关键词: 耳鼻咽喉头颈外科学, 　结构式报告, 　内镜, 　医学教育, 　住院医师规范培训

Abstract: Objective  To explore the application value of structured report in the standardized endoscopic training of otorhinolaryngology residents. Methods  Thirty residents from the First Affiliated Hospital of Sun Yat-Sen University were selected and divided into experimental group and control group. The experimental group was trained in operation and writing using structured report templates, while the control group adopted free text. The third party, unaware of the grouping, shall spot check the reports and conduct quality evaluation to analyze the differences between the two groups. Results  The experimental group was better than the control group in terms of the completeness of report content, the accuracy of structure description, the accuracy of professional terms and the practicability of differential diagnosis (P<0.05). There was no significant difference in the accuracy of disease description between the two groups (P≥0.05). The experimental group was significantly better than the control group in the mastery of knowledge points, but the operation intensity was also stronger than the control group (P<0.05). Conclusion  The use of structured reports is conducive to the endoscopic standardization among otolaryngology residents. It can provide a good platform for getting familiar with anatomy, understanding lesions and improving the writing ability of standardized clinical reports.

Key words: otolaryngology head and neck surgery, structured reports,  endoscopic, medical education, standardized training of residents