Objective:To explore the application effect of group cooperative learning combined with flipped classroom in standardized training of emergency surgery resident physicians.Methods:95 resident physicians undergoing eme...Objective:To explore the application effect of group cooperative learning combined with flipped classroom in standardized training of emergency surgery resident physicians.Methods:95 resident physicians undergoing emergency surgery standardized training in our hospital were randomly divided into an experimental group(46,group cooperative learning+flipped classroom)and a control group(49,traditional teaching).The training period was 2 months.Results:The graduation assessment scores of the experimental group were higher than those of the control group(P<0.05).The improvement in critical thinking ability and self-learning ability was better than that of the control group(P<0.05).The response rate of“yes”to all items of course teaching satisfaction was significantly higher than that of the control group(P<0.05).The satisfaction scores for training teachers were higher than those of the control group(P<0.05).Conclusion:The teaching model of group cooperative learning combined with flipped classroom,through reconstructing the learning process and activating interactive participation,can significantly improve the clinical operation and theoretical foundation of emergency surgery standardized training students.It also cultivates core professional qualities such as critical thinking,self-learning,and team collaboration,providing a feasible paradigm for integrated medical education in this discipline.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
In recent years,with the continuous deepening of educational reform in the medical field,standardized training,as an important stage of providing excellent laboratory physicians to the clinic,not only needs to strengt...In recent years,with the continuous deepening of educational reform in the medical field,standardized training,as an important stage of providing excellent laboratory physicians to the clinic,not only needs to strengthen various professional skills of laboratory physicians,but also needs to integrate medical ethics education into the education.Report analysis uses clinical case test reports as teaching content.Under the guidance of attending physicians,resident physicians are the main body of standardized training.Teaching activities for report analysis are carried out by combining theoretical knowledge and case information.Through detailed planning of report analysis teaching activities and adequate preparation,standardized training activities are smoothly carried out.This targeted and comprehensive teaching model can effectively improve the clinical thinking and clinical laboratory professional ability of resident physicians,strengthen medical ethics,and make biochemistry sub-specialty resident physicians in laboratory medicine more adaptable to clinical work,thus achieving teaching goals.展开更多
As the most critical part of post-graduate education,the Chinese government launched Standard Resident Training in 2013 to solve the regional inequality of medical quality and meet the increasing social requirement fo...As the most critical part of post-graduate education,the Chinese government launched Standard Resident Training in 2013 to solve the regional inequality of medical quality and meet the increasing social requirement for better medical service.We integrated problem-based learning(PBL)and case-based learning(CBL)in the Endodontics Standard Resident Training.By evaluating with objective parameters including theoretical knowledge and clinical practice skill,and subjective parameters including questionnaire,it was found that PBL+CBL played a positive role in endodontic resident training with a significant difference(P<0.05).This combined training model is instructive for China’s resident training,and this result can provide a rudimentary reference to current postgraduate teaching reform.展开更多
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 Proce...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 doctor-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.展开更多
Objective:To enhance the reading skills of clinical pathology residents,it is essential to establish a well-structured electronic pathology reading library.Methods:In accordance with the Resident Standardization Train...Objective:To enhance the reading skills of clinical pathology residents,it is essential to establish a well-structured electronic pathology reading library.Methods:In accordance with the Resident Standardization Training Content and Standards(2022 Edition),clinical pathology residents are required to master pathological diagnoses across 11 systems:skin,head and neck,mediastinum and respiratory,digestive,urinary and male reproductive,female reproductive and breast,lymphatic and hematopoietic,bone and soft tissue,cardiovascular,central nervous,and endocrine diseases.Senior pathologists specializing in each subspecialty selected classic pathological slides,which were systematically scanned and compiled into an electronic pathology library.Results:A questionnaire survey was conducted to gather feedback on the electronic pathology reading library.Residents generally found it to be convenient,efficient,and conducive to learning.Conclusion:Training in clinical pathology diagnosis is a core component of standardized resident training.The electronic pathology reading library has been well-received and recognized by resident doctors.However,further efforts are needed to explore diverse teaching methods that align with modern educational approaches,ultimately contributing to the development of highly skilled resident doctors.展开更多
With the continuous development of the nursing discipline,standardized nurse training has always been a crucial link in the development of nursing science and plays an irreplaceable role in talent cultivation.However,...With the continuous development of the nursing discipline,standardized nurse training has always been a crucial link in the development of nursing science and plays an irreplaceable role in talent cultivation.However,in the current standardized training for some nurses,there are problems such as the simplification of nursing skill evaluation models and insufficient post competence of nurses.Therefore,optimizing the training model for nursing talents has become an inevitable measure.The problem-based learning(PBL)method and the Direct Observation of Procedural Skills(DOPS)evaluation model provide new directions and guidance for the development of training.Against this background,this paper explores effective approaches for standardized nurse training,starting from basic concepts and gradually delving into specific practical paths,aiming to improve the quality of talent cultivation and provide valuable references for other researchers.展开更多
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 fra...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.展开更多
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 re...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.展开更多
A training and seminar on service standardization was held in Weifang city,eastern China's Shandong province,attracting150 representatives from nationwide quality inspection departments from November 27 to 30,2017.
