基于外科参加住院医师规范化培训（简称住培）的医师对胃食管反流病（GERD）专项培训需求的调查，提出一套系统化、分层化的教学体系改进策略，进而提升医师GERD外科治疗综合能力。

采用问卷调查法，评估30名外科住培医师进行GERD专项培训的需求，内容涵盖基本信息、知识掌握程度、临床实践经验、技能操作能力及培训需求。基于调查结果，从理论教学、实践操作、多学科协作和评估反馈4个维度优化教学体系。

调查显示，46.67%（14/30）的住培医师对GERD外科治疗的知识掌握多处于"一般熟悉"水平，53.33%（16/30）的住培医师未参与过相关手术，63.33%（19/30）的住培医师仅在理论上了解手术关键步骤；在培训需求上，66.67%（20/30）的住培医师希望强化"疾病基础理论与最新进展"，63.33%（19/30）的住培医师最偏好"模拟器实操训练"。

基于前期需求分析提出GERD外科住培医师专项培训改进策略，目标明确、针对性强，能够有效契合住培医师的学习缺口与偏好，为外科亚专科教学专项培训提供了可借鉴的模式。

To explore a systematic and stratified teaching system improvement strategy based on a survey of the specialized training needs of surgical residents for gastroesophageal reflux disease (GERD), and thereby enhance their comprehensive surgical treatment capabilities for GERD.

A questionnaire survey was conducted among 30 surgical residents to assess their specialized training needs for GERD, covering basic information, knowledge mastery, clinical practice, skill operation, and training demands. Based on the survey results, the teaching system was optimized from four dimensions: theoretical teaching, practical operation, multidisciplinary collaboration, and assessment feedback.

The survey revealed that 46.67% (14/30) of the residents had a "generally familiar" level of knowledge about GERD surgical treatment, 53.33% (16/30) had not participated in related surgeries, and 63.33% (19/30) only had theoretical understanding of the key surgical steps. Regarding training demands, 66.67% (20/30) of the residents hoped to strengthen "basic disease theory and the latest progress" , and 63.33% (19/30) preferred "simulator hands-on training" .

The proposed improvement strategy for specialized GERD surgical resident training, based on the previous needs analysis, is clear in its objectives and highly targeted. It can effectively address the learning gaps and preferences of surgical residents, providing a reference model for specialized training in surgical subspecialties.