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01 December 2020, Volume 40 Issue 12 Previous Issue    Next Issue

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The development of entrustable professional activities research in medical education and its implications Chen Xinhang, Wu Hongbin, Jiang Zhehan, Cheng Huaqin, Li Haichao, Qi Xin 2020, 40 (12):  945-950.  DOI: 10.3760/cma.j.cn115259-20201012-01447 Abstract ( 208 )   PDF (1603KB) ( 204 )   To understand the development in order history and current situation of international entrustable professional activities(EPAs) research.In 2020, in order to trace the general status of EPAs research, HistCite was employed to explore the number of papers,author distribution and research focuses based on the literatures about EPAs covering the period from January 2005 to September 2020 selected from Web of Science core collection.The results showed that the number of published papers in the field of EPAs appeared an overall upward trend. The United States has a big advantage in the number of owned papers, research institutions and journals. International EPAs research has developed rapidly recently, the areas which are in the forefront of medical discipline are also in the forefront of EPAs research. China is relatively weak in the field of EPAs research, so it is necessary to strengthen the capacity building for the research in this field. References | Related Articles | Metrics

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Comparision of training pathway in medical imaging technology for undergraduates from 5 medical schools in China Peng Wenxian, Liu Hong, Xu Xiaoping, Zhou Jinzhu, Xiao Han 2020, 40 (12):  951-954.  DOI: 10.3760/cma.j.cn115259-20200310-00294 Abstract ( 175 )   PDF (903KB) ( 106 )   The scheme of medical imaging technology for undergraduates is very important for talent training. To optimize the undergraduate talent training scheme of medical imaging technology, a survey in five universities with medical imaging technology major had been conducted in China through interviews, seminars and telephone interviews. At the same time, combined with the relevant documents of the ministry of education on the medical imaging technology undergraduate major, a comparative analysis was made for the relevant professional courses, credit hours, course framework and clinical practice. Finally, some suggestions have been proposed for optimizing personnel training program. References | Related Articles | Metrics

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Discussion on training mode of applied talents based on drug research and development technology services Du Wenting, Shi Jing, Li Jun 2020, 40 (12):  955-958.  DOI: 10.3760/cma.j.cn115259-20200520-00785 Abstract ( 46 )   PDF (900KB) ( 24 )   Combining with the national policy and social demand, this paper proposes the cultivation of high-level applied talents based on the technical service of drug research and development under the background of the country' s urgent demand for application-oriented technical talents and requirements for the innovation capability of the pharmaceutical industry. The talent training model is student-centered, carrying out the reforms of curriculum and teaching materials and evaluation mechanisms. The implementation of the tutor system and strengthening the industry-education integrated drug research and development training are aimed at exploring an application-oriented talent training mode on drug R&D technical services, improve the ability and quality of the students' drug R&D technical services, and provide our country with applied pharmaceutical talents. References | Related Articles | Metrics

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Application and teaching reform of mathematics related courses in medical courses Shen Yingying, Liu Geng, Qiao Sujuan, Shi Fang 2020, 40 (12):  959-962.  DOI: 10.3760/cma.j.cn115259-20200315-00345 Abstract ( 74 )   PDF (861KB) ( 51 )   This research enumerates the various parts of mathematical knowledge and summarizes the application of different mathematics contents in different medical professional courses.Then the distribution and consistency of medical students' scores in diagnostics, surgery and advanced mathematics are further analyzed. The results show that the scores of medical students in diagnostics, surgery and advanced mathematics are similar,the consistency coefficients of diagnosis, surgery and advanced mathematics are 0.412 and 0.530 respectively,and the u values are 8.606 and 10.932, all P＜0.01, which shows that the advanced mathematics scores are in moderate consistency with the other two medical courses,and the medical students' mastery of advanced mathematics affects the learning effect of the medical courses to some extent. On this basis,the author puts forward some measures to adjust the teaching contents according to the medical major demands and expert opinions,to promote the construction of the mathematics-medicine cases teaching method.To use the multimedia network teaching platform scientifically and rationally,so as to promote the reform in mathematics-related courses. References | Related Articles | Metrics

