Residency training teaching summary

Summary is a specific time period of learning and work life and other performance review and analysis of a written material, through which you can comprehensively and systematically understand the past learning and work situation, so we need to do a good job of reviewing the summary, write a good summary. How to write a summary is correct? The following is a summary of the work of the resident training teaching that I have helped you organize, welcome to read, I hope you can like it.

Comrades:

Today convened a seminar on the standardized training of residents in Guangdong Province, mainly to summarize and exchange the province's experience in the standardized training of residents, and to discuss the management and countermeasures for the standardized training of residents and training of specialists. On behalf of the Provincial Department of Health and the Provincial Committee on Post-Graduation Medical Education, I would like to extend a warm welcome to all the delegates! For our province to carry out resident standardized training and specialist training work in a solid and steady manner, the following I talk about a few points:

First, the province's resident standardized training and specialist training situation

Our province from 1996 since the implementation of the standardized training of residents, the main do the following work:

(B) improve base construction

To improve the standardized training of residents, training base construction is the key. To this end, the Office of the development of base assessment standards, in 1996 began to carry out training bases in hospitals above the municipal level of the recognition of the work, based on experience, from 1999 onwards in the province's hospitals above the second level of the full spread. So far, the province to carry out training in 22 disciplines, *** there are 259 hospitals in 1586 secondary disciplines are recognized as a standardized training base for residents.

According to the principle of integration of training, assessment, use, in order to ensure the quality of training, the province from 20xx to implement the standardized training of residents in the public **** course unified examination. The examination subjects are medical statistics, professional foundation (clinical pharmacology or medical immunology optional) and professional theory three courses. By 20xx, nearly 60,000 people had taken the unified examination, with a pass rate of 70%. Shenzhen, our province also began to implement the implementation of clinical residency training in 20xx the implementation of clinical skills unified examination, received a better effect.

(D) strict certificate issuance

1999 by the Ministry of Health, authorized by the provincial Department of Health issued a certificate of standardized training of residents, in order to standardize the application process, the resident himself or herself to apply for the training base to declare the form of the health administrative department audit, strict control, the certificate of qualification of the training of residents and the title of the promotion, appointment, application for a master's degree in clinical medicine, and so on. and other systems, effectively promoting the institutionalization and standardization of training. By the end of 20xx, the province **** issued 10909 certificates of standardized training of resident doctors.

(E) actively explore new modes of standardized training for residents

In order to adapt to the new situation of healthcare reform, from 20xx onwards, the Guangdong Provincial People's Hospital, Sun Yat-sen University and the hospitals affiliated with the Southern Medical University and other units in the mechanism of standardized training for residents, carried out bold reforms and innovations, and actively explored new modes of standardized training for residents. Residents have been transformed from "unit members" to "social members", and after three years of standardized training based on secondary disciplines, they have been given a second choice of career, with the initial establishment of a diversion mechanism, which has stimulated the enthusiasm and initiative of both hospitals and residents, and improved the quality of training. New vigor has been injected into the sustainable development of post-graduation medical education.

(F) actively participate in the pilot work of the national specialist training

According to the General Office of the Ministry of Health, "on the pilot work of specialist training notice" (Health Office of Science and Education [20xx] No. 27), the province's high-level hospitals responded positively to 48 hospitals across the province declared to the Provincial Department of Health, the 612 training bases, after the preliminary examination, the Department of the initial review of 438 specialists qualified for the training of physicians. After the preliminary examination, our department declared the qualified 438 specialized physician training bases to the Ministry of Health, accounting for 1/7 of the total number of declarations in the country, with the largest number and complete information. 20xx November, the first batch of 153 bases of 9 hospitals in our province accepted the field evaluation of the Ministry of Health, of which, 137 passed, with a compliance rate of 89.5%. 20xx March, the Committee of Post-graduation Medical Education of the Ministry of Health formally approved our province as a National Pilot Province for Specialist Physician Training. The Ministry of Health asked our province to actively pilot the program, to be one step ahead of the rest of the country, and to find out the experience for the national specialty physician training. Therefore, we have a heavy responsibility, we must do our best to do a good job, live up to the expectations of the Ministry of Health for our province, and make due contribution to the construction of the national specialty physician training and access system.

In order to strengthen the leadership and management of the province's specialist training work, the second half of 20xx set up the "Guangdong Province, post-graduation medical education committee", at present, the province's specialist training system of documents will soon be introduced, to guide the province's pilot work of specialist training in a stable and orderly manner.

