Page 67 - CASA Bulletin of Anesthesiology 2019 Issue 6

Vol.6, No.6, 2019

In order to improve the quality of teaching, the "tutorial system" was introduced into the residency standard-
ized training in anesthesia department of Tongji hospital since 2015 . The tutor of individual resident has respon-
sibility for the trainee' acquirements in learning, living and working . On the one hand, the "tutor system" arous-
es the enthusiasm, responsibility and honor of teachers, on the other hand, it strengthens the sense of belonging
and initiative of residents, and improves the teaching and clinical level as a whole . It is a win-win institution .

2 .2 Strengthening residential management team:

At the beginning of residential training, the teaching secretarial work was completed by 1-2 attending anes-
thesiologists on their part-time, and the actual daily work arrangement of residential trainees was arranged by
the clinical chief resident according to the rotation schedule of trainees . As the continuous development of res-
idency training, the number of residents is increasing, and the workload of teaching management has increased
significantly. Also, as the development of hospital and anesthesia department, new business is developed, and
clinical workload is increasing sharply . At present, the department has opened 110 operating rooms, 56 PACU
beds . In 2018, there were more than 115,000 cases of anesthesia in operating rooms, 40,000 anesthesia cases in
clinics and more than 8,000 cases in pain clinics . The residents have become important part of the anesthesiol-
ogy staffs, who have participated in a large part of the daily clinical work . The contradiction between the teach-
ing plan of residents and the bias of actual work rotation has become more and more prominent .

In order to complete the teaching work with higher quality, grasp the actual learning situation of residential
trainees, guarantee the teaching effect and meet the basic requirements of residential training, an attending an-
esthesiologist has departed from clinic work and become a full-time teaching secretary since June 2018 . As a
bridge between residency training and clinical work, the full-time teaching secretary can manage the daily work
of residents to guarantee the rotation plan . At the same time, the full-time teaching secretary shas trengthened
the teaching evaluation and feedback, thus has promoted communication between teachers and residents, and
has achieved better outcome .

2 .3 Teaching and learning of theory knowledge in residency training

Anesthesiology as a subject, has its unique theory which needs some efforts to understand even for students
major in this discipline . Considering the different education backgrounds, we have been exploring how to effec-
tively teach these anesthesia theories to such a divergent trainees .

At the beginning of residency training, the proportion of non-stuff-contacted resident trainees (not stuff of
Tongji Hospital) was relatively low, and most of the residents were newly recruited stuffs of Tongji Hospital .
They were generally highly educated, self-motivated and highly accomplished . The didactic classe is organized
once a week, which emphasis on new knowledge, new progress, and new business development and renewal .
In addition, we have paid equal attention on the training of clinical, teaching and scientific research ability.
Through residency training, the trainees achieved good results . They published many articles on clinical, teach-
ing and scientific research. Some of them also participated in or even hosted various kinds of research funds and
won awards in teaching competitions .

With the development of residency training throughout the country, the proportion of non-stuff-contacted
resident trainees participating in residency training have increased . However, the educational background of the
enrolled residency trainees is weakened, and their personal abilities, especially the ability of self-learning, clin-
ical work, scientific research and teaching, are obviously inadequate. In order to adapt to the students' abilities,
we relate in didactic class to be more clinical, and adopt a step-by-step teaching course design . The didactic
courses are divided into four parts: primary, intermediate, advanced and updated knowledge, which are all-
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