Introduction of Clinical Skills Training Center

The clinical skills center of ZhuJiang Hospital (the Second Clinical Medical College) of Southern Medical University was founded in 2006, with a building area of 2500 square meters, and at present, there are 16 full-time teachers. The high-end intelligent medical comprehensive simulation system (adult, maternal, child, newborn), virtual laparoscopy, arthroscopy, urological endoscopy, ultrasound training system, interventional training system, medical simulation training information platform and other high-end equipments were introduced for teaching and scientific research, with a total equipment value of about 50 million yuan.

The new clinical skills training center is planned to cover an area of 5,000 square meters, with a total equipment value of about 50 million yuan; the clinical skills training center of Sanshui Branch of ZhuJiang Hospital is about 3,600 square meters, with a total equipment value of about 30 million yuan.

Strategic planning: the first ZhuJiang model, innovative development and win-win cooperation. 
"Grasping both sides and strengthening the middle" – innovation on specialist and general practitioner training, solid development of standardized training of residents and undergraduate teaching, in order to build a world-class simulation medicine center with Chinese characteristics. 

1. Platform Construction

The center is committed to building 3 major teaching experiment platforms (basic clinical skills experiment platform, emergency skills training platform, multi-functional networked skills teaching experiment platform), 5 major multidisciplinary general skills training platforms (laparoscope and thoracoscope, microsurgery, endoscopy, ultrasound, intervention), and 8 major specialized skills training platforms (emergency critical care, urology, neurosurgery, orthopedics, obstetrics and gynecology, pediatrics, nursing, cardiovascular medicine).

2. Strength the Teaching of Undergraduates

Undergraduate teaching is the foundation of medical education. The center undertakes clinical skills training and assessment for medical students at all levels, and standardizes the training of clinical skills for undergraduates with the national requirements for practicing physicians as the guide, and adopts an intelligent OSCE assessment system, with over 50,000 annual assessments. Thus, it has greatly improved the job competence of our medical undergraduates and smoothly connected with the standardized residency training.

The Center took part in the 7th, 8th, 9th and 10th national clinical skills competition for college students of Southern Medical University, and won one special prize and three first prizes in the South China competition, and one first prize and two second prizes in the national finals respectively, making a historical breakthrough in this event. Tian Jing, director of the center, won the outstanding instructor, and Xiao Yao, teacher of the center, won the outstanding player.

Tian Jing, the director of the center, led all the faculty members to carry out PBL teaching, and the "New PBL Teaching Method" hosted by him won the first prize of teaching achievement of Southern Medical University. He has guided undergraduates to publish 9 SCI papers and 101 papers in core journals as the first author; he has guided undergraduates to participate in university innovation and entrepreneurship projects, winning 2 national grants, 5 provincial grants and 8 university grants; he has guided university students to participate in Challenge Cup projects, winning 2 first-class awards, 5 second-class awards and 9 third-class awards.

Based on the center, the "Learn Medicine to Practice" club was established, with four departments: Standardized Patient Training Department, First Aid & Popularization Department, Clinical Skills Training Department, PBL & Scientific Research Department, in which the "First Aid for ALL" college student volunteer service team, mainly formed by the First Aid & Popularization Department, won the gold medal of the 6th China International "Internet+" College Student Innovation and Entrepreneurship Competition in Guangdong Province with the first place in the Red Brigade Circuit; the bronze medal of the 12th "Challenge Cup" Guangdong College Student Entrepreneurship Competition for Public Welfare; the silver medal of the 2020 Guangdong "Crowd Creation Cup" Entrepreneurship and Innovation Competition; and the winning prize of the 2020 "Creators Guangdong".

“The First Aid for ALL” team also won the 7th China International "Internet+" Student Innovation and Entrepreneurship Competition in Guangdong Province: Silver Award in the Red Travel Track; 2021 "Yimiao Plan" Guangdong Volunteer Service Organization Growth Support Action and Volunteer Service Project Competition: Key Cultivation Project; 2021 "Youth Creation" China Youth Innovation and Entrepreneurship Project Support Program: Bronze Award; 2021 Guangzhou Youth Volunteer Service Special Action Excellence Project Competition: Second Prize; 2021 "Devote Rural Revitalization, Aid Healthy China" National Student Summer Social Practice Special Activity Outstanding Team, one of the two outstanding teams in Guangdong Province.