After twelve years of development, the province's standardized training of resident physicians has been effective, mainly in:

(a) improve the awareness of the talents of the strong medical, and increase the intensity of the teaching work. By carrying out the standardized training of resident doctors "base" construction and recognition of the work of standardized training of resident doctors as a major event to grasp the talents of strong medical, hospitals have greatly improved the awareness of science and education to develop medical. At present, the leaders in charge of teaching responsibilities more clearly, and improve the resident rotation learning and teaching administrative checking system, restored the clinical teaching "mentor system", the hospital's training work to achieve a plan, there is a check, the work in practice.

(2) increased investment, teaching conditions have improved significantly. In order to improve the teaching conditions, the hospitals concerned to varying degrees invested special funds for residency training and teaching conditions of the basic construction, the purchase of teaching equipment, improve the teaching room, the purchase of additional books and so on. Some hospitals have invested more than 1 million yuan in training facilities. At present, most of the hospitals for training have good teaching conditions, such as special classrooms, demonstration rooms and teaching molds. The hospitals with the best conditions have 1-2 specialized classrooms with 100 seats. Some key disciplines (internal medicine, surgery, gynecology, pediatrics) have a special classroom, and some even have a classroom in each ward. Most of the hospitals are well-equipped with electronic teaching facilities, equipped with TV, slides, projection, closed-circuit television for surgery, multimedia computers and so on. Teachers, resident teachers, mentors are basically senior attending physician or associate title above the director, professor.

(C) sound institutions, training gradually towards standardization. The development of standardized training of hospital doctors has played a positive role in promoting the teaching and clinical work of the hospital. In the past, although many hospitals have also carried out rotational training of residents, but the lack of specialized training institutions and regulations, clinical training work is not standardized, discretionary. After this work has been carried out, hospitals have standardized the system of rotating departments and the system of teaching, and some hospitals have set up training and assessment teams with specialists in charge. Leaders in charge of training, medical education section chiefs, and tutorial instructors have clear responsibilities. Hospitals have linked the capture of training with promotion and appointment. At present, all hospitals have improved the rules and regulations, such as the tutor management system, training assessment appraisal system, the teacher's ability to teach and teaching quality assessment system, etc., so that the training management is gradually standardized and institutionalized.

(4) enhanced the teacher's awareness of teaching, standardized medical behavior. The standardized training of residents focuses on the clinical guidance of residents and the cultivation of good medical ethics. Through teaching, the teacher's awareness of teaching has been enhanced. All hospitals require the teaching teachers to give standardized guidance to the residents in clinical examination and technical operation. Most teachers have improved their teaching ability and professional theoretical level, standardized their medical behavior and tasted the benefits of teaching through strict teaching. Teachers' awareness of teaching has increased, and the teaching atmosphere in the department is thicker than before. 94% of them think that the teachers' level of teaching room visits, revising medical records and guiding operations has improved. Most of the teaching teachers paid attention not only to the operational guidance of the residents, but also to the education of students' ideological character and medical ethics. Because of the hospital teaching atmosphere, teaching environment improved, the majority of residents on the "standardized" training awareness increased, learning more active, medical behavior continues to standardize, improve the quality of medical care and service level.

In order to strengthen the training of residents, our province in the standardized training of residents has done a lot of work, and achieved obvious results. However, due to the constraints of the traditional management system and mechanism, there are still major flaws in the standardized training of residents in our province, which are mainly manifested in the following:

(a) Uneven development of the province's standardized training of residents in the province of the imbalance in the development of the region, unit, department is more prominent. Overall, where the leadership attention, awareness of the region and units, the resident standardized training work is carried out better, more implementation. Such as Guangzhou, Shenzhen, Zhongshan, Zhanjiang and other cities and higher medical schools affiliated hospitals, provincial people's hospitals and other units more effective. Yunfu City in the past two years, the work has been carried out more solid. In addition, there is also an imbalance in the development of different specialties in the same hospital. Some areas and units of work is not enough, engage in formalism, go through the motions, to cope with things.

(B) training is not standardized

The standardized training of residents, the fundamental purpose is to improve the quality of residents, training of high-quality talent, which is characterized by the emphasis on the word "standardized". However, some hospitals do not strictly implement the "Guangdong Provincial Clinical Residency Standardized Training Rules", the training is not standardized, the rotation of the department did not rotate, or although the rotation of the time is not enough; the examination of the assessment of the assessment, or to go through the motions; the requirements of the residents must master the knowledge and skills do not have mastered, and so on. Some hospitals to the province's public **** mandatory unified examination instead of the theoretical stage of residency training assessment and skills assessment, do not pay attention to the resident's clinical ability to cultivate, the quality of training is not high.

