Study on the resident teaching staff construction in Shanghai

Objective To analyze the application status of the full-range tutorial system in the standardized residents training in China. Methods Literature about tutorial system applying in the residents training in the Chinese literature network full-text database, Wanfang database and Weipu journal full-text database from database building up to September 2018 were collected and read to summarize and analyze. Results A total of 98 papers from 66 hospitals were included, of which 50 hospitals have developed the full-range tutorial system. The main contents of the thesis mainly focused on three aspects, the problem of current standardized training (28 papers), the necessity and function of the full-range tutorial system (71 papers) and the implementation mechanism of the tutorial system (63 papers). Sixteen studies indicated that positive effects on improving the quality of trainees or the satisfaction of teachers and students were found after implementation of a full-range tutorial system execution. Conclusions There are still many problems in the students, teachers and hospitals in standardized residents training in China. The implementation of the full-range tutorial system may help to solve the related problems. However, effective implementation mechanism building is an essential condition for the effect of the full-range tutorial system in standardized residents training. Key words: Full-range tutorial system; Standardized residents training; Literature analysis

Resident standardization training is an important part of postgraduate medical educa- tion and anesthesiology rotation is an important part in resident standardization training. Anesthesiology rotation is an effective way to improve the efficiency of hospital operation and is an important starting point to promote ＇comfortable medical＇ and hospital upgrades. To improving the quality of training, anes- thesiology department should establish training and supervision system clearly, organize teacher training regularly. Continuous improvements in institutional mechanism can be achieved by detailed theoretical studies, technical operations and departmental rotation examination requirements as well as by exchanging ideas between teachers and students. Key words: Anesthesiology; Resident; Standardization training

The application of continuous quality improvement program in standardized residency training examination in the central Hospital of Shanghai Jiading was introduced to inquire into the way to improve the quality of standardized training of resident doctors. Through the steps of FOCUS-PDCA, we continuously improved the examination content and quality compliance training personnel, and developed the examination process including test, training, supervision, learning and using. After the implementation of the project, the percentage of the departments that meet the residency training examination requirements has been increased from 33.3% to 100% in our hospital. The percentage of the students that passed the licensed medical skills examination was 96.6% in that year. 100% of the students passed the graduation comprehen-sive examination. Year-end evaluation showed that the students' satisfaction degree to the teachers increased from 94.5% to 98.2%. Thus, through the implementation of CQI project, we achieved the goal of promoting teaching and promoting learning. Key words: Standardized residents training; Continuous quality improvement (CQI)

In this paper, we lay down a homogenization training standard for resident standardized training through a joint discussion among experts from three national resident standardized training bases. The aim of the homogenization of resident standardized training quality shall be reached through the synchronous implementation of tutorial system and comprehensive formative evaluation, the strengthening of training quality process management and the promotion and advancement of training quality of resident standardized training. Key words: Training base; Standardized residency training; Homogenization

ABSTRACTObjective:To evaluate the effectiveness of integrating case-based learning (CBL) with the flipped classroom approach in the standardized residency training of ultrasound physicians.Methodology:This was a retrospective study. A total of 26 residents undergoing standardized ultrasound residency training at Baoding NO.1 Central Hospital between January to August 2024 were enrolled in this study. Participants were randomly assigned to an experimental group (n= 13) and a control group (n= 13). The experimental group received CBL and flipped classroom instruction, while the control group was taught using traditional methods. Theoretical examination scores, perceived learning outcomes and teaching satisfaction were compared between the two groups.Results:The experimental group achieved significantly higher theoretical examination scores than the control group (p< 0.05). Participants in the experimental group also demonstrated significantly improved learning outcomes and reported higher satisfaction with the teaching methods compared with those in the control group (p< 0.05, respectively).Conclusion:The teaching approach combining CBL and the flipped classroom model may enhance clinical reasoning, stimulate learning motivation, foster innovation and contribute to the overall effectiveness of standardized ultrasound residency training.

