Objective  To explore the effect of peer assistance combined with special training before the examination on the scores and pass rate of the first medical skill test of the resident physicians in the standardized training.

Methods  Resident physicians from The First Hospital of Anhui University of Science and Technology who participated in the medical skills examination for the first time in 2023 were selected as the research subjects, they were divided into a control group and a study group according to the random number method. The control group received special training, and the study group received special training combined with peer assistance. The scores of medical technology simulation test, pass rate and satisfaction with training mode were compared between the two groups.

Results  59 residents were included, with 29 cases in the control group and 30 cases in the study group. The scores of the second station, the third station, the total score, the pass rate of skill simulation examination and the satisfaction with training mode in the study group were higher than those in the control group (P<0.05). The pass rate of the medical skill test in the study group was higher than that in the control group (100% vs. 93.10%), and the difference  between two groups was not statistically significant (P>0.05).

Conclusion  Peer assistance combined with special training before medical skill examination can improve the operation ability of resident physicians and the pass rate of the medical skill examination, and provide some reference for the pre-examination training of resident physicians..

1.骆亚莉, 刘凯, 伊琳, 等. 试析以执业医师考试为背景的中西医结合专业本科教学[J]. 中国高等医学教育, 2021, 35(10): 83-84. [Luo YL, Liu K, Yi L, et al. Teaching integrated traditional Chinese and Western medicine majors under the background of examination of medical practitioners[J]. China Higher Medical Education, 2019, 35(10): 83-84.] DOI: 10.3969/j.issn.1002-1701.2021.10.042.

2.石景芬, 李学霞. 住院医师规范化培训质量控制评估指标体系的构建与应用[J]. 中国医药导报, 2017, 14(22): 129-132. [Shi JF, Li XX. Construction of the evaluation index of quality control for standardized training of residents and its implementation[J]. China Medical Herald, 2017, 14(22): 129-132.] https://d.wanfangdata.com.cn/periodical/ChlQZXJpb2RpY2FsQ0hJTmV3UzIwMjMxMjI2Eg95eWN5engyMDE3MjIwMzMaCDNrMm96MnFx.

3.陈艳, 王震, 张革来, 等. 医师资格综合笔试考试结果相关影响因素分析与思考[J]. 继续医学教育, 2019, 33(8): 13-15. [Chen Y, Wang Z, Zhang GL, et al. Analysis and thinking on the influencing factors of the physician's comprehensive written examination results[J]. Continuing Medical Education, 2019, 33(8): 13-15.] DOI: 10.3969/j.issn.1004-6763.2019.08.007.

4.任家孚, 阿荣, 李婧, 等. 基于同伴互助学习的病例汇报在心内科住院医师规范化培训中的应用研究[J]. 中国医学教育技术, 2022, 36(6): 738-746. [Ren JF, A R, Li J, et al. Application of case reporting based on peer-assisted learning in residents' standardized training of cardiology[J]. China Medical Education Technology, 2002, 36(6): 738-746.] DOI: 10.13566/j.cnki.cmet.cn61-1317/g4.202206021.

5.叶嘉欣, 罗林翼, 曾晖, 等. 住培医师执业医师资格考试考前培训模式的探索[J]. 中国继续医学教育, 2023, 15(6): 130-134. [Ye JX, Luo LY, Zeng H, et al. Exploration of the pre-examination training mode for practicing physicians in the residency training[J]. China Continuing Medical Education, 2023, 15(6): 130-134.] DOI: 10.3969/j.issn.1674-9308.2023.06.029.

6.刘冰, 齐殿君. 操作技能直接观察评估在同伴互助学习中的应用[J]. 中国医学教育技术, 2021, 35(3): 379-382. [Liu B, Qi DJ. Application of direct observation of procedural skills in peer-assisted learning[J]. China Medical Education Technology, 2019, 35(3): 379-382.] DOI: 10.13566/j.cnki.cmet.cn61-1317/g4.202103023.

7.杨朝蓉, 林淡珠, 杨素敏, 等. 多元化培训联合同伴互助模式在医务人员烈性传染病个人防护技能培训中的效果评价[J]. 现代医院, 2021, 21(5): 726-729. [Yang ZR, Lin DZ, Yang SM, et al. Effect of diversified training combined with peer support model on the personal protection training against severe infectious diseases for medical staff[J]. Modern Hospital, 21(5): 726-729.] DOI: 10.3969/j.issn.1671-332X.2021.05.023.