At present, the standardized training of residents to implement localized management, by the municipalities of the standardized training of residents in the training base and the quality of training. However, due to the frequent change of personnel in recent years, some of the work of the local health administration is not connected, management is not in place, supervision is not enough. The province mainly focuses on the public **** mandatory unified examination, the grassroots work carried out without understanding, lack of guidance, management disconnect. A considerable part of the region, units and personnel only pay attention to the public **** mandatory examination, the other parts of the sloppy to cope with, lost the core part of the training, did not achieve the training objectives.

(D) policy is not perfect

Residency standardized training work involves people, money, materials and other supporting policies. However, some of the current policies are not perfect, some measures are still difficult to implement. In particular, the problem of training funds is more prominent. Such as public **** mandatory course fees for the unified examination is still unresolved, the standardized training of residents also has a great impact.

(E) personnel difficult to flow

The current residency training object is mainly new graduates in clinical medicine graduates, has been a unit of people, it is difficult to flow of personnel. There are three shortcomings: First, for the training object, learning good or bad, the lack of training enthusiasm and initiative. Second, some departments on the basis of good, active and willing to do the work of the training object only want to take possession of their own, not willing to let them rotate section, so that their training content can not be completed, affecting the quality of training. Third, the training object does not flow, primary hospitals can not get through the formal training of doctors, the quality of primary hospitals physician team is deteriorating and difficult to change.

The development trend of post-graduation medical education

Health human resources is the foundation and support for the sustainable development of health care, the quality and level of the clinician team is the key factor in determining the quality of medical services. Looking at the development of medical education in the world, the medical lifelong education system consists of three stages: medical school education, post-graduation medical education and continuing medical education, of which post-graduation education with residency/specialist training as the main content is an extremely important stage in the training of medical personnel's clinical ability, which has been emphasized by the governments of various countries.

In 1917, the United States established the first specialist physician committee in the world - ophthalmology committee, in 1933, the United States established the National Board of Specialty Medicine, to assist its member committees on the evaluation of specialists and issued a certificate of specialist for them. Subsequently, a series of management organizations and institutions have been established to manage the training of specialists, and each of them has its own duties and coordinates with each other. For example, the Accreditation Council for Post-Graduate Medical Education of the United States and its 26 Residency Training Accreditation Committees are responsible for evaluating and accrediting the annual residency training programs. The U.S. Liaison Committee on Post-Graduation Medical Education is responsible for determining the accreditation standards for various specialties and subspecialties, identifying the training objectives of various specialties, formulating specialty training programs, organizing and administering qualifying examinations for residents and specialists, and annually announcing to the community the training programs and training positions of the National Residency Matching Program.After the middle of the twentieth century, Germany, the United Kingdom, France, and other Western European countries, as well as Taiwan, Hong Kong, and other regions of China have also gradually established and implemented specialty training programs. After the mid-20th century, Western European countries such as Germany, the United Kingdom and France, as well as Taiwan and Hong Kong, have gradually established and implemented the access management system for specialists. The practice and experience of the international physician system has proved that the establishment of a specialist training and admission system is an effective way to improve the professional quality of physicians, thus ensuring the standard of medical services and improving the quality of medical services.

For a long time, China has been relatively weak in post-graduation medical education, and there is still a certain gap with other countries. The system of residency training is not standardized.

In the late 1980s, in order to strengthen the standardized training of residents, the Ministry of Health, on the basis of pilot projects in some provinces, cities, and medical schools, issued the Trial Measures for Standardized Training of Clinical Residents in 1993, and the Outline for Standardized Training of Clinical Residents in 1995. By the end of 20xx, 18 provinces and municipalities have set up leading groups (or training committees) for standardized training of residents, 20 provinces and municipalities have formulated relevant supporting policies and implementation measures for training, 20xx hospitals in 26 provinces and municipalities have carried out training, and 26 provinces, municipalities, colleges and universities and hospitals under the ministry have been authorized to issue the Certificate of Competence for Standardized Training of Residents by the Ministry of Health. of the Ministry of Health. Since 1997, more than 100,000 residents have been trained. However, due to the constraints of the traditional management system and mechanism, China's post-graduation education still has major defects, which are mainly reflected in the fact that the existing training requirements have not been well implemented, the coverage of the training work is small, and the development of the region is very unbalanced. The recruitment of trainees, the recognition and management of the base, the training organization and management mode, quality control system has not formed a standardized and perfect management system and operation mechanism, and the international medical personnel training and use of the practice does not correspond.

