Current status of standardized training of pediatric anesthesiologists in different regions of China
10.3760/cma.j.cn116021-20240219-01922
- VernacularTitle:中国不同地区儿科麻醉学专科医师规范化培训现状分析
- Author:
Yuguan ZHANG
1
;
Bo ZHU
1
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院麻醉科，北京 100730
- Publication Type:Journal Article
- Keywords:
Specialist physician;
Pediatric anesthesiology;
Standardized training;
Current status
- From:
Chinese Journal of Medical Education Research
2024;23(12):1596-1602
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of standardized training of pediatric anesthesiologists in different regions of China and the feedback from trainees on the training process and results.Methods:In this retrospective cross-sectional study based on the data of the national survey in 2022, a questionnaire survey was conducted among the anesthesiologists who had received specialized training in 39 training bases for pediatric anesthesia in China, and based on the report of National Bureau of Statistics, China was divided into four regions for analytical purposes. IBM SPSS Statistics 25 was used to perform statistical analyses, and the Kruskal-Wallis H test was used for comparison of continuous data and ranked data between multiple groups. Results:A total of 174 questionnaires were collected, among which there were 155 valid questionnaires (89.08%). Most individuals participating in the specialized training were married women aged 31-35 years, and they mainly held a master's degree and worked at a comprehensive grade A tertiary hospital before training, with a registered specialty of surgery. As for the supporting measures for specialized training, the working hours in the eastern region were significantly shorter than those in the central region ( P=0.033), while the hourly wage in both the central and eastern regions was significantly higher than that in the northeast region ( P=0.005). As for the degree of satisfaction with the assessment and management systems of the specialized training, compared with the northeastern region, the western region showed a significantly higher degree of satisfaction with the assessment of comprehensive clinical ability at the time of recruitment and the system operation of final theoretical assessment ( P=0.017 and 0.031). As for the degree of satisfaction with the completion of teaching activities of the specialized training, the northeast region showed a significantly higher degree of completion of 360-degree evaluation than the eastern region ( P=0.015), while compared with the northeast region, the western region showed significantly better performance in guaranteeing the teaching activities once a week ( P=0.003). In addition, the northeast region showed significantly better performance than the central region in terms of independent outpatient services ( P=0.034), while the western region showed significantly better results than the northeast region in the difficulty of final theoretical assessment and its consistency with the goals of specialized training ( P=0.046). As for the self-evaluation of physicians receiving specialized training, the western region showed a significantly higher self-evaluation of clinical thinking than the eastern region ( P=0.011). Conclusions:There are certain differences in the supporting measures, management systems, and teaching contents of specialized training and self-evaluation by physicians receiving specialized training. This feedback can enhance the exchange and learning across different regions of China, promote the quality of specialized training, and improve the degree of satisfaction among physicians receiving specialized training.
