To Explore the Optimization of the Combined Training Mode of General Surgery Master and Resident Standardized Training under the Integrated Training Mode of “Two-Track Integration”
In this paper, the dual-track training model of standardized resident training of general surgery was explored and optimized. Under the “two-track in one” mode, it is required that the postgraduate students of clinical medicine should also carry out the professional study of postgraduate degree at the same time of the standardized training of residents. In practice, it was gradually found that this model analyzed the problems of clinical learning, practice training and scientific research thinking ability training of general surgery, and combined with the current situation of clinical and scientific research ability training under the “two-track in one” mode, in recent years. Combined with laparoscopic simulation training, ChatGPT and literature reading were integrated into the “two-track in one” comprehensive learning model, and the future development direction was analyzed and discussed, so as to provide ideas for the comprehensive and three-dimensional exploration of the reform of the “two-track in one” mode, training model of general surgery and the construction of clinical and scientific research ability of master of general surgery. The clinical and scientific research ability of general surgery is discussed and the training model suitable for China is put forward.
References
[1]
Chao, B., Wang, K., Jin, F. et al. (2019). Thinking on the Dual-Track Integrated Training Model of Clinical Master’s Degree and Resident Training. Journal of Inner Mongolia Medical University, 41, 364-366.
[2]
Chen, C., Huang, J. B., Huang, L. F., & Xue, H. M. (2020a). Introduction to Clinical Type Degree of Medical Graduate Students’ Scientific Research Innovation Ability. Journal of Medical Colleges and Universities Teaching Research (Electronic Version), 10, 3-6.
[3]
Chen, L. F., Wang, Y. J., Li, Y. et al.(2020b). Investigation on the Working and Learning Status of Professional Degree Postgraduates and Residents under the Combined Training Model. Chinese Journal of Medical Education, 40, 931-935.
[4]
Ding, P. J., Zhao, L., Gao, Y., & Zhang, Q. (2019). Experience Sharing of Shortening Laparoscopic Training Cycle for Surgical Residents. China Graduate Medical Education, 3, 186-187, 192.
[5]
Dres, M., Copin, M., Cariou, A., Mathonnet, M., Gaillard, R., Shanafelt, T. et al. (2021). Job Strain, Burnout, and Suicidal Ideation in Tenured University Hospital Faculty Staff in France in 2021. JAMA Network Open, 6, e233652. https://doi.org/10.1001/jamanetworkopen.2023.3652
[6]
Edelman, D. A., Mattos, M. A., & Bouwman, D. L. (2010). FLS Skill Retention (Learning) in First Year Surgery Residents. Journal of Surgical Research, 163, 24-28. https://doi.org/10.1016/j.jss.2010.03.057
[7]
Elessawy, M., Mabrouk, M., Heilmann, T., Weigel, M., Zidan, M., Abu-Sheasha, G. et al. (2021). Evaluation of Laparoscopy Virtual Reality Training on the Improvement of Trainees’ Surgical Skills. Medicina, 57, Article 130. https://doi.org/10.3390/medicina57020130
[8]
Gao, Y. Q., Li, Y., Zhan, S. H., Ma, X. Y., Ma, H., Yang, Y., & Liu, X. (2019). Medical Professional Graduate Student Psychologically Healthy Education and Career Planning Research. China Medical Guide, No. 28, 294-295.
[9]
Gu, J. Y., Zhao, E. H., Wang, S. C., Yu, J. P., Lin, T. L., Zhao, G., & Cao, H. (2017). Feasibility Analysis of Basic Training of Laparoscopic Surgery in the Standardized Training of Residents. Higher Medical Education in China, No. 1, 88-90.
[10]
He, X. C., An, W. H., Wang, S. et al. (2024). The Current Status of Clinical Scientific Research and the Relationship between Scientific Research Training, Cognition and Output of Resident Doctors. Journal of Chengdu Medical College,19, 714-718.
[11]
Huang, L. J., Tang, Z. L., Li, T., Deng, M. H., Xu, J. L., & Wei, B. (2023). Exploration on the Course of Laparoscopic Surgery Skills Training for Residents: Taking Laparoscopic Appendicitis Surgery as an Example. Chinese Graduate Medical Education, 7, 44-49.
[12]
Huang, X., Zhong, R., Tan, X., Zeng, L., Jiang, K., Mei, S. et al. (2019). Conservative Management of Retroperitoneal Ectopic Pregnancy by Computed Tomographic-Guided Methotrexate Injection in the Gestational SAC: 2 Case Reports and Literature Review. Journal of Minimally Invasive Gynecology, 26, 1187-1192. https://doi.org/10.1016/j.jmig.2018.12.016
[13]
Jiang, W. (2024). ChatGPT Aided by FC-TBL Combined Teaching Method in Emergency Professional Application of Resident Standardization Training Value. Chinese Medical Education Technology, 38, 394-400.
