Chinese Journal of Medical Education ›› 2024, Vol. 44 ›› Issue (1): 63-67.DOI: 10.3760/cma.j.cn115259-20230309-00233

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The effect of PDCA cycle based reform in improving the quality of rotation examinations of standardized training for residents

Shen Liqiong1, Luo Luyao2, He Li3, Chen Jinyu1, Zhang Cen4, Ye Yanqing1, Wang Shiyu1, Huang Meng ting5   

  1. 1Teaching Office, Zhongnan Hospital of Wuhan University, Wuhan 430062, China;
    2Discipline Inspection Office, Zhongnan Hospital of Wuhan University, Wuhan 430062, China;
    3Department of Hematology, Zhongnan Hospital of Wuhan University, Wuhan 430062, China;
    4Department of Otolaryngology Head and Neck Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430062, China;
    5Teaching Management Office, Wuhan University School of Medicine, Wuhan 430062, China
  • Received:2023-03-09 Online:2024-01-01 Published:2023-12-29
  • Contact: He Li, Email: Heli@whu.edu.cn
  • Supported by:
    Drug, Nursing,Technology and Management Special Fund Project of Zhongnan Hospital of Wuhan University(CXPY2023113); Comprehensive Reform Project of Undergraduate Education Quality Construction of Wuhan University(20223601)

Abstract: To improve the quality of rotation examinations of standardized training for residents, Zhongnan Hospital of Wuhan University adopted PDCA cycle based reform. This paper analyzed its effect. The compliance rate of rotation examinations, the quality of the proposition, the scores of Annual Business Level Test before and after adopting PDCA cycle based reform were statistically analyzed by t-test, rank sum test or χ2 test. Post and pre- PDCA cycle based reform, the compliance rates of rotation examinations were 90.1% and 64.2%, the difficulty of theoretical exam were [0.69 (0.61, 0.74)] and [0.81 (0.70, 0.89)], the differentiation of theoretical exam were (0.35±0.10) and (0.32±0.09), the differentiation of skill exam were(0.28±0.07) and (0.26±0.06), the differentiation of comprehensive exam were (0.32±0.09)and (0.28±0.08), the scores of Annual Business Level Test were(95.3±12.5) and (89.3±13.3), respectively, and there were statistical differences (all P<0.05). Pre- and post PDCA cycle based reform, the difficulty of skill exam were [0.85 (0.81, 0.95)] and [0.80 (0.66, 0.84)], the difficulty of comprehensive exam were [0.86 (0.79, 0.96)] and [0.81 (0.72, 0.88)], respectively, and there were no statistical differences (all P>0.05). PDCA cycle based reform can effectively improve the quality of rotation examinations, which improves the quality of standardized training for residents.

Key words: Educational measurement, PDCA cycle, Standardized training for residents, Rotation examination, Quality

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