Objective:To explore the application effect of the tutorial system combined with one minute preceptor (OMP) in the standardized residency training of emergency medicine.Methods:A total of 48 residents who trained in the Department of Emergency, Zaozhuang Municipal Hospital Affiliated to Jining Medical College from January 2017 to December 2019 for ≥ 3 months were assigned randomly into control group ( n=24) and observation group ( n=24). The control group were given the traditional teaching mode only; while the observation group were given the tutorial system combined with OMP teaching mode, that was, a tutor was assigned to each training resident, and the teaching and training was carried out according to the teaching plan. After the rotation, the graduation examination was conducted, and the differences between the two groups were compared. SPSS 22.0 software was used for t test. Results:The clinical skills examination scores of the control and observation group were (47.50±3.91) points and (43.80±6.52) points respectively, with significant differences between the two groups ( t=2.42, P=0.020). The clinical operation technology examination scores of the control and observation group were (80.00±6.51) points and (75.10±6.19) points respectively, with significant differences between the two groups ( t=2.68, P=0.010). The clinical skills score and operation techniques score of the residents in the observation group were significantly better than those in the control group, and both were better than before training. Conclusion:The new training method of tutorial system combined with OMP can improve the clinical skills and operation techniques of the emergency residents significantly, which is worth being popularized and applied in clinical teaching.

A 69-year-old male patient was given pituitrin 24 U dissolved in 0.9% sodium injection for continuous intravenous pump once per 12 hours for alcoholic cirrhosis complicated by upper gastrointestinal hemorrhage. At the same time, omeprazole, octreotide, hemocoagulase, plasma, and symptomatic and supportive treatments were given conventionally. On the second day, the patient developed tongue swelling. Considering that it might be related to therapeutic drugs, intravenous injection of dexamethasone 5 mg and intramuscular injection of promethazine 25 mg were given. Due to the improvement of bleeding symptoms, pituitrin was stopped and other drugs continued to be used. Eight days later, black stool recurred in the patient and pituitrin was given again. The next day, the patient had tongue swelling again, which was improved after the same treatments. The patient′s tongue swelling was considered as angioedema caused by pituitrin.

A 69-year-old male patient was given pituitrin 24 U dissolved in 0.9% sodium injection for continuous intravenous pump once per 12 hours for alcoholic cirrhosis complicated by upper gastrointestinal hemorrhage. At the same time, omeprazole, octreotide, hemocoagulase, plasma, and symptomatic and supportive treatments were given conventionally. On the second day, the patient developed tongue swelling. Considering that it might be related to therapeutic drugs, intravenous injection of dexamethasone 5 mg and intramuscular injection of promethazine 25 mg were given. Due to the improvement of bleeding symptoms, pituitrin was stopped and other drugs continued to be used. Eight days later, black stool recurred in the patient and pituitrin was given again. The next day, the patient had tongue swelling again, which was improved after the same treatments. The patient′s tongue swelling was considered as angioedema caused by pituitrin.