协和医学杂志2026，Vol.17Issue(5)：1256-1264,9.DOI:10.12290/xhyxzz.2026-0807
外科住院医师衔接教育课程的构建与初步应用评价
Development and Preliminary Evaluation of a Transition-to-Residency Curriculum for Surgical Residents
摘要
Abstract
Objective This study aimed to systematically construct a transitional curriculum for newly recruited surgical residents and to evaluate its preliminary application outcomes through pre and postimplement-ation assessments,so as to provide practical references for the design and dissemination of such curricula.Methods A singlecenter historical controlled design was adopted.Residents admitted in 2020 served as the traditional teaching group(preimplementation),while those admitted in 2024 served as the teaching reform group(postimplementation).Both groups completed selfadministered surveys three months after admission.Fol-lowing Kern's sixstep approach,the transitional curriculum for surgical residents was developed based on needs assessment results,comprising 18 theoretical lectures and 3 practical skill training sessions,all delivered within the first three months after admission.Selfadministered questionnaires were used to assess clinical readiness and teaching satisfaction in both groups at three months postadmission.Betweengroup comparisons were performed using independent samples ttests,with Cohen's d effect sizes calculated,along with sensitivity analyses and power analyses.Results The teaching reform group(n=33)demonstrated higher scores across all dimensions of clinical readiness and teaching satisfaction compared with the traditional teaching group(n=22),although none of the differences reached statistical significance(all P＞0.05).Overall clinical readiness improved from 6.82±2.13 to 7.15±1.37(mean difference 0.33,95%CI:-0.61 to 1.28);satisfaction with teaching work increased from 7.45±1.71 to 7.88±1.65(mean difference 0.43,95%CI:-0.50 to 1.35);and satisfaction with faculty instruction rose from 7.95±1.76 to 8.61±1.52(mean difference 0.66,95%CI:-0.24 to 1.55).Power analysis indicated that the current sample size could detect a minimum betweengroup difference of ap-proximately 1.32 points in teaching satisfaction,whereas the observed difference(0.43)was below this thresh-old.Conclusions The transitional curriculum developed in this study provides a systematized framework of theoretical instruction and foundational skills training for newly admitted surgical residents,and its feasibility has been preliminarily validated.Its effectiveness,however,warrants further confirmation through largersample,prospective studies with objective outcome measures.关键词
住院医师规范化培训/衔接教育/课程构建/临床适应度Key words
standardized residency training/transition education/curriculum development/clinical adaptation分类
医药卫生引用本文复制引用
牛潼,翁习生,张靖承,高雪涵,刘润竹,孙晓宁,宋洋,平陆,易杰,郭超..外科住院医师衔接教育课程的构建与初步应用评价[J].协和医学杂志,2026,17(5):1256-1264,9.基金项目
北京协和医院教育创新与改革项目(CMB-JYCXGG05) （CMB-JYCXGG05）
北京协和医学院2025年本科教育教学改革项目(2025bkjg017) Education Innovation and Reform Project of Peking Union Medical College Hospital(CMB-JYCXGG05) （2025bkjg017）
2025 Undergraduate Education and Teaching Reform Project of Peking Union Medical College(2025bkjg017) （2025bkjg017）
