Abstract: Objective(Background):Checklists are increasingly utilized in intensive care unit (ICU)patient care

and could served as a multipurpose teaching tool.Butdata are seldom regarding their efficacy in standardized residenttraining(SRT) program. We examined whether checklist usagein critical care medical residenttraining program was associated withbetter training residents competency. Methods:This is a randomized control study.From April2016 to January 2017 the residents entered intensive care unit for SRT program were randomly divided into experimental group and control group.All training schedules were made according to the training program demands and one to one guided by experienced clinical teacher.Checklistwasused in the experimental group during daily rounds and shifting of duty while the control group trained completely through traditional way.Training time was 2 months.The residents’ clinical competency were assessed byquestionair designed by ourselves. Results:Finally 114 residents finished this program. There were no difference in the general conditions in two groups（p>0.05）. The experiment group gave higher satisfaction evaluation in all 6 corecompetencies inaddition totechnicalskill: patient care

medical knowledge

systems-based practice.practice-based learningand improvement

professionalism

interpersonal and communication skills.The experiment group also gave a higher satisfaction about training no matter for trainee or trainer. Conclusion:Checklist used by standardized trainingresidents during critical care medicing rotation would be helpful to improve the residents’clinical competency and training satisfaction.It may be related to the effects that checklist helped training residents more rationalized thinking

less missing

more feed-by improvements

more effective communicationand improved diagnosis and treat quality

and then enhance self-confidence ultimately.