Graduate Education

Evaluation and reflection on the concurrent training mode of masters degree graduates in clinical medicine at certain university

  • Chen Huiling ,
  • Bai Yongping ,
  • Xie Mingxuan ,
  • Zhang Feng ,
  • Wang Aimin ,
  • Yi Pengfei ,
  • Zhu Xiaoyan
Expand
  • 1 Department of Geriatric Endocrinology, Xiangya Hospital, Central South University, Changsha 410008, China;
    2 Department of Cardiology, Xiangya Hospital, Central South University, Changsha, 410008, China;
    3 Department of Geriatric Respiratory Medicine, Xiangya Hospital, Central South University, Changsha 410008, China;
    4 Department of Emergency Medicine, Xiangya Hospital, Central South University, Changsha 410008, China;
    5 Department of General Practice, Hunan University of Medicine General Hospital, Huaihua 418000, China;
    6 Department of Medical Graduates, Xiangya Hospital, Central South University, Changsha 410008, China

Received date: 2024-08-21

  Online published: 2025-03-31

Supported by

The China Medical Board program (GNL22-490); The Central South University's Research Program on Teaching Reform for Postgraduate Education (2022TGB078, 2020JGB056)

Abstract

Objective To comprehend the present status of clinical training and research capabilities among clinical medical master's degree students operating within a concurrent training model, it is imperative to undertake a thorough analysis of the prevailing challenges and to formulate recommendations and insights that will facilitate the enhancement of the training programme. Methods A questionnaire survey was conducted in March 2022 on second- and third-year postgraduate students of a clinical masters degree in medicine at certain hospital affiliated with a university in Hunan, China. The survey encompassed the clinical working hours of postgraduate students, the work attitude and teaching methods of lead instructors, the evaluation and feedback on the residency system, and the impact of concurrent training on career development in specialised masters degrees and on the enhancement of scientific research ability. Descriptive statistics were used to analyze relevant data. Results A total of 418 valid questionnaires were collected. Furthermore, 75.6%(316/418) of the students reported working in excess of 50 hours per week, with the most prevalent reasons for this being clinical work [90.4%(378/418)], medical record paperwork [88.3%(369/418)] and research tasks [82.8%(346/418)]. In addition, 54.8%(229/418) of the students expressed the opinion that the teaching faculty provided effective guidance and supervision during clinical rotations. A mere 33.3%(139/418) of the students reported that the teaching faculty frequently conducted teaching visits based on evidence-based medical data. A significant majority of 86.1%(360/418) of the students agreed that 360-degree evaluations were used to provide regular feedback to residents, but only 38.5%(161/418) of the students agreed with the use of 360-degree assessments, and only 38.5%(161/418) of the students agreed with the use of 360-degree assessments to provide regular feedback on resident evaluations. In the present study, the authors sought to ascertain the extent to which feedback on performance during clinical rotations was received by masters of specialties. The results indicated that 161 out of 418 masters of specialties had received such feedback, while 71.3%(298/418) of these believed that concurrent training would be beneficial for a future career in clinical medicine. Furthermore, only 47.1%(197/418) of masters of specialties believed that this training model would be beneficial for improving research skills. Conclusions Whilst the concurrent training model is endorsed by the majority of experts in the field, there is a necessity for the systematic optimisation of the clinical training system with regard to academic pressure, faculty level and evaluation mechanism for residency training. Furthermore, there is an urgent need to strengthen scientific research ability, which is a necessary skill for high-quality talents in clinical application.

Cite this article

Chen Huiling , Bai Yongping , Xie Mingxuan , Zhang Feng , Wang Aimin , Yi Pengfei , Zhu Xiaoyan . Evaluation and reflection on the concurrent training mode of masters degree graduates in clinical medicine at certain university[J]. Chinese Journal of Medical Education, 2025 , 45(4) : 298 -303 . DOI: 10.3760/cma.j.cn115259-20240821-00873

