1. Why carry out residency standardized training completion assessment work?
The standardized training of resident doctors is a necessary way to cultivate qualified clinicians, a fundamental policy to strengthen the construction of health personnel and improve the quality and level of medical and health care work, and a major initiative to deepen the reform of the medical and health system and the reform of medical education.
On December 31, 2013, the National Health and Family Planning Commission and other seven departments jointly issued the "Guidelines on the Establishment of a System of Standardized Training of Resident Doctors", which provides guidance on the establishment of a system of standardized training for resident doctors. Guiding Opinions on the Establishment of the Standardized Training System for Residents, which put forward the overall deployment and target initiatives for the establishment of the standardized training system for residents.
In 2014, the state launched the implementation of the standardized training system for residents, and the first batch of undergraduate residents recruited in that year will finish in 2017. Given that the construction of the nationwide training system is still in the initial stage of exploration, the basic situation of each place varies greatly, in order to do a good job of the final assessment work in a safe, stable, effective and orderly manner, after careful study and extensive consultation, the National Health and Family Planning Commission decided to the 2017 final assessment of the proposition, through the standard and the date of the assessment and so on the temporary not to do the national unified arrangement, by the provincial health and family planning administrative departments according to the overall national deployment spirit, combined with local practice, specific organization and implementation. The National Health and Family Planning Commission will strengthen the guidance and monitoring of the final assessment work around the country, and on the basis of summarizing and accumulating experience, further improve the training and assessment system in the future.
2. What is the division of responsibilities of the relevant departments of the final assessment?
The provincial health planning administrative departments (including Chinese medicine management) are responsible for the organization and management of the final assessment work in this jurisdiction; the assessment base is responsible for the specific implementation of the final assessment work.
The Talent Exchange Service Center of the National Health and Family Planning Commission (hereinafter referred to as the "Talent Center") is responsible for the establishment of the national theoretical assessment question bank, the development of theoretical assessment syllabus and clinical practice ability assessment guidance standards, to guide the implementation of the local assessment, to provide assessment technical support services.
The provincial health care administrative departments for the local final assessment work implementation of the main body, is responsible for the development of the assessment implementation plan, the organization and implementation of the professional theory assessment; in accordance with the clinical practice ability assessment guide standard organization proposition, selection of training examiners, the organization and implementation of the clinical practice ability assessment; the issuance of the "certificate of qualification of standardized training of resident doctors". Each examination area establishes the organization and management mechanism for the final examination, and may designate relevant industrial organizations and units, such as physicians' associations, to be responsible for the relevant specific work, and the examination areas may establish specific working contacts with the talent centers. The completion assessment of standardized training for Chinese medicine residents is organized and implemented by the State Administration of Traditional Chinese Medicine. In accordance with the relevant provisions of the military synergy, military residents can, according to the principle of localized management, participate in the provincial (district, city) health planning administrative departments organized by the completion of the assessment.
3. How is the final assessment organized and implemented?
The final assessment includes professional theory assessment and clinical practice ability assessment of two parts.
Among them, the professional theory assessment part of the talent center to set up 34 clinical (including oral) training professional question bank, the provincial health administrative departments can voluntarily choose to dock with the talent center, from the national question bank in the questionnaire, or their own questionnaire. The use of the national question bank in the region, by the talent center to provide man-machine dialogue assessment technical services, assessment results analysis and other guidance services, according to the needs of the test area, the talent center can provide through the standard recommendations.
Clinical practice ability assessment part, according to the National Health and Family Planning Commission issued the "standardized training content and standards for residents (for trial implementation)", by the talent center organization to develop the professional clinical practice ability assessment guidance standards, the test area according to the standard to develop local arrangements and organize the implementation of, can be entrusted to the Association of Physicians and other industry organizations, the relevant units specific implementation.
4. What is the focus of the final examination?
According to the Content and Standards for Standardized Residency Training (for Trial Implementation) issued by the National Health and Family Planning Commission, the final assessment focuses on examining the competency of the clinician's position. The main evaluation of the training object after the combination of theoretical and practical systematic training, in the health care work independently and standardized clinical diagnostic and treatment activities in this specialty, the ability to analyze and solve the actual clinical problems and related comprehensive quality.
The theoretical assessment syllabus and the guiding standards for the assessment of clinical practice ability for the final assessment of the standardized training of resident physicians are released by the Talent Center through the China Health Talent Network.
