Abstract: Objective To evaluate the effect of crisis resource management (CRM) combined with medical simulation teaching method in standardized training of obstetric residents.Methods Fifty obstetrics and gynecology trainees who received standardized training in the Department of Obstetrics of Jiaxing Maternity and Child Health Care Hospital from September 2018 to February 2019 were divided into experimental group and control group with stratified sampling.Each group contains 25 trainees.The experimental group adopted CRM simulation method,and the control group adopted traditional training method.The two groups of students were assessed for their theoretical knowledge and comprehensive clinical capacity respectively at the end of the training cycle.A self-designed questionnaire was used to investigate the course quality and self-cognition of students in the experimental group.Results In the clinical case analysis,the score of the experimental group (35.52±1.39) was higher than those in the control group (32.40±2.89),and the difference was statistically significant (t=4.87,P<0.01).The scores of clinical decision-making skills,humanistic care professionalism,overall organizational efficiency,and overall clinical abilityof the experimental group were (6.68±0.80),(6.64±0.81),(6.60±1.04) and (6.72±0.98),respectively.The corresponding scores of the control group were (5.96±0.94,)(6.00±0.91),(5.92±0.95)and (6.12±0.93),respectively,and the differences were statistically significant (all P<0.05).Conclusions CRM combined with simulation method can improve trainees' clinical capacity and non-medical competence(humanistic care,organization and coordination,teamwork and responsiveness )by setting appropriate curriculum.

Key words: Crisis resource management, Simulation teaching, Standardized training for residents, Obstetrics