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Constructive research on the competence-based post-shift training course for general practitioners Yang Fengling, Jin Lijiao,Gong Haidong, Zhang Yu, Liu Junfeng, Liu Xing, Jiang Hongte, Liu Bo, Wang Junlin 2020, 40 (12):  963-966.  DOI: 10.3760/cma.j.cn115259-20200326-00431 Abstract ( 77 )   PDF (907KB) ( 55 )   Objective Building a training system for general practitioners and so to improves the quality of training. Methods All the data were analized by delphi method. Results The expert consultation questionnaires were recovered in the two rounds, the expert authority coefficient is 0.87, a curriculum system consisting of 3 first-level indicators, 9 second-level indicators and 33 third-level indicators was constructed. Conclusions It has certain scientific comprehensiveness and practicability, and has reference value to the establishment of the training course for general practitioners. References | Related Articles | Metrics

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Exploration on the training of qualification for twin-title pathological instructors in higher medical university Chen Lihong, Wang Bin, Zhang Wenmin, Chen Yuqing, Huang Aimin 2020, 40 (12):  967-970.  DOI: 10.3760/cma.j.cn 115259-20200415-00570 Abstract ( 74 )   PDF (895KB) ( 43 )   Pathology has the attributes of basic medicine and clinical medicine, and is a bridge discipline connecting basic medicine and clinical medicine. In this study, we take the qualification for twin-title pathological instructors as the starting point from the theoretical research and practical exploration, and to analyze the research background, qualification standards and faculty training mode of the construction for twin-title pathology instructors' team, to develop an assessment program. The aim is to provide a teaching model and theoretical basis for twin-title pathology instructors training, so as to improve the professionalism faculty and teaching quality level of pathology teachers, and to provide a new pathway exploration for the construction of qualified faculty team teachers and to facilitate capacity building of teaching team which may meet the needs of reformed medical the education in the new era. References | Related Articles | Metrics

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Exploration of the practice of project-based model in faculty development programs in medical university Li Sisi, Jia Zhimin 2020, 40 (12):  971-974.  DOI: 10.3760/cma.j.cn115259-20200407-00510 Abstract ( 41 )   PDF (907KB) ( 40 )   The project-based model is widely used abroad in faculty development which trains faculty members to be Education Scholars. In this article, the authors cited Harvard Macy Institute, Medical Education Scholars Program, Wisconsin Teaching Fellows & Scholars Program, and Foundation for Advancement of International Medical Education and Research as the examples. In the meantime, this paper introduced Southern Medical University which attempted project-based model in China to provide an example of the faculty development for medical university in China. References | Related Articles | Metrics

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Moral education analysis of professional curriculum based on learning engagement Wang Lin, Shu Jing, Hu Hongyi 2020, 40 (12):  975-978.  DOI: 10.3760/cma.j.cn115259-20190725-00596 Abstract ( 53 )   PDF (895KB) ( 37 )   Objective To explore the moral education effects and its relationship with college students' learning commitment. Methods In 2017, 2 215 undergraduates in a medical college were investigated by online Chinese college student survey (CCSS), and the following index scores were statistically analyzed: the index of moral education and the 5 dimension indicators of college students' learning commitment. Results From grade one to grade four, the index of “establish the outlook on life and values of the moral education” scored respectively (57.13±26.95),(60.35±26.32),(62.20±26.13),(63.84±25.67), “teamwork spirit of the moral education” scored respectively (62.35±25.57),(66.07±23.51),(64.75±24.65),(66.00±24.08), “critical spirit of the moral education” scored respectively (55.16±25.69),(59.88±25.56),(60.13±25.48),(59.75±25.78), “spirit of innovation” scored respectively (50.22±27.23),(56.23±26.39),(58.03±25.92),(57.06±26.14), and there were significant differences between different grades (all P＜0.01). The scores of academic challenge, active and cooperative learning, student-faculty interaction, enriching educational experiences, supportive campus environment were (46.92±12.40), (51.64±18.13), (37.23±20.13), (42.31±17.49) and (62.12±17.13) respectively. The results of level analysis showed that the five dimensions of learning engagement were the influencing factors for the effect of moral education. Conclusions College study is conducive to the growth of students' “morality”, and the degree of college students' learning engagement will have an impact on the effect of moral education. References | Related Articles | Metrics