8.冯其柱, 许磊, 杨怀成. 分层递进式教学方法在肝胆外科临床实践教学中的应用探索[J]. 九江学院学报(自然科学版), 2023, 38(3): 1-5. [Feng QZ, Xu L, Yang HC. Application of hierarchical and progressive teaching method inpractical teaching of hepatobiliary surgery[J]. Journal of Jiujiang University (natural sciences), 2023, 38(3): 1-5.] DOI: 10.19717/j.cnki.jjun.2023.03.001.

9.荆志鸿, 阚丹. 临床执业医师资格分阶段考试背景下强化技能操作培训的研究与实践[J]. 中国医学教育技术, 2020, 34(2): 233-236. [Jing ZH, Kan D. Research and practice of strengthening skill operation training under the background of two-period national medical licensing examination[J]. China Medical Education Technology, 2020, 34(2): 233-236.] DOI: 10.13566/j.cnki.cmet.cn61-1317/g4.202002029.

10.慎华平, 阮恒超, 陈雪东, 等. 住院医师规范化培训临床操作技能现况的问卷调查与对策研究[J]. 中国高等医学教育, 2022, 36(9): 59-61. [Shen HP, Ruan HC, Chen XD, et al. A questionnaire survey and countermeasure study on the status quo of clinical operation skills in standardized training of resident physicians[J]. China Higher Medical Education, 2022, 36(9): 59-61.] DOI: 10.3969/j.issn.1002-1701.2022.09.028.

11.蓝妍玲, 乡汝浩, 刘智慧, 等. 带教师资视角下的住院医师规范化培训现状与对策研究——基于CIPP评价模型[J]. 现代医院, 2023, 23(1): 133-136, 139. [Lan YL, Xiang RH, Liu ZH, et al. A study of the current situation and countermeasures of standardized residency training from the perspective of lead teachers-based on CIPP evaluation model[J]. Modern Hospitals, 2023, 23(1): 133-136, 139.] DOI: 10.3969/j.issn.1671-332X.2023.01.037.

12.陈谨瑜, 叶燕青, 何莉, 等. 武汉大学中南医院住院医师规范化培训临床技能考核结果分析[J]. 中国医药导报, 2023, 20(16): 70-74. [Chen JY, Ye YQ, He L, et al. Analysis of clinical skill assessment results of standardized training for resident doctors in Zhongnan Hospital of Wuhan University[J]. China Medical Herald, 2023, 20(16): 70-74.] DOI: 10.20047/j.issn1673-7210.2023.16.15.

13.朱雅男, 苗雷英, 汤旭娜, 等. 基于个体差异的牙体牙髓病科住院医师规范化培训教学探索[C]. 2015年全国口腔医学教育学术年会论文集, 2015, 576-578. [Zhu YN, Miao LY, Tang XN, et al. Exploration on standardized training and teaching of resident physicians in the Department of Dentistry and Endodontics based on individual differences[C]. Proceedings of the 2015 National Annual Conference of Dental Medicine Education, 2015, 576-578.] https://d.wanfangdata.com.cn/conference/ChZDb25mZXJlbmNlTmV3UzIwMjQwMTA5Egc4Nzg5NTU0GghtZWU3eXRoeQ%3D%3D.

14.周爱意, 李顺乐, 田澍蔚, 等. 多维度分层递进式教学法在眼科住院医师规范化培训中的探索与实践[J]. 高校医学教学研究(电子版), 2023, 13(4): 14-18. [Zhou AY, Li SL, Tian SW, et al. The exploration and practice of multi-dimensional hierarchical progressive teaching method in standardized training of the residents in the department of ophthalmology[J]. Medicine Teaching in University (Electronic Edition), 2023, 13(4): 14-18.] DOI: 10.3868/j.issn.2095-1582.2023.04.003.

15.马冬梅, 张彦虎, 冯刚, 等. 自主学习结合标准化培训对助理执业医师技能考核通过率的影响[J]. 中国标准化, 2022(20): 250-253. [Ma DM, Zhang YH, Feng G, et al. The influence of independent learning combined with standardized training on the passing rate of skill assessment for assistant medical practitioners[J]. China Standardization, 2022(20): 250-253.] DOI: 10.3969/j.issn.1002-5944.2022.20.052.