The questionnaire survey results.

Morning report (MR) is one of the most important forms of resident standardized training. However, at present, it has not been carried out in most residential training bases in China. The specific content and implementation plan of MR lack standardized process. We introduced thematic MR in the training of residents who underwent standardized training in critical care medicine. A total of 37 residents (major in critical care medicine) were divided into two groups: the MR group (n = 22) and the traditional training group (n = 15). After receiving a 24-week training in the ICU of the Department of Critical Care Medicine, a comprehensive ability of critical care medicine was evaluated in the residents. The performance was assessed by Objective Structured Examination (OSCE) stations and theory examinations, including clinical decision-making ability, emergency treatment ability, clinical practice skills, communication and cooperation skills and medical theoretical knowledge. The results showed that, although there was no significant difference between the two groups in terms of communication and teamwork skills (P = 0.524), the MR group outperformed the traditional training group in terms of clinical decision-making ability, emergency treatment ability, clinical practice skills, medical theoretical knowledge (P < 0.05). Additionally, a questionnaire survey on the training mode of thematic MR in critical care medicine was conducted. The results showed that up to 90.9% (20/22) of residential physicians believed that thematic MR is necessary in the training of critical care medicine, and 86.4% (19/22) of them believed that the implementation of thematic MR could improve their mastery of knowledge in critical care medicine. In conclusion, this preliminary exploration demonstrated that thematic MR has the potential to enhance the training effect of residential physicians in critical care medicine. It is a favorite way among residents owing to its ease of implementation, flexibility, and hierarchical structure in the training of critical care medicine, offering a valuable complement to conventional training.

晨间报告（Morning Report, MR）是住院医师规范化培训中最重要的形式之一，但目前国内多数住院医师培训基地尚未开展此项活动，且其具体内容与实施方案缺乏标准化流程。本研究针对重症医学科住院医师规范化培训，引入主题式晨间报告模式。共纳入37名重症医学专业住院医师，分为两组：MR组（n=22）与传统培训组（n=15）。两组均在重症医学科ICU完成为期24周的培训后，研究人员对所有住院医师的重症医学综合能力进行了评估。评估采用客观结构化临床考试（Objective Structured Examination, OSCE）站点考核与理论考试相结合的方式，考核维度涵盖临床决策能力、急诊救治能力、临床实践技能、沟通协作能力及医学理论知识。结果显示，尽管两组在沟通与团队协作能力上无显著统计学差异（P=0.524），但MR组在临床决策能力、急诊救治能力、临床实践技能及医学理论知识方面均优于传统培训组（P<0.05）。此外，本研究针对重症医学科主题式晨间报告培训模式开展了问卷调查，结果显示，高达90.9%（20/22）的住院医师认为重症医学培训中开展主题式晨间报告具有必要性，86.4%（19/22）的住院医师认为主题式晨间报告的实施可提升其对重症医学知识的掌握程度。综上，本初步探索表明，主题式晨间报告有望提升重症医学科住院医师的培训效果。该模式实施简便、形式灵活且具备层级化架构，深受住院医师欢迎，可作为传统培训模式的有益补充。