Exploration of a Standardized Model for Cardiothoracic Surgery Resident Training Program Based on a Combined Clinical and Research Oriented Team Approach_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

GAOQiang ¹ , ZHOUYing ² , CHENLong-qi ³ , LIXiao-hua ¹ ,  CHENJi-mei ¹

1. Department of Cardiovascular Surgery, Guangdong Provincial Cardiovascular Institute of Guangdong Provincial General Hospital, Guangzhou 510100, P. R. China;
2. West China School of Medicine of Sichuan University, Chengdu 610041, P. R. China;
3. Department of Toracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

CHENJi-mei, Email: jimei1965@gmail.com

Keywords：

Cardiothoracic surgery; Residents; Resident training; Clinical skill; Scientific research skill

DOI：

10.7507/1007-4848.20150107

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore a standardized model for cardiothoracic surgery resident training program based on a combined clinical and research oriented team approach. Methods We conducted this study in a nationally ranked Class AAA hospital among the eleven residents who were accepted into the program. Throughout their training periods, clinical surgical skills were taught by one-on-one mentoring by individually assigned doctoral degree advisors, other attending surgeons and doctoral degree candidates in the program. To foster their scientific curiosity and research skills, regular didactic lectures in basic science and statistical skills by the doctoral thesis advisors, supplemented by monthly journal clubs during which trainees were required to present and discuss a previously assigned topics based on recent clinical cases within the department, thus combining acquisition of clinical skills and theory/research at the same setting. Results Eleven physicians were selected for this training path. With respect to clinical surgical skills, 4 residents were judged to be sufficient at the end of the first cycle. The other seven residents at the end of the second cycle. One trainee won the third prize in the Medical Skill Competition in the hospital. As for scientific research skills, the team produced 11 scientific articles, one of which was accepted by the annual national conference in cardiothoracic surgery and the first author was invited to present the article. The team submitted four research projects, one won funding at the provincial competition and three within the medical school. Conclusion Our proposed standardized model of cardiothoracic surgery resident training based on a combined clinical and research oriented approach appears to be practical with moderate success. Adaptation of this model by other cardiothoracic surgery training programs in the nation will further attest to its value and functionality.

Citation： GAOQiang, ZHOUYing, CHENLong-qi, LIXiao-hua, CHENJi-mei. Exploration of a Standardized Model for Cardiothoracic Surgery Resident Training Program Based on a Combined Clinical and Research Oriented Team Approach. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(5): 399-403. doi: 10.7507/1007-4848.20150107 Copy

1.	石应康, 张尔永, 刘雪梅.关于我国胸心外科住院医师规范化培训制度的讨论.中国胸心血管外科临床杂志, 2015, 22(3):181-186.
2.	文坤明, 王虹.浅谈规范化培训住院医师科研思维的培养.医学信息(下旬刊), 2013, 26(13):21-22.
3.	Kennedy GD. Overview:getting involved in research as a busy practicing surgeon. Clin Colon Rectal Surg, 2014, 27(2):43-47.
4.	中华人民共和国教育部高等教育司.中国高等医药教育改革与发展.北京:人民卫生出版社, 2004.
5.	帖君.医学研究生临床科研能力的培养.医学信息, 2013, 26(3):25-26.
6.	连铸淡.临床医学专业学位与科学学位研究生培养模式比较分析.中国高等医学教育, 2011, 3:65-66.
7.	赵露.新医改背景下临床医学生就业意向的调查分析.医学与社会, 2011, 24(8):96-98.
8.	谢锐, 梁克, 柳建军, 等.以执业医师实践技能考试为导向的外科学技能操作教学改革浅探.国际医药卫生导报, 2010, 16(18):2314, 封3.
9.	王华, 苏博.军医大学住院医师培训第一阶段临床能力评估指标体系研究.中国高等医学教育, 2002, 4:59-61.
10.	高加蓉.我国医学临床技能教学现状及其策略分析.中国医院管理, 2009, 29(8):49-50.
11.	Wagner JP, Chen DC, Donahue TR, et al. Assessment of resident operative performance using a real-time mobile Web system:preparing for the milestone age. J Surg Educ, 2014, 71(6):e41-e46.
12.	Gardner AK, Scott DJ, Choti MA, et al. Developing a Comprehensive resident education evaluation system in the era of milestone assessment. J Surg Educ, 2015 Jan 23. pii:S1931-7204(14)00336-5. doi:10.1016/j.jsurg.2014.12.007.
13.	Calhoon JH, Baisden C, Holler B, et al. Toracic surgical resident education:a costly endeavor. Ann Torac Surg, 2014, 98(6):2012-2015.
14.	白一, 龚云辉, 刘希婧, 等.临床医学专业八年制医学教育的现状.中华妇幼临床医学杂志(电子版), 2014, 10(1):104-109.
15.	O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. J Surg Educ, 2014, 71(1):18-20.
16.	Undergraduate research opportunities program. 2012 Mar 12th[cited 2015 Mar 12th]; Available from:http://www.undergradresearch.gatech.edu/.
17.	Schott NJ, Emerick TD, Metro DG, et al. Te cost of resident scholarly activity and its effect on resident clinical experience. Anesth Analg, 2013, 117(5):1211-1216.
18.	谷俊朝, 马涛, 王宇.如何提高医学硕士研究生的科研能力.临床和实验医学杂志, 2005, 4(4):244-245.
19.	邹丽琴.中国八年制医学教育培养模式研究[博士论文] :第三军医大学, 2013.
20.	方丽金.耳鼻咽喉头颈外科研究生思想道德培养探讨.重庆医学. 2014, 43(16):2099-2100.