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Application of modular teaching and simulating training in shoulder arthroscopy education Zhang Peng, Cui Guoqing, Wang Mengnan, Xiao Jian, Luo Hao, Cheng Xu, Yan Hui, Zhao Jingwen, Li Dai, Jiang Dong, Zhao Feng, Sun Chao, Zhang Junjie, Yang Yuping 2020, 40 (12):  979-982.  DOI: 10.3760/cma.j.cn115259-20200617-00924 Abstract ( 68 )   PDF (873KB) ( 59 )   Objective To evaluate the effect of modularized simulation-based training mode in arthroscopic surgery. Methods Totally 111 refresher physicians who participated in the training of shoulder arthroscopic surgery simulation from April 2018 to October 2019 in Beijing Johnson & Johnson Training Center were recruited. All the participants conducted on-site training record and questionnaire survey. Non-parametric Mann-Whitney U test and T test were used to analyze the obtained data. Results On completion of the training, participants showed significant improvement in the time of grasping and transferring [(202.92±27.86) seconds vs. (123.44±18.93) seconds], for the time of suturing and knotting, the training also witnessed significant decrease [(333.77±24.36) seconds vs. (183.92±14.19) seconds] (all P<0.05). After the training, the times of grasping and transferring shortened [43.5(9.0,60.5)] seconds in tertiary hospital group and [40.0(19.5,147.0)] seconds in non-tertiary hospital group, while the time of suturing and knotting shortened [85.0(60.0,180.0)] seconds in tertiary hospital group and [120.0(60.0,260.0)] seconds in non-tertiary hospital group. There was no significant difference between the refresher physicians come from the tertiary hospitals and non-tertiary hospitals groups regarding the shortened time (all P>0.05). The orthopedics group improve [60.0(23.0,90.0)] seconds in the time of grasping and transferring and the sports medicine group improve [20.0(6.0,60.0)] seconds (P<0.05). For the time of suturing and knotting, [80.0(52.0,172.3)] seconds and [90.0(60.0,275.0)] seconds were improved respectively. The difference was not statistically significant (P>0.05). The refresher physicians satisfaction of the simulation training is 100.0% (111/111). Conclusions The basic surgical skills of refresher physicians from both orthopedics and sports medicine after the training of modular arthroscopic surgery simulation are significantly improved. The method is suitable for refresher physicians from hospitals of different levels and for both orthopedics and sports medicine. References | Related Articles | Metrics

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The exploration and practice of clinical thinking course conducted by computer-based case simulation and small group discussion for interns Li Ying, Song Haoming, Yang Jun, Liu Qi, Li Bing, Ge Yanli, Jin Lingjing, Cheng Liming 2020, 40 (12):  983-987.  DOI: 10.3760/cma.j.cn115259-20190712-00549 Abstract ( 119 )   PDF (892KB) ( 108 )   Objective To explore the effect of simulated cases and small group case discussion teaching in a modular course of clinical thinking training for medical students in the internship stage. Methods From June 2018 to January 2019, 40 clinical medical students enrolled in 2014 in Tongji University School of Medicine were randomly divided into experimental group (n=20) and control group (n=20). The experimental group was given DxR teaching module first, then group discussion module, and the control group was taught in the reverse order. Students' evaluation of teaching methods was got by questionnaire. Score of DxR clinician and tests by multiple choice questions were used to assess the teaching effect. Results 76.7% (31/40) students thought that DxR module was helpful to cultivate clinical thinking ability, and 90.0% (36/40) students liked group discussion teaching and thought it was helpful to cultivate clinical thinking ability. The scores of mid-term examination and DxR score in the later stage of control group were significantly higher than those in the experimental group [(75.4±13.5) vs. (66.7±10.7), 57.3 (53.7,59.0) vs. 46.0 (43.0,53.0), all P<0.01]; the overall performance of DxR in the latter stage of the control group was significantly higher than that in the former stage [57.3 (53.7,59.0) vs. 46.0 (39.0,48.7), P<0.01]. Conclusions This modular course conducted by DxR clinician and small group discussion was implemented smoothly and were highly accepted by students. Small group discussion module ahead of DxR module could improve the teaching effect of DxR probably by forming friendly learning atmosphere and enhancing learning initiative. The application of two teaching methods could complement each other and improve clinical thinking ability from different dimensions. References | Related Articles | Metrics

