Routine training is generally worthy of standardized training for residents. Standardized training of residents is an important part of medical students' post-graduation education, which is extremely important for cultivating high-level clinicians and improving medical quality. As a link between lifelong medical education (basic education in medical colleges) and continuing medical education (continuing medical education), it occupies an important position and is the key to the formation of medical clinical experts.

The training stage includes: According to the Trial Measures for Standardized Training of Clinical Residents promulgated by the Ministry of Health in recent years, the training is divided into two stages. The Standardized Training Standard for Residents (Trial) issued in 2009 clearly pointed out that the standardized training time is generally three years.

First stage

In three years, in two disciplines, I took turns to participate in the clinical medical work of major departments of this discipline and conducted comprehensive and systematic basic training in clinical work.

stage Ⅱ

It takes two years to further complete the rotation, gradually carry out professional training based on three-level disciplines, and thoroughly study and master the clinical skills and theoretical knowledge of this major. In the last year, you should arrange a certain period of time as a general resident or the corresponding hospital management.

Evaluation content: departmental evaluation

After the rotation of each department, the director of the department will organize the members of the evaluation team to comprehensively evaluate the medical ethics, clinical skills and teaching ability of residents by secret ballot, and record them in the rotation manual. The contents of medical ethics include: ① work responsibility, service attitude, law-abiding and labor discipline evaluation; ② Evaluation of medical style; (3) with or without mistakes or accidents; (4) unite and help each other, take the overall situation into consideration, and know the overall situation. Those who are rated as excellent or good are qualified, and those who are unqualified in medical ethics are not recorded in this year's clinical practice. Clinical skills such as medical history collection ability, comprehensive physical examination ability, operation and surgical skills are assessed by face-to-face, and must reach the required credits.

Foreign language level

The English versions of Kirschner's surgery and internal medicine were selected. The proficiency test is held once a year, and residents can take the foreign language proficiency test from the second stage. In the form of English translation, it takes 2 hours to complete the translation of 4000 printed symbols.

Professional theory

Residents who are about to complete the second training must take a unified professional theoretical examination. In order to meet the basic requirements of primary attending physicians in various professions.

Clinical ability

Including professional technology and clinical decision-making ability, the former is the face-to-face assessment of medical history collection, physical examination ability, medical operation skills and surgical skills by experts; The latter is conducted at the end of the first stage and the first stage training respectively. Face-to-face case analysis or computer-aided examination system can be used to make the clinical decision-making ability test develop in a more scientific direction. In order to strengthen and consolidate the clinical skills of residents in consultation and physical examination during training, standardized patient assessment methods can also be introduced.