Construction and Practice of a Three-Tiered Hierarchical Full-Chain Management System for Teaching Faculty in Standardized Residency Training
Objective: Faculty development is a critical component in the management of standardized residency training (SRT). In response to prominent issues at our institution—including imbalanced faculty echelon structure, unequal distribution of teaching loads, undifferentiated evaluation and incentives, and weaknesses in research-teaching integration—we constructed a three-tiered hierarchical full-chain faculty management system (primary reserve, backbone execution, and senior leadership) tailored to the characteristics of each specialty base. This system aims to establish a standardized and actionable operational mechanism for faculty cultivation, assessment, and incentive. Methods: Based on a full-coverage survey of SRT teaching faculty from September 2024 to September 2025, we analyzed the composition of the teaching staff, teaching activity implementation, faculty evaluations, and self-assessments. Drawing also on the faculty management experience of several high-performing SRT institutions, we developed a hierarchical evaluation system for SRT teaching faculty and established an integrated six-dimensional hierarchical management framework covering access, performance, training, assessment, incentive, and dynamic exit. Results: We completed the full-process institutional design grounded in the actual pain points identified in our survey. Differentiated rights, responsibilities, assessment indicators, and incentive standards were defined for the three faculty tiers, with specialty-specific provisions precisely addressing discipline-based issues, resulting in a complete implementation plan tailored to our hospital’s realities. Conclusion: This hierarchical management system meets the differentiated management needs of multi-specialty SRT bases. It can be used for long-term standardized faculty governance at our institution and serves as a reference for similar comprehensive hospitals seeking to resolve challenges in homogenized faculty management through tiered system design.
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