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 Ultr...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.展开更多
Ethical approval is the first essential step for medical master’s students to officially initiate research.This article discusses the ethical issues encountered in various types of research projects conducted by prof...Ethical approval is the first essential step for medical master’s students to officially initiate research.This article discusses the ethical issues encountered in various types of research projects conducted by professional master’s students,the preparation of ethical application materials,conflicts between the timing of ethical applications and the clinical training rotation schedules,and the continuity of ethical applications among students within the same cohort and across different cohorts.展开更多
Objective:To clarify the preferences and core demands of professional Master’s students in Tuina at Yunnan University of Chinese Medicine regarding“concentrated”versus“dispersed”rotation schedules in the Tuina de...Objective:To clarify the preferences and core demands of professional Master’s students in Tuina at Yunnan University of Chinese Medicine regarding“concentrated”versus“dispersed”rotation schedules in the Tuina department,as well as their preferred year for primary rotation,providing evidence for optimizing rotation programs and improving the quality of standardized training.Methods:Paper questionnaires,including two multiple-choice questions and one open-ended question,were distributed to 30 professional Tuina Master’s students,completed on site,and collected immediately.Descriptive statistics were used to analyze preference distributions.Results:A total of 30 questionnaires were distributed and 30 valid responses were collected,achieving a 100%response rate.Among them,23 students(76.7%)supported“concentrated training,”while seven students(23.3%)preferred“dispersed training.”Regarding rotation year preference,18 students(60.0%)selected the second year for concentrated Tuina rotations,eight students(26.7%)selected the third year,and four students(13.3%)selected the first year.The core demands supporting concentrated training were“skill continuity,deep involvement in diagnosis and treatment,and smooth mentorship transition,”whereas those supporting dispersed training were“integration of multi-department knowledge,coordination of research time,and avoidance of fatigue from a single department.”Conclusion:Most professional Tuina Master’s students prefer concentrated Tuina rotations in the second year.It is recommended that institutions adopt a“second-year core department concentrated+auxiliary department flexible dispersed”model and establish flexible coordination and feedback mechanisms to balance clinical skill development with individualized growth needs.展开更多
Objective:To assess the effectiveness of a visual double-lumen bronchial catheter in teaching lung isolation skills to anesthesia resident trainees.Methods:Between September 2023 and September 2024,20 anesthesiology r...Objective:To assess the effectiveness of a visual double-lumen bronchial catheter in teaching lung isolation skills to anesthesia resident trainees.Methods:Between September 2023 and September 2024,20 anesthesiology residents from Jiangsu Cancer Hospital were randomly divided into two groups:the visual double-lumen group(n=10)and the conventional double-lumen group(n=10).Randomization was achieved using a random number table.The study assessed several outcomes,including total intubation time,positioning time,one-time intubation success rate,intraoperative catheter displacement rate,surgeon satisfaction scores,and the incidence of postoperative complications(pharyngeal pain,hoarseness,and dry cough)within 24 hours.Results:The visual double-lumen group demonstrated superior results compared to the conventional double-lumen group in the following measures:total intubation time(70.2±11.8 s vs 224.9±35.6 s),positioning time(30.1±5.7s vs 176.6±26.4 s),one-time intubation success rate(85%vs 45%),intraoperative catheter displacement rate(10%vs 40%),surgeon’s intubation satisfaction score(8.10±1.07 vs 6.90±1.41),satisfaction score for pulmonary isolation(8.35±1.04 vs 6.55±1.36),and airway management satisfaction score(8.40±1.3 vs 6.70±1.34).Additionally,the incidence of postoperative pharyngeal pain(15%vs 45%),hoarseness(10%vs 40%),and dry cough(5%vs 35%)was significantly lower in the visual double-lumen group(all P<0.05).Conclusion:The visual double-lumen bronchial catheter significantly enhances the training of anesthesia residents in lung isolation by reducing intubation and positioning times,improving intubation success rate,increasing surgeon satisfaction,and reducing intubation-related complications.This method offers a more effective teaching approach compared to conventional techniques.展开更多
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 guid...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.展开更多
