Objective To investigate and analyze the level of understanding,compliance,and influencing factors among medical students (resident trainees) participating in standardized residency training at Beijing Children's Hospital and propose specific teaching and management recommendations.Methods In October 2022,a questionnaire survey was conducted among 264 pediatric residents from 30 departments at Beijing Children's Hospital,covering the 2020 to 2022 cohorts.The study utilized a Likert 5-point scale to assess the residents' awareness and compliance with the training guidelines.Single-factor analysis and multiple linear regression were employed to explore the influencing factors.Results Pediatric residents' understanding of the guidelines was 2.77±0.836 points,at the medium deviation level.Their enthusiasm to read guidelines was 3.77±0.752 points,above the medium level,and their compliance was relatively optimistic.Further analysis showed that years of residency training,clinical work experience,guideline reading experience,and enthusiasm to read were the main negative factors that affected their knowledge of guidelines.Lack of guidance and difficulties obtaining and working are the main obstacles for resident students in reading guidelines.Difficulties in access and limited implementation are the main obstacles to compliance.Conclusions The degree of understanding in pediatric students needs to be strengthened,and the initiative and consciousness of pediatric students in reading guidelines can be increased by emphasizing evidence-based medicine education,providing professional guidance and access,increasing the opportunities to contact the guidelines from multiple perspectives,and providing time for independent study.Adherence to guidelines is optimistic,and we recommended increasing adherence among pediatric residents by selecting clinical guidelines with high applicability and promoting their dissemination.
关键词
临床实践指南/知晓依从情况/影响因素分析/调查研究/多元线性回归
Key words
Clinical practice guidelines/Awareness of compliance/Analysis of influencing factors/Investigation/Multiple linear regression
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