Development of a competency framework for anaesthesiology residency training in China: a modified Delphi study

Editor—China's ambitious medical education reform initiated in 2013 aims to establish standardised residency training (SRT) with a minimum duration of 3 yr for anaesthesiology. 1 Office NHaFPCStandardized training content and standards for residents (trial implementation). http://www.nhc.gov.cn/ewebeditor/uploadfile/2014/08/20140825155108969.PDFDate: 2013 Date accessed: June 18, 2024 Google Scholar Significant progress has been made globally in implementing competency-based medical education and training (CBMET) within anaesthesiology. 2 Jonker G. Manders L.A. Marty A.P. et al. Variations in assessment and certification in postgraduate anaesthesia training: a European survey. Br J Anaesth. 2017; 119: 1009-1014 Google Scholar The National Health Commission has adopted CBMET, requiring completion with passing clinical practical assessments. 3 Commission N.H. Standardized Training Scheme for Graduating Residents' Clinical Practice Ability Assessment. 2022 Edn. Anesthesiology, 2022https://www.21wecan.com/wsrcw/ZLXZ/202208/9977038f1b664c9f8b0b6f918faee0fc.shtmlDate accessed: June 18, 2024 Google Scholar However, challenges are encountered in achieving uniform quality standards, 4 Zhu J. Li W. Chen L. Doctors in China: improving quality through modernisation of residency education. Lancet. 2016; 388: 1922-1929 Google Scholar and criticism has emerged, particularly concerning the inadequacy of clinical training quality. 5 Zhang X. Li C. Yue C. Jiang X. Cao J. Ten Cate O. Why clinical training in China should improve: a cross-sectional study of MD graduates. BMC Med Educ. 2021; 21: 266 Google Scholar With China training the largest number of anaesthesiologists globally, research concerning the competency framework remains sparse. 6 Yang Q. Xie K. Xiong L. Anaesthesiology in China: present and future. Br J Anaesth. 2019; 123: 559-564 Google Scholar To address this gap, this study was designed to develop a competency framework for anaesthesiology residency training with potential implementation in Chinese medical education and similar clinical training systems.