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The application effects of augmented reality technology in spinal surgery teaching Li Wei, Guo Weichun, Xia Kezhou, Shi Yubo, Yu Ling 2020, 40 (12):  988-991.  DOI: 10.3760/cma.j.cn115259-20200429-00662 Abstract ( 65 )   PDF (2541KB) ( 45 )   Objective To explore the application effects of Augmented Reality technology in spinal surgery training. Methods Experimental control method was used in this study .From September 2018 to January 2019, 50 graduates majoring in clinical surgery at Wuhan University were selected as research subjects. The students in this study all practiced in Renmin Hospital of Wuhan University. In the training of spinal surgery, the experimental group adopted the teaching method of augmented reality technology. The control group adopted traditional teaching methods. By the end of the training, the two groups of students were tested and asked to evaluate the learning gain from the teaching process with augmented reality technology. Results The average scores of the experimental group and the control group were 87.76 and 78.24 respectively. The difference is significant (t=9.559,P<0.05) .The results of the questionnaire showed that the scores covering five points of the experimental group and the control group were (88.64±3.62)vs.(77.92±3.89),(87.16±4.12)vs.(75.96±3.66),(89.84±3.04)vs.(80.12±4.49),(89.00±4.26)vs.(76.88±3.70),(89.80±3.23)vs.(79.72±3.91) , the differences are significant (all P<0.05). Conclusions In the training of spinal surgery, the augmented reality has achieved good teaching effect. This teaching method is conducive to the improvement of students' capacity building of learning and clinical reasoning, so is worthy of further research and promotion. References | Related Articles | Metrics

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Visualization analysis of knowledge structure in medical education in China by virtual simulation technology Li Yanjun, Huang Desheng, Guan Peng, Yu Hong, Chen Qi, Lu Yanming, Wang Yu, Yang Qing 2020, 40 (12):  992-996.  DOI: 10.3760/cma.j.cn115259-20200216-00138 Abstract ( 248 )   PDF (1941KB) ( 137 )   Objective To analyze the research status, theme evolution and hotspots of the application of virtual simulation technology in medical education in China, so as to provide some ideas for further research and support application of virtual simulation technology in medical education. Methods Up to December 31st 2019, we retrieved the literatures from Wan fang Data, VIPs Database and China Knowledge Network (CNKI). Publishing trends, keywords' co-occurrence, keyword topic evolution trend and research hotspot distribution were examined by Cite Space and VOS viewer software based on the available literature data and visual graphs were then generated. Results Totally 682 literatures were retrieved, and the earliest study was reported in 1996. Knowledge structure indicates that “experimental teaching”, “virtual simulation experiment”and “virtual surgery” are the hot spots “virtual reality technology” and “virtual surgery” appeared early and have a good continuity of research hotspots. Research topics gradually diversified after 2013, such as “stomatology”, “rehabilitation medicine”, “plastic surgery” and other keywords showed up. Conclusions The research topics of virtual simulation technology in medical education of China are relatively broad. Since 1996, the overall growth trend of research literature is obvious. “virtual simulation experiment” is the current research hotspot. The research has experienced the initial stage, the expansion stage, and the outbreak stage. References | Related Articles | Metrics

