Administrative Measures for the Management of Standardized Training for Resident Physicians Trial .

Summary. Hello dear Your question is: What stage has the standardized training system for residents entered as follows:

The first stage (standardized training for residents) is three years, within the scope of the second-level disciplines, students will rotate to participate in the clinical medical work of the main departments of the discipline and carry out comprehensive and systematic basic training in clinical work. The second stage (standardized training of specialists) standardized training for specialists is an important part of medical education after graduation, and it is a reliable way to train clinicians who can independently and standardize the diagnosis and treatment of diseases on the basis of standardized training for residents. on 2022-10-21

Hello dear Your question is: what stage has the standardized training system for residents entered as follows: the first stage (standardized training for residents) is three years, within the scope of the secondary disciplines, rotate to participate in the clinical medical work of the main departments of the discipline, and carry out comprehensive and systematic basic training in clinical work.

The second stage (standardized training of specialists) is an important part of post-graduation medical education, and it is a reliable way to train clinicians who can independently and standardize the diagnosis and treatment of diseases on the basis of standardized training of residents, and the main training mode is "5+3+x", that is, after 5 years of undergraduate education in medical specialties and 3 years of standardized training for residents, 2-4 years of standardized training for specialists will be carried out according to the training standards and requirements of each specialty. Become a clinician with good general knowledge of health care, solid professional quality and ability, basic specialty expertise and corresponding scientific research and teaching ability. The training should be carried out in a recognized training base, mainly to participate in the clinical practice ability training of the specialty, and at the same time receive rotation training in relevant departments and relevant clinical research and teaching training. Those who have completed the training and passed the national unified final theory examination and clinical practice ability assessment can obtain the "Standardized Training Certificate for Specialist Doctors" in the national unified system.

Standardized residency training (residency) is the only way for medical students to grow into qualified doctors. Since 2014, when the country fully implemented residential training, the overall progress of pediatric residential training has been smooth and remarkable results have been achieved. In order to further adapt to the current situation of residency training, meet the needs of national pediatric training, and improve the quality of pediatric training, the Pediatric Professional Committee organized expert representatives to brainstorm and appropriately revise the two standards of pediatrics, the Standards for the Recognition of Standardized Training Bases for Residents and the Content and Standards for Standardized Training for Residents.

Standardized training means standardized training.

The standardized training of residents originated in 1993, and the Ministry of Health issued the "Notice on the Implementation of the Trial Measures for the Standardized Training of Clinical Residents", which is an important part of the post-graduation education of medical students.

There are five main categories of graduates recruited by the state, namely unified enrollment, merger students, orientation students, commission trainees and self-financed students, among which commission trainees are students trained by the school entrusted by relevant departments or units, and the training fee is paid by the entrusting department or unit to the school or paid by the student's family.

In 2009, the "Opinions on Deepening the Reform of the Medical and Health System" was issued, which clearly stated that it was necessary to "establish a standardized training system for resident doctors". Tianjin, Shanghai, Liaoning, Jiangsu, Beijing, Zhejiang and other qualified regions have launched and implemented standardized training for local residents in 2009, 2010, 2011, 2011, 2012 and 2012 respectively in accordance with the national deployment.

It also clearly requires all clinicians with a bachelor's degree or above to receive standardized residency training.

In December 2013, the former National Health and Family Planning Commission and other 7 departments issued the "Guiding Opinions on the Establishment of a Standardized Training System for Resident Doctors" (hereinafter referred to as the "Guiding Opinions"), marking that China began to promote the establishment of a standardized training system for resident doctors at the national level.

However, taking into account the imbalance in the economic and social development of the country and the fact that the basis of standardized training for resident doctors is quite different, the "Guiding Opinions" does not implement a one-size-fits-all approach, but stipulates: "In 2015, all provinces (autonomous regions and municipalities) will fully launch the standardized training of resident doctors;

By 2020, a standardized training system for residents will be basically established, and all clinicians with a bachelor's degree or above who are newly admitted to medical positions will receive standardized training for residents", and all localities will be allowed to take 2020 as a transition period for the establishment of a standardized training system for residents.

Rotation assessment. Stage assessment.

Comprehensive exams. Exit assessment.

Annual appraisal. The standardized training assessment of residents includes process assessment and completion assessment, with the focus on process assessment. Passing the process assessment and passing the physician qualification examination are the necessary conditions for participating in the final examination.

The process assessment is a dynamic and comprehensive evaluation of the residency rotation training process. The process assessment is generally arranged after the completion of the rotation training of a professional department, and the training base strictly organizes and implements it in accordance with the standardized training content and standards of each specialty.

The final assessment includes a theoretical assessment and a clinical practice ability assessment. The health and family planning administrative department or the relevant industry organizations and units designated by it shall formulate the requirements for the completion of the assessment, establish a theoretical assessment question bank, formulate the assessment standards for clinical practice ability, and provide assessment guidance; The provincial health and family planning administrative departments or their designated industry organizations and units are responsible for organizing and implementing the final assessment, extracting the annual theoretical assessment questions from the theoretical assessment question bank established by the state, organizing the theoretical assessment, and arranging the implementation of the clinical practice ability assessment.

There are two standards for the new version of standardized training for residents: the content and standards of standardized training for residents (2022 edition) and the standard for standardized training bases for residents (2022 edition).

A kind of doctor's title, which is below the attending physician, belongs to the junior title. In the industry, it is referred to as "resident and promoted hospital doctors".

Its responsibilities are mainly to complete the basic medical work of the blind elderly, including admitting patients, recording the course of the disease, issuing medical orders under the guidance of senior physicians, and carrying out certain clinical operations.

After a certain period of professional training, residents can be promoted to attending physicians after meeting the requirements of residency training. It is necessary to distinguish it from the concept of "chief resident": the former is the title of the title, and the latter is the title of the position.

Large hospitals require doctors to be promoted from resident to attending physician before they must engage in medical work as a "resident chief physician", which is characterized by 24 hours of not leaving the ward and its vicinity, and the general period is one year.

In hospitals, it has a higher status than the average resident, but not as well as the attending physician. In some hospitals, the chief resident physician also arranges shifts to perform the functions of "department secretary" or "administrative department director". Chief Resident Physician, abbreviated as "Chief Resident".

The General Office of the National Health and Family Planning Commission on printing and disseminating.

Criteria for the Recognition of Standardized Training Bases for Resident Physicians (Trial) and.

Notice on the content and standards of standardized training for residents (for trial implementation).

National Health Office Science and Education Development 2014 No. 48.

Health and Family Planning Commissions (Health Departments and Bureaus) of all provinces, autonomous regions and municipalities directly under the Central Government, and Health Bureaus of the Xinjiang Production and Construction Corps

In order to implement the "Guiding Opinions on the Establishment of a Standardized Training System for Resident Doctors" (National Health Science and Education Fa Potato Bang No. 56, 2013) and further improve the quality of resident training, our committee organized and formulated the "Identification Standards for Standardized Training Bases for Resident Doctors (Trial)" and "Standardized Training Content and Standards for Resident Doctors (Trial)" (can be discussed from the National Health and Family Planning Commission). It is hereby issued to you, please conscientiously implement it in combination with local conditions, and earnestly improve the standardization level of the construction, identification, management and training implementation of training bases, so as to ensure the quality of personnel training.

Attachments: 1Accreditation Standards for Standardized Training Bases for Resident Physicians (Trial).pdf2.Standardized training content and standards for residents (trial).pdfGeneral Office of the National Health and Family Planning Commission.

August 25, 2014.