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An introduction to Australian Thoracic and Cardiovascular Surgical Training System and Suggestion on the Establishment of a Thoracic and Cardiovascular Surgical Training system in China

Exploration of a new training model for residency standardized non-professional radiological trainees in radiology department

Objective To explore a new rotation training mode suitable for residency standardized non-professional radiological trainees in radiology department, so as to improve the training quality. Methods The residency standardized non-professional radiological trainees who rotated in the Department of Radiology, West China Hospital, Sichuan University between June 2021 and January 2022 were retrospectively included as the research objects. According to the training mode, they were divided into traditional training mode group and innovative training mode group. The training results of the two groups were compared by taking process assessment, final examination and final score as evaluation indicators. Results Finally, 122 residents were included, including 45 in the traditional training model group and 77 in the innovative training model group. There was no significant difference in gender, major, identity and grade between the two groups (P>0.05). There was no significant difference between the two groups in the first film reading skill examination and their usual homework performance (P>0.05). The score of the second film reading skill examination [15 (14, 16) vs. 12 (11, 13)], the score of the final examination [34 (31, 36) vs. 29 (25, 31)] and the final score [80 (76, 83) vs. 71 (67, 74)] in the innovative training mode group were better than those in the traditional training mode group (P<0.05). Conclusion The innovative training mode of online teaching platform combined with offline teaching can improve the training effect of residency standardized non-professional radiological trainees in radiology department.

The WorkFeeling after Graduating from the Normalization Training of Nurses

2006年7月我院开展了护士规范化培训。通过培训,学员掌握了丰富的理论知识,规范化和程序化的护理操作技能,综合素质得到全面提高。培训结业后学员胜任临床护士职务,独自完成护理工作,为病员提供全面护理,感悟到了护理的奉献精神;拥有较强的教学意识,积极参与临床教学活动,培养护理人才,体会到了护理的专业性;主动投入护理科研工作,促进护理学科发展,满足自我实现的需求,升华了自己的人生观和价值观。

Information-based training system and its effect on neurology residents

ObjectiveTo briefly describe the specific contents and analyze the implementation effects of the information-based training system on neurology residents.MethodsSince February 2020, an information-based training system was carried out in the standardized training center for residents in the Department of Neurology, Xuanwu Hospital of Capital Medical University. The effect of the information-based training system was measured by comparing the numbers of training lessions and examinations, participation rates of training lessions and examinations, and mock examination results after 4 months of training of the resident trainees in Grade 2017 under the information-based training mode (n=35) with those of the resident trainees in Grade 2016 under regular face-to-face training mode (n=35). Chi-square test was used for comparison between training groups.ResultsCompared with those in Grade 2016, the number of lessons in Grade 2017 increased by 87.0% (43 vs. 23), the participation rate of lessons in Grade 2017 was higher (100.0% vs. 87.0%, P<0.001), the number of examinations in Grade 2017 increased by 87.5% (15 vs. 8), the participation rates of examinations were both 100.0%, and the pass rate of the mock examination in Grade 2017 was higher (94.3% vs. 77.1%, P=0.040).ConclusionThe training method and effect of the standardized training model of the information-based training system for resident doctors are worthy of recognition, providing a reference for medical teaching, especially for the standardized training of resident physicians.

大型医院手术室规范化培训学员理论培训模式

目的　探讨手术室规范化培训学员理论培训多元化方法与模式。 方法　通过采用系统的、多元化的培训方式，对2008年11月－2012年2月在手术室进行规范化培训的138名学员予以手术护理理论为基础的专业培训和引导。 结果　114人（82.61%）顺利完成本阶段培训，因工作需要中途转入其他科室培训20人（14.49%），离职3人（2.17%），因不适应手术室工作转入病房1人（0.72%）。通过培训，学员均取得护士执业资格，在专业素质和综合素质全面提高的基础上达到了大型医院专业护士的业务水平，能够胜任手术室专业护士岗位的护理工作。 结论　大型综合医院手术室护士规范化培训一定要在普通理论培训的基础上进行专科特色理论培训，方能使学员培训完后即可在新的岗位上胜任其角色。