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Evaluation of rain classroom on education of undergraduates in medical related majors Guo Mingmei, Liu Xiufang, Yang Hui ,Guo Feifei 2020, 40 (12):  997-1001.  DOI: 10.3760/cma.j.cn115259-20200114-00058 Abstract ( 101 )   PDF (3201KB) ( 83 )   Objective To evaluate the effect of the rain classroom for medical undergraduates. Methods Systematic review method was used. Literatures about rain-classroom teaching method for medical-related undergraduate in CNKI, Wanfang Data and VIP database were reviewed, and Review Manager 5.3 software was used for meta-analysis. Results A total of 22 literatures in Chinese from 2016 to 2019 were reviewed, Meta-analysis showed that compared with the traditional group, the practical test scores of the rain classroom group (MD=3.55,95% CI=2.63~4.47,P＜0.01), the theoretical test scores(MD=6.77,95% CI =6.53~7.00,P＜0.01)and the score for satisfaction of learning(OR=3.45,95% CI=2.66~4.47, P＜0.01)were all higher than those from the traditional group. Conclusions The application of the rain classroom in the education of undergraduates of medical-related majors improves learning outcomes. References | Related Articles | Metrics

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Integration teaching model for training novice medical staff of extra-corporeal membrane oxygenation Tong Li, Hu Wenjie, Zhu Yanping, Cao Lu, Li Yinghui, Zhang Ning, Kuang Ming, Cai Changjie 2020, 40 (12):  1002-1005.  DOI: 10.3760/cma.j.cn115259-20200316-00350 Abstract ( 43 )   PDF (871KB) ( 21 )   Objective To explore the training effects of Integration teaching model for extra-corporeal membrane oxygenation(ECMO). Methods In February 2020, 37 novice medical staff from the First Affiliated Hospital of Sun Yat-sen University were trained in ECMO course for 3 days in batches, and the teaching results were evaluated by the written test for the didactic course and the questionnaire for the practical course. Results All trainees passed the didactic course. After the 3-day training programme, 91.9% (34/37) of them thought that they invested more in active learning during the whole course; 59.5% (22/37) of them achieved a good level of technical evaluation. On the other hand, 67.6% (25/37) of the trainees have shown a good self-confidence in the priming course; however, 43.2% (16/27) of the trainees believe that they still need to strengthen their occupational competence in ECMO management. Conclusions The integration of traditional teaching and high fidelity simulation teaching can effectively improve the ECMO monitoring level and management skills of novice medical staff, but whether this training mode can be successfully transferred to the clinical field needs further research and confirmation. References | Related Articles | Metrics

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Application of BOPPPS model combined with mobile APP in clinical teaching of spinal surgery Liu Yadong, Du Yujun, Ma Jinli 2020, 40 (12):  1006-1010.  DOI: 10.3760/cma.j.cn115259-20200526-00821 Abstract ( 68 )   PDF (924KB) ( 49 )   Objective To explore the effect of a teaching mode that BOPPPS combined with mobile APP in spinal surgery teaching. Methods In November 2017,a total of 72 students of the five-year clinical medicine major of 2014 from Jilin University Clinical Medical College were selected as research objects, and they were divided into the experimental group and the control group using a random number table, with 36 students in each group. The two groups of students were taught by a senior physician in theory, and were taught by five senior physicians in clinical teaching.The experimental group adopted BOPPPS mode combined with mobile APP application, while the control group adopted traditional teaching mode.The theoretical achievement and clinical skills of the two groups of students were evaluated respectively, and the feedback of the teachers and the two groups of students in the teaching process was collected by questionnaire survey. Results The average score of theoretical of the experimental group was higher than that of the control group [(81.33±9.73) vs. (73.21±9.98)]. The score of clinical skills of students in the experimental group were better than those in the control group in overall performance[(8.38±0.42) vs. (7.84±0.59)] . In terms of“learning interest”and “learning initiative”, the score of experimental group was better than that of the control group[(4.83±0.45)vs.(3.91±0.81), (4.64±0.59) vs. (3.78±0.68), all P<0.05]. The evaluation of improving teaching skills, the score of the experimental group teachers was higher than that of the control group teachers[(3.83±0.41) vs. (2.67±0.52), t=4.341, P<0.01]. Conclusions The teaching mode that BOPPPS combined with mobile APP application effectively improved the learning efficiency and improved the teaching skills of teachers in the teaching process of spinal surgery for undergraduates. References | Related Articles | Metrics