Rehabilitation physician training is an important part of the development of rehabilitation medicine. Rehabilitation physician education in Taiwan has a complete and standardized training system, and rehabilitation physician training in mainland China is mainly achieved through standardized residency training. This article compares the differences in training processes for rehabilitation physicians in education in medical colleges and universities, residency training, and specialist training between Taiwan and mainland China. The results show that rehabilitation physician training in Taiwan is rigorous and orderly, with reasonable contents, clear objectives, strong specialty, and standardized assessment, while in mainland China, rehabilitation physicians in mainland China have insufficient training time, and there is a lack of detailed training plan and unified assessment standards. Rehabilitation physician training in mainland China needs to learn from advanced experience, further reform the training process, improve the operability of the overall education program, and perfect the training system of rehabilitation physicians. Key words: Taiwan; Mainland China; Rehabilitation physician; Training

Objective To analyze the medical and surgical theoretical exam results of the resident standardized training in Jiangsu Province in 2011,and to discuss the impact factors of the theory exam results.Methods One-way analysis of variance (ANOVA) was used for comparing the mean value of three groups,the least-significance-difference method for pair wise comparisons of the all three groups;x2 test was used for pass rate comparison among two and three groups.Results The average score of medical and surgical were 65.5,64.8,pass rates were 84.8％,81.0％.Among the factors of difference of average passing rate was statistically significant,The higher average score and passing rate of medical categories are:tertiary hospitals (66.5,87.4％),southern region (66.5,88.6％),one years of doctoral degrees (70.1,100.0％),three-year master's degree (68.9); The higher avcrage score and passing rate of surgery categories are:tertiary hospitals (66.2,85.9％),southern region (65.7,86.1％),one-year doctoral degrees (68.9,96.3％),three-year master' s degree (68.3).Conclusions The factors affected medical and surgical theoretical exam results include training in hospital-level,area,resident physicians education,training time. Key words: Resident standardized training; Stage assessment ; Theoretical test; Analysis ; Reflection

Public opinion software was used to collect data in the context of internet big data, aiming to analyze the situation of resident standardized training. The results indicated that over 820 thousand public opinion items regarding resident standardized training were collected and the greatest attention paid to this issue came from medical college students. 51% (418 200/820 000)of the public opinion items were neutral, 32% (262 400/820 000)of the items was negative, and 17%(139 400/820 000)was positive. Specifically, 39% (102 336/262 400)of the media focused on the policy of resident standardized training, 27% (70 848/262 400)on the training period, and 26% (68 224/262 400)on the training income. Both the media and cyber citizen paid close attention to resident standardized training, but their attitudes towards it were polarized. Government should create public opinion research and judge mechanism, information dissemination mechanism and public opinion guidance mechanism to orient internet public opinion tracking in a scientific and objective way. Key words: Internet; Big data; Residents; Standardized training; Public opinion analysis

Objective To evaluate the effect of medical simulation teaching method in resident clinical training of neurosurgery. Methods 50 residents under standardized training program in the Department of Neurosurgery of The Third Affiliated Hospital of SUN Yet-sen University between 2014 and 2016 were randomized into experimental group and control group. Medical simulation teaching method was applied in the experimental group, and traditional teaching method was applied in the control group. At the end of teaching, theoretical knowledge, clinical skills and clinical comprehensive ability were assessed. The satisfaction degree was evaluated by questionnaire. Results Exam scores of both theoretical knowledge and clinical skills in of the experimental group were significantly better than those in the control group. Residents in experimental group showed more satisfaction on teaching effects. Conclusions The medical simulation teaching method can improve the students’ theory, operation results, clinical comprehensive processing ability and satisfaction on teaching effects, which is worthy of further exploration and promotion. Key words: Medical simulation teaching; Teaching method; Standardized training of residents; Neurosurgery

Resident standardized training plays an irreplaceable role in the training of medical students in China, including the construction of training bases, and the implementation of national graded diagnosis and treatment. From the perspective of medical education history, this project combined historical research methods and historical thinking methods into the field of standardized training for residents through literature review and expert consultation. The project selected the training mode, training content, tutor system and integration of the system. The four main aspects were historically and longitudinally explored, and the historical evolution of the standardized training of residents in China was described in a point-by-point manner. The regular trends hidden in the history in the system were further explored, and history was transformed into reality logic, so as to build a new pattern of medical and health industry from the cultivation of medical talents. Key words: Resident; Standardized training; Historical research methods

Cultivation of research and research capability is becoming more and more important in resident training, although contemporary standardized training still focuses on clinical capability. This paper introduces SUPER teaching, including training of slide making, updating practice, academic presentation, oral English and literature reading, and summarize its approach and essence based on our experience. It has been showed that SUPER teaching can improve research and research capability and benefit residents’ career development in future. SUPER teaching completes and enriches contemporary standardized training of residents in China. Key words: SUPER teaching; Research capability; Resident; Standardized training

