Abstract：The rational allocation of medical resources and the cultivation of talents needed by hospitals are two important components of the current medical system reform. In terms of talent cultivation in hospitals, the training of chief resident physicians is an important stage that cannot be leap-forward from senior resident physicians to attending physicians, and it is also the key to the gradient cultivation of specialized physicians. Pediatric surgery is different from adult surgery, and pediatric surgery diseases have their own particularity, there are some characteristics and difficulties in the training of chief resident of pediatric surgery. It is mainly manifested in the high training requirements, long period and large overall investment of the chief resident of pediatric surgery. In practical work, we should pay attention to the training of clinical thinking, strengthening operation skills, psychological quality, teaching and communication ability, scientific research ability and management of chief resident of pediatric surgery, so as to improve the professional level of chief resident of pediatric surgery. At present, our country′s pediatric surgery personnel training system is not perfect, lack of children′s surgery general resident stage of professional basic knowledge and pediatric clinical skills training, resulting in the relative shortage of children′s surgery specialist doctors, which is one of the reasons for the overcrowding of children′s specialized hospitals. Therefore, the training of chief resident of pediatric surgery should be further improved and strengthened, and more investment should be made to promote the overall development of pediatric surgery.
[1] 张金哲.我国小儿外科发展的历史回顾——纪念中华医学会成立100周年[J].中华小儿外科杂志，2015，36（8）：561-562.
[2] 陈广晶，侯晓菊.敢为人先的中国小儿外科之父——记中国工程院院士张金哲教授[J].首都医药，2013，20（3）：33-36.
[3] Weissler JM，Carney MJ，Yan C，et al. The Value of a Resident Aesthetic Clinic：A 7-Year Institutional Review and Survey of the Chief Resident Experience [J]. Aesthet Surg J，2017，37（10）：1188-1198.
[4] Kolade VO，Staton LJ，Jayarajan R，et al. Feasibility of an innovative third-year chief resident system：an internal medicine residency leadership study [J]. J Community Hosp Intern Med Perspect，2014，4（3）：10.
[5] 单炯，吴晔明，潘伟华，等.中美小儿外科医师培训的比较研究[J].中国高等医学教育，2015（2）：29-31.
[6] Blitzer DN，Chai LF，Scott EM，et al. Chief Resident Dictation of Operative Cases and Its Relationship to American Board of Surgery Examination Performance [J]. Am Surg，2017，83（6）：e182-e183.
[7] 徐波，谢克基，侯之启，等.临床教学中总住院医师担任教学秘书的探索与实践[J].中华医学教育杂志，2008，28（6）：92-93.
[8] 王晓军，卢敏，胡芸.浅谈麻醉科总住院医师的体会[J].中国医师杂志，2012，2（z2）：130-131.
[9] Alford DP，Carney BL，Jackson AH，et al. Promoting addiction medicine teaching through functional mentoring by co-training generalist chief residents with faculty mentors [J]. Subst Abus，2018，39（3）：377-383.
[10] 高鹏.毕业后医学教育制度下内科总住院医师培训的再认识[J].基础医学与临床，2018，38（3）：426-429.
[11] Krowl L，Gudlavalleti A，Patel A，et al. A pilot study to standardize and peer-review shift handoffs in an academic internal medicine residency program：The DOCFISH method [J]. Medicine （Baltimore），2018，97（41）：e12798.
[12] 严望军，袁文，吴海山，等.骨科总住院医师在进修医生教学和管理工作中的作用[J].中华医学教育杂志，2010， 30（2）：292-294.
[13] 任丽丽，杨仕明.耳鼻咽喉头颈外科住院总医师在进修生继续教育中的作用[J].中华耳科学杂志，2016，14（1）：134-136.
[14] Ferraro K，Zernzach R，Maturo S，et al. Chief of Residents for Quality Improvement and Patient Safety：A Recipe for a New Role in Graduate Medical Education [J]. Mil Med，2017，182（3）：e1747-e1751.
[15] Gisondi MA，Chou A，Joshi N，et al. Curriculum Design and Implementation of the Emergency Medicine Chief Resident Incubator [J]. Cureus，2018，10（2）：e2223.
[16] 王艳华，马明太，黄伟，等.住院总医师制度在创伤骨科的实践[J].中华医学教育杂志，2017，37（2）：302-306.
[17] 唐银科，刘超华，李杨，等.做好整形外科总住院医师的经验和体会[J].中国美容整形外科杂志，2018，29（3）：192，后插1.
[18] 李鸿杰，常峰.国内外医师培养方式的比较及对策研究[J].中国医药导报，2018，478（20）：179-182.
[19] 陈亚军，张丹，王增萌.小儿外科住院总医师培训工作探讨[J].中国医药导报，2015，12（31）：148-151.
[20] 张晟瑜，叶葳，刘忻超，等.加强总住院医师制度在内科住院医师规范化培训中的作用[J].基础医学与临床，2016， 36（10）：1464-1466.
[21] 赵广阳，曲红玉，关雪莲，等.临床模拟教学系统和参与式教学方法在住院医师规范化培训中的应用[J].中国现代医生，2017，55（13）：132-134，138.
[22] Chung A，Battaglioli N，Lin M，et al. JGME-ALiEM Hot Topics in Medical Education：An Analysis of a Virtual Discussion on Resident Well-Being [J]. J Grad Med Educ，2018，10（1）：36-42.
[23] 任崇雷，李力兵.医学生和住院医师的培养：中国与部分西方国家的比较[J].中外医学研究，2017，15（10）：155-156.
[24] Conroy MB，Shaffiey S，Jones S，et al. Scholarly Research Projects Benefit Medical Students′ Research Productivity and Residency Choice：Outcomes From the University of Pittsburgh School of Medicine [J]. Acad Med，2018，93（11）：1727-1731.
2019, Vol. 16 
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