Investigation and research on the clinical medical graduate education under integration of standardized residency training and clinical practice
Objective To investigate the current problems in graduate education in clinical medicine under the integration of standardized residency training and clinical practice.Methods One hundred and thirty-one clinical postgraduate students who studied at Binzhou Medical University,Shandong University,Shihezi University,and Shandong First Medical University from May 2018 to April 2020 were investigated in terms of the teaching mode,the influence of tutors,and the demand for ability improvement under the combined training mode of standardized resident training and clinical practice through questionnaire survey.The original data were exported from the questionnaire survey platform.WPS was used to transform the data.The data were expressed as single item support rate.Results In the teaching for clinical medical graduate students,the teachers often used actual operation(79.4%,104/131),case teaching(77.1%,101/131),special lectures and discussion(72.5%,95/131),teaching theories through multimedia(67.9%,89/131),etc.The teaching methods the students liked were as below:case teaching(89.3%,117/131),actual operation(82.4%,108/131),special lectures and discussion(66.4%,87/131),and teaching theories through multimedia(40.5%,53/131).Under the integration of standardized residency training and clinical practice,the tutors influenced the students in knowledge improvement and eye opening(82.4%,108/131),increasing practice ability(80.2%,105/131),theoretical knowledge improvement(77.1%,101/131),innovation cultivation(64.9%,85/131),and knowledge systemization and education idea update(51.1%,67/131).In the theory combining with practice process,84.7%(111/131)thought that they could applied the theories in practice well,and 15.3%(20/131)did not think so;92.4%(121/131)thought that the knowledge and abilities they got were enough for their future positions,and 7.6%(10/131)did not think so.Most topics of the students'theses were from their tutors'programs and projects.Lack of problem awareness,lack of source of topic selection,and difficulty in determining the topic were the main difficulties in the design of graduate dissertations.In order to adapt to the future post,the ability to analyze and solve problems,the expansion of comprehensive knowledge,basic skills,and practical ability should be strengthened during the postgraduate period under the integration of standardized residency training and clinical practice.Conclusion The combination of multiple teaching modes and the establishment of a tutor team can not only fully mobilize the learning enthusiasm and solve the existing difficulties of clinical medical graduate students,but also help them meet the needs of future post ability.
Education qualityStandardized residency trainingIntegration cultivation modeClinical medicine