Page 68 - CASA Bulletin of Anesthesiology 2019 Issue 6

CASA Bulletin of Anesthesiology

round oriented to trainees of all grades . In order to ensure the good effect of teaching courses, teachers are en-
couraged to diversify their teaching methods, such as rational use of PBL teaching methods, sandwich teaching
methods, etc ., to avoid pure theoretical indoctrination teaching . At the same time, trainees give their timely eval-
uation on each contents and lecturers immediately after every class through mobile net . Based on the feedback
information, next schedule will adjust the contents of theoretical courses and/or the lecturers accordingly .

2 .4 Teaching and learning of clinical skills in residency training
Compared with other clinical departments, the daily work of anesthesia department has its uniqness . Ac-
cording to the rotation plan, residency trainees are assigned to a subspecialty monthly to practice their clinical
skills on-site . This schedule has its advantage in building a beautiful practice curve, since trainee focused on
similar daily work in each anesthesia subspecialty . But, originally, each teacher has his/her personal habits based
on his/her own clinical experience, which may confuse the residency trainees sometimes . In order to eliminate
maximally the difference between teachers, we formulated a standardized clinical operation process, all of
which are clearly measurable and easy to perform, evaluate and correct .

For years of clinical teaching practice, the Tongji anesthesia department has built its own effective teaching
methods including computer simulation teaching, bedside simulation teaching, difficult and critical discussion
cases, teaching rounds and so on . The training courses of cardio-pulmonary resuscitation, airway management,
puncture technique and nerve block held regularly every year, and which have become the highlights of clinical
skills training for residents of Tongji hospital . Through simulation training, on-site instruction, and real clinical
practice under a principle of ‘letting go and not letting go’, it can not only guarantee the medical safety, but also
accelerate the growth of the trainees .

Developing residents’ ability to practice anesthesia independently is the final goal of three years' residency
training . We must incorporate this three-year goal into their daily training . Case discussion is one of the ways
to investigate the clinical and teaching abilities of residents . This is also an important part of the daily teaching
of Tongji Anesthesia Department. Residents report cases (especially difficult and critical cases) on the operative
day, including reporting the patient's condition, preoperative visit evaluation results, preoperative communica-
tion and treatment, and putting forward anesthesia plan, possible difficulties, plans to solve difficulties, anes-
thesia concerns, etc ., next supplemented by senior residents, and then summarized by the chief anesthesiologist
of the case and expanded the relevant knowledge points, and finally evaluated by the Department director. On
next day, at the morning meeting, the resident will review and summarize the actual anesthesia management
of the case, and the chief anesthesiologist will share and summarize the experience . During the whole process,
resident trainees will find out which anesthesia operations are inadequate, which part of anesthesia management
is not in place, what ideas of anesthesia treatment are problematic, what anesthesia monitoring is missing, and
so on. From planning to implementation to summary analysis, resident trainees will make reflective comparison
and summary by themselves, so as to improve clinical ability . In addition, teaching is the best and most effec-
tive way to improve clinical comprehensive ability . By conducting case-based and problem-oriented teaching
rounds, which led by senior residency trainees, senior residentcy trainees can improve their clinical, teaching
and management abilities by becoming teachers .

2 .5 Attaching importance to the international integration of residency training

Although the standardized resident training in China started late, from the beginning, we attach importance
to the international standards. In China, some first-class hospitals have established international cooperative
bases for resident training and have recruited international resident trainees .

"Opening and Melting " is a distinct characteristics of Tongji Hospital's internationalization . Tongji Hospital
68