我国病理科住院医师培训模式初探

中国的医学生培养模式和西方国家存在较大差别,在住院医师培训方面才刚刚起步。病理医师作为医院做出最终诊断的医生,职业培训却不容乐观。医生水平参差不齐,整体水平偏低是现今国内病理行业的现状。西京医院病理科从2009年开始执行住院医师培训制度,希望能够为建立具有我国特色的病理科住院医师培训模式提供参考和借鉴。     

检验报告解释签发对检验医师规范化培训怕勺重要作用

培养高素质的检验医师是保证现代实验室诊断医学持续快速发展的必要条件。我国的检验医师规范化培训已开启十余年,但目前在许多机构中,检验医师的培养与检验技师培养仍相混淆,这在很大程度上与检验报告解释签发程序还没有在我国建立有关。随着检验新技术的不断涌现,临床科室对检验报告解释签发的要求将会凸显,所以建立检验报告解释签发程序将对提升检验医师规范化培训的质最和促进临床对检验医师的需求发挥重要作用：     

关于提高住院医师培训质量的思考

住院医师规范化培训的广泛开展为提高我国整体医疗质量、培养高层次医师起到至关重要的作用。然而,目前我国住院医师培训无论在内容、方法、形式及评估手段方面仍存在很多不足,亟待完善。本文结合我科多年来的临床教学体会及国内外培训机构的相关经验,探讨提高外科住院医师培训质量的一些新思路。     

Performance of International Medical Graduates in Pediatric Residency: A Study of Peer and Faculty Perceptions

Background

International medical graduates (IMGs) constitute approximately 25% of the US pediatric workforce. Their recruitment into US residency training raises concerns regarding their competence, although this has not been formally studied. Cincinnati Children's Hospital has systematically recruited IMGs over the past 16 years. This study evaluates perceptions of IMG performance by faculty and US graduate (USG) peers.

The train has left: Can surgeons still get a ticket to treat structural heart disease?

With the disruptive advancement of catheter-based technologies and minimally invasive techniques in structural heart disease, surgeons must obtain necessary skills to continue to serve this large patient population. We believe that surgeons are uniquely positioned to offer the full spectrum of therapy in structural heart disease (transcatheter, minimally invasive, and complex redo interventions), making them comprehensive valve specialists. Given the variability in structural heart training, we urgently recommend the establishment of a standardized curriculum and pathways for surgical trainees to gain proficiency in transcatheter technologies.     

Deterioration experienced by French otolaryngology residents in their training during the COVID-19 pandemic: A STROBE analysis

ObjectiveTo evaluate the impact of the first three waves of COVID-19 on the academic and surgical training of ENT and Head and Neck Surgery residents in France.Material and methodsObservational, retrospective study. A 55-item survey of academic education and surgical training was sent to ENT residents in five major French regions (Île-de-France, Rhône-Alpes Auvergne, Occitanie, Grand Est, Grand Ouest) from August to October 2021.ResultsEighty-nine out of 135 residents (66%) responded. Two-thirds considered that surgical training was more affected than academic education, with reductions evaluated of 50–75%, 25–50% and 0–25% for the first three waves, respectively. Residents in Île-de-France, Rhône-Alpes Auvergne and Grand Est were the most affected by the first wave (75–100% reduction in surgical activity, in parallel to increased admissions). Otology, rhinology and functional exploration were the most affected, whereas pediatrics and oncology were spared. Seventy-one of the 89 residents (79.7%) felt that the first wave impacted their career, while this proportion decreased to 39.3% and 44.9% for the second and third waves, respectively.ConclusionThe first wave of COVID-19, compared to the following two waves, severely impacted the surgical training of French ENT residents, especially in regions severely impacted by the pandemic, while academic education was relatively safeguarded by the implementation of e-learning alternatives.