China will fully implement the standardised training system for residents in 2020

Yu, Xiao; Zhu, Shao-yi

doi:10.1136/postgradmedj-2020-138556

Cited by 17 publications

(6 citation statements)

References 7 publications

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“…Besides its impact on HPs, WPV will also damage the accessibility and quality of the health system, and may lead to public dissatisfaction with the government ( 31 ). Previous literature showed that the Chinese government has tried to reduce the risk of deterioration of doctor-patient relationships through medical and educational reforms, such as training family doctors to develop a strong primary health system ( 32 ), and establishing a standardized resident training system to improve the ability of young doctors ( 33 ). Although some achievements have been achieved, there are still many challenges to solve the problem of WPV against HPs.…”

Section: Discussionmentioning

confidence: 99%

“…Attacking doctors violently will make all medical staff feel pain and helplessness. doctor-patient relationships through medical and educational reforms, such as training family doctors to develop a strong primary health system (32), and establishing a standardized resident training system to improve the ability of young doctors (33). Although some achievements have been achieved, there are still many challenges to solve the problem of WPV against HPs.…”

Section: 医学界网站mentioning

confidence: 99%

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Workplace violence against doctors in China: A case analysis of the Civil Aviation General Hospital incident

Du²,

Chen³

et al. 2022

Front. Public Health

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BackgroundViolence against health professionals is a global public health problem. In 2019, a doctor was killed in Civil Aviation General Hospital (CAGH), which triggered national discussion about hospital violence. Sina Weibo, the Chinese version of Twitter, played an important role in this public discussion. The CAGH incident provides us with an opportunity to explore how social media was used in the discussion on violence against doctors.MethodsUsing the built-in search engine of Sina Weibo, a data set containing 542 Chinese micro-blogs was established. Three keywords: Civil Aviation General Hospital, doctor, and knife were used to search for related posts between December 24th, 2019 and January 19th, 2020. We made a content analysis of the posts to investigate: Weibo users' demographics, views about the incident of CAGH, and measures to prevent hospital violence.ResultsOverall, 89.3% of the posts were sent by individual Weibo users, and 10.7% by organizations. Among the individual users, doctors accounted for 27.4%, but only 1.0% came from the legal profession. In addition, 86.7% of the micro-blogs expressed sympathy for the attacked doctor, and 23.1% of the micro-blogs thought that the imperfect medical system was the main cause of the accident. Nearly half of the posts described their disappointment with the government and the society, and 58.6% of medical staff users expressed regret for engaging in medical work. Only 14.2% of micro-blogs put forward some constructive strategies to prevent hospital violence.ConclusionWeibo users played an important role in spreading and discussing the CAGH incident. However, constructive measures to protect doctors were rarely mentioned, and legal opinions were not reflected in time. Hospital violence has caused public dissatisfaction with the government and weakened the professional confidence of medical staff. Occupational health and public health stakeholders must take effective measures to solve workplace violence against doctors.

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Section: Discussionmentioning

confidence: 99%

Section: 医学界网站mentioning

confidence: 99%

Workplace violence against doctors in China: A case analysis of the Civil Aviation General Hospital incident

Du²,

Chen³

et al. 2022

Front. Public Health

Self Cite

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“…Different from other countries, China has a three-tier medical education system, which includes undergraduate, master’s, and doctoral stages. In China, medical postgraduates are required to complete their academic research and clinical work at the same time, and they usually undergo more years of training than their peers in non-medical majors [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

High prevalence and risk factors of dropout intention among Chinese medical postgraduates

