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.