Study on standardized training teaching method for residents in department of cardiology

  AIM  To explore teaching methods for training resident standardized trainers (resident accompanying physicians) in the increasingly refined specialty of cardiology.

  METHODS  Fifty resident physicians who rotated in the Department of Cardiology of the First Affiliated Hospital of Air Force Medical University from January 2018 to January 2019 were selected for standardized training. Fifty resident accompaniers were randomly assigned to the coronary artery disease group (CAD group, n = 10), arrhythmia group (n = 10), hypertension group (n = 10), heart failure group (HF group, n = 10), and rotation group (n = 10). The four groups of physicians were rotated for 4 months in their assigned groups, and no exchange was allowed between groups. The rotation groups consisted of 10 resident accompanying physicians who learned in the above sub-professional group for 1 month (totally 4 months). The teachers for the five groups are senior attending physicians who have been engaged in this specialty for more than three years. Observed five groups of physicians to grasp each sub-professional knowledge of cardiology. At the end of rotation, the overall assessment is divided into procedural assessments and out-of-hospital assessments. The procedural assessments are each person's daily performance assessment. The Out-of-hospital assessment includes three parts: theoretical achievement, medical records writing, and clinical skills examination. The total score is the sum of procedural assessments and the graduation assessment, the former accounting for 20% of the total score, the latter accounting for 80% of the total score.

  RESULTS  ① There was no significant difference among the five groups in the process assessment. ②There were significant differences among the five groups in the theoretical examination (P < 0.05). ③There was no significant difference among the five groups of accompanying physicians in medical record writing. ④ In the part of clinical skills examination, the scores of accompanying physicians in CAD group, HF group and rotation group were higher than those in the other two groups (P < 0.05). Total score: The scores of the CAD group, HF group, and rotation group were higher than those of the other two groups (P < 0.05).

  CONCLUSION  Doctors in the CAD group, HF group and rotation group, are superior to those of other groups in the mastery of sub-professional knowledge and the operation of clinical skills in cardiology department.