Exploration of a Standardized Model for Cardiothoracic Surgery Resident Training Program Based on a Combined Clinical and Research Oriented Team Approach_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

GAOQiang ¹ , ZHOUYing ² , CHENLong-qi ³ , LIXiao-hua ¹ ,  CHENJi-mei ¹

1. Department of Cardiovascular Surgery, Guangdong Provincial Cardiovascular Institute of Guangdong Provincial General Hospital, Guangzhou 510100, P. R. China;
2. West China School of Medicine of Sichuan University, Chengdu 610041, P. R. China;
3. Department of Toracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

CHENJi-mei, Email: jimei1965@gmail.com

Keywords：

Cardiothoracic surgery; Residents; Resident training; Clinical skill; Scientific research skill

DOI：

10.7507/1007-4848.20150107

Video：

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Objective To explore a standardized model for cardiothoracic surgery resident training program based on a combined clinical and research oriented team approach. Methods We conducted this study in a nationally ranked Class AAA hospital among the eleven residents who were accepted into the program. Throughout their training periods, clinical surgical skills were taught by one-on-one mentoring by individually assigned doctoral degree advisors, other attending surgeons and doctoral degree candidates in the program. To foster their scientific curiosity and research skills, regular didactic lectures in basic science and statistical skills by the doctoral thesis advisors, supplemented by monthly journal clubs during which trainees were required to present and discuss a previously assigned topics based on recent clinical cases within the department, thus combining acquisition of clinical skills and theory/research at the same setting. Results Eleven physicians were selected for this training path. With respect to clinical surgical skills, 4 residents were judged to be sufficient at the end of the first cycle. The other seven residents at the end of the second cycle. One trainee won the third prize in the Medical Skill Competition in the hospital. As for scientific research skills, the team produced 11 scientific articles, one of which was accepted by the annual national conference in cardiothoracic surgery and the first author was invited to present the article. The team submitted four research projects, one won funding at the provincial competition and three within the medical school. Conclusion Our proposed standardized model of cardiothoracic surgery resident training based on a combined clinical and research oriented approach appears to be practical with moderate success. Adaptation of this model by other cardiothoracic surgery training programs in the nation will further attest to its value and functionality.

Citation： GAOQiang, ZHOUYing, CHENLong-qi, LIXiao-hua, CHENJi-mei. Exploration of a Standardized Model for Cardiothoracic Surgery Resident Training Program Based on a Combined Clinical and Research Oriented Team Approach. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(5): 399-403. doi: 10.7507/1007-4848.20150107 Copy

1.	石應康, 張爾永, 劉雪梅.關于我國胸心外科住院醫師規范化培訓制度的討論.中國胸心血管外科臨床雜志, 2015, 22(3):181-186.
2.	文坤明, 王虹.淺談規范化培訓住院醫師科研思維的培養.醫學信息(下旬刊), 2013, 26(13):21-22.
3.	Kennedy GD. Overview:getting involved in research as a busy practicing surgeon. Clin Colon Rectal Surg, 2014, 27(2):43-47.
4.	中華人民共和國教育部高等教育司.中國高等醫藥教育改革與發展.北京:人民衛生出版社, 2004.
5.	帖君.醫學研究生臨床科研能力的培養.醫學信息, 2013, 26(3):25-26.
6.	連鑄淡.臨床醫學專業學位與科學學位研究生培養模式比較分析.中國高等醫學教育, 2011, 3:65-66.
7.	趙露.新醫改背景下臨床醫學生就業意向的調查分析.醫學與社會, 2011, 24(8):96-98.
8.	謝銳, 梁克, 柳建軍, 等.以執業醫師實踐技能考試為導向的外科學技能操作教學改革淺探.國際醫藥衛生導報, 2010, 16(18):2314, 封3.
9.	王華, 蘇博.軍醫大學住院醫師培訓第一階段臨床能力評估指標體系研究.中國高等醫學教育, 2002, 4:59-61.
10.	高加蓉.我國醫學臨床技能教學現狀及其策略分析.中國醫院管理, 2009, 29(8):49-50.
11.	Wagner JP, Chen DC, Donahue TR, et al. Assessment of resident operative performance using a real-time mobile Web system:preparing for the milestone age. J Surg Educ, 2014, 71(6):e41-e46.
12.	Gardner AK, Scott DJ, Choti MA, et al. Developing a Comprehensive resident education evaluation system in the era of milestone assessment. J Surg Educ, 2015 Jan 23. pii:S1931-7204(14)00336-5. doi:10.1016/j.jsurg.2014.12.007.
13.	Calhoon JH, Baisden C, Holler B, et al. Toracic surgical resident education:a costly endeavor. Ann Torac Surg, 2014, 98(6):2012-2015.
14.	白一, 龔云輝, 劉希婧, 等.臨床醫學專業八年制醫學教育的現狀.中華婦幼臨床醫學雜志(電子版), 2014, 10(1):104-109.
15.	O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. J Surg Educ, 2014, 71(1):18-20.
16.	Undergraduate research opportunities program. 2012 Mar 12th[cited 2015 Mar 12th]; Available from:http://www.undergradresearch.gatech.edu/.
17.	Schott NJ, Emerick TD, Metro DG, et al. Te cost of resident scholarly activity and its effect on resident clinical experience. Anesth Analg, 2013, 117(5):1211-1216.
18.	谷俊朝, 馬濤, 王宇.如何提高醫學碩士研究生的科研能力.臨床和實驗醫學雜志, 2005, 4(4):244-245.
19.	鄒麗琴.中國八年制醫學教育培養模式研究[博士論文] :第三軍醫大學, 2013.
20.	方麗金.耳鼻咽喉頭頸外科研究生思想道德培養探討.重慶醫學. 2014, 43(16):2099-2100.