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Establishment and application of competency oriented training model in emergency resident training of general surgery Li Gang, Tian Maolin, Bing Yuntao, Wang Hangyan, Ji Xiaoxu, Ma Chaolai, Yuan Chunhui, Xiu Dianrong, Song Shibing 2020, 40 (12):  1011-1014.  DOI: 10.3760/cma.j.cn115259-20200106-00013 Abstract ( 73 )   PDF (859KB) ( 62 )   The competency oriented training mode at emergency department of general surgery was established in the Third Hospital of Peking University, which covers 54 residents and includes pre-job training, on-the-job training and case analysis for residents, theoretical and emergency practical skills training based on clinical knowledge, standardized treatment process and doctor-patient communication. Pre- and post- training evaluations of the trainees were performed. The results showed that the training system effectively improved the competency of residents in general surgery emergency and ensured the safety of patients. References | Related Articles | Metrics

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Application of based on Broome-Tumey question mode with PACS teaching rounds in the resident doctor training of radiology Yuan Yuan, Yuan Huishu, Wang Ying, Lang Ning 2020, 40 (12):  1015-1018.  DOI: 10.3760/cma.j.cn115259-20200403-00480 Abstract ( 57 )   PDF (867KB) ( 44 )   Objective To investigate the value of Broome-Tumey question mode combined with PACS in the training of resident doctor of Radiology. Methods A total of 30 graduate students and residents were random divided into the experimental group and the control group in the radiology department of Peking University Third Hospital in 2019. The experimental group participate in the attending physician' s teaching rounds based on broome-tumey question mode combined with PACS, and the traditional teaching rounds were taught by the same attending doctor. The qestionnaires were used to evaluate the subjective feelings of the two groups, and the scores of the post-rounds quiz and departmental rotation examination were used to asses the two teaching rounds mode. Results The scores of all aspects of the questionnaire in the experimental group were higher than those in the control group [like the teaching mode (4.50 ± 0.22) vs.(3.86±0.21),independent thinking ability (4.55 ± 0.26)vs.(3.44 ± 0.30), knowledge mastery level (4.07 ± 0.14) vs. (3.89 ± 0.16) , knowledge application ability (4.51 ± 0.23) vs. (3.78 ± 0.23) , and diagnostic level: (4.53 ± 0.21) vs. (3.70 ± 0.20)], the differences were statistically significant (all P<0.05). The score of post-rounds quiz in the experimental group was significantly higher than the control group [(86.35±2.91)vs.(81.72±2.21), P<0.01]. The departmental rotation examination score in the experimental group was significantly higher than the control group[(92.32±2.79)vs. (87.91±2.46),P<0.01]. Conclusions Based on Broome-Tumey question mode with PACS teaching rounds could broaden and consolidate the knowledge of residents and improve the clinical diagnosis ability of resident doctors. References | Related Articles | Metrics

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Application of ultrasonic quality control system in the standardized training of ultrasonic residents Fei Xiang, Han Peng, Liang Shuyuan, Li Nan, Jiang Bo, Zhu Lianhua 2020, 40 (12):  1019-1022.  DOI: 10.3760/cma.j.cn 115259-20200414-00565 Abstract ( 54 )   PDF (893KB) ( 22 )   Since the promotion of standardized training for residents, various training and assessment systems have been established in major residential training bases across the country in order to improve the comprehensive level of resident doctors. In 2018, the ultrasound quality control system was established in the ultrasound department of the First Medical Center of the PLA General Hospital, and satisfactory results have been achieved. This system aims at the quality control of the instrument parameters, standard sections, report preparation and other aspects in the training process of ultrasonic residents, and combines the real-time quality control with the periodic review after the operation, striving to improve the operational capacity of residents quickly and effectively. In this paper, the application of ultrasonic quality control system in the teaching of residents in ultrasound specialty was described, and the evaluation results by residents, in ultrasound diagnosis department of the First Medical Center of PLA General Hospital in 2018 and 2019, were summarized and analyzed, so as to provide reference for improving the standardization and homogenization in the training process of residents in ultrasound discipline. References | Related Articles | Metrics

