ObjectivesTo analyze the resident achievement assessment data of West China Hospital of Sichuan University in 2017, so as to provide experience for further realization of homogeneity in residency training.MethodsWe extracted the 381 residents' achievement assessment data of West China Hospital of Sichuan University in 2017, and compared data in the theory, skills and the overall passing scores of residents with different status types and different academic levels through χ2 test.ResultsThe results of the theory test (χ2=1.384 9, P=0.709 1), skills test (χ2=3.363 1, P=0.339 0), overall assessment (χ2=4.274 7, P=0.233 3) showed no statistically significant difference in residents with different status. The result of the theory test (χ2=0.417 5, P=0.811 6), skills test (χ2=0.461 4, P=0.794 0) and the overall assessment (χ2=0.680 0, P=0.711 8) showed no statistically significant differences in residents with different academic levels.ConclusionsIt can be concluded that the residency training in West China Hospital of Sichuan University has achieved homogeneity.
ObjectivesThis study aimed to analyze the evaluation data of 24 professional residency training bases of West China Hospital of Sichuan University(WCHSCU) so as to provide experience for construction of residency training base.MethodsBased on the evaluation criteria of standardized residency professional bases published by Chinese Medical Association in 2019, 24 professional bases of residency training in WCHSCU were evaluated in terms of base condition, teaching staff and process management.ResultsThe results showed that 41.67% of the 24 residency bases received a total score above 90 points, 16.67% were between 85 to 90 points, 20.83% were between 80 to 85 points, 8.33% were between 70 to 80 points, and 12.50% were between 60 to 70 points.ConclusionsThe residency training base construction of (WCHSCU) is satisfactory.
ObjectiveTo systematically evaluate the methodological quality and predictive performance of acute kidney injury (AKI) prediction models following coronary artery bypass grafting (CABG), aiming to identify reliable tools for clinical practice and provide evidence-based guidance for developing higher-quality models in future. MethodsA systematic literature search was conducted across CNKI, Wanfang Data, VIP, SinoMed, PubMed, Web of Science, EMbase, and Cochrane Library databases from inception to October 2025. Two independent reviewers screened studies, extracted data, and performed prediction model risk of bias assessment. Qualitative synthesis was followed by meta-analysis using STATA 15.0 software. ResultsA total of 21 studies involving 55 prediction models were included. The majority of the studies demonstrated good applicability, but exhibited high overall risk of bias. The models showed favorable discriminative ability, with areas under the receiver operating characteristic curves ranging from 0.707 to 0.958 in training cohorts, and a pooled area under the curve of 0.79 [95%CI (0.76, 0.82)]. The area under the receiver operating characteristic curve in the validation set ranged from 0.55 to 0.90, with a pooled area under the curve of 0.80 [95%CI (0.78, 0.81)]. Most models were presented as Nomograms. Common predictors included age, serum creatinine, estimated glomerular filtration rate, hemoglobin, uric acid, cardiopulmonary bypass, and intra-aortic balloon pump. ConclusionCurrent prediction models demonstrate satisfactory discrimination performance but are limited by single-center development, insufficient external validation, and methodological biases. Future multicenter prospective studies should optimize variable processing and model validation strategies to enhance clinical applicability and generalizability of predictive tools.
ObjectiveTo systematically review the research status of competency evaluation systems of residents in China. MethodsThe CNKI, VIP, WanFang Data, PubMed, Embase and Web of Science databases were electronically searched to collect relevant literature on competency evaluation systems for residents in China from inception to December 2023. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. The descriptive analysis was then performed. ResultsA total of 15 studies were included. There were 9 index construction methods involved in the included studies, the Delphi method was the most widely used (7 papers, 46.7%), followed by the questionnaire method (3 papers, 20%) and the expert consultation method (2 papers, 13.3%). The most common reference model was the ACGME Milestones (10 articles, 66.7%). According to the construction of index systems, the number of first-level indicators was at least 4 and at most 8. The minimum number of entries (number of final grading indicators) was 15 and the maximum number was 116. The index systems included in the research had a wide range of contents, covering all aspects of resident competencies. The expert teams consisted of clinical experts, nurses, administrators, college teachers, patients, residents, etc. ConclusionThere are various research methods for the competency evaluation systems of residents in China, and the research content is in line with international standards.