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Zeng Y, Yang J, Zhang JW. Post competency training in standardized training of resident physicians and integrated postgraduates. World J Clin Cases 2024; 12:6250-6254. [PMID: 39417052 PMCID: PMC11372526 DOI: 10.12998/wjcc.v12.i29.6250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Revised: 06/22/2024] [Accepted: 06/28/2024] [Indexed: 08/28/2024] Open
Abstract
We focus on the importance and necessity of post-competency-based training in medical education alongside its current challenges and opportunities. Integrating post competency training into standardized educational frameworks is increasingly recognized as a critical component of preparing residents and postgraduates for real-world clinical practice. Post competency training represents a commitment to excellence in medical education, striving to produce competent, skilled practitioners to meet the challenges of modern healthcare.
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Affiliation(s)
- Yan Zeng
- Department of Psychology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
| | - Jian Yang
- Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - Jun-Wen Zhang
- Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Luo M, Pang J, Xie S, Xu H, Yan J. A study of the correlation between residents' humanistic care skills and their level of emotional intelligence-A cross-sectional survey. BMC MEDICAL EDUCATION 2024; 24:1136. [PMID: 39402556 PMCID: PMC11472458 DOI: 10.1186/s12909-024-06097-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 09/27/2024] [Indexed: 10/19/2024]
Abstract
BACKGROUND There is variability in the structure of junior doctors' knowledge of humanistic medicine. The level of residents' emotional intelligence affects their professional development and the doctor-patient relationship. Currently, there is a paucity of research examining the humanistic competence and emotional intelligence of medical residents, both domestically and internationally.The primary objective of this study was to scrutinize the prevailing status of residents' humanistic competence and emotional intelligence levels, aiming to assess the correlation between humanistic competence and emotional intelligence. METHODS A cross-sectional survey using the Demographic Characteristics Questionnaire, the Humanistic Care Competence Scale, and the Emotional Intelligence Scale was conducted in September 2022 among residents of a tertiary general hospital in Sichuan Province. The relationship between humanistic care competence scores and emotional intelligence scores among residents was analyzed using Pearson correlation analysis and multiple linear regression analysis. RESULTS The mean score of residents' humanistic care competence was 188.82 ± 20.80, and the mean score of emotional intelligence was 87.08 ± 13.49.The Pearson correlation results demonstrated a significant correlation (r = 0.400, p = 0.000) between the level of emotional intelligence and humanistic care competence. The results of multiple linear regression analysis indicated that self-emotional appraisal, emotional appraisal of others, emotional control, emotional use, and school community work experience independently predicted humanistic care competence. CONCLUSION The scores for residents' humanistic care competence were notably low, influenced by a multitude of factors that also exhibited varying levels of impact on emotional intelligence development. Emotional intelligence was positively associated with humanistic care competence. Emotional intelligence is an important consideration in the development, implementation, and evaluation of humanistic care interventions. Residency programs should provide education and training in humanistic competencies to improve residents' levels of emotional intelligence and promote the overall health of society.
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Affiliation(s)
- Mingwei Luo
- Department of Academic Affairs, Panzhihua Central Hospital, Panzhihua, 617067, Sichuan Province, P.R. China
| | - Jie Pang
- Department of Academic Affairs, Panzhihua Central Hospital, Panzhihua, 617067, Sichuan Province, P.R. China
| | - Shiwei Xie
- Department of Orthopedics, Panzhihua Central Hospital, Panzhihua, 617067, Sichuan Province, P.R. China.