In order to improve China's medical lifelong education system, effectively strengthen and standardize the cultivation of physicians, and improve the overall quality of China's medical and health care technology team, the Ministry of Health, the Ministry of Education, and the Ministry of Finance **** with the Ministry of Health in 20xx to organize the "Establishment of China's specialist physician training and access system" research on the subject of China's specialist physician demand situation, training mode, training system, and the development of a new system. The Ministry of Health and the Ministry of Finance*** organized a study on the topic of "Establishing a system of training and access for specialists in China", and conducted systematic research on the demand for specialists in China, training modes, training standards, financing mechanisms, assessment and evaluation, and legislation on access. Programs and policy proposals for the training and access management of specialists have been put forward, and pilot studies have been conducted in Beijing and other places to accumulate practical experience. Research and practice have proved that today, when we are building a moderately prosperous society in an all-round way and constructing a harmonious socialist society, in order to realize the goal of basic health care services for all, it is necessary for us to train up a high-quality team of health personnel as an intellectual guarantee. In China's health reform comprehensively promote and deepen the period, accelerate the reform of urban medicine and health reform system reform, the development of urban community health services, promote the development of rural health work, all need a high-quality . Physician team as manpower support. Drawing on useful international experience, strengthening the clinical competence training of clinicians, improving the post-graduation medical education system, and establishing a specialist training and access system are the inevitable requirements of the development of medical science and the law of growth of medical personnel, and an important way to promote the reform and development of health care and improve the quality of medical services.

In December 20xx, the Ministry of Health set up the Committee of Post-Graduation Medical Education, whose main responsibilities are to guide, coordinate and manage the work of national post-graduation medical education under the leadership of the Ministry of Health, carry out research on national post-graduation medical education policies, formulate the national post-graduation medical education planning and management methods, and organize the implementation of these measures. 20xx February, the Ministry of Health officially issued the "General Office of the Ministry of Health on the Development of Specialist Training System". Notice of the General Office of the Ministry of Health on the Pilot Work of Specialist Physician Training" was officially issued in February 20xx, launching the pilot work and clarifying the purpose of the pilot work and the scope and focus of the pilot specialties. The pilot work on specialist training will cover 18 general specialties and 16 subspecialties, and in consideration of the health manpower needs of the grassroots level, the pilot period will focus on the training of personnel in general specialties (including general medicine). At the same time, the declaration and review of pilot training bases for specialists has been initiated. Specialist training is still in the pilot and start-up stage in China, and many related policies on personnel management and financing have yet to be explored. Therefore, the pilot work selects bases with better experience in standardized residency training for the pilot work, and then gradually expands the scope of the pilot work after accumulating and summing up the practical experience. At present, the pilot work of specialist training has received positive response and support from the majority of medical institutions and medical workers, with 307 hospitals in 25 provinces (autonomous regions and municipalities directly under the central government) applying to participate in the pilot training, and a total of 3,048 bases declared as pilot training bases. This is the first time in the history of the world that we have seen the development of a new technology in the field of medical technology.

Three, active exploration and practice, and actively promote the province's standardized training of residents and specialist training

The standardized training of residents and specialist training is an important part of post-graduation medical education, the work of the province's physician team is directly related to the quality of the overall work of the province, must be effectively strengthened and constantly standardized. The work is directly related to the overall quality of the province's physician team and must be effectively strengthened and continuously standardized. Residency standardized training work in our province has been carried out for 12 years, there are achievements, there are shortcomings, should be seriously summed up, and constantly improve. Specialist training system construction is still in the pilot stage, is the direction of the development of post-graduation medical education, wide range, content, strong policy, we need to invest more energy and effort, actively study and solve the relevant problems, and summarize the experience and lessons learned in a timely manner. In order to further improve the province's residency training and specialist training work, I speak five points of view.

(a) to strengthen the ability to cultivate as the core, comprehensively improve the quality of the physician team and service level

in the standardized training of resident physicians and specialist training pilot work, we must strictly implement the "Guangdong Province, the standardized training of resident physicians rules" and the "Ministry of Health, the training standards for specialists", and conscientiously implement the "Guangdong Province, the standardized training of resident physicians registration manual" and "specialist physician Training Registration Manual" registration system, adhere to the core of strengthening competence training, follow the law of growth of medical talents, carefully formulate and implement the training program, strengthen the process management and assessment, strengthen clinical skills training, and enhance the construction of the faculty. Medical service level, to meet the health needs of the people.