Director Tian Jing, Ms. Qian Dandan and Ms. Mao Min's "Clinical Skills: No Slack in Skills Learning, Teaching in the Cloud" won the second prize of the third batch of online teaching excellent cases in undergraduate colleges and universities (courses) in the epidemic stage of the Guangdong Provincial Undergraduate Universities Online Open Courses Steering Committee. “Clinical Skills Module III”, which was taught by the teacher Xiao Yao and in charge of Tian Jing, won the first prize in the practice group at the faculty level and the first prize at the university level, in the 11th undergraduate course teaching (design) competition for young teachers. “Surgery”, which was taught by teacher Xie Xiaobo, won the first prize in the clinical group at the faculty level and the third prize at the university level. “Clinical Skills”, which was taught by teacher Chen Zhao, won the second prize in the practice group at the faculty level. The "Practice and Exploration of the Surgical Skills’ Teaching Innovation" taught by teacher Xiao Yao won the first prize of "Excellent Case of Teaching Innovation" of Guangdong Online Open Course Teaching Steering Committee.

Director Tian Jing led the team of the Clinical Skills Center to build the 2020 Curriculum Ideological and Political Reform Demonstration Project, in which the course "Clinical Skills" was recognized as a provincial Civic Demonstration Course, the teaching team of "Clinical Skills" was recognized as a school-level Ideological and Political Demonstration Team, and Ms. Qian Dandan's classroom of "Cardiopulmonary Resuscitation" was recognized as a school-level Ideological and Political Demonstration Classroom. In 2021, the teaching team of "Clinical Skills" was recognized as the provincial model team of Ideological and Political Demonstration, and won the first prize of Southern Medical University 2021 Education Teaching Achievement Award and the third prize of Southern Medical University Teaching Excellence Case.

The first series of provincial online open courses in Guangdong Province, "Surgery - Black Technology", which was presided over by Tian Jing passed the project acceptance with "excellent" and was recognized as a provincial quality online open course.

3. Improve the Standardized Residents Training

Standardized resident training is the backbone of medical student training. In accordance with the national and Guangdong Province's residency training policy, and taking into account the actual clinical needs, and with reference to the "milestone" requirements of the American Council for Post-Graduate Medical Education (ACGME) for residents, we proposed for the first time in China to integrate the basic skills training into the residency training system. In addition, we have developed and written the training and assessment manual of our hospital. We have built a residency training curriculum system with "ZhuJiang characteristics" by emphasizing practice and humanism, and explored the establishment of a bridge between residency training and specialized training while improving the clinical practice ability of our residents, which has been highly evaluated by the leaders of the Post-Graduation Continuing Education Department of the Chinese Medical Association. At present, it has opened the training and examination of laparoscope and thoracoscope, arthroscopy, microsurgery, endoscopy, intervention, emergency and critical care, anesthesia, obstetrics and gynecology, pediatrics, nursing and other specialized techniques.

In November 2021, ZhuJiang Hospital of Southern Medical University hosted a medical simulation core teacher training course for standardized residency training, which was held with the assistance of the Center. This training was the first provincial medical simulation core teacher for standardized residency training and filled the gap in Guangdong Province.

The Center undertook the training task of the team from ZhuJiang Hospital of Southern Medical University to participate in the 2019 Guangdong Provincial Residency Standardized Training Clinical Skills Competition, and won the first prize for the group, the second prize for the single category of surgery, the third prize for the single category of obstetrics and gynecology, and the third prize for the single category of general medicine.

The Center undertook the training task of the 2019 Postgraduate Clinical Competency (Ophthalmology) Competition of the National Federation of Graduate Schools of Medicine, and won the Grand Prize, among which three items, namely "Clinical Research Project Case Competition", "Case Presentation Competition" and "Science Popularization Competition", won the first prize (there were four items in the final).