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The current situation and consideration of laparoscopic skill evaluation Wang Hangyan, Yuan Chunhui, Wang Gang, Cui Long, Xiu Dianrong 2020, 40 (12):  1023-1026.  DOI: 10.3760/cma.j.cn115259-20200310-00297 Abstract ( 68 )   PDF (870KB) ( 52 )   The development of laparoscopic technology needs the corresponding training courses to guide the clinical performance. The laparoscopic skills evaluation system plays an important role in the establishment and improvement of the training system as well as the assessment and entrance accreditation of laparoscopic skills. In this study, three widely used evaluation systems of laparoscopic skills were reviewed, and the characteristics of different systems were illuminated. At the same time, according to the application of laparoscopic skill evaluation system in Peking University Third Hospital, the effect of different evaluation systems for different training and assessment objects was discussed. References | Related Articles | Metrics

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Exploring the pathway for standardized training, learning, intervention management for residents based on an online evaluation system Luo Xi, Kang Baoli, Sun Xiaoliang, Zhu Yaqin, Ding Min, Xu Zengguang, Chen Yihan, Chen Chi 2020, 40 (12):  1027-1030.  DOI: 10.3760/cma.j.cn115259-20200511-00728 Abstract ( 37 )   PDF (900KB) ( 25 )   The standardized resident training in China has developed focusing on the continuously improvement of system in recent years, and we have transfered system establishment into connotation building, also the management is shifting from extensive performance to delicate operation. It requires the training base institution to make a maximum use of information technology for daily training management. Shanghai East Hospital has developed an online examination system to collect the resident evaluation data through the project review, questionnaire survey, data analysis and so on. It does function to intervene in the training of resident doctors with significant outcomes. References | Related Articles | Metrics

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American accreditation on graduate medical education and its inspiration Huang Lei, Zheng Jialin, Jin Lingjing, Shen Huixia, Jiao Rui, Zhang Jing, Hu Yu, Cheng Liming 2020, 40 (12):  1031-1035.  DOI: 10.3760/cma.j.cn115259-2020508-00713 Abstract ( 161 )   PDF (892KB) ( 95 )   Graduate medical education system in China is constantly improving. However, there is still a gap to the international standards. International accreditation is regarded as an effective approach to promote homogeneous outcome of medical education. This paper is to introduce the basic information,organization, procedures and standards of Accreditation Council for Graduate Medical Education-International (ACGME-I) accreditation in the United States. Combined with the importantance of ACGME-I accreditation,it may facilitate the improvment of competence-oriented graduate medical education and construction of an accreditation system based on the existing problems of post-graduate medical education in China. Finally, the challenges in the certification process are summarized. References | Related Articles | Metrics

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Comparison of practice of hybrid-problem based learning in pediatrics teaching at two medical schools in China and in America Liao Xuelian, Xie Lijian, Jiang Shayi, Lyu Zhibao 2020, 40 (12):  1036-1040.  DOI: 10.3760/cma.j.cn115259-20200413-00555 Abstract ( 58 )   PDF (890KB) ( 43 )   To discuss the different application of hybrid-problem based learning (hPBL) in pediatrics teaching between Shanghai Jiao Tong University of China and University of California Los Angeles of America, the pediatrics teaching in different educational system during four stages in China and America was analyzed. It is found that there are differences in the application of the hPBL teaching method, but each one plays its role. Problem-based learning(PBL) teaching method is widely used in medical education in both two medical schools. The university of California Los Angeles in America normalized the hPBL teaching method through pediatrics teaching practice lasted a long time, the learning outcomes are quite good. In Shanghai Jiao Tong University School of Medicine, the application of hPBL teaching method in pediatrics teaching practice lasts a short time, but also shows good learning outcomes. References | Related Articles | Metrics