Semen analysis is characterized by high levels of intra-and inter-laboratory variability,due to a low level of standardization,high subjectivity of the assessments,and problems with automated procedures.To improve con...Semen analysis is characterized by high levels of intra-and inter-laboratory variability,due to a low level of standardization,high subjectivity of the assessments,and problems with automated procedures.To improve consistency of laboratory results,quality control and training of technicians are important requisites.The goals of this study are to evaluate the results of an external quality control(EQC)program and standardized training by ESHRE Basic Semen Analysis Courses(BSAC)on the variability in manual assessments of semen parameters.We performed retrospective analyses of(1)the interlaboratory variability in the Dutch EQC program and(2)the interobserver variability in BSACs for concentration,motility,and morphology assessments.EQC data showed that the interlaboratory coefficient of variation(CV)for concentration assessment decreased(range from 24.0%–97.5%to 12.7%–20.9%)but not for morphology and motility assessments.Concentration variability was lower if improved Neubauer hemocytometers were used.Morphology assessment showed highest CVs(up to 375.0%),with many outliers in the period of 2007–2014.During BSAC,a significant reduction of interobserver variability could be established for all parameters(P<0.05).The absence of an effect in the EQC program for motility and morphology might be explained by respectively the facts that motility assessment was introduced relatively late in the EQC program(since 2013)and that criteria for morphology assessment changed in time.BSAC results might have been influenced by the pretraining level of participants and the influence of external factors.Both EQC and training show positive effects on reducing variability.Increased willingness by laboratories to change their methods toward standards may lead to further improvements.展开更多
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 M...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.展开更多
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 di...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.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
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. M...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.展开更多
基金Key Research and Development Program of Shaanxi Province,“Exploring the Changes and Mechanisms of Cerebral Microcirculation in Patients with Cerebral Small Vessel Disease and Mild Cognitive Impairment Based on OCTA Assessment”(Project No.:2023-YBSF-569)Shaanxi Provincial People’s Hospital Science and Technology Development Incubation Fund,“Early Identification of Cognitive Impairment in Cerebral Small Vessel Disease Based on Eye Tracking Technology”(Project No.:2023YJY-72)Key Research and Development Program of Shaanxi Province,“Study on the Correlation between Deep Medullary Veins and Cognitive Dysfunction in Cerebral Small Vessel Disease”(Project No.:2023-YBSF-033)。
文摘Objective:To explore the application effect of group cooperative learning combined with flipped classroom in standardized training of emergency surgery resident physicians.Methods:95 resident physicians undergoing emergency surgery standardized training in our hospital were randomly divided into an experimental group(46,group cooperative learning+flipped classroom)and a control group(49,traditional teaching).The training period was 2 months.Results:The graduation assessment scores of the experimental group were higher than those of the control group(P<0.05).The improvement in critical thinking ability and self-learning ability was better than that of the control group(P<0.05).The response rate of“yes”to all items of course teaching satisfaction was significantly higher than that of the control group(P<0.05).The satisfaction scores for training teachers were higher than those of the control group(P<0.05).Conclusion:The teaching model of group cooperative learning combined with flipped classroom,through reconstructing the learning process and activating interactive participation,can significantly improve the clinical operation and theoretical foundation of emergency surgery standardized training students.It also cultivates core professional qualities such as critical thinking,self-learning,and team collaboration,providing a feasible paradigm for integrated medical education in this discipline.
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In recent years,with the continuous deepening of educational reform in the medical field,standardized training,as an important stage of providing excellent laboratory physicians to the clinic,not only needs to strengthen various professional skills of laboratory physicians,but also needs to integrate medical ethics education into the education.Report analysis uses clinical case test reports as teaching content.Under the guidance of attending physicians,resident physicians are the main body of standardized training.Teaching activities for report analysis are carried out by combining theoretical knowledge and case information.Through detailed planning of report analysis teaching activities and adequate preparation,standardized training activities are smoothly carried out.This targeted and comprehensive teaching model can effectively improve the clinical thinking and clinical laboratory professional ability of resident physicians,strengthen medical ethics,and make biochemistry sub-specialty resident physicians in laboratory medicine more adaptable to clinical work,thus achieving teaching goals.