(B) the implementation of training and management system to ensure the quality of personnel training

The province's standardized training and management system for residents is relatively complete, the main work is how to implement the system, which requires the province's health science and education management cadres, hospitals and residents of the **** with the efforts and strict implementation to ensure that the training of the various aspects of the implementation of the realities. Public **** mandatory courses unified examination, the results are obvious, but the unified examination fees have been difficult to solve the problem. Recently, the Provincial Department of Finance and the Provincial Price Bureau forwarded the "Ministry of Finance, the National Development and Reform Commission on the cleanup and standardization of fees related to vocational qualifications" (Finance General [20xx] No. 22), requiring the cleanup and standardization of all types of activities related to vocational qualifications, and the fees for the unified examination of our standardized training of residents belong to the scope of the cleanup. In this policy environment, how to do a good job in the examination and assessment of training, please comment, provide good advice and suggestions. Regarding the training of specialists, we are formulating the "Guangdong Province, the management of specialist training guidance", "Guangdong Province, the implementation of specialist training program (pilot)", "Guangdong Province, the identification of specialist training bases management pilot approach", the purpose is to strengthen the whole process of management of the training work, and effectively ensure the quality of training. Pilot hospitals and training bases in the pilot process, to effectively strengthen the leadership, to ensure human, material and financial resources. To adhere to the training objectives and standardize the training process, to make a good start, a good start, adhere to high standards and strict requirements. At the same time to study the development of appropriate and practical training management system, strengthen the management of the training process and examination and assessment work to ensure the quality of training.

The provincial post-graduation medical education committee (referred to as the provincial graduate education committee) should give full play to the functions of research, organization, management, guidance and coordination, and actively carry out research on post-graduation medical education related policies and planning to strengthen the standardized training of residents and specialists in the training of guidance and supervision, to be the training base of the implementation of dynamic management. The training bases will implement dynamic management, and supervisory inspections will also be carried out at appropriate times for the province's residency standardized training and specialist physician training bases. If the base does not strictly implement the training and assessment system in the process of implementation, or if the work is slack and fails to meet the standards of the base, it will be rectified within a certain period of time, or even cancel its training qualification. This year, the province's specialist physician training will expand the pilot, ready to expand specialist training to highly motivated, good foundation and conditions of the third-level hospitals. Starting from the general specialist training, and then gradually expand to subspecialist training. The declaration of bases is based on the principle of voluntariness, and there are no declaration targets or hard and fast rules during the pilot phase. In order to strengthen supervision, the province set up an expert steering group composed of management experts and specialty experts. For medical institutions that have not yet been included in the pilot scope of specialist training, they should continue to implement standardized residency training. Provincial physicians association to assist the provincial Bi Education Commission to do a good job in the standardized training of residents and specialists training affairs, play the expert advantage, *** with the establishment of the province's specialist training system to make contributions.

(D) based on the overall situation, highlighting the focus for the grassroots training of appropriate talent

The province is now vigorously develop community health services, strengthen rural health work, for the general public to provide basic health care services. We should start from this overall situation, actively explore the mechanism of talent mobility, focusing on training talents for the grassroots. Therefore, the focus of the pilot work of specialist physician training in our province is to prioritize the support and development of general specialties. At the same time, it is only on the premise that the cornerstone of general specialties is firmly laid that we can better carry out subspecialty training. In order to promote the development of community health services, training of general practitioners, the next step we will also actively select general practice training bases, to carry out general practitioner training pilot.

(E) improve the relevant policies to promote the sustainable development of training.

The standardized training of residents and specialist training is a complex systematic project, which is not only related to the management of education and training, but also involves personnel management, social security, fund-raising and other aspects. Therefore, we have to strengthen research and exploration in our work, proactively coordinate with personnel, social security and financial departments, and continuously improve relevant supporting policies and management measures, and gradually form a good policy environment and talent work mechanism of equal opportunity, competition and meritocracy, and reasonable mobility. It is hoped that all units around the world to actively create and summarize good experience, and promote the establishment of a perfect training system and the sustainable development of training work.

Comrades, science and education to develop medical, talent strong medical! Explore the establishment of a vibrant physician training and access system with Chinese characteristics, for the community to cultivate moral and talented clinicians, we have a great responsibility. Let us *** with efforts, hard work, and actively explore the establishment of the province's post-graduation medical education system, to protect the people's health to make greater contributions!

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