• 1. Medical Chinese Teaching and Research Section, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
  • 2. Department of Graduate Medical Education, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
  • 3. West China School of Medicine, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
  • 4. Party Committee Office, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
ZHANG Wei, Email: weizhang27@163.com
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Objective To compare whether the training process of commissioned training residents from Tibet and non-commissioned training residents have achieved homogenized.Methods The training time and operation frequency data of 170 commissioned training residents from Tibet and 96 non-commissioned training residents of grade 2016 during the 19 months from September 2016 to April 2018 were collected. The 25 operational data of 11 departments that are representative and comparable are compared.Results The two types of trainees completed the rotation of 47 different departments within 19 months, of which 45 departments were the departments where both types of students were rotated. Among these 11 departments, the average training time of trainees from Tibet in the Departments of Anesthesiology was lower than that of non-commissioned trainees (Z=–4.543, P<0.001). There were statistically significant differences in 7 of the 25 operating data (P<0.05). The operation number of arterial puncture and ventilator management (Intensive Care Unit); patient treatment (Department of Emergency); arterial puncture, ventilator management and intraoperative monitoring (Department of Anesthesiology) of trainees from Tibet were lower than those of non-commissioned trainees (P<0.05). The operation number of lung and mediastinal examinations (Department of Radiology) of trainees from Tibet was higher than that of non-commissioned trainees (P<0.05).Conclusions During the training of the two types of trainees, the rotation schedule was basically the same, but there were differences in the clinical practice operations. Trainees from Tibet have higher requirements for radiology training. Trainees from Tibet will return to Tibet with independent practice needs, so their requirements of medical imaging skills operation would be higher. Due to language and training time, the critically ill, emergency first aid, and surgical skills of trainees from Tibet are not as good as those of non-commissioned trainees, and they need to gradually strengthen and improve these skills in subsequent trainings.

Citation: WANG Xingyue, CHEN Huiling, YU Simin, ZHANG Wei. Comparison of residence training quality between commissioned training residents from Tibet and non-commissioned training residents. West China Medical Journal, 2020, 35(8): 974-978. doi: 10.7507/1002-0179.201911005 Copy

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