Abstract: Objective To evaluate the training outcomes of refresher physicians in Department of Rheumatic Immunology, Peking Union Medical College Hospital, and to explore the standardized training mode. Methods In September 2021, twenty three intermediate-level refresher physicians from the Department of Rheumatology and Immunology, Peking Union Medical College Hospital participated in a comprehensive multi-scene training program including outpatient tutorials, case-based teaching of difficult and critical cases in wards, specialist lectures and multi-disciplinary lectures. After six months of training, the refresher physicians completed a questionnaire survey covering medical care, scientific research, teaching format, and advanced training duration, with 10 multiple-choice questions and 3 fill-in-the-blank questions. The results were analyzed descriptively. Results After six months of training in a multi-scene comprehensive training program, as shown by the results of the self-assessment by the trainees, the clinical skills and scientific research capacity improved by 55.7% and 50% respectively as compared to the pre-training period. The average improvement of standardized diagnosis and treatment was 60.9%, and the average improvement of diagnosis and treatment skills was 53.5%. The average improvement in the diagnosis and treatment level of difficult cases was 53.0%. The average improvement in the diagnosis and treatment level of rare diseases was 50.4%.There were 65.25% of the refresher physicians believed that the most rewarding learning was in the outpatient clinics, followed by discussion of difficult cases in wards and lectures by the fellowship physicians. 56.5% of the refresher physicians felt that the optimal duration of the advanced training was 12 months.Conclusions A comprehensive training system combining outpatient tutorials, case-based training of difficult cases in the ward, specialized lectures and multidisciplinary lectures for advanced refresher physicians is effective for training rheumatologists.

Key words: rheumatic immunology, continuing medical education, refresher physician, standardized training, teaching method