[14]
Jin, S. H., Zhang, Y., Sun, G. F., Meng, J., He, L. J., & Na, Y. Q. (2014). Effect of Laparoscopic Simulation Training on the Basic Skills of Laparoscopic Surgery for Doctors with Different Experience. Chinese Journal of Endoscopy, 20, 34-37.
[15]
Khan, R. A., Jawaid, M., Khan, A. R., & Sajjad, M. (2023). ChatGPT—Reshaping Medical Education and Clinical Management. Pakistan Journal of Medical Sciences, 39, 605-607. https://doi.org/10.12669/pjms.39.2.7653
[16]
Lamblin, G., Thiberville, G., Druette, L., Moret, S., Couraud, S., Martin, X. et al. (2020). Virtual Reality Simulation to Enhance Laparoscopic Salpingectomy Skills. Journal of Gynecology Obstetrics and Human Reproduction, 49, Article ID: 101685. https://doi.org/10.1016/j.jogoh.2020.101685
[17]
Li, J. H., Cao, G., Zhang, Y. et al. (2016). Exploration of Laparoscopic Teaching in Animal Surgery Teaching. Chinese Journal of Medical Education, 15, 419-422.
[18]
Li, K. L., & Wang, H. (2021). Discussion on the Current Cultivation of Clinical Medical Professional Postgraduates. Medical Education Research and Practice, 30, 505-508.
[19]
Li, Q., Li, M. Y., Wan, L., Sun, Y. J., & Du, S. (2021). Cultivation of Scientific Research Ability of Clinical Medical Postgraduates under the Standardized Training System. Continuing Medical Education, 35, 44-46.
[20]
Lin, J. T., & Zhang, Y. C. (2019). Application of Literature Report in Clinical Teaching of Standardized Training of Stomatological Residents. Journal of Jinzhou Medical University (Social Science Edition), 17, 60-62.
[21]
Ling, L., Fu, J. J., Fan, Y. H. et al. (2023). Application of Virtual Reality Technology in Resident Standardized Training. Medical Education Management, 9, 360-364.
[22]
Liu, J., & Duan, G. Q. (2023). Application of Virtual Simulation System in the Teaching of Laparoscopic Surgery Common Basic Operations. Chinese Continuing Medical Education, 15, 28-32.
[23]
Liu, P., Gao, S. Y., Lu, J. J. et al. (2019). Analysis of the Results of Clinical Practice Ability Completion Examination of Medical Postgraduates and Residents in Henan Province. China Postgraduate Medical Education, 3, 235-237, 242.
[24]
Liu, X. P. (2019). Analysis of Psychological Stress Status of Residents in the Standardized Residency Training Collaboration Base. Chinese Journal of Medical Education Exploration, 18, 727-732.
[25]
Ma, M. (2023). Research on the Training Strategy of “Dual-Track Integration” Clinical Medical Professional Degree Postgraduates. Employment and Security,No. 10, 172-174.
[26]
Open AI (2022). ChatGPT: Optimizing Language Models for Dialogue.
[27]
Pan, X. L., Ji, F., Gao, L. et al. (2016). Problems and Countermeasures of the Combination of Professional Degree Postgraduate Training and Standardized Training of Clinical Medicine. Journal of Jining Medical University, 39, 440-442, 446.
[28]
Qin, A. Q., Qiu, Y. Q., Chen, S. F. et al. (2021). Research on the Development and Current Situation of Postgraduate Education of Clinical Medicine Professional Degree in China. Journal of Qiqihar Medical College, 42, 249-251.
[29]
Qu, G. L., Wei, Z. Y., & Zhang, Z. Y. (2023). Training of Scientific Research Ability in Standardized Training of Residents. Chinese Medical Record, 24, 78-79, 112.
[30]
Qu, J. J., Shen, Q., Liu, R. et al. (2021). Training and Thinking of Scientific Research Ability in the Standardized Training of Residents in Respiratory and Critical Care Medicine. Medical Education Research and Practice, 29, 168-171.
[31]
Sabry Abdel-Messih, M., & Kamel Boulos, M. N. (2023). ChatGPT in Clinical Toxicology. JMIR Medical Education, 9, e46876. https://doi.org/10.2196/46876
[32]
Spiliotis, A. E., Spiliotis, P. M., & Palios, I. M. (2020). Transferability of Simulation-Based Training in Laparoscopic Surgeries: A Systematic Review. Minimally Invasive Surgery, 2020, Article ID: 5879485. https://doi.org/10.1155/2020/5879485
[33]
Deng, L., & Hu, Q. L. (2022). Application of Problem-Based Learning Teaching Method in Resident Training of General Surgery. China Continuing Medical Education, 14, 40-44.
[34]
Tang, Q. L., Liu, M., Jiang, Q. Y. et al. (2015a). Analysis of Training Characteristics and Training Ideas of Clinical Medical Professional Degree Postgraduates under the “Dual-Track Integration” Model. Journal of Youjiang Mingzu Medical College, 37, 748-751.
