scholarly journals Study On The Implementation Status and Countermeasures of The Standardized Resident Training System in China

Author(s):  
Zixin Li ◽  
Songyi Liu ◽  
Wenqi Meng ◽  
Xiaoli Jiang ◽  
Haibo Peng ◽  
...  

Abstract Object: By combing the policy content of the standardized resident training system in China, this paper analyzes the residents’ cognition and satisfaction evaluation of standardized training policy, and discusses the implementation obstacles and feasible strategies of the Chinese standardized resident training. Method Using policy text analysis to sort out the policy content of the Chinese standardized resident training system; A questionnaire survey was conducted among 1048 residents in 5 standardized training bases for residents in Shandong Province, China, and a qualitative interview was conducted with 42 residents by personal in-depth interview. Descriptive analysis and binary logistic regression model were used to statistically analyze the residents’ cognition of the training policy, the way of participating in the training, the harvest during the training, existing problems, satisfaction evaluation, and to explore the implementation obstacle factors and optimization strategies of the standardized resident training policy in China. Result Through quantitative investigation and qualitative interview, it is found that the standardized resident training has improved the students’ clinical theoretical knowledge level, practical ability, and doctor-patient communication ability. However, there are still some problems in the standardized resident training in China, such as unreasonable time arrangement, low salary and living security level of residents, weak awareness of teaching, inadequate implementation of training content and assessment, etc. Conclusion The implementation of the standardized resident training system in China has played an important role in cultivating homogeneous and qualified doctors and improving the ability and level of doctors. However, the survey found that the training arrangement is unreasonable, the salary and living security level is not high, and put forward that the training time should be arranged reasonably, the salary and treatment level should be improved, and the awareness of teachers’ responsibility should be improved Strengthen the implementation of training content and assessment. This paper can provide a reference for graduate medical education and the training of human resources in healthcare in other countries and regions.

2020 ◽  
Author(s):  
Chunsong Yang ◽  
Yunzhu Lin ◽  
Li Zhao ◽  
Lingli Zhang

Abstract Background: We sought to analyze the current situation of personnel training and scientific research regarding pharmacy intravenous admixture services (PIVAS), to provide evidence-based medical knowledge to inform personnel training for PIVAS in mainland China.Methods: A cross-sectional survey was used to examine the current status of PIVAS personnel training, research capabilities, needs, and research output of PIVAS personnel based from the perspective of leaders in PIVAS in China. The survey period was from March to April 2019.Results: A total of 137 hospitals in China participated in this survey. The main training content areas of PIVAS staff in each hospital were professional theoretical knowledge (100.00%, 137/137) and practical operation ability (98.54%, 135/137). The frequency of training was typically 1–2 times/month (56.9%, 78/137). The average duration of a single training session was typically 1 hour or less (68.6%, 94/137). The most common forms of PIVAS training were lectures (94.89%, 130/137) and practical operations (79.56%, 109/137). A total of 51.8% (71/137) of PIVAS leaders believed that PIVAS personnel had a high degree of scientific research needs, but 61.3% (84/137) believed that few personnel had mastered scientific research methodology, and 41.6% (57/137) believed that the scientific research ability of personnel was relatively poor. Among PIVAS personnel, only 38.7% (53/137) had specialized scientific training. The annual SCI output was 0–18 articles (median 0 articles) and the number of national-level funding grants was 0–2 (median 0). There were no significant differences in the training of PIVAS personnel and scientific research between different provinces and hospital levels.Conclusions: The training content of PIVAS personnel in China was found to be relatively rich, but management tools, career development, and training in scientific research were found to be relatively weak, and the scientific research output was very low. It is necessary to build a comprehensive training system for career development among PIVAS personnel.


2002 ◽  
Vol 13 (1) ◽  
pp. 149-174 ◽  
Author(s):  
Ian Hampson

A number of recent inquiries into Australia's national training system have found it to be on the sick side. This article seeks the causes of this in the recent evolution of training policy, which commenced in the late 1980s. The article traces the demise of the first moderately interventionist National Training Reform Agenda, which union reformers played a role in shaping, through the increasing marketisation of training policy. Under the Liberal National Coalition, budget constraints and the short term interests of employers have increasingly driven training policy. The drift of policy is against the grain of prescriptions drawn from the international literature, which shows the need for interventionist measures to correct ‘market failure’, and to ensure adequate expenditure and the integrity of qualifications.


2010 ◽  
Vol 1 (1) ◽  
pp. e46-e50 ◽  
Author(s):  
Ralitsa Akins ◽  
Hoi Ho

Background - Despite continued curriculum reform, the clinical skills competencies of medical graduates at all levels are steadily declining within a training system, where bedside opportunities become a luxury and the laboratory tests prevail over the clinical skills. While high-fidelity expensive simulators are being embraced by high-procedure volume specialties, low-fidelity and relatively inexpensive simulators, such as the heart sounds simulators remain under-utilized in medical training.  Methods - We used a commercially available heart sound synthesizer in 2-hour training sessions with students and residents. Pre-post testing was completed at the beginning of the training session and three weeks after the session; participant responses were recorded by audience interactive response system.  Results - Data analysis was accomplished with statistical software SPSS 17.0 utilizing paired t-test, and showed a statistically significant difference in learners’ knowledge and skills attainment 3 weeks after completion of the simulation training (p<0.0001).  Conclusions - Based on our findings and the review of literature, we recommend that heart sound simulation is introduced at medical student level as the standard for teaching cardiologic auscultation findings and as preparation for auscultation of live patients.  We also suggest that training with digitally simulated heart sounds is similarly beneficial in resident training.


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