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• W2898491216 abstract "Abstract Background Secondary hospitals in Shanghai received less support for conducting medical residency programmes than tertiary hospitals, until the programmes became standardised in 2010. If standardisation succeeds, it may reduce the disparities in the quality of the physician workforce and health care among different hospitals. This study examined whether residents at secondary hospitals had the same perception of the magnitude of their improvement in competence as those at tertiary hospitals after standardised residency training. Methods We recruited all 2283 residents who started their residency in 2013 at 47 hospitals in Shanghai. One week before graduation, residents reported their perceived improvement in competence as the primary outcome. Hospital of residency, awareness of the program requirements, and demographic information were treated as explanatory variables. We ran linear regressions to examine whether hospital type and the university to which the hospital is affiliated were associated with the extent of perceived improvement. Fudan University Institutional Review Board approved the study. All participants who submitted responses provided informed consent. Findings Of the 2283 residents recruited, 2208 (96·71%) completed the survey. The mean score of perceived improvement in competence was 3·418 on a scale of 1–5 (SD 0·690). Although the adjusted multilevel analysis showed that scores at tertiary specialty hospitals (β=−0·044, SE 0·098, p=0·653) and tertiary general hospitals (β=−0·041, SE 0·081, p=0·612) were lower than at secondary general hospitals, the association was not statistically significant. No variance in improvement scores could be explained by hospital type or university affiliation. Interpretation The Shanghai standardised residency training has achieved standardisation of training and of professional competence across different hospitals for the residents who started residency in 2013. Continual evaluation with objective data will be necessary as the programme proceeds, to determine whether these findings are reliable, and whether Shanghai's model remains an exemplar for standardised residency training programmes in the rest of China. Funding No funding." @default.
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• W2898491216 date "2018-10-01" @default.
• W2898491216 modified "2023-09-23" @default.
• W2898491216 title "Improvements in professional competence at secondary versus tertiary hospitals: a cross-sectional study of the standardised residency training programme in Shanghai, China" @default.
• W2898491216 doi "https://doi.org/10.1016/s0140-6736(18)32630-8" @default.
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