Reflections on strengthening quality assurance in standardized residency training for internal medicine physicians through digital and intelligent technologies

Zhang Chang; Xu Zhongqing; Chen Min; Shi Dandan

doi:10.3760/cma.j.cn116021-20260107-02385

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Reflections on strengthening quality assurance in standardized residency training for internal medicine physicians through digital and intelligent technologies

Standardized Residency Training | 更新时间：2026-10-26

- Reflections on strengthening quality assurance in standardized residency training for internal medicine physicians through digital and intelligent technologies
- Chinese Journal of Medical Education Research Vol. 25, Issue 10, Pages: 1241-1248(2026)
- 作者机构：
  
  1.上海交通大学医学院附属同仁医院教学科，上海 200336
  2.上海交通大学医学院附属同仁医院全科基地，上海 200336
  3.上海交通大学医学院附属同仁医院内科基地，上海 200336
- 作者简介：
  
  Shi Dandan, Email: sdd1984@shtrhospital.com
- 基金信息：
  
  Key Supported Discipline of Shanghai Municipal Health Commission(2023ZDFC0403);Research Fund Project for Ideological and Political Education of Students, Shanghai Jiao Tong University School of Medicine(SZ-2025-15)
- DOI：10.3760/cma.j.cn116021-20260107-02385
  CLC： R-0;R-4;R-05
- Received：07 January 2026，
  
  Published：20 October 2026
- 稿件说明：
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张畅, 徐仲卿, 陈敏, 等. 数智化赋能内科住院医师规范化培训质量保障的思考[J]. 中华医学教育探索杂志, 2026, 25(10): 1241-1248.

Zhang Chang, Xu Zhongqing, Chen Min, et al. Reflections on strengthening quality assurance in standardized residency training for internal medicine physicians through digital and intelligent technologies[J]. Chinese Journal of Medical Education Research, 2026, 25(10): 1241-1248.
张畅, 徐仲卿, 陈敏, 等. 数智化赋能内科住院医师规范化培训质量保障的思考[J]. 中华医学教育探索杂志, 2026, 25(10): 1241-1248. DOI： 10.3760/cma.j.cn116021-20260107-02385.

Zhang Chang, Xu Zhongqing, Chen Min, et al. Reflections on strengthening quality assurance in standardized residency training for internal medicine physicians through digital and intelligent technologies[J]. Chinese Journal of Medical Education Research, 2026, 25(10): 1241-1248. DOI： 10.3760/cma.j.cn116021-20260107-02385.

摘要

在教育数字化背景下，内科住院医师规范化培训（以下简称“住培”）质量保障亟需在结果考核的基础上强化过程证据积累与反馈闭环。本文以《住院医师规范化培训内容与标准（2022年版）》提出的六大核心胜任力为目标轴，以入培至结业等现有管理环节为流程轴，以分层责任链为责任轴，提出以全过程质量画像为枢纽的“三层六子系统”框架。该框架将各项胜任力分解为内科典型任务、关键学习事件、过程证据和评价反馈，并体现分层递进要求，据此设计“规范减负—画像预警—循证改进”的三阶段实施路径，为内科专业基地完善过程质量管理、支持学员发展和维护患者安全提供参考。

Abstract

In the context of educational digitalization

quality assurance in standardized residency training for internal medicine physicians urgently needs to place greater emphasis on the accumulation of process-based evidence and the establishment of closed feedback loops in addition to outcome assessment. Taking the six core competencies specified in the

Contents and Standards for Standardized Residency Training

(2022 Edition) as the objective axis

existing management nodes from enrollment to completion of training as the process axis

and a tiered responsibility chain as the accountability axis

this paper proposes a "three-layer

six-subsystem" framework centered on a whole-process quality profile. The framework decomposes each competency into typical internal medicine tasks

key learning events

process-based evidence

and evaluative feedback

while incorporating tiered and progressive requirements. On this basis

a three-stage implementa

tion pathway of "standardization and burden reduction

profile-based early warning

and evidence-based improvement" is proposed. This framework provides a reference for internal medicine training bases to improve process quality management

support resident development

and safeguard patient safety.

关键词

Keywords

references

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