[35]
Tang, W., Tian, R. P., & Yang, Y. (2015b). Empirical Study on the Stress Status and Development Factors of Clinical Medical Professional Degree Postgraduates under the “Dual-Track Integration”: A Case Study of Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine. Traditional Chinese Medicine Education, 34, 49-52.
[36]
Tao, Y., Wang, Z. J., Han, J. G. et al. (2023). Cultivation of Scientific Research Quality of Postgraduates under the Dual-Track Model. Chinese Medical Records, 23, 88-90.
[37]
Wang, H., Yu, Y., Guo, X. S. et al. (2023). The Role of the Quality of Medical School Tutors in the Cultivation of Postgraduates’ Scientific Research Innovation Ability. China Continuing Medical Education, 15, 177-181.
[38]
Wang, J. M. (2020). Practice and Exploration of Comprehensive Quality Training of Clinical Medical Professional Degree Postgraduates under the Model of Integration. Chinese Journal Medical Education Exploration, 19, 129-132.
[39]
Wang, Y. Q., Li, X. L., & Wang, Y. G. (2021). Teaching Research on the Combination of “Double-Qualified” Tutor Team for Medical Clinical Postgraduates. Modern Vocational Education,No. 31, 117-119.
[40]
Wang, B., Lai, W. J., Liu, X. Y. et al. (2024). Combining the “Dual-Track” Mode of Medical Professional Degree Postgraduate Student Mental Health Status and Influencing Factors Analysis. West China Medical, 39, 1114-1120.
[41]
Xu, J., Li, X. Y., Li, L. Y., Sun, Y. G., & Feng, S. (2023). Thinking on the Cultivation of Scientific Research Ability of Anesthesia Graduates under the Residential Training System. China Continuing Medical Education, 15, 166-169.
[42]
Xue, W. N., Wu, H. M., Zhao, S. J., & Liu, Y. L. (2021) Meta-Analysis of the Application Effect of Virtual Reality Technology in Laparoscopic Surgery Training. Journal of Laparoscopic Surgery, 27, 293-298, 303.
[43]
Yang, J., Xie, L. C., Zhang, J. X. et al. (2020). Homogenization of Scientific Research Ability in Standardized Training of Residents. China Continuing Medical Education, 12, 50-52.
[44]
Yang, Y., Liu, Z., Song, L., Liu, H., Li, L., & Meng, Y. (2018). Diagnosis and Surgical Therapy of the Retroperitoneal Ectopic Pregnancy: A Case Report. International Journal of Surgery Case Reports, 49, 21-24. https://doi.org/10.1016/j.ijscr.2018.05.027
[45]
Yao, R. R., Geng, H., Yang, C. P. et al. (2024). Application Effect of MOOC in Standardized Training of General Surgery Residents. China Continuing Medical Education,16, 97-101.
[46]
Ye, H. Y., Lin, Y. Q., Zhang, S. F., He, J. H., & Lin, W. M. (2024). Application and Reference of European and American Laparoscopic Simulation Teaching in Standardized Residency Training of Obstetrics and Gynecology. China Postgraduate Medical Education, 8, 157-160.
[47]
Yu, H. J., Qi, X. Y., & Wang, S. L. (2024). Application of Literature Reading in the Standardized Training of Internal Medicine Residents. Journal of Henan Medical College, 36, 284-287.
[48]
Zhang, M. J., Zhang, D. D., Chang, Q. et al. (2024). Application of Internet + Microteaching Combined with Debriefing Teaching Method in the Training of Surgical Laparoscopic Skills. China Higher Medical Education,No. 3, 90-92.
[49]
Zhang, S. Q., Yang, Q., Zhao, Q. Q., & Liu, Y. (2019) Teaching Research on the Cultivation of Scientific Research Ability of Clinical Professional Degree Postgraduates under the Standardized Training System. Medical Education Research and Practice, 27, 89-91, 124.
[50]
Zheng, S. W., Li, P., Wu, Y. et al. (2023). Application Research of Using Academic Journal Resources to Improve the Clinical Thinking Ability of Resident Doctors. China Continuing Medical Education, 15, 136-139.
[51]
Zhong, Y., Li, Q. F., Bu, W. J. et al. (2021). Application of Virtual Reality Technology in Laparoscopic Surgery Teaching and Training and Clinical Practice. International Medical and Health Review, 27, 2497-2500.
[52]
Zhou, Q., Deng, L., Hu, Q. L. et al. (2022). Application of Problem-Based Learning Teaching Method in Resident Training of General Surgery. China Continuing Medical Education, 14, 40-44.
[53]
Zhu, C. L., Bi, W. Y., Cui, X. J., & Zhang, Z. Y. (2021). Virtual Laparoscopic in the Role of Resident Standardization Training. Journal of Basic Medicine and Clinical, 9, 1238-1241.