As a powerful reserve force for primary care institutions, general practitioners (GPs) undergoing standardized training will be essential to solve the pediatric problems of first visit to primary medical institutions and coordinated care delivery system in the future, which puts forward new requirements for the training of post competencies of GPs. However, the training and evaluating systems for GPs in Pediatric Department still need further exploration. This article tried to summarize the two-month rotating arrangement and its advantages for GPs in Pediatric Department of a general hospital. Based on the forgotten theoretical knowledge, superficial understanding of the diseases and individual teachers' poor teaching motivation, this article suggested reinforcing the theoretical basis of GPs through exploring multiple learning channels and increasing self-learning enthusiasm, strengthening the training and rewarding system of teachers to promote the specialist-GPs teaching, as well as promoting the set-up of Department of General Practice and taking the advantage of key disciplines in teaching hospitals to develop characteristic teaching model of general practice. Key words: General practice; Standardized training of residents; Pediatrics; Teaching; Coordinated care delivery system

Objective: This study explores the application value of the “1+N” tutorial system in standardized training of thoracic surgery residents. Methods: A total of 40 residents who received standardized training in the Department of Thoracic Surgery of our hospital from January 2022 to June 2025 were selected as research objects. Among them, 20 residents trained from January 2022 to July 2023 were included in the control group, and 20 residents trained from August 2023 to June 2025 were included in the study group. The control group adopted the traditional teaching mode, while the study group adopted the “1+N” tutorial system. The two groups were compared in terms of scores of written theory examination, skill operation assessment, professionalism, and doctor-patient communication ability. Results: The scores of the written theory examination and skill operation assessment in the study group were significantly higher than those in the control group (P < 0.05). In terms of professionalism evaluation, the study group scored significantly higher in medical ethics, teamwork, medical quality, and professional spirit (P < 0.05). In doctor-patient communication ability, the study group also achieved higher scores in skills of informing patients of their condition, standardization of informed consent form signing, conflict resolution ability, and human-istic care (P < 0.05). Conclusion: The application of the “1+N” tutorial system in standardized training of thoracic surgery residents can effectively improve their scores in theory and operation assessments, as well as enhance their professionalism and doctor-patient communication ability.

The traditional teaching mode Lecture Based Learning (LBL) often results in student's poor initiative and independent thinking ability and low learning interest. This study aims to investigate the application of CT 3D reconstruction and 3D printing technology combined with CBL teaching mode in the clinical teaching of orthopedics and standardized training of residents. Sixty residents of our hospital were randomly selected to conduct the teaching of joint orthopedic content in orthopedic surgery courses. They were randomly divided into three groups at the time of admission, which adopted LBL teaching mode, CBL teaching mode, CT 3D reconstruction and 3D printing technology combined with CBL teaching mode, respectively. The theoretical knowledge scores and clinical skills scores of the standardized training students in the CBL+3D printing group were significantly higher than those in the LBL or CBL group. Students in CBL+3D printing group had significantly higher recognition in self-ability evaluation. The overall teaching satisfaction of students in CBL+3D printing group was 85.00% (P < 0.05). The combination of CT 3D reconstruction and 3D printing technology with CBL teaching mode can help the students to master the theoretical knowledge and practical skills in the standardized training of joint orthopedics residents, which can effectively improve the teaching quality.

Objective To investigate the influence of social support on the depression and anxiety of standardized training residents. Methods Three hundred and eighteen standardized training residents selected by random sampling method from 4 training bases in Shanghai participated in this survey. Results The average score of PHQ-9 was(7.24±5.20), and 67.30%(n=214)of participants had different degrees of depression; the average score of GAD-7 was(5.57±4.55), and 55.03%(n=175)of participants had different degrees of anxiety. One-way analysis of variances showed that standardized training residents who had work experience, longer training years and less salary satisfaction got higher scores in PHQ-9 and GAD-7. Male physicians had higher scores in GAD-7 than female ones. The scores of PHQ-9 (r=-0.390, P<0.01) and GAD-7 (r=-0.376, P<0.01) were both negatively correlated with social support. Regression analysis showed that training years, salary satisfaction, objective social support and the availability of support were significant for predicting the scores of PHQ-9(adjusted R2=0.242, F=17.893), work experience, salary satisfaction, objective social support and the availability of support were significant for predicting the scores of GAD-7(adjusted R2=0.228, F=14.390). After controlled the demographic variables, social support explained the variation rate of 0.119 to the score of PHQ-9 and 0.126 to the score of GAD-7. Conclusion The depression and anxiety of standardized training residents in this study is in a serious situation. Providing the objective social support and the availability of support as well as improving the salary satisfaction of standardized training residents may relieve the depression and anxiety and enhance their mental health. Key words: Physicians; Depression; Anxiety; Standardized training residents