Medical Education Management ›› 2025, Vol. 11 ›› Issue (6): 707-714.doi: 10. 3969/j. issn. 2096-045X. 2025. 06. 014

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Practice and exploration of teaching clinic in standardized residency training

Lin Yehua1,2, Huang Yan2, Wang Xuefen2, Wang Jinyu3, Shao Lan1, 2*   

  1. 1. The Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, China; 2.Department of Education, Zhejiang Cancer Hospital, Hangzhou 310022, China; 3. Medical Records andStatistics Office, Zhejiang Cancer Hospital, Hangzhou 310022, China
  • Received:2025-04-07 Revised:2025-04-29 Online:2025-12-20 Published:2026-01-15

Abstract: Objective To explore the effect of teaching clinics on enhancing the clinical competence of residents and theirimplementation effect. Methods All standardized training instructors and postgraduate year (PGY) 2 and 3 residents whoparticipated in the teaching clinic of Zhejiang Cancer Hospital from May 2023 to November 2024 were selected as the studysubjects. The Mini-Clinical Evaluation Exercise (Mini-CEX) scale was used to evaluate the clinical competence ofresidents, and a questionnaire survey was conducted to analyze the implementation effect of teaching clinics. ResultsResidents' clinical competence scores in each dimension in the second Mini-CEX assessment were higher than those in thefirst assessment, with statistically significant differences (P<0. 05). The results of the faculty questionnaire showed that themain difficulties of teaching clinics identified by teachers were hierarchical teaching (68. 42%) and guiding residents toreceive patients independently (63. 16%). The most difficult teaching goal to achieve was cultivating residents' clinicalthinking and decision-making ability (73. 68%), and the content most in need of strengthening was inquiry skills (78. 95%).Conclusion Teaching clinics are helpful to improve residents' clinical practice abilities across all dimensions. However, itremains essential to improve the quality of these clinics by strengthening faculty development, broadening patientrecruitment strategies for teaching clinics, and establishing a regular feedback mechanism.

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