Peng

Yang

Liu

et al. 2022

Medical Education Online

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Background A high attrition rate in medical students has exacerbated the physician shortage in China. However, few studies have explored the risk factors of dropout intention in medical postgraduates. This study compared the prevalence of dropout intention and mental distress between medical and non-medical postgraduates in China and investigated risk factors for dropout intention. This study also explored the impact of medical postgraduates’ perception of the Chinese healthcare environment on their mental status and dropout intention. Methods This cross-sectional study was conducted using online questionnaires from October 2020 to April 2021. Convenience sampling was used to recruit postgraduates in different majors. Outcomes included dropout intention and potential risk factors, including mental distress, quality of life, and fatigue. Medical postgraduates were additionally assessed for healthcare environment satisfaction, burnout, career choice regret, and experiences of workplace violence. A logistic regression model was constructed to evaluate the association between dissatisfaction, mental distress, and turnover intention. Results A total of 740 medical and 670 non-medical postgraduates participated in the survey. The rates of depression symptoms (33.8% vs. 39.0%, p < 0.001), anxiety symptoms (22.2% vs. 32.4%, p < 0.001), and somatic symptoms (34.7% vs. 42.4%, p = 0.004) were lower in medical postgraduates, while more medical postgraduates (58.4% vs. 48.4%, p < 0.001) reported dropout intention. Dissatisfaction with the healthcare environment (odds ratio [OR]: 1.65; 95% confidence interval [CI]: 1.17–2.34, p = 0.005), career choice regret (OR: 6.23; 95% CI: 4.42–8.78, p < 0.001), and high perceived stress (OR: 2.74; 95%CI: 1.90–3.94, p < 0.001) remained independently associated with turnover intention. Conclusions Mental distress is common among postgraduates, calling for timely interventions. Medical postgraduates reported higher turnover intention. Healthcare environment perception also affected the mental health and dropout intentions of medical students. A decent future income, reduced workload, shorter duration medical training, and better doctor-patient relationships are urgently needed.

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“…), an undergraduate degree and a postgraduate degree, respectively. Standardised residency training has been made mandatory, and the training period for both undergraduate and graduate students is generally 3 years 9. For those with postgraduate medical degrees and physicians who are already engaged in clinical medical practice, the training hospitals determine the specific time and content of residency training following the training standards, taking into account their clinical experience and practical ability.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with graduation examination results from standardised residency training in Zhejiang Province, China: a cross-sectional analysis of medical examination results data from 2020

Gao

Xia

et al. 2023

BMJ Open

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ObjectiveStandardised residency training is an important part of postgraduation medical education in China. The graduation examination tests the effect of residency training and is an important measure to guarantee the quality of residency training. This study aimed to analyse the results and associated factors of the graduation examination of standardised residency training in Zhejiang Province in 2020.DesignCross-sectional analysis of examination results data.SettingMedical and health institutions and universities in Zhejiang Province.ParticipantsA total of 5555 examinees took the graduation examination of standardised residency training in Zhejiang Province in 2020.Primary outcomesPass rates of the practical skill examination and written examination.ResultsThe pass rates for the practical skill examination and written examination were 91.8% and 96.5%, respectively. Examinees aged 30 and above (adjusted OR (AOR)=0.48, 95% CI 0.26 to 0.89), those with 3 years (AOR=0.19, 95% CI 0.09 to 0.43) and 2 years (AOR=0.61, 95% CI 0.40 to 0.96) of training, those who retook the examination (AOR=0.28, 95% CI 0.20 to 0.391) and those from primary healthcare institutions (AOR=0.56, 95% CI 0.40 to 0.77) were less likely to pass the practical skill examination. Examinees with a postgraduate degree and those from colleges and universities had higher pass rates in the written examination (AOR=6.37, 95% CI 1.95 to 23.34; AOR=2.87, 95% CI 1.40 to 6.65, respectively). Examinees aged 30 and above (AOR=0.08, 95% CI 0.01 to 0.30), those aged between 25 and 30 (AOR=0.22, 95% CI 0.03 to 0.80), those who retook the examination (AOR=0.04, 95% CI 0.03 to 0.07), those from second-level hospitals (AOR=0.58, 95% CI 0.39 to 0.87) and those who failed the practical skill examination (AOR=0.17, 95% CI 0.12 to 0.25) were less likely to pass the written examination.ConclusionsThe pass rate of the graduation examination of standardised residency training was associated with the individual characteristics of the examinees. The results of practical skill examination were related to the results of the written examination.

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China will fully implement the standardised training system for residents in 2020

Cited by 17 publications

References 7 publications

Workplace violence against doctors in China: A case analysis of the Civil Aviation General Hospital incident

Workplace violence against doctors in China: A case analysis of the Civil Aviation General Hospital incident

High prevalence and risk factors of dropout intention among Chinese medical postgraduates

Factors associated with graduation examination results from standardised residency training in Zhejiang Province, China: a cross-sectional analysis of medical examination results data from 2020

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