Reimagining Residency Training in Syria: A Call for Structured Reform

Looking to the Future of Obstetrics and Gynaecology Training in Canada: A Resident's Perspective

Pulmonary Medicine Training: Time to Pull in the Reins

住院医师规范化培训在我国已经全面启动并逐步铺开。由于住院医师规范化培训是临床医学毕业生成长为合格临床医师的重要途径，是保证临床医师均质化、提高医疗服务质量和水平的治本之策，所以此项工作受到各方瞩目。美国的住院医生培训已有近百年的历史，形成较为系统的模式也已有近50年，是西方医学教育的典型代表和成功模式。本文旨在通过比较中美两国在培训的目标、计划、管理机构、考核和薪酬等方面的差异，对我国规培制度的现行的制度安排和发展方向进行讨论。

A retrospective cohort design was conducted using data from an electronic survey and an existing commercial outcomes database. To compare the clinical outcomes of patients with musculoskeletal conditions treated by physical therapists who had completed residency or fellowship programs versus those who had not. There is an increasing focus on specialization through postprofessional education in physical therapy residency and fellowship programs. Scant evidence exists that evaluates the influence of postprofessional clinical education on actual patient outcomes. Physical therapists using a national outcomes database were surveyed to determine their level of postprofessional education. Survey responders were categorized into 1 of 3 groups that included no residency or fellowship training, residency trained, or fellowship trained. Outcomes for 25 843 patients with musculoskeletal conditions treated by 363 therapists from June 2012 to June 2013 were extracted from the database. These data were analyzed to identify any differences in functional status change and efficiency achieved between the 3 groups. Potentially confounding variables were controlled for statistically. The fellowship-trained group of physical therapists achieved functional status changes and efficiency that were greater than those of the other groups. No difference in functional status change was observed between the residency group and the therapists without residency or fellowship training. The group without residency or fellowship training was more efficient than the residency-trained group. Fellowship-trained therapists were more likely to achieve greater treatment effect sizes than therapists without residency or fellowship training. Residency-trained therapists were less likely to achieve greater treatment effect sizes than the therapists without residency or fellowship training. These data demonstrate that fellowship training may contribute to statistically greater patient outcomes. Residency training did not appear to contribute to improved patient functional status change or efficiency. It is unknown whether the statistical differences observed would be clinically meaningful for patients.

Oral-Maxillofacial Surgery Residency Training—Practice Pattern Mismatch?

By analyzing the training of resident doctors in the University of Maryland Shock Trauma, this paper compared the similarities and differences of standardized resident training between China and the United States in policy, training base, selection of teaching teachers, selection of training objects, assessment methods and financial subsidies to the students. It can be concluded that standardized resident training of orthopedics in the United States is more purposeful and systematic and pays more attention to the connection between knowledge and clinical practice, skills and operation, and the cultivation of the ability to deal with patients independently. The training of orthopedics residents in the United States began earlier and had more experience than China, which can be an example for the standardized training of orthopedics residents in China. Key words: the United States; Standardized training of residents; Orthopedics

Although procedural training in family practice has recently received greater emphasis, the current status of this training in residency programs has not been reported. Considerable variation in procedural training among family practice residencies is allowed by the American Board of Family Practice and accreditation requirements. This study was performed to report the current status of procedural training in family practice residencies and to determine whether a correlation exists between the number of procedures taught in family practice residencies and successful resident recruitment. A one-page questionnaire was developed to determine availability of teaching and type of instructor for 24 selected procedures. This questionnaire was mailed to all 398 family practice residency directors in the United States. Data from the survey were compared with the published residency match results in 1993 and 1994. Questionnaires were received from 363 programs, for a response rate of 91 percent. The current status of training in these procedures, presented by program type and geographic region, reflects considerable regional variation. Training in colposcopy and in cardiac stress testing was reported to be available in a greater percentage of programs than in previous studies. A significant positive correlation was found between the number of procedures taught by family physicians and residency match results. The 91 percent response rate lends credibility to this status report and indicates that family practice program directors recognize procedural training as an important issue. The trend toward greater availability of procedural training in family practice residencies is confirmed for selected procedures. Emphasis on procedural training by family physicians has a positive correlation with successful resident recruiting. The impact on medical student interest in family practice deserves further study.

Research during residency training: good for all?

Mental Health Training in Pediatric Residency: Where Can We Go?

The history and future of operative laparoscopy

Residency training is the mainstream model of doctor training around the world. Radiol-ogy teaching is an important part of the resident practice training. The purpose is improving and upgrading the quality of the residency training by establishing rigorous management system, intensifying the teachers disposition, setting tutorial system and reforming the examination and supervisor system, the residents. Key words: Medical imaging; Resident doctor; Teaching

The Future of Pediatric Residency Education: Prescription for More Flexibility

Making Residency Training an Expectation for Pharmacists in Direct Patient Care Roles

Can teaching hospitals provide superior care?

Socialized resident training is the growing trend of resident standardized training in China. This paper analyzed the status of socialized resident training in The First Affiliated Hospital of Nanjing Medical University in recent years, and came to an understanding of the contradictious mentality of good clinical medicine graduates (including postgraduates) who participated resident training. On the one hand,they wished to get work experiences in large hospitals. On the other hand, they felt confused about the unclear future after training. The main reason lay in unsound system and supporting policies. Therefore, to ensure the healthy and smooth development of social hospital resident training, more complete policies, the practitioners system and other relevant laws and regulations need in urgent to be established and the current medical education system be improved. Key words: Socialization resident; Resident training; Current situation analysis