The status quo, problems and countermeasures of standardized training for specialists in Shanghai

Objective To understand the status quo, provide policy evidence and improve the standardized training program for specialists in Shanghai. Methods Via questionnaires and training base interviews, 881 specialized training physicians who participated in the comprehensive assessment and were going to complete the training were selected as the respondents. The survey included the general information of the respondents, the evaluation of the training process, assessment and results, satisfaction evaluation and suggestions. Results According to the investigation, the trainees had the highest satisfaction with teachers, and lower satisfaction with salary and training duration. The programs has achieved certain results, but it still needs improvement in supporting policies, guarantee mechanisms, specialist settings, quality control, assessment systems, and teacher management. Conclusions It is recommended to improve the supporting system to form a scientific, standardized, systematic and rigorous institutional system; add the specialist settings, refine the training programs and standards; strengthen the cooperation and division of management system, establish a collaborative education mechanism between medical school and training hospitals; establish a training base evaluation index system, strengthen the construction of training base and quality control; improve the exam system based on specialist's position competency; strengthen the construction of teaching staff and establish a clinical teaching incentive mechanism.