分析北京协和医院超声医学科住院医师规范化培训学员对读片会教学的反馈意见，探讨住院医师读片会的教学效果和提升方向。

纳入2021年9月至2023年9月进入北京协和医院超声医学科的规范化培训住院医师共计40人。每周一次的读片会上，由2名住院医师分别针对一个病例或一个临床问题进行汇报，督导教师进行点评并引导全体住院医师进行自由讨论。采用问卷调查对教学活动效果进行评估，分析问卷结果并比较不同年级住院医师之间的差异。

共有40名住院医师参加调查，其中一年级14人、二年级13人、三年级13人。对于读片会教学整体满意率为95%（38/40）；对读片会举办频率、举办时间和线上-线下结合的会议形式认同率高（分别为85%、85%、100%）。随年级增高，读片会参会频率下降，3组间比较差异有统计学意义（χ²=16.765，P=0.00215）。病例选择方面，相比于肿瘤性疾病和多系统/脏器受累综合征，选择急诊来源病例（95%）、罕见/疑难病例（82.5%）和常见/基础病例（75%）的比例更高。具体地，一年级更倾向于急诊和常见病（26/44，59.1%），二年级对于急诊和疑难罕见病例更感兴趣（24/43，55.8%），三年级对急诊、罕见病、常见基础病、肿瘤性病变和多系统综合征等各类疾病均有学习需求。在各系统性疾病中，相比于消化系统、泌尿系统、心血管系统及其他（5%），更多学员认为读片会教学在妇产科病例（57.5%）和浅表器官病例（37.5%）两方面帮助更大。

北京协和医院超声医学科读片会对于住院医师能力提升具有积极意义，未来应在教学内容、教学模式以及分级教学等方面作出改进，适应住院医师培训需求，帮助其提高职业胜任力。

To explore the direction of improving the teaching effectiveness of residents' case learning meetings based on the feedback from the specialty training residents in the Ultrasound Medicine Department of Peking Union Medical College Hospital.

A total of 40 residents who underwent specialty training at the Department of Ultrasound Medicine of Peking Union Medical College Hospital from September 2021 to September 2023 were included. During each weekly case learning meeting, two physicians each reported one case or discussed around one clinical issue separately. The supervising teacher provided feedback and guided all attending residents to have free discussions. We designed a survey questionnaire to assess the effectiveness of this teaching form, including the differences between physicians from different grades.

A total of 40 resident physicians participated in the survey, including 14, 13, and 13 in the first, second, and third grade, separately. The overall satisfaction rate with the case learning meetings was 95% (38/40). The agreement rates for meeting frequency and duration, and the combination of online and offline forms were satisfactory (85%, 85%, and 100%, respectively). There were differences in the participation frequency and learning needs among students of different grades. As the grade increased, the participation frequency decreased. In terms of learning needs, the first grade students tended to focus on emergency and common basic diseases (number of votes 26/44, 59.1%), the second grade students were more interested in emergencies and difficult or rare cases (number of votes 24/43, 55.8%), and the third grade students had learning needs for various types of diseases including emergencies, difficult or rare diseases, common basic diseases, tumor lesions, and multiple system syndromes. Compared to the digestive system, urinary system, and cardiovascular system (total voting rate 5%), more students believed that it was more helpful to discuss obstetrics and gynecology cases (57.5%) and superficial organs (37.5%).

The residents' case learning meeting in the Department of Ultrasound Medicine of Peking Union Medical College Hospital has positive significance in improving the abilities of resident physicians. The organizers should make improvements in teaching content, meeting mode, and graded teaching to accurately adapt to the training needs of resident physicians and help enhance their professional competence.