基金supported by the Teaching Reform Project of Stomatology College of Chongqing Medical University(KQJ202215,KQJ202204)the Teaching Reform Project of Chongqing Medical University(JY20220317).
文摘As the most critical part of post-graduate education,the Chinese government launched Standard Resident Training in 2013 to solve the regional inequality of medical quality and meet the increasing social requirement for better medical service.We integrated problem-based learning(PBL)and case-based learning(CBL)in the Endodontics Standard Resident Training.By evaluating with objective parameters including theoretical knowledge and clinical practice skill,and subjective parameters including questionnaire,it was found that PBL+CBL played a positive role in endodontic resident training with a significant difference(P<0.05).This combined training model is instructive for China’s resident training,and this result can provide a rudimentary reference to current postgraduate teaching reform.
基金supported by the The Educational Research Project of Nanjing Medical University(SLYB 2023-02).
文摘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 doctor-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.
文摘Objective:To enhance the reading skills of clinical pathology residents,it is essential to establish a well-structured electronic pathology reading library.Methods:In accordance with the Resident Standardization Training Content and Standards(2022 Edition),clinical pathology residents are required to master pathological diagnoses across 11 systems:skin,head and neck,mediastinum and respiratory,digestive,urinary and male reproductive,female reproductive and breast,lymphatic and hematopoietic,bone and soft tissue,cardiovascular,central nervous,and endocrine diseases.Senior pathologists specializing in each subspecialty selected classic pathological slides,which were systematically scanned and compiled into an electronic pathology library.Results:A questionnaire survey was conducted to gather feedback on the electronic pathology reading library.Residents generally found it to be convenient,efficient,and conducive to learning.Conclusion:Training in clinical pathology diagnosis is a core component of standardized resident training.The electronic pathology reading library has been well-received and recognized by resident doctors.However,further efforts are needed to explore diverse teaching methods that align with modern educational approaches,ultimately contributing to the development of highly skilled resident doctors.
文摘With the continuous development of the nursing discipline,standardized nurse training has always been a crucial link in the development of nursing science and plays an irreplaceable role in talent cultivation.However,in the current standardized training for some nurses,there are problems such as the simplification of nursing skill evaluation models and insufficient post competence of nurses.Therefore,optimizing the training model for nursing talents has become an inevitable measure.The problem-based learning(PBL)method and the Direct Observation of Procedural Skills(DOPS)evaluation model provide new directions and guidance for the development of training.Against this background,this paper explores effective approaches for standardized nurse training,starting from basic concepts and gradually delving into specific practical paths,aiming to improve the quality of talent cultivation and provide valuable references for other researchers.
基金Supported by Education and Teaching Reform Project of the First Clinical College of Chongqing Medical University,No.CMER202305Program for Youth Innovation in Future Medicine,Chongqing Medical University,No.W0138.
文摘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.
文摘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.
文摘A training and seminar on service standardization was held in Weifang city,eastern China's Shandong province,attracting150 representatives from nationwide quality inspection departments from November 27 to 30,2017.
基金Zhengzhou University Academy of Medical Sciences Graduate Education Reform Research and Curriculum Construction Project(Project number:040012023B059)。
文摘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.
文摘Ethical approval is the first essential step for medical master’s students to officially initiate research.This article discusses the ethical issues encountered in various types of research projects conducted by professional master’s students,the preparation of ethical application materials,conflicts between the timing of ethical applications and the clinical training rotation schedules,and the continuity of ethical applications among students within the same cohort and across different cohorts.