5. How is the passing standard of the final examination determined?
Those who pass both the professional theory test and the clinical practice ability test are considered to have passed the final examination. The passing standard of the professional theory assessment is determined by each examination area according to the requirements of the Content and Standards for Standardized Training of Residents (Trial), combined with the local actuality, and reported to the Talent Center for the record and implementation. Clinical practice ability assessment program and assessment pass standard, by the examination area according to the practice ability assessment guidance standards, combined with local practice to determine.
6. How is the final examination scheduled?
The time schedule of the final assessment work is determined by each examination area according to the local actual situation. Residents who need to participate in the assessment should pay attention to the notification of their training bases, and also pay attention to the information release of the provincial (district and municipal) health and family planning commissions at the same time.
7. Who can apply for the 2017 residency standardized training completion assessment?
The object of the 2017 national participation in the final assessment is to complete the prescribed training content in the training base, and the process of assessment of qualified residents; eligible in the study of clinical medicine (including stomatology, traditional Chinese medicine) master's degree postgraduate students, military personnel can apply to participate in the final assessment. The declared specialty of the final examination shall be the same as the training specialty. Each examination area is responsible for the qualification examination of the applicants for the final examination. The main basis is:
(a) The Office of the National Health and Family Planning Commission's "Implementation Measures for the Assessment of Standardized Training of Residents (for Trial Implementation)" (State Health Office of Science and Education [2015] No. 49).
(b) the Ministry of Education and other 6 departments "on medical education synergy to deepen the reform of clinical medical personnel training" (Teaching and Research [2014] No. 6), the Office of the Ministry of Education and other "on the strengthening of medical education synergy to do a good job in the articulation of graduate training of master's degree in clinical medicine and standardized training of residents" (Teaching and Research [2016] No. 1) and "on further improving the original seven-year system of Notice on the Adjustment and Reform of Clinical Medical Education (Education and Higher Education Department [2017] No. 1).
(C) the former General Logistics Department of Health, the National Health Planning Commission "on the military residency standardized training system and the convergence of the relevant national policies" (Wei Ke Training [2015] No. 68).
Regarding specific matters, residents can consult the education department (section) of their training bases, and consult the science and education department of the health and family planning commission of the province (district, city) or the industry organization or unit designated by its commission for any outstanding matters.
8. How is the certificate of completion of the assessment issued and managed?
The provincial health planning administrative departments will submit the information of the qualified personnel of the final assessment to the Chinese Medical Association to obtain the certificate number, and then issue a unified format of the "certificate of standardized training of resident physicians", and is responsible for the management of the certificate. The certificate is valid nationwide.
9. Can I apply for another assessment if I fail the final assessment?
According to the "Implementation Measures for the Assessment of Standardized Training of Resident Physicians (Trial)", those who have not passed the professional theory assessment, the clinical practice ability assessment or any one of them in the final assessment can apply for the final assessment of the following year according to the relevant provisions of the provincial health planning administrative department where the training base is located.In the examination area where multiple final assessments were organized in 2017, those who have not passed the examination can apply again for the subjects they have not passed. The final examination of other batches in the same year. The results of the passed subjects are valid for three years. An example is as follows: a resident participated in the final examination in 2017, failed in the theoretical examination, and passed in the clinical practical ability examination. If the physician passes the theory assessment before December 31, 2019, he or she is considered to have passed the final assessment.
10. How to do quality control of the final assessment work?
In order to promote the homogenization of training results, promote the balanced development of standardized residency training across the country, and keep the quality of standardized residency training exported, the National Health and Family Planning Commission has commissioned the Talent Center to guide and monitor the organization and implementation of the final assessment and the results of the assessment in each region, and organize experts to conduct random inspection inspections of the final assessment in each region. The specific requirements are released by the talent center through the China Health Talent Network.
The examination areas need to pass the local theoretical examination standards (self-assessment areas need to be submitted at the same time to assess the theory of the professional paper), clinical practice ability assessment station design and pass the standards and so on to the Talent Center, the Talent Center for monitoring and analysis. The results of the monitoring and analysis will provide an important basis for the National Health and Family Planning Commission to strengthen the quality of the national standardized training and assessment of residents, and to strengthen the guidance and supervision of the work of the various training bases around the country.
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