Application of target management in resident training teaching in anesthesiology

Objective To explore a better and more comprehensive clinical teaching method for anesthesia residents who meet the needs of clinical work using the target management method and basing on the current medical and health situation in China. Methods Twenty residents who were trained in clinical anesthesia were randomly divided into a control group and an experimental group, 10 for each group. The training period was 33 months. The instructor was a doctor who had rich clinical teaching experience and had been a physician for three years or more. The control group adopted the traditional teaching method, while the experimental group the target management teaching method. The assessment methods were as follow. ⑴Discharge assessment: after the training, the residents discharged from the hospital would be tested through theoretical assessment and clinical operation assessment;⑵ Comprehensive score during training: which would be filled out by the instructor; ⑶ Instruction assessment: which would be filled out by the residents; the above were expressed in percentage system. Results Compared with the traditional teaching method, the resident trained with the target management teaching method had better attendance rate, professional course participation rate, and medical ethics, but with no statistical differences. The scores of theoretical assessment [(84.6±2.8) vs. (79.0±3.8)], clinical operation assessment [(92.9±2.7) vs. (84.6±2.5)], comprehensive score during training [(93.9±1.6) vs. (89.0±1.5)], and the instruction assessment [(96.6±1.7) vs. (88.6±2.8)] were better in the experimental group than in the control group (all P<0.05). Conclusions The application of target management in resident training in clinical anesthesia can improve the quality of specialty education. Key words: Target management; Anesthesiology; Teaching; Training residents