| | - Huamin Xu
- Department of Academic Affairs, Panzhihua Central Hospital, Panzhihua, 617067, Sichuan Province, P.R. China
| | - Jing Yan
- Department of Academic Affairs, Panzhihua Central Hospital, Panzhihua, 617067, Sichuan Province, P.R. China
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Zhu H, Zhang C, Li N, Yang Z, Qian X, Ji M, Yang J, Liu M, Yang W, Li D, Sun J. Satisfaction survey on graduates of standardised training for resident doctors in Guizhou Province, China. BMJ Open 2024; 14:e085789. [PMID: 39366715 PMCID: PMC11481131 DOI: 10.1136/bmjopen-2024-085789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Accepted: 08/30/2024] [Indexed: 10/06/2024] Open
Abstract
OBJECTIVES This study aimed to investigate the satisfaction levels of graduate residents in Guizhou Province and analyse the factors influencing their satisfaction. METHODS A cross-sectional survey was conducted using a simple random sampling method with all graduate residents from 24 hospitals in Guizhou Province. The survey covered the residents' demographic information, information about the training hospitals and satisfaction survey responses. Statistical analyses were performed using SPSS 29.0, including descriptive statistics using component ratios, binomial distribution tests for specific satisfaction situations, X 2 tests for between-group comparisons and binary logistic regression analyses to analyse the associations between residency satisfaction and related factors. The significance level was set at α=0.05. RESULTS The survey included 1070 graduate residents of Guizhou Province, China, including 500 males (46.7%) and 570 females (53.3%). The satisfaction questionnaire revealed that 23.8% were very satisfied; 45.4% were somewhat satisfied; and 26.4%, 2.3% and 2.1% were average, somewhat dissatisfied and very dissatisfied, respectively. Factors influencing residency satisfaction included gender, age, training base level, identity type, training participation year and average monthly income. CONCLUSION Based on this study, the satisfaction of graduate residents in Guizhou Province, China, is relatively lower than that in other countries and provinces. Therefore, Guizhou Province should take appropriate measures to address these influencing factors and enhance residency training satisfaction, thereby improving the residency training quality.
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Affiliation(s)
- Haijian Zhu
- Department of Science and Education, Guiyang Stomatological Hospital, Guiyang, Guizhou Province, China
| | - Chanchan Zhang
- Department of the Medical, Guiyangyunyan District Hospital, Guiyang, Guizhou Province, China
| | - Na Li
- Department of Science and Education, Guiyang Stomatological Hospital, Guiyang, Guizhou Province, China
| | - Zhe Yang
- Department of Histology and Embryology, Guizhou Medical University, Guiyang, Guizhou Province, China
| | - Xin Qian
- Department of Science and Education, Guiyang Stomatological Hospital, Guiyang, Guizhou Province, China
| | - Min Ji
- Department of Science and Education, Guiyang Stomatological Hospital, Guiyang, Guizhou Province, China
| | - Jing Yang
- Department of Science and Education, Guiyang Stomatological Hospital, Guiyang, Guizhou Province, China
| | - Mingkun Liu
- Guizhou University, Guiyang, Guizhou Province, China
| | - Wei Yang
- Guizhou University, Guiyang, Guizhou Province, China
| | - Dongdong Li
- Department of Clinical Teaching, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou Province, China
| | - Jiangling Sun
- Department of Science and Education, Guiyang Stomatological Hospital, Guiyang, Guizhou Province, China
- Guizhou University, Guiyang, Guizhou Province, China
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Zhou S, Zhang X, Zhang H, Zhang D, Wei R, Yang M. Application of the "Plan-Do-Check-Action" plan in improving the pass rate of the "National Medical Licensing Examination". BMC MEDICAL EDUCATION 2024; 24:717. [PMID: 38956537 PMCID: PMC11221025 DOI: 10.1186/s12909-024-05706-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2024] [Accepted: 06/25/2024] [Indexed: 07/04/2024]
Abstract
