Simon M Bury, Darren Hedley, Mirko Uljarević, Mark A Stokes, Sander Begeer
A repeated cross-sectional study of daily activities of autistic adults
Autism research : official journal of the International Society for Autism Research
background medical education demanding lifelong learning process includes three tightly connected stages college education postgraduate education continuous education residency first several years college education pivotal time development qualified doctor additionally residents main force undertakes much clinical work hospitals therefore guaranteeing improving residents clinical skills abilities standardized training resident physicians strp important however compared hospitals zhejiang province strp assessment results residents hospital satisfactory recent years therefore objective study find problems causing unsatisfactory performance identify role plandocheckaction pdca plan providing valuable framework future training methods relevant studies strp china abroad investigated literature review according published data health commision zhejiang province collected strp assessment rsults total number 12036 residents inclusion cretria residents include 1 3rdyear residents 2 taking strp zhejiang province 20162018 20172019 3 first time taking clinical practice ability examination cpae 2018 2019 results 634 3rdyear residents second affiliated hospital zhejiang university sahzu provided department medical education analyzed depth three hundred eight residents sahzu received normal training took cpae 2018 whereas 326 residets received pdca took cpae 2019 pdca program designed improve performance residency sahzu includes formulation implementation specific training plans check effects continuous improvements change strp assessment 2 years indicator performance strp assessment first pass rate fpr statistical analyses performed using pearsons chisquared test yatescorrected chisquare test fishers exact test spss statistics version 25 pvalue 005 considered significant results total number 6180 5856 examinees zhejiang province took clinical practice ability examination 2018 2019 respectively 2018 total 308 residents 20 departments sahzu took strp assessment 2019 total 326 residents 22 departments sahzu underwent pdca plan took strp assessment compared results 2018 average fpr zhejiang province increased 292 8787 9079 p 0001 fpr sahzu increased 788 8506 9294 p 0001 sahzu fprs department emergency department anesthesiology improved 3451 p 0024 2036 p 0004 respectively significant differences performances 2 years 20 departments improved results clinical thinking decisionmaking operation basic skills assessment stations increases 301 p 0002 394 p 0002 respectively statistically significant differences fprs six stations found performances stations final tests better stimulation tests p 0001 conclusions although sample size relatively small results showed small success pdca plan improving quality strp especially residents departments emergency anesthesiology pdca plan also contributed enhancing residents abilities clinical thinking decisionmaking operation basic skills stations taken together pdca plan may provide practical framework developing future training plans