The investigation and thinking of the status quo of the residents in medical record writing and shock treatment

Objective In order to further promote the abilities of medical records writing and the ability of shock rescue in the residents, meanwhile provide an evidence for the reform of clinical teaching, we investigated these abilities of the residents in current situation. Methods Two skills of 185 physician residents were evaluated: one was the writing of complaint and present history, the other was the treatment of shock.The result of the evaluation was descriped as correct or incorrect, with the incorrect rate calculated. Results Among 185 residents, the incorrect rates of complaint writing were 94.4%, 60.0% and 78.3% for the training doctors, the normative training doctors and the native doctors graduated doctors from our own medical school respectively.The total incorrect rate was 88.6%, the differences among those three groups showed statistical significance (χ2=23.39, P 0.05). The training doctors had the highest incorrect rate in the aspect of intravenous access obtaining.The normative training doctors had the highest incorrect rates in the aspects of blood volume supplying, pH and electrolyte balancing, and medication choosing, the incorrect rates were significantly different from those of the training doctors and of the native doctors (P<0.05). Conclusion The incorrect rates of the two basic skills of the residents in medical record writing and shock treatment are both above fifty percent.To solve this problem, the reform of normative training and method of teaching evaluation is in urgent need. Key words: Mental image; Normative training; Teaching evaluation