关键词: 住院医师, 规范化培训, 外科, 技能培训, 问卷调查

Abstract: Investigation and analysis of the participation in basic skill training of surgical residents of Zhongshan Hospital，Fudan University        CHEN Ling*，YA Na，YU Qing，et al. *Department of General Surgery，Zhongshan Hospital，Fudan University，Shanghai 200032，China
Corresponding author：WANG Hong-shan，E-mail: wang.hongshan@zs-hospital.sh.cn
Abstract Objective To investigate the current situation of the basic skills training of surgical residents in standardized training program. Methods A questionnaire survey was conducted on the participation of surgical residents in the standardized training program of Zhongshan Hospital，Fudan University in July 2020. Results A total of 87 valid questionnaires were collected，of which 73 (83.9%) had participated in at least one training course. The participants with non-doctoral degree，as well as those in the first year of training，showed higher participation in the training. The proportion of non-doctorate respondents who participated in basic training on the use of surgical anastomotic devices was significantly higher than that of respondents with doctoral degree (P<0.05)，while respondents who involved in the first year of training participated in basic surgical suture training and laparoscopic surgery. Significantly higher than those who involved training in the second and third years (P<0.05). According to the respondents，the highest rated course was "basic training on the use of surgical energy instruments". Respondents with a doctoral degree gave a significantly higher evaluation of basic surgical suture training than those with a non-doctoral degree (P<0.05). Respondents who involved in the second and third years of training gave a significantly higher evaluation of basic training in the use of surgical energy devices than those who involved in the first year of training of respondents (P<0.05). Ninety-two percent（80/87）of the respondents thought that the main reason for not being able to participate in the training was "too busy to have time"，and 60.9% (53/87) of the respondents hoped that the courses would be arranged "in the working day". Respondents generally believe that the most important feature of training courses was "practicality"，and doctoral respondents preferred more advanced training than non-doctorate respondents (P<0.05). Respondents who had participated in training pay more attention to systematic training than those who had not (P<0.05). Respondents with a doctoral degree pay more attention to the advanced training than those with a non-doctoral degree (P<0.05)，and those who have participated in the training pay more attention to the systematic training than those who have not (P<0.05). Conclusion    Clinical skills training should fully consider the different qualifications and actual needs of the trainees. The training courses should be designed differentiated，and arranged the time reasonably. At the same time，the course content should be practical and systematic throughout.

Key words: resident, standardized training, surgery, skills training, questionnaire survey