The purpose of this study is to explore the application of hierarchical progressive teaching methods in emergency department physicians. Traditional medical education methods usually adopt a unified teaching plan, which cannot meet the learning needs of different students. Therefore, this study introduced the hierarchical and progressive teaching method and developed a personalized learning plan according to the gastroscopy skill level and needs of physicians. Methods through comparative research, including assessing trainees’ skill level, group learning, implementing personalized education, providing real-time feedback, and regular assessment. The results showed that the students who applied the hierarchical progressive teaching method showed a significant improvement in the gastroscopy skill assessment. They were more actively involved in classroom activities, and their learning satisfaction was improved significantly. Compared with traditional teaching methods, the hierarchical progressive teaching method has higher educational efficiency, enabling students to master skills more quickly. Furthermore, standardized assessment tools make it easier to measure trainees’ skill levels. Therefore, this study concluded that the hierarchical progressive approach is an effective educational strategy that can be used to improve the gastroscopy skills and medical quality of ED physicians. Future studies could further explore how to further improve and optimize this educational approach.
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