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.

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.

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Basic practice of standardized training

1. With clinical practice, professional compulsory courses and public compulsory courses as the main training contents, residents are required to pass the examination in two stages to obtain corresponding course credits.

2. Training mode: clinical practice is mainly based on on-the-job training, with collective guidance of departments. Foreign language and professional compulsory courses are mainly completed by self-study, while some public compulsory courses and elective courses are completed by part-time face-to-face teaching, and credits can also be obtained by self-study and taking the level test of this course.

3. For those who have worked for 5 years and have reached the requirements for credits, after passing the clinical ability examination, they will be issued with a certificate of residency training as a necessary condition for applying for a higher level of professional and technical post qualification. For some on-the-job clinicians who have applied for a professional degree in clinical medicine, engaged in clinical work for more than 3 years, completed the first stage of standardized training for residents and passed the examination, they can be awarded the certificate of standardized training for residents in the early years.

In the implementation of standardized training for residents, we should pay attention to the cultivation of medical ethics, emphasize the training of three basics, strengthen clinical practice step by step, and adopt the principle of integrating theory with practice. In the system, we should pay attention to: ① the combination of training, assessment and promotion is conducive to mobilizing the enthusiasm of training; (2) Carry out on-the-job training focusing on practice, skills, self-study and amateur, and change the tendency of neglecting practice; ③ The knowledge structure should be reasonable, pay attention to the combination of medical treatment and medical research, and lay a solid foundation.

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Inspection and evaluation of training quality

The assessment of resident training must be standardized and gradually meet the requirements of standardization. The assessment is divided into general assessment and stage assessment, hospital self-organized assessment, theoretical examination organized by provincial and municipal universities and computer examination. The evaluation contents and procedures are shown in Figure 3.

1. Department 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.

2. Foreign Language Proficiency Test

The English version of Kirschner's surgery and internal medicine was 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.

3. Professional theoretical examination

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.

4. Determination of 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.

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Training follows six principles.

Resident training is in the process of gradual standardization from scratch. Hospitals that carry out this training follow six principles in management, namely: ① adhere to the principle of combining "red" with "specialty"; (2) The principle of integrating theory with practice and paying attention to practice; ③ Adhere to the principle of combining self-study with counseling and giving priority to self-study; ④ Adhere to the principle of combining work with study and giving priority to work; ⑤ Adhere to the principle of "rigorous style, solid foundation and wide knowledge" and pay attention to the cultivation of ability; ⑥ Adhere to the principle of combining training, assessment and use. Only in this way can we really cultivate practical medical talents and senior medical experts who meet the needs of socialist health work in China.

In July, 2006, the Second Affiliated Hospital of Kunming Medical College was taken as a pilot hospital in Yunnan Province, and the standardized training of residents began for 3+2 years and ***5 years.

Since September 2009, Tianjin, as a pilot hospital, has been standardized for three years.