BACKGROUND The National Medical Licensing Examination (NMLE) is the only objective, standardized metric to evaluate whether a medical student possessing the professional knowledge and skills necessary to work as a physician. However, the overall pass rate of NMLE in our hospital in 2021 was much lower than that of Peking Union Medical College Hospital, which was required to be further improved. METHODS To find the reasons for the unsatisfactory performance in 2021, the quality improvement team (QIT) organized regular face-to-face meetings for in-depth discussion and questionnaire, and analyzed the data by "Plato analysis" and "Brainstorming method". After finding out the reasons, the "Plan-Do-Check-Action" (PDCA) cycle was continued to identify and solve problems, which included the formulation and implementation of specific training plans by creating the "Gantt charts", the check of effects, and continuous improvements from 2021 to 2022. Detailed information about the performance of students in 2021 and 2022, and the attendance, assessment, evaluation and suggestions from our hospital were provided by the relevant departments, and the pass rate-associated data was collected online. RESULTS After the PDCA plan, the pass rate of NMLE in our hospital increased by 10.89% from 80.15% in 2021 to 91.04% in 2022 (P = 0.0109), with the pass rate of skill examination from 95.59% in 2021 to 99.25% in 2022 (P = 0.0581) and theoretical examination from 84.5% in 2021 to 93.13% in 2022 (P = 0.027). Additionally, the mean scores of all examinees increased with the theoretical examination score increasing from 377.0 ± 98.76 in 2021 to 407.6 ± 71.94 in 2022 (P = 0.004). CONCLUSIONS Our results showed a success application of the PDCA plan in our hospital which improved the pass rate of the NMLE in 2022, and the PDCA plan may provide a practical framework for future medical education and further improve the pass rate of NMLE in the next year.
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Affiliation(s)
- Shu Zhou
- Department of Hematology, Zhongnan Hospital, Wuhan University, Wuhan, Hubei, 430071, China
| | - Xian Zhang
- Department of Hematology, Zhongnan Hospital, Wuhan University, Wuhan, Hubei, 430071, China
| | - Hao Zhang
- Department of Cardiology, The Second Affiliated Hospital of Tianjin Medical University, Tianjin, 300000, China
| | - Donglei Zhang
- Department of Hematology, Zhongnan Hospital, Wuhan University, Wuhan, Hubei, 430071, China
| | - Renxiong Wei
- Teaching Affair Office, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, 430071, China.
- Department of Spine and Bone Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, 430071, China.
| | - Miao Yang
- Teaching Affair Office, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, 430071, China.
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Li Y, Tang XF, Cheng H. Application of a flipped classroom teaching model based on micro-videos in the standardized training of dermatological residents in China. Front Med (Lausanne) 2023; 10:1250168. [PMID: 37901394 PMCID: PMC10613050 DOI: 10.3389/fmed.2023.1250168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 10/05/2023] [Indexed: 10/31/2023] Open
Abstract
Objective To explore the effects of a micro-video-based flipped classroom teaching model on the standardized training of dermatological residents in China. Methods A total of 78 residents who had received standardized training at the Department of Dermatology of the First Affiliated Hospital of Anhui Medical University were selected and randomly divided into an experimental group (39 residents) and a control group (39 residents). The experimental group received micro-video-based flipped classroom teaching, whereas the control group received traditional lecture-based classroom teaching. Scores relating to theoretical knowledge of dermatology, clinical practice skills, and the results of a questionnaire survey were used to evaluate the teaching effects. Results The average score of the experimental group in the theoretical knowledge test (88.56 ± 5.80) was significantly higher than that of the control group (81.90 ± 7.45). Similarly, the average score of the experimental group in the clinical practice skills test (85.44 ± 5.97) was also significantly higher than that of the control group (78.46 ± 5.94). The results of the questionnaire survey showed that the experimental group exhibited significant improvements in learning interest, mastery of teaching content, communication skills, expression skills, clinical practice skills, autonomous learning, clinical thinking, clinical application, and team cooperation. Conclusion Flipped classroom teaching based on micro-videos helped to improve the teaching effects of theoretical knowledge, clinical practice skills, and residents' comprehensive ability during dermatological residents' standardized training.