The center undertook the training task of ZhuJiang Hospital of Southern Medical University to participate in the 2020 Guangdong Provincial Residency Training Clinical Skills Competition in Gynecology and Pediatrics, and the team won the first prize in the group, one each in Obstetrics and Gynecology and Pediatrics, and one each in Obstetrics and Gynecology and Pediatrics.

4. Develop the Specialist Training

Specialist training is the elite medical education, the center has created the most comprehensive system of specialist technology college (including microscopy, ultrasound, intervention, laparoscope and thoracoscope, critical care, obstetrics and gynecology, pediatrics, orthopedics, urology and other disciplines), by the department director personally in charge, clinical skills center full-time teachers one by one, forming a "specialist basic skills - high-end virtual technology - animal surgery skills - clinical real operation" complete training system, as well as the preparation of the corresponding training materials. We have developed a complete training system of "specialized basic skills - high-end virtual technology - animal surgery skills - real clinical operation" and prepared corresponding training materials, and opened training courses covering neurosurgical interventions, intracardiac interventions, laparoscopic techniques, male microscopic skills, neonatal high-frequency oscillation, neonatal resuscitation training, mechanical ventilation, emergency and critical care, anesthesia, obstetrics and gynecology, and other disciplines. The training courses covering emergency and critical care, anesthesia, advanced training in obstetrics, ALSO, specialized nursing, ultrasound, etc. have been welcomed by physicians at various levels inside and outside the hospital. Among them, CIAP's ZhuJiang Hospital Aneurysm Intervention Simulation Course, which caused enthusiastic response, has been held for 14 sessions.

5. Promote the General Medical Practitioner Training

General practitioners are the solid force of "Healthy China" at the grassroots level. With the platform of ZhuJiang Medical Alliance, the Center initiated the establishment of "ZhuJiang Simulation Medical Education Alliance", which has 48 units in 24 counties and cities in 11 provinces, including Guangdong, Jiangsu, Jiangxi, Henan, Yunnan, Hunan, Shandong, Shanxi and Inner Mongolia Autonomous Region. Within the alliance, a series of "outreach" activities have been carried out, including customized training courses for sister units, such as job-competency oriented clinical instructor training, including the Hainan Branch of the General Hospital of the Chinese People's Liberation Army, Shenzhen Luohu Medical Group, Shenzhen Longhua Maternal and Child Health Hospital, the Affiliated Hospital of Guangdong Medical University, Nanhai Economic Development Zone People's Hospital, Foshan Nanhai District Sixth People's Hospital, etc. Through integration and sharing, close collaboration, and the use of medical simulation, we explore the establishment of a training curriculum system suitable for clinicians at multiple levels, helping to cultivate high-quality medical talents and promoting the dual improvement of medical technology and medical quality!

 

6. Exploit the grass-roots unit, promote the development of clinical skills training in grass-roots unit

The Professional Committee of Clinical Skills Training Guidance of Guangdong Primary Medicine Society was established on December 26, 2021, with Professor Tian Jing as the chairman of the committee. The first ZhuJiang Grass-roots Hospital Clinical Skills Training Innovation Forum and the launching ceremony of Guangdong Provincial Clinical Skills Training Guidance Base were held successfully at the same time, with more than 100 experts and representatives from medical units in various cities, districts, counties and towns in Guangdong Province attending the meeting. The establishment of the special committee responds to the national demand for upgrading the level of grass-roots medical technology, and builds a platform for clinical basic and specialist skills training, a platform for sharing teaching resources, and an information platform for medical and nursing staff assessment from the demand of grass-roots people's medical services, sinks high-quality medical teaching resources from the provincial capital, promotes the high-quality development of clinical skills training in grass-roots units in Guangdong Province, and creates a Guangdong model for grass-roots medical personnel training. It will create a regional brand of clinical skills training in Southern China, implement the development strategy of "Healthy China", and provide better medical services for the general public.

