Training program for clinical master of Internal Medicine 2 Training program for clinical master of Surgery 26



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        1. Basic skills requirements: Selection and general application of various imaging methods in various systems (10 cases); interpretation of roentgenogram and CT scan for common diseases (50 cases); interpretation of ECT for common diseases (10 cases).

      1. Further requirements

        1. Diseases to be learned:

Disease

Disease

Roentgenography:

Rheumatic heart disease

Congenital heart disease

Crohn’s disease

Intestinal tuberculosis

Cholangiocarcinoma

Chronic pancreatitis

Urolithiasis

Urological neoplasm

Adrenal diseases

Thyroid diseases

Intracranial infection

Nervous system tumors

Nuclear Medicine:

Gastrointestinal bleeding imaging

Cerebral perfusion imaging

Testicular blood pool imaging

Salivary gland imaging




        1. Clinical knowledge and skills requirements: A basic mastery of various imaging examination method; Echo-guide and CT-guide organ biopsy (1 case); imaging of the digestive system (1 case), angiography of the nervous system (1 case), and the application of internal radionuclide irradiation therapy (1 case).




    1. Geriatrics (Your tutor should be in this section)

      1. Theories: Basic theory of the etiology, pathogenesis, clinical presentation, diagnosis, treatment, risk factors and prevention of cerebrovascular disease, Alzheimer's disease, Parkinson's disease, diabetes, osteoporosis, coronary heart disease, and chronic hypoxia-related pulmonary heart disease.

      2. Skills: Proficiency in medical system examinations.

      3. Clinical training and evaluation: Training in geriatric-related specialized department for at least 12 months;fundamental knowledge and clinical skills training requirements and evaluation according to respective specialized department’s requirements.

  1. Research training (specific requirements seen in general regulations)

The professional clinical medical master’s degree candidates must participate in various academic activities (case discussion, consultation, lectures, reading, academic conference, etc.) during the period of clinical ability training. At the same time, they should organize and complete at least one case discussion and at least one book reading report. By reading literature and writing of literature review, they master the thinking process of topic selection method, learn data collecting, data processing, statistical analysis and other basic methods of scientific research,and cultivate their clinical thinking abilities and analytical abilities. Under the guidance of a mentor, they complete a dissertation highly related to clinical practice and publish at least one case report (including literature review) in statistical source journals. Generally, being off-the-job to finish their dissertation should not be arranged for professional clinical master’s degree candidates.

  1. Dissertation defense and degree award

After they meet all the requirements of this professional training program and pass the integrated clinical skills assessment,they can apply for the dissertation defense.
Training program for clinical master of Anesthesiology


  1. Training time: 3 years

  2. Degree curriculum design and teaching arrangement (specific requirements seen in the general regulations)

Common compulsory courses and optional courses are offered and examinations are arranged by the postgraduate office in the first semester of the first academic year. Professional foreign language and curriculum are offered by respective professionals, and examinations are arranged by respective schools or affiliated hospitals in the second academic year.

  1. Clinical skills training

    1. Non-anesthetic department rotation schedules

Department

Time (Month)

General Surgery

1.5

Cardiovascular Medicine

2

Respiratory Medicine

2

Medical Imaging

0.5

Total

6

After the above rotation, they participate in the training for basic anesthetic skills (mainly anesthesia for general surgery, urology and orthopedics) and rotate to anesthetic subspecialized departments, pain clinic and intensive care units (ICU).



    1. Rotation schedules in anesthetic subspecialized departments

Subspecialized Department

Time (Month)

Basic anesthetic skills (mainly anesthesia for general surgery, urology and orthopedics)

3

Anesthesia of Ophthalmology and ENT

1

Anesthesia of Stomatology

1

Anesthesia of Neurosurgery

2

Anesthesia of Thoracic and Cardiovascular Surgery

2

Anesthesia of Obstetrics and Gynecology

2

Anesthesia of Pediatric Surgery

2

Outpatient and anesthesia outside the operation room

1

Anesthetic recovery room

1

Pain therapy (Pain clinic and/or Pain ward can be a choice/choices)

1

Total

16




  1. Training content and requirements

    1. General Surgery

      1. Aim of rotation

        1. Master: The clinical presentation, diagnosis and principle of treatment for common general surgical diseases; methods of examinations and common diagnostic imaging in general surgery.

        2. Be familiar with: The pathophysiologic change, surgical treatment and postoperative complications of common general surgical diseases esp. acute peritonitis, obstructive cholangitis and acute necrotizing pancreatitis.

        3. Understand: Etiology and postoperative complications of common diseases of general surgery.

      2. Basic requirements

        1. Diseases to be learned and case number requirements:

Disease

Case no.(≥)

Surgical gastrointestinal diseases

5

Surgical thyroid and breast diseases

6

Surgical hepatobiliary and pancreatic diseases

5




        1. Basic skills (operation) requirements:

Skill or Operation

Case no.(≥)

Sick bed management

3

Entire medical record writing

5

Preoperative workout and consent form

5

Participation in general surgery operations

15

Discussion of difficult and mortality cases

1-2




    1. Cardiovascular Medicine

      1. Aim of rotation

        1. Master: The diagnosis and treatment of hypertension, and management of hypertensive crisis; diagnosis and selection of treatment for coronary heart disease and acute myocardial infarction; diagnosis and management of common arrhythmia.

