探讨超声医学质量控制与住院医师规范化培训的实践结合效果。

纳入2022年至2023年间中国医学科学院肿瘤医院超声医学科住院医师规范化培训的在培学员10名为研究对象。通过建立质量控制/住院医师规范化培训管理实践小组，开展规范报告书写、标准切面教学、临床工作中实时质量控制、病例追随及阶段性总结评价等多项质量控制管理措施，通过上机操作、超声诊断及报告书写模拟考核及无记名问卷调查评价效果。采用Mann-Whitney U检验比较学员考核成绩的差异。

质量控制方案实施后学员上机操作和超声诊断及报告书写评分均较实施前提高[88.25（84.25，91.25）分vs 82.50（77.50，85.75）分；86.00（82.75，92.50） vs 81.50（76.13，84.50）]，差异均具有统计学意义（Z=-2.118、-2.005，P=0.034、0.045）。调查问卷统计显示学员报告规范性、操作标准度、临床思维能力、诊断准确性及综合工作能力均有不同程度提高，以操作标准度提升最为明显。

超声医学质量控制与住院医师规范化培训结合能够形成良性循环，有效提高超声住院医师规范化培训学员的操作、诊断和报告书写能力。

To evaluate the effectiveness of ultrasound quality control combined with standardized resident training in ultrasound department.

Ten trainees who underwent standardized training at the ultrasonography department of Cancer Hospital of Chinese Academy of Medical Sciences in 2022-2023 were selected as subjects. Through the establishment of a quality control/residency training management practice group, multiple quality control management measures were carried out, including standardized report writing, standard ultrasonography plane teaching, real-time quality control in clinical work, case follow-up, and phased summary evaluation. The effectiveness was evaluated through ultrasound examination, ultrasound diagnosis, report writing simulation assessment, and anonymous questionnaire survey. This Mann-Whitney U test was used to analyze the results.

The score for ultrasound examination increased significantly after implementing quality control measures [88.25 (84.25, 91.25) vs 82.50 (77.50, 85.75); Z=-2.118, P=0.034]. The score for ultrasound diagnosis and report writing also increased significantly after implementing quality control measures [86.00 (82.75, 92.50) vs 81.50 (76.13, 84.50); Z=-2.005, P=0.045]. The survey questionnaire statistics showed that the standardization of reporting, standard level of ultrasound examination, clinical thinking ability, diagnostic accuracy, and comprehensive work ability of resident trainees were all improved to varying degrees, with the most significant improvement observed in the standard level of ultrasound examination.

The combination of quality control and standardized resident training can form a virtuous circle, effectively improving teaching management level of the department, and enhancing the ultrasound examination, ultrasound diagnosis, and report writing abilities of ultrasound resident trainees.