1. 石應康, 張爾永, 劉雪梅.關于我國胸心外科住院醫師規范化培訓制度的討論.中國胸心血管外科臨床雜志, 2015, 22(3):181-186.
2. 文坤明, 王虹.淺談規范化培訓住院醫師科研思維的培養.醫學信息(下旬刊), 2013, 26(13):21-22.
3. Kennedy GD. Overview:getting involved in research as a busy practicing surgeon. Clin Colon Rectal Surg, 2014, 27(2):43-47.
4. 中華人民共和國教育部高等教育司.中國高等醫藥教育改革與發展.北京:人民衛生出版社, 2004.
5. 帖君.醫學研究生臨床科研能力的培養.醫學信息, 2013, 26(3):25-26.
6. 連鑄淡.臨床醫學專業學位與科學學位研究生培養模式比較分析.中國高等醫學教育, 2011, 3:65-66.
7. 趙露.新醫改背景下臨床醫學生就業意向的調查分析.醫學與社會, 2011, 24(8):96-98.
8. 謝銳, 梁克, 柳建軍, 等.以執業醫師實踐技能考試為導向的外科學技能操作教學改革淺探.國際醫藥衛生導報, 2010, 16(18):2314, 封3.
9. 王華, 蘇博.軍醫大學住院醫師培訓第一階段臨床能力評估指標體系研究.中國高等醫學教育, 2002, 4:59-61.
10. 高加蓉.我國醫學臨床技能教學現狀及其策略分析.中國醫院管理, 2009, 29(8):49-50.
11. Wagner JP, Chen DC, Donahue TR, et al. Assessment of resident operative performance using a real-time mobile Web system:preparing for the milestone age. J Surg Educ, 2014, 71(6):e41-e46.
12. Gardner AK, Scott DJ, Choti MA, et al. Developing a Comprehensive resident education evaluation system in the era of milestone assessment. J Surg Educ, 2015 Jan 23. pii:S1931-7204(14)00336-5. doi:10.1016/j.jsurg.2014.12.007.
13. Calhoon JH, Baisden C, Holler B, et al. Toracic surgical resident education:a costly endeavor. Ann Torac Surg, 2014, 98(6):2012-2015.
14. 白一, 龔云輝, 劉希婧, 等.臨床醫學專業八年制醫學教育的現狀.中華婦幼臨床醫學雜志(電子版), 2014, 10(1):104-109.
15. O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. J Surg Educ, 2014, 71(1):18-20.
16. Undergraduate research opportunities program. 2012 Mar 12th[cited 2015 Mar 12th]; Available from:http://www.undergradresearch.gatech.edu/.
17. Schott NJ, Emerick TD, Metro DG, et al. Te cost of resident scholarly activity and its effect on resident clinical experience. Anesth Analg, 2013, 117(5):1211-1216.
18. 谷俊朝, 馬濤, 王宇.如何提高醫學碩士研究生的科研能力.臨床和實驗醫學雜志, 2005, 4(4):244-245.
19. 鄒麗琴.中國八年制醫學教育培養模式研究[博士論文] :第三軍醫大學, 2013.
20. 方麗金.耳鼻咽喉頭頸外科研究生思想道德培養探討.重慶醫學. 2014, 43(16):2099-2100.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Exploration of a Standardized Model for Cardiothoracic Surgery Resident Training Program Based on a Combined Clinical and Research Oriented Team Approach

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