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Affiliation(s)
- Yang Li
- Department of Dermatology, First Affiliated Hospital, Anhui Medical University, Hefei, Anhui, China
- Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, Anhui, China
| | - Xian-fa Tang
- Department of Dermatology, First Affiliated Hospital, Anhui Medical University, Hefei, Anhui, China
- Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, Anhui, China
| | - Hui Cheng
- Department of Dermatology, First Affiliated Hospital, Anhui Medical University, Hefei, Anhui, China
- Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, Anhui, China
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Gao Q, Li R, Xia Z, Qu X, Jiang L. Factors associated with graduation examination results from standardised residency training in Zhejiang Province, China: a cross-sectional analysis of medical examination results data from 2020. BMJ Open 2023; 13:e066167. [PMID: 37438063 PMCID: PMC10347489 DOI: 10.1136/bmjopen-2022-066167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 06/22/2023] [Indexed: 07/14/2023] Open
Abstract
OBJECTIVE Standardised residency training is an important part of postgraduation medical education in China. The graduation examination tests the effect of residency training and is an important measure to guarantee the quality of residency training. This study aimed to analyse the results and associated factors of the graduation examination of standardised residency training in Zhejiang Province in 2020. DESIGN Cross-sectional analysis of examination results data. SETTING Medical and health institutions and universities in Zhejiang Province. PARTICIPANTS A total of 5555 examinees took the graduation examination of standardised residency training in Zhejiang Province in 2020. PRIMARY OUTCOMES Pass rates of the practical skill examination and written examination. RESULTS The pass rates for the practical skill examination and written examination were 91.8% and 96.5%, respectively. Examinees aged 30 and above (adjusted OR (AOR)=0.48, 95% CI 0.26 to 0.89), those with 3 years (AOR=0.19, 95% CI 0.09 to 0.43) and 2 years (AOR=0.61, 95% CI 0.40 to 0.96) of training, those who retook the examination (AOR=0.28, 95% CI 0.20 to 0.391) and those from primary healthcare institutions (AOR=0.56, 95% CI 0.40 to 0.77) were less likely to pass the practical skill examination. Examinees with a postgraduate degree and those from colleges and universities had higher pass rates in the written examination (AOR=6.37, 95% CI 1.95 to 23.34; AOR=2.87, 95% CI 1.40 to 6.65, respectively). Examinees aged 30 and above (AOR=0.08, 95% CI 0.01 to 0.30), those aged between 25 and 30 (AOR=0.22, 95% CI 0.03 to 0.80), those who retook the examination (AOR=0.04, 95% CI 0.03 to 0.07), those from second-level hospitals (AOR=0.58, 95% CI 0.39 to 0.87) and those who failed the practical skill examination (AOR=0.17, 95% CI 0.12 to 0.25) were less likely to pass the written examination. CONCLUSIONS The pass rate of the graduation examination of standardised residency training was associated with the individual characteristics of the examinees. The results of practical skill examination were related to the results of the written examination.
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Affiliation(s)
- QiSheng Gao
- School of Public Health, Hangzhou Medical College, Hangzhou, China
| | - Ruoqi Li
- The Fourth Clinical Medical College (Hangzhou First People's Hospital), Zhejiang Chinese Medical University, Hangzhou, China
| | - Zhijun Xia
- Office of Academic Research, Hangzhou Medical College, Hangzhou, China
| | - Xianguo Qu
- The Fourth Clinical Medical College (Hangzhou First People's Hospital), Zhejiang Chinese Medical University, Hangzhou, China
| | - Ling Jiang
- Department of Education and Training, Zhejiang Evaluation Center for Medical Service and Administration, Hangzhou, China
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Application of PDCA Process Management in Day Operation Ward and the Influence of Nursing Quality and Safety. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:8169963. [PMID: 35295197 PMCID: PMC8920636 DOI: 10.1155/2022/8169963] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Revised: 01/17/2022] [Accepted: 01/19/2022] [Indexed: 01/06/2023]
Abstract
