Establishment and Effectiveness Evaluation of a Standardized Training System for Renal Resident based on SMART and EPAs
Objectives This study aims to establish and evaluate the effect of the renal resident training system based on SMART and entrustable professional activities(EPAs),to provide a reference for improving the effectiveness of kidney specialist training.Methods A detailed two-year training plan was developed based on the principles of SMART and EPAs for 10 resident physicians who underwent a two-stage training program for nephrology specialists in a hospital from March 1,2015 to March 31,2020.After the training,theoretical and clinical practice as well as operational skills assessments were conducted.Teaching satisfaction and effectiveness were evaluated from multiple perspectives such as symposiums and questionnaires.After the training was completed,the Mini-CEX score and compliance rate of various abilities of the designated trainees,as well as the independent ability of resident physicians and the compliance rate of job competence were evaluated.Results Training and assessment ability:All training doctors passed the two-stage training assessment of theory and clinical operation,pass rate 100％.Comprehensive clinical ability:Mini-CEX scores,communication skills,clinical diagnosis,and 360-degree evaluation abilities of regulated training subjects were significantly improved by 90％;The patient reception,physical examination,professionalism,and humanistic care abilities were significantly improved by 100％.Autonomous ability:Comprehensive clinical ability,learning initiative,professional literacy,attending physician rating,multidisciplinary consultation,and humanistic communication skills had a significant improvement rate of 90％;Clinical thinking,nursing ratings,scientific research ratings,teaching manager ratings,and learning interest improvement had a significant improvement rate of 100％.Job competency assessment:90％of people were very certain about the 360-degree evaluation ability of ward attending and medical care;100％of people were very certain about outpatient chronic disease follow-up,nephrology specialist consultation,dialysis quality control management,resident physician guidance,published articles,popular science articles,patient satisfaction;80％of people were very certain about nephrology operations and surgeries,funder ability.Conclusions The training objectives for nephrology resident physicians based on SMART and EPAs are clear and the evaluation can be quantified,which helps to improve the training level and job competency of specialty residents.
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