文摘Objective:To clarify the preferences and core demands of professional Master’s students in Tuina at Yunnan University of Chinese Medicine regarding“concentrated”versus“dispersed”rotation schedules in the Tuina department,as well as their preferred year for primary rotation,providing evidence for optimizing rotation programs and improving the quality of standardized training.Methods:Paper questionnaires,including two multiple-choice questions and one open-ended question,were distributed to 30 professional Tuina Master’s students,completed on site,and collected immediately.Descriptive statistics were used to analyze preference distributions.Results:A total of 30 questionnaires were distributed and 30 valid responses were collected,achieving a 100%response rate.Among them,23 students(76.7%)supported“concentrated training,”while seven students(23.3%)preferred“dispersed training.”Regarding rotation year preference,18 students(60.0%)selected the second year for concentrated Tuina rotations,eight students(26.7%)selected the third year,and four students(13.3%)selected the first year.The core demands supporting concentrated training were“skill continuity,deep involvement in diagnosis and treatment,and smooth mentorship transition,”whereas those supporting dispersed training were“integration of multi-department knowledge,coordination of research time,and avoidance of fatigue from a single department.”Conclusion:Most professional Tuina Master’s students prefer concentrated Tuina rotations in the second year.It is recommended that institutions adopt a“second-year core department concentrated+auxiliary department flexible dispersed”model and establish flexible coordination and feedback mechanisms to balance clinical skill development with individualized growth needs.
文摘Objective:To assess the effectiveness of a visual double-lumen bronchial catheter in teaching lung isolation skills to anesthesia resident trainees.Methods:Between September 2023 and September 2024,20 anesthesiology residents from Jiangsu Cancer Hospital were randomly divided into two groups:the visual double-lumen group(n=10)and the conventional double-lumen group(n=10).Randomization was achieved using a random number table.The study assessed several outcomes,including total intubation time,positioning time,one-time intubation success rate,intraoperative catheter displacement rate,surgeon satisfaction scores,and the incidence of postoperative complications(pharyngeal pain,hoarseness,and dry cough)within 24 hours.Results:The visual double-lumen group demonstrated superior results compared to the conventional double-lumen group in the following measures:total intubation time(70.2±11.8 s vs 224.9±35.6 s),positioning time(30.1±5.7s vs 176.6±26.4 s),one-time intubation success rate(85%vs 45%),intraoperative catheter displacement rate(10%vs 40%),surgeon’s intubation satisfaction score(8.10±1.07 vs 6.90±1.41),satisfaction score for pulmonary isolation(8.35±1.04 vs 6.55±1.36),and airway management satisfaction score(8.40±1.3 vs 6.70±1.34).Additionally,the incidence of postoperative pharyngeal pain(15%vs 45%),hoarseness(10%vs 40%),and dry cough(5%vs 35%)was significantly lower in the visual double-lumen group(all P<0.05).Conclusion:The visual double-lumen bronchial catheter significantly enhances the training of anesthesia residents in lung isolation by reducing intubation and positioning times,improving intubation success rate,increasing surgeon satisfaction,and reducing intubation-related complications.This method offers a more effective teaching approach compared to conventional techniques.
基金supported by the Qingdao City Public Science and Technology Support Program of Soft Science Research Project(11-2-3-75-(50)-zhc)
文摘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.
基金This study was supported by an unrestricted grant from the Dutch Foundation for Quality Assessment in Medical Laboratories(SKML),Nijmegen,the NetherlandsSKML is a nonprofit organization for external quality control for medical laboratories.
文摘Semen analysis is characterized by high levels of intra-and inter-laboratory variability,due to a low level of standardization,high subjectivity of the assessments,and problems with automated procedures.To improve consistency of laboratory results,quality control and training of technicians are important requisites.The goals of this study are to evaluate the results of an external quality control(EQC)program and standardized training by ESHRE Basic Semen Analysis Courses(BSAC)on the variability in manual assessments of semen parameters.We performed retrospective analyses of(1)the interlaboratory variability in the Dutch EQC program and(2)the interobserver variability in BSACs for concentration,motility,and morphology assessments.EQC data showed that the interlaboratory coefficient of variation(CV)for concentration assessment decreased(range from 24.0%–97.5%to 12.7%–20.9%)but not for morphology and motility assessments.Concentration variability was lower if improved Neubauer hemocytometers were used.Morphology assessment showed highest CVs(up to 375.0%),with many outliers in the period of 2007–2014.During BSAC,a significant reduction of interobserver variability could be established for all parameters(P<0.05).The absence of an effect in the EQC program for motility and morphology might be explained by respectively the facts that motility assessment was introduced relatively late in the EQC program(since 2013)and that criteria for morphology assessment changed in time.BSAC results might have been influenced by the pretraining level of participants and the influence of external factors.Both EQC and training show positive effects on reducing variability.Increased willingness by laboratories to change their methods toward standards may lead to further improvements.
文摘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.
基金supported by Teaching Reform Project of Stomatology College of Chongqing Medical University(No.KQJ201813).
文摘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.
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.