What Allow Surgical Residency Training Power?

As medical practitioners and educators, we come with great interests across the interesting article concerning on the integrity of National Resident Matching Program (NRMP) by Laurie et al [1]. Regarding the origin and historical evolution of NRMP, it emphasized its significance of integrity, aiming to promise a fair, efficient and reliable project implementation falling to the ground. However, it repeatedly pointed out that the punishment for defaulters or violators who fail to acquire the final certification was clearly a kind of papillary way that does not change the root problem at all. Despite that the proper punishment action in real world has played a certain administrative effects on the trainees, it didn’t further analyze or provide real steps to the underlying root causes of the problematic applicants. For this point, we have a few suggestions as follows: First, since 1900s, NRMP in United States has been forgoing a strong training platform for the pre-doctors or doctors at their primary stage, including interns, graduate students, junior residents, and general practitioners, etc., in order to achieve the overarching goal of eligibility professionals in the future work after rigorous training. But NRMP lacks profound reform to meet the challenge of digitized era. For instance, the integrity of medical education and the training model transformation also should be taken into consideration. Digital-driven power and innovation leadership are becoming new spotlights during NRMP processing. As Zhou et al reported [2], both goal-driven and techdriven indeed become the double- inner-core of contemporary NRMP. Second, the integrity of NRMP does matter but not be all because it is far from enough to ensure the integrity of the medical education itself. Instead, “syntegrative” education is welcomed to explain the reason why the syntegrative education becomes so prevalent at the occasion. Pure education mode needs trinity-based education professional transformation as Jia et al recently proposed [4]. Focusing on the “trinity” workplace transformation has been referred as one of the most practical value and enlightenment to fulfill the substantial goal of NRMP. Basic knowledge, clinical skills, better communication among patients, academic innovation ability, and other comprehensive qualities are all recognized as important aspects for NRMP that is not only the cradle and starting point of qualified doctors but also a springboard for untapped talents. Third, backing to the article by Laurie et al [1], indeed, sometimes the defaulters or the violators