References

[1] Dahn HM, Best L, Bowes D, et al. Attitudes towards research during residency training: a survey of canadian radiation oncology residents and program directors[J]. J Cancer Educ, 2020,35(6):1111-1118. DOI: 10.1007/s13187-019-01565-8.
[2] 范宏斌,党竞医.并轨模式下研究生科研能力培养的调查与研究[J]. 基础医学教育, 2021, 23(7): 519-523. DOI:10.13754/j.issn2095-1450.2021.07.20.
[3] Wang X. The trade-off between clinical training and academic productivity in Chinese medical postgraduates: a structural equation modeling analysis[J]. Medical Education Online, 2022,27(1):205831. DOI: 10.1080/10872981.2022.2058310.
[4] 朱小艳,谢明萱,祖雄兵,等.“双轨合一”培训模式下住院医师的抑郁症状和知觉压力[J]. 中南大学学报(医学版), 2020, 45(12): 1450-1456. DOI:10.11817/j.issn.1672-7347.2020.200514.
[5] West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences and solutions[J]. J Intern Med, 2018,283(6):516-529. DOI: 10.1111/joim.12752.
[6] Weiss P, Kryger M, Knauert M. Impact of extended duty hours on medical trainees[J]. Sleep Health,2016,2(4):309-315. DOI: 10.1016/j.sleh.2016.08.003.
[7] 顾金燕,赵晨浩,罗兴,等. 重庆市某三甲医院住院医师规范化培训满意度影响因素调查[J]. 南京医科大学学报(社会科学版), 2021, 21(5): 502-506. DOI:10.7655/NYDXBSS20210517.
[8] McManus B, Galbraith JW, Heaton K, et al. Sleep and stress before and after duty across residency years under 2017 ACGME hours[J]. Am J Surg, 2020,220(1):83-89. DOI: 10.1016/j.amjsurg.2019.10.049.
[9] Ironside K, Becker D, Chen I, et al. Resident and faculty perspectives on prevention of resident burnout: a focus group study [J]. Perm J, 2019,23:18-185. DOI: 10.7812/TPP/18-185.
[10] Geng H, Tan F, Deng Y, et al. High rate of burnout among residents under standardized residency training in a tertiary teaching hospital of middle China: results from a cross-sectional survey[J]. Medicine (Baltimore),2020,99(27):e20901. DOI: 10.1097/MD.0000000000020901.
[11] Gatewood E, Gagne J. The one-minute preceptor model: a systematic review[J]. J Am Assoc Nurse Pract, 2019,31(1):58-59. DOI: 10.1097/JXX.0000000000000187.
[12] Seki M, Otaki J, Breugelmans R, et al. How do case presentation teaching methods affect learning outcomes?--SNAPPS and the One-Minute preceptor[J]. BMC Med Educ, 2016,16:12. DOI: 10.1186/s12909-016-0531-6.
[13] De Golia SG, Cagande CC, Ahn MS, et al. Faculty development for teaching faculty in psychiatry: where we are and what we need[J]. Acad Psychiatry, 2019,43(2):184-190. DOI: 10.1007/s40596-018-0916-4.
[14] 胡显锋,胡绍,王岚,等.以360度评估为主的综合评估是保证住院医师规范化培训质量的关键[J]. 中国毕业后医学教育, 2019, 3(5): 385-390.
[15] 王琦,杨滨滨,郭薇,等. 并轨住院医师规范化培训的眼科专业学位硕士研究生科研能力现状与思考[J]. 眼科学报,2022,37(6):468-476. DOI:10.3978/j.issn.1000-4432.2022.06.05.
[16] 吴恒璟,王玉茹,谢发展,等.“申请-审核制”医学博士招生材料审核的评价指标研究:基于课程学习质量的最优尺度回归分析[J]. 医学教育研究与实践, 2022, 30(1): 35-39. DOI:10.13555/j.cnki.c.m.e.2022.01.008.
[17] 张汶军, 夏豪杰. 有效益的公平:我国博士招生“申请-考核”制实施状况回顾与反思[J]. 江苏高教,2020(4):77-82. DOI: 10.13236/j.cnki.jshe.2020.04.014.
[18] 邹宛均.临床医学硕士专业学位研究生科研能力培养的现状及对策研究—基于8所医学院校的调查[D]. 重庆:重庆医科大学,2020.
[19] Abi Khalil P, Honein-Abou Haidar G, El Achi D, et al. Views of medical residents on a research training program: a qualitative study[J]. PLoS One, 2022,17(1):e0261583. DOI: 10.1371/journal.pone.0261583.
Outlines

/