P> 0.05). Conclusion: case fragmentation teaching in the standardized training of anesthesiology residents can play a remarkable role in improving the teaching effect, enhancing the doctors' clinical ability and improving the teaching satisfaction, which is worth promoting and implementing in the industry.展开更多
文摘Objective: to adopt the Miller pyramid model in the standardized resident training, and then study the training effect. Methods: a total of 60 doctors is from our hospital ranged in January 2020- J anuary2021, both with junior college or undergraduate degree or above. By grouping 60 doctors, the conventional and test groups were trained in the conventional mode and Miller pyramid mode, and then the comprehensive score and training effect were compared. Results: the overall score of skills, observation, strain, thinking and communication ability in the test group was better than the conventional group, and the comprehensive ability score in the two groups (P <0.05).The test group resident physician theoretical examination, operation examination, case writing, case analysis and other scores were significantly better than the conventional group, and the overall effect was good. Conclusion: the Miller Pyramid mode can significantly improve the comprehensive ability of residents. Compared with the conventional mode training, the ability is significantly improved and has good results.
基金Scientific Research Fund Project of China Three Gorges University(Project No.:2022kj008)Special Scientific Research Fund Project of China Three Gorges University(Project No.:2023kjzx001)。
文摘As a crucial assessment tool,the Mini Clinical Evaluation Exercise(Mini-CEX)has gradually garnered attention in the clinical skills training of resident physicians.With the ongoing advancement of medical education reform,Mini-CEX not only offers a fresh perspective for evaluating the clinical competence of resident physicians but also establishes a foundation for enhancing their overall quality and professional capabilities.Nonetheless,there are still certain constraints in the application of Mini-CEX,including inconsistent assessment criteria,assessor subjectivity,and inadequate feedback mechanisms.This paper will review relevant domestic and international studies,explore the practical application of Mini-CEX in standardized resident physician training,analyze its strengths and weaknesses in assessing clinical ability,and propose recommendations for future development directions.Through a thorough examination of this field,it aims to provide references and guidance for further optimizing the training model for resident physicians.
文摘The development of competency-based thinking is transforming medical education by preparing professionals for the new challenges of the 21st century. Its strategies are key to the development of clinical competence and to improving critical thinking. Objective: This paper aims to evaluate the level of clinical competence of family medicine residents treating patients attending prenatal care in a medical unit in southern Mexico. Materials and Methods: In 2023, a cross-sectional, retrospective, and analytical study with an educational focus was conducted in two phases. The creation and validation of a clinical competence instrument based on five real real-world problem-based clinical cases of prenatal care patients, with indicators related to clinical aptitude. Three rounds of experts were used to validate the instrument following the Delphi method, with a concordance threshold of 80% or higher (Kappa index > 0.80). The Kuder-Richardson formula was used to calculate internal consistency, yielding a value of 0.87. The evaluation instrument was administered to 40 newly admitted medical residents in the second phase in Villahermosa, Tabasco. A descriptive analysis was performed, and the levels of competence were compared using the Chi-square test. Results: Internal consistency was 0.87. Among the residents, 32.5% demonstrated low knowledge levels (know-what), 37.5% showed intermediate skills levels (know-how), and 67.5% exhibited adequate performance in attitudes (know-be). Conclusions: Inclusive strategies are necessary to improve clinical competence levels in prenatal care.
文摘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.
文摘Objective: To explore and analyze the effect of the WeChat platform combined with the PBL teaching method in the standardized training of anesthesia residents. Methods: 120 anesthesiology residents from January 2018 to the end of December 2019 were selected, and divided into a control group and an observation group of 60 each according to the time sequence of admission. The control group adopted the conventional teaching mode, and the observation group adopted the WeChat platform combined PBL teaching method. The scores of theoretical knowledge and anesthesia skills operation after training, the scores of the teaching interest survey, and the satisfaction with the teaching mode between the two groups were compared. Results: The scores of theoretical knowledge and anesthesia skills operation in the observation group were significantly higher than those in the control group, and the indicators of teaching interest in the observation group were also higher than those in the control group. The differences were statistically significant (P < 0.05). The satisfaction degree of the observation group was significantly higher than that of the control group, and the difference was also statistically significant (P < 0.05). Conclusion: The WeChat platform combined with the PBL teaching method is beneficial to improve the training effect of anesthesiology residents, stimulating autonomous learning ability, ensuring the effective practice of theoretical knowledge, and promoting them to move towards a higher standard of anesthesia skills.
文摘Electromyography is an important diagnostic technique for neuromuscular diseases in clinic, and it is also an important development direction in recent years. The training of residents in neurology department is a professional and technical job with high difficulty. How to effectively improve and optimize the training quality of electromyography is the key path to promote the professional level of clinicians. Therefore, in order to further improve the comprehensive education level of neurology, this paper systematically expounds and analyzes the standardized training strategies and methods of electromyography for residents in neurology, hoping to provide help and reference for related workers.
文摘Objective: to analyze the value and effect of case fragmentation teaching in the standardized training of anesthesiology residents. Methods: from January 2020, 40 residents who implemented standardized resident training in the Department of Anesthesiology of our hospital to December 2020, were divided into control and observation groups based on different training modes, with 20 patients in each group. The control group gave the routine teaching, and the observation group taught the case fragmentation. Compare the academic performance of the two groups of doctors (skill level and theoretical knowledge), clinical ability test results (preoperative visit, anesthesia protocol preparation, preoperative preparation, anesthesia operation, intraoperative management, clinical competence), and teaching satisfaction (very satisfactory, general satisfaction and unsatisfactory). Results: the results of the observation group were higher than the control group, and the results of preoperative visit, anesthesia plan formulation, preoperative preparation, intraoperative management and clinical competence, with P <0.05;the teaching intervention was 95%, higher than the control group, but the difference was not obvious (P> 0.05). Conclusion: case fragmentation teaching in the standardized training of anesthesiology residents can play a remarkable role in improving the teaching effect, enhancing the doctors' clinical ability and improving the teaching satisfaction, which is worth promoting and implementing in the industry.