7. Expertise Team Construction

The Clinical Skills Training Center of ZhuJiang Hospital of Southern Medical University has 19 full-time staff members, including 1 post doctor, 2 doctors, 11 master members and 2 engineers, and the membership structure has been gradually improved. Based on the full-time faculty of the center, teams of surgery, internal medicine, emergency critical care, gynecology and pediatrics, nursing and information technology have been established, and scientific research and quality control groups have been set up at the same time through internal integration.

As an American Heart Association (AHA) cardiovascular emergency training center, the center has 20 AHA certified instructors, including 1 BLS and ACLS director instructor, 8 ACLS instructors, 5 PALS instructors, and 19 BLS instructors. The center team also has 1 National Association of Emergency Medical Technicians (NAEMT) Prehospital Trauma Life Support (PHTLS) instructor, 1 Advanced Life Support in Obstetrics (ALSO) course director instructor, and 1 ICOE China director instructor. Eight teachers of the center have won the first prize in the faculty group of the Southern Medical University Clinical Competency Competition for three consecutive years.

8. “First Aid for ALL” College Student Volunteer Service Team

Since 2016, the center has led the ”First Aid for ALL” college student volunteer service team to carry out public welfare activities to promote first aid knowledge and skills with the service purpose of "grasping the golden four minutes and enhancing the rescue power of all people". The public welfare activities have completed 26 stops so far, covering Guangzhou, including enterprises and institutions, party and group service centers, communities, libraries, schools, subways, shopping malls, airports, express delivery, nursing homes and other places, gaining the support and recognition of social organizations and the public.

The team developed the first aid mutual aid app "First Aid for ALL" from its own strength, formed a university alliance that includes 18 alliance units nationwide, and expanded the scale of the professional first aid mutual aid system through a three-tier training model. At the same time, the public number of first aid science popularization "First Aid for ALL" was established, and exclusive cooperation was carried out with Laerdal (China) and 387 American Heart Association training bases nationwide, relying on Internet technology for resource gathering and crowd attraction to build a new situation of "national universities and AHA bases participating together to achieve mutual benefit. The new situation of "national universities and AHA bases participate together to achieve mutual benefit and win-win". We will promote the realization of the social goal of "all people know first aid, all people can do first aid, and all people dare to do first aid". 

It has won the gold medal of the 6th and the silver medal of the 7th China International "Internet+" Student Innovation and Entrepreneurship Competition in Guangdong Province; the bronze medal of Guangdong Volunteer Service; 2021 "Yimiao Plan" Guangdong volunteer service organization growth support action and volunteer service project competition: key cultivation project; 2021 "Youth Creation" China Youth Innovation and Entrepreneurship Project Support Program: Bronze Award; 2021 Guangzhou Youth Volunteer Service Special Action Excellence Project Competition Second Prize; 2021 "Devote Rural Revitalization, Aid Healthy China" National College Students' Summer Social Practice Special Activity Outstanding Team, the Outstanding Volunteer Service Group in Haizhu District, etc.

9. Achievements of Teaching and Research

In terms of scientific research, the center is committed to promoting teaching with research, introducing highly educated talents, and actively encouraging teachers to conduct scientific research in their teaching activities and feed back to improve teaching quality. The center currently undertakes 13 provincial-level teaching projects and publishes more than 100 papers; it participates in the editor-in-chief/associate editor-in-chief of 5 national planning textbooks.

Tian Jing, the director of the center, supervised the postgraduate students to publish the first research article in JCR II in the direction of simulation medicine.

Ms. Xiao Yao is currently the chair of one Novice Grant Research of Simulation Society in Healthcare and one Guangzhou Taihe Medical Humanities Education Research Fund.

In 2021, the project "A study related to the transfer validity of mindfulness-based cognitive therapy training for endoscopic skills", which is in charge of Tian Jing, director of the center, was awarded as one of the five key projects of the National Medical Education Development Center Medical Simulation Education Research Project; and the project "Application of simulation-based deliberate practice in single skill training of neonatal resuscitation: a multi-center study", which is in charge of Qian Dandan, teacher of the center, was awarded as a general project of the National Medical Education Development Center Medical Simulation Education Research Project.

(The Clinical Skills Center of ZhuJiang Hospital, Propaganda Group,
data as of January 26, 2022)