调查2025年参加北京市超声医学专业住院医师规范化培训（简称住培）临床实践能力结业考核的住院医师，为优化考核设计、加强培训薄弱环节、提升岗位胜任力提供依据。

采用横断面调查方法，对114名考生进行电子问卷调查，问卷内容包括基本情况、住培期间各亚专业（腹部、心脏、妇产、浅表器官、周围血管、急诊）独立上机操作频率，考核满意度、题目难易度及考试时长评价，并结合考核成绩进行分析。

考核总体通过率为93.0%（106/114），问卷有效回收率为80.7%（92/114）。住院医师住培期间独立上机操作频率以腹部、浅表器官、周围血管超声3个亚专业较高（≥1次/周者占比分别为97.8%、97.8%、92.4%），心脏、妇产超声上机操作频率稍低（66.3%、64.1%），急诊超声上机操作频率最低（39.1%）。结业考核满意度总体较高（84.8%），但上机操作标准化患者满意度稍低（54.3%）；50.0%的考生认为妇产病例分析有难度；69.6%的考生认为上机操作考核时长不够。

北京市超声医学专业住培临床实践能力结业考核整体实施效果良好，认可度与通过率较高。然而，住培期间各亚专业独立上机操作强度不均、结业考核标准化患者规范化等方面仍存在提升空间。建议强化心脏、妇产及急诊超声实践教学，针对性提升学员操作熟练度与临床应对效率，从而更充分地适应考核要求、展现真实临床胜任力。

To investigate the performance of residents who took the 2025 clinical practice competence graduation examination for standardized medical ultrasound training in Beijing, and to provide evidence for optimizing examination design, addressing training gaps, and improving clinical competency.

A cross-sectional survey was conducted using an electronic questionnaire distributed to 114 candidates. The questionnaire covered basic information, frequency of independent ultrasonic operation in six subspecialties (abdomen, heart, obstetrics and gynecology, superficial organs, peripheral blood vessels, and emergency) during residency, self-assessment with of examination performance, perceived question difficulty, and evaluation of examination duration. Data were analyzed in conjunction with the examination results.

The overall pass rate was 93.0% (106/114), and the valid response rate was 80.7% (92/114). During residency, the frequency of independent ultrasound operation was relatively high in three subspecialties: abdominal, superficial organ, and peripheral vascular ultrasound, with 97.8%, 97.8%, and 92.4% of residents performing at least once per week, respectively. The frequency was lower for cardiac and obstetrics/gynecology ultrasound (66.3% and 64.1%, respectively), and lowest for emergency ultrasound (39.1%). Overall satisfaction with the graduation examination was high, but satisfaction with the standardized patients for the hands-on examination was relatively low (54.3%). Moreover, 50.0% of the candidates considered the obstetrics and gynecology case analysis difficult, and approximately 69.6% reported insufficient time for hands-on operation examination.

The clinical practice competence graduation examination for residents in standardized ultrasound training in Beijing was well organized, with high pass rates and overall acceptance. However, deficiencies remain, including uneven hands-on intensity across subspecialties and a lack of standardization in the use of standardized patients. It is recommended to strengthen practical training in cardiac, obstetrics and gynecology, and emergency ultrasound to improve residents' operational proficiency and clinical responsiveness, thereby enabling them to better adapt to examination requirements and demonstrate authentic clinical competency.