Objective To survey the application of PDCA (plan, do, check, and action) process management in day operation ward and the influence of nursing quality and safety. Methods The routine nursing management was carried out in our hospital from March 2019 to March 2020, which was set as the control group (N = 20), and the PDCA process management was implemented from March 2020 to March 2021 as the research group (N = 20). Twenty nurses and patients were selected as subjects in two periods of time. The nursing quality, the score of individual quality control examination in clinical department, the nursing quality of operating room, the incidence of adverse events and nursing errors, the number of problems existing in the quality management of nursing documents, and the score of nursing satisfaction were accessed. Results In the comparison of nursing quality, the nursing safety, specialty quality, and nursing norms of the study group were higher compared to the control (P < 0.05). In terms of the scores of individual quality control examination in clinical departments, the scores of ward management, rescue, therapeutic articles, drug management, first-level nursing, nursing documents, and head nurses in the study group were greater compared to the control (P < 0.05). In terms of the operating room nursing quality score, the instrument management, instrument preparation, nurses' cooperation skills, disinfection and isolation quality, and the total score of the study group were above the control (P < 0.05). In terms of the incidence of operative adverse events and nursing errors, the incidence of nosocomial infection, iatrogenic injury, information check error, equipment failure, violation of operation regulations, ECG monitoring error, infusion operation error, and medication error in the study group was lower compared to the control (P < 0.05). According to the comparison of the number of problems existing in the quality management of nursing documents, the number of problems in temperature sheet, medical order, evaluation sheet, nursing record, and other nursing documents in the study group was lower than the control (P < 0.05). The scores of nursing communication, professional technology, nursing service attitude, nursing environment, and knowledge education in the study group were higher in contrast to the control (P < 0.05). Conclusion The application of PDCA management can effectively enhance the nursing quality and safety of the day operation ward, further facilitate the quality of hospital nursing work, and improve patient satisfaction, which exert great potential, and application value in the management of day ward in the future.
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Chang HT, Chen HC, Hsu NW, Chou P. Volunteering and self-reported health outcomes among older people living in the community: the Yilan study, Taiwan. Qual Life Res 2021; 31:1157-1165. [PMID: 34235616 DOI: 10.1007/s11136-021-02933-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/25/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE This study aimed to explore associations between volunteering and various self-reported health outcomes among older people, including subjective physical and mental health, self-rated health, and self-rated happiness. METHODS This questionnaire survey was conducted in Yilan, Taiwan. By convenient sampling, a total of 3692 older people living in the community were recruited from 2012 to 2016. Participants' engagement in community volunteer activities in the past month was recorded. Subjective physical and mental health were evaluated using the Short Form-12 version2 Health Survey physical and mental component summary scores. Self-rated health and happiness were each evaluated by a single question. Participants' demographic information and comorbidities were also recorded. We conducted multiple linear regression analyses adjusted for age, sex, marital status, body mass index, educational level, living status, comorbidities, smoking status, and status of alcohol drinking. RESULTSS After adjusting for covariates, volunteering was significantly associated with better subjective physical health, self-rated health, and self-rated happiness scores (B = 2.41, 95% confidence interval [CI] (1.56, 3.26); B = 3.46, 95% CI (2.66, 4.66), and B = 4.62, 95% CI (3.18, 6.05), respectively). The strength of the relationships between volunteering and various self-reported health outcomes differed. CONCLUSIONS Volunteering has positive associations on subjective physical health, self-rated health, and happiness for older people living in the community in Yilan, Taiwan. Further follow-up studies are needed to examine the mechanisms of associations between volunteering and various self-reported health outcomes, and clarify the differences in the strength of their associations.
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Affiliation(s)
- Hsiao-Ting Chang
- Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.,School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Hsi-Chung Chen
- Department of Psychiatry & Center of Sleep Disorders, National Taiwan University Hospital, Taipei, Taiwan
| | - Nai-Wei Hsu
- Community Medicine Research Center and Institute of Public Health, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan. .,Division of Cardiology, Department of Internal Medicine, National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan. .,Public Health Bureau, Yilan County, No. 287, Sec. 2, Nuzhong Road, Yilan City, Yilan County, 26051, Taiwan.
| | - Pesus Chou
- Community Medicine Research Center and Institute of Public Health, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
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