对规范化培训护士外周静脉置入中心静脉导管维护技能的调查分析

【摘要】　目的　了解规范化培训护士对经外周静脉置入中心静脉导管（PICC）相关知识的认知及掌握情况。　方法　采取问卷调查方式，对2009年-2010年已在医院肿瘤科轮转工作过的57名规范化培训护士进行PICC维护知识的不记名调查。　结果　规范化培训护士对揭除穿刺处敷料的方向、穿刺处皮肤消毒面积、PICC导管是否可直接接触无菌胶带、脉冲式冲管及正压式封管的方法等内容，回答正确率均在90.9%以上；而对于PICC术后首次更换敷料的时间、注射器型号的选择、导管相关性血流感染等内容，回答正确率为69.09%。　结论　为降低PICC相关并发症的发生率，保证PICC维护质量安全，对规范化培训护士进行具有针对性、持续性、全面性的PICC维护培训刻不容缓

Application of structured electronic medical records for pulmonary nodules in standardized training of resident physicians

ObjectiveTo analyze the value of structured electronic medical records for pulmonary nodules in increasing the ability of outpatient service and hospital management by resident physicians.MethodsWe included 40 trainees [94 males and 26 females aged 22-31 (26.45±2.81) years] who were trained in the standardized training base for surgical residents in our hospital from January 2018 to January 2021. The trainees were randomly divided into two groups including a structured group using the structured electronic medical record for pulmonary nodule and an unstructured group using unstructured electronic medical record designed by our department. The time of completing hospitalization records and first-time course records, the quality of course records, the accuracy of issuing admission orders, the quality of teaching rounds, and patient’s satisfaction between the two groups were analyzed and compared.Results(1) The average time in the structured group to complete inpatient medical records was significantly shorter than that of the unstructured group (53.61±8.12 min vs. 84.25±16.09 min, P<0.010); the average time in the structured group to complete the first-time course record was shorter than that of the unstructured group (13.20±5.43 min vs. 27.51±8.62 min, P<0.010), and there was a significant statistical difference between the two groups. (2) The overall teaching round quality score of the students in the structured group was significantly higher than that in the unstructured group (84.21±15.61 vs. 70.91±12.28, P<0.010). (3) The score of the medical record writing quality of the structured group was significantly higher than that of the unstructured group (80.25±9.22 vs. 74.22±5.40, P<0.010).ConclusionThe structured electronic medical record specific for pulmonary nodules can effectively improve the training efficiency in the standardized training of surgical residents, improve the clinical ability to deal with pulmonary nodules, improve the integrity and accuracy of key clinical data collected by students, and improve doctor-patient relationship.

Reinforcing Resident Standard Training to Improve the Quality of Clinical Health Care Professionals

We summarize the primary structure, objective and achievements of the resident standard training program in West China Hospital of Sichuan University during the past decade. We also give some advices on how to develop and accomplish future goals of resident standard training.

医护一体化翻转式教学模式在规范化培训护士教学中的应用研究

目的 探讨医护一体化翻转式教学模式在规范化培训护士教学中的应用效果。 方法 对 2012 年 7 月—2014 年 8 月在四川大学华西医院胃肠外科培训的规范化培训护士实施医护一体化翻转式教学模式进行培训，比较医护一体化翻转式教学模式与传统教学模式对其学习成效及教学满意度的差异。 结果 在医护一体化翻转式教学模式和传统教学模式下规范化培训护士的专业知识成绩分别为（90.18±4.92）、（85.64±5.41）分，专科操作技能成绩分别为（92.30±3.54）、（88.93±5.61）分，教学满意度方面很满意的人数分别为 18 人（18/20）、9 人（9/22）。医护一体化翻转式教学模式下规范化培训护士的专业知识成绩、专科操作技能成绩及教学满意度均较传统教学模式高，差异均有统计学意义（P<0.05）。 结论 医护一体化翻转式教学模式能够提高规范化培训护士的学习成效及教学满意度，值得推广。

规范化培训护士临床带教探讨

目的:探讨护士规范化培训临床带教的特点和方法。方法:用坚持岗前培训,加强基本技能操作培训和基本理论的学习,强化临床适应能力的培训,书写反思日记,严格培训考核的措施进行护士规范化培训。结果:2006年7月～2009年1月,本科室共接收7组培训护士,每组有6～10人,有本科、大专、中专三个层次。所有培训护士均完成我科室培训,通过考核。结论:基础理论和基本技能是规范化护士培训的重点。因人施教,采用严格规范的培训措施,评判标准一致进行考核,护士的规范化培训即可取得良好的培训效果。