Research On Target System Of Evaluating The Scandalized Base For Training Residents

Objectives: The evaluated guideline system of standardized residents training center is very important in strengthening residents training center construction, improving the quality of standardized residents training. At present, there is not a serial of full, scientific, standardized guideline system of standardized residents training center in the whole nation regardless of our province, the aim of this study is to offer practical evaluable guidelines for establishing this system.The main study courses are as follows: According to theoretic analysis, social investigation, specialists advice, and referring to associated regulations of health ministry and related rules about residents training stipulation using in 3 hospital of 3 A grade in Anhui Province, the primary 9 categories and 42 variables were set up, and the method of two courses of Delphi analysis and social investigation were used in the study.In our study there are 95.83% and 100% availability feedback ratio, the adopted ratio of specialists advice are 86.67%, 100% in the 2 courses. The invited specialists are the Head or main manager from Department of Medical Administration, Department of Personnel, Department of Science and Technology, and the clinic specialists from Department of Medicine, Department of Surgery, Department of Gynecology and Obstetrics, Department of Paediatrics, Department of Image in 3 hospitals of 3A grade in Anhui province. There are 46 specialists, among them there are 43 Professor, 3 middle-rank specialists; 21 clinical speciality, 12 clinical specialists and teaching manager, 13 manger .All of 46 specialist joined the two course of study, so the integrality and reliability can be guaranteed.Results: According to specialist's prediction, 6 predict valuables, that is, weighted arithmetic mean, full-score ratio, coefficient of variation, sum of ranks, coefficient of concordance and significance test are calculated. By means of equal probability rules, relative significances of each valuable are calculated, according to its relative significance 41primarr variables and 9 secondary valuables are confirmed as evaluated system in residents standardized training center. That is: (1)essence qualification in hospital(the grade of hospital, department or specialty setting, department building and technology level, books and data, communication and internet building, classroom , (2)organized manage(definitude responsibility, right institutions, full-time manger),(3)rules(training register, check on work attendance, qualification checkup before examination inspiriting and eliminating mechanism),(4) training organization and scheme(training outlines and detailed rules, training plans and schemes, the lead of organization, training methods),(5)training contents(clinical ability, politics and attitude, clinical morality and ethos, teaching ability, research and innovation ability, work attitude, foreign language level, basic academic knowledge), (6) training outlay(special outlay, invested ratio, other outlay source), (7) examination(methods, contents, records, organization), (8) teaching resource construction(science and technology ability, education and foster students, framework of educational background specialty title), (9) detail aboutactualization(training ration of residents, evaluating training effects, training time, training rotation ,training records).As a whole, predict coefficient of concordance of all variables is 0.532,significance level is 0.01, It is concluded that all variables have good concordances from above result, so in this study Delphi method is triumphantly used, and the results are advisable system.