        2. Be familiar with: The pathophysiologic change and imaging characteristics of heart failure, arrhythmia and common cardiovascular diseases.

        3. The etiology and pathogenesis of common cardiovascular diseases; balloon dilatation of mitral valve; radiofrequency; understanding of the indications of interventional treatment for congenital heart disease.

      2. Basic requirements

        1. Diseases to be learned and case number requirements:

Disease

Case no.(≥)

Primary hypertension

10

Coronary heart disease

10

Rheumatic heart disease

10

Arrhythmia

10




        1. Basic skillsrequirements:

Skill

Case no.(≥)

Sick bed management

4

Entire medical record writing

5

Participation in resuscitation

5

12-lead EKG (operate independently)

10

Discussion of difficult and mortality cases

5




    1. Respiratory Medicine

      1. Aim of rotation

        1. Master: The clinical presentation, diagnosis and treatment of spontaneous pneumothorax, pleural effusion, respiratory failure and other common respiratory diseases; interpretation of CXR and chest CT; the skills of pulmonary function test, bronchoscopy, arterial blood sampling, thoracocentesis, methods for inhalation medications, mechanical ventilation and oxygen therapy.

        2. Be familiar with: The pathophysiologic change and differential diagnosis of common respiratory diseases.

      2. Basic requirements

        1. Diseases to be learned and case requirements:

Disease

Case no.(≥)

Chronic bronchitis, bronchial asthma, and bronchiectasis

10

Pulmonary infection, pneumonia, lung abscess, pulmonary TB, pulmonary fungal infection and pulmonary infection of immunocompromised patients

20

Lung cancer

5

Spontaneous pneumothorax, pleural effusion

3

Respiratory failure

5




        1. Basic skills requirements:

Skill

Case no.(≥)

Sick bed management

4

Entire medical record writing

5

Inhalation medication

5

Oxygen therapy

10

Participation in resuscitation

5

Interpretation of CXR

30

Interpretation of chest CT

30

Pulmonary function test

10

Discussion of difficult and mortality cases

5




    1. Medical Imaging

Master: Interpretation of CXR, chest CT scan, and CT scan for spinal injury.


    1. Anesthesiology

      1. Aim of rotation

        1. Master:

          1. Fundamental theories of anesthesiology including clinical anesthesiology, critical care medicine, pain medicine and resuscitation, and the combination of knowledge and practical work;

          2. Basic knowledge of clinical anesthesiology, critical care medicine, and pain-related diseases;

          3. History collection and assessment before anesthesia;

          4. Principles of anesthesia plan establishment and complication prevention;

          5. Operations and procedures of anesthesia and monitoring techniques;

          6. Regulation of basic life function during operation;

          7. Accurate management of common anesthetic complications and intraoperative emergency;

          8. Postoperative pain therapy and their strategy;

          9. The diagnosis and principle of treatment of chronic pain, principle of management of cancer pain;

          10. Monitoring vital signs of critically ill patient, judgement and supporting the function of important organs;

          11. Technology, process and organization of emergency resuscitation.

        2. Be familiar with:

          1. The basic working principle of monitor instruments and anesthesia machine;

          2. Anesthetic risks of critical and difficult patients, intraoperative management and prevention;

          3. Etiology and differential diagnosis of chronic pain;

          4. Nutritional support for ICU patient;

          5. Determination of brain death.

        3. Understand:

          1. The new advancement of anesthesiology, critical care medicine and pain management home and abroad, frontier monitoring and treatment techniques;

          2. The method of anesthesia-assisted opioid detoxification for drug withdrawal.

      2. Basic requirements

        1. Basic anesthesia methods:

Techniques

Case no.(≥)

General anesthesia

200

Spinal anesthesia

80

Saddle anesthesia, caudal anesthesia, combined spinal and epidural anesthesia

5

Nerve block and local anesthesia

30

Monitored anesthesia care (MAC)

40




        1. Rotation to subspecialized anesthesia:

Techniques

Case no.(≥)

Anesthesia for general surgery

200

Anesthesia for ENT

80

Anesthesia for neurosurgery

60

Anesthesia for thoracic and cardiovascular surgery

60

Anesthesia for OBS/GYN

60

Anesthesia for somatology

30

Pediatric anesthesia

120

Outpatient and/or anesthesia outside the operation room

50

In-hospital resuscitation

10

ICU

20

Pain clinic / pain ward

40

Post-anesthesia care unit (PACU)

40




        1. Special skillsof anesthesia:

Techniques

Case no.(≥)

Arterial puncture

30

Central venous puncture

30

Bronchoscopy

3

Laryngeal mask

5

Double lumen endobronchial tube placement

10

Blind orotracheal or nasotracheal intubation

2

Nasotracheal intubation under direct vision

2

Controlled hypotension

2




        1. ICU skills:

Skills

Case no.(≥)

Ventilator management

30/day

Tracheostomy

2

Thoracocentesis

2

Abdominal paracentesis

2

Puncture subarachnoid space

2

Change surgical wound dressing

10




        1. Studying of theories: Learning via case discussion, book reading, special lectures and various forms of studying.


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