1. 石应康, 张尔永, 刘雪梅.关于我国胸心外科住院医师规范化培训制度的讨论.中国胸心血管外科临床杂志, 2015, 22(3):181-186.
2. 文坤明, 王虹.浅谈规范化培训住院医师科研思维的培养.医学信息(下旬刊), 2013, 26(13):21-22.
3. Kennedy GD. Overview:getting involved in research as a busy practicing surgeon. Clin Colon Rectal Surg, 2014, 27(2):43-47.
4. 中华人民共和国教育部高等教育司.中国高等医药教育改革与发展.北京:人民卫生出版社, 2004.
5. 帖君.医学研究生临床科研能力的培养.医学信息, 2013, 26(3):25-26.
6. 连铸淡.临床医学专业学位与科学学位研究生培养模式比较分析.中国高等医学教育, 2011, 3:65-66.
7. 赵露.新医改背景下临床医学生就业意向的调查分析.医学与社会, 2011, 24(8):96-98.
8. 谢锐, 梁克, 柳建军, 等.以执业医师实践技能考试为导向的外科学技能操作教学改革浅探.国际医药卫生导报, 2010, 16(18):2314, 封3.
9. 王华, 苏博.军医大学住院医师培训第一阶段临床能力评估指标体系研究.中国高等医学教育, 2002, 4:59-61.
10. 高加蓉.我国医学临床技能教学现状及其策略分析.中国医院管理, 2009, 29(8):49-50.
11. Wagner JP, Chen DC, Donahue TR, et al. Assessment of resident operative performance using a real-time mobile Web system:preparing for the milestone age. J Surg Educ, 2014, 71(6):e41-e46.
12. Gardner AK, Scott DJ, Choti MA, et al. Developing a Comprehensive resident education evaluation system in the era of milestone assessment. J Surg Educ, 2015 Jan 23. pii:S1931-7204(14)00336-5. doi:10.1016/j.jsurg.2014.12.007.
13. Calhoon JH, Baisden C, Holler B, et al. Toracic surgical resident education:a costly endeavor. Ann Torac Surg, 2014, 98(6):2012-2015.
14. 白一, 龚云辉, 刘希婧, 等.临床医学专业八年制医学教育的现状.中华妇幼临床医学杂志(电子版), 2014, 10(1):104-109.
15. O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. J Surg Educ, 2014, 71(1):18-20.
16. Undergraduate research opportunities program. 2012 Mar 12th[cited 2015 Mar 12th]; Available from:http://www.undergradresearch.gatech.edu/.
17. Schott NJ, Emerick TD, Metro DG, et al. Te cost of resident scholarly activity and its effect on resident clinical experience. Anesth Analg, 2013, 117(5):1211-1216.
18. 谷俊朝, 马涛, 王宇.如何提高医学硕士研究生的科研能力.临床和实验医学杂志, 2005, 4(4):244-245.
19. 邹丽琴.中国八年制医学教育培养模式研究[博士论文] :第三军医大学, 2013.
20. 方丽金.耳鼻咽喉头颈外科研究生思想道德培养探讨.重庆医学. 2014, 43(16):2099-2100.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Exploration of a Standardized Model for Cardiothoracic Surgery Resident Training Program Based on a Combined Clinical and Research Oriented Team Approach

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content