mini-CEX在康复医学科住院医师培养中的应用  

Application of mini-CEX in the Training of Resident Doctors in Rehabilitation Medicine

作　　者：刘传道[1] 昝云强[1] 张涵君[1] LIU Chuan-dao;ZAN Yun-qiang;ZHANG Han-jun(Department of Rehabilitation,the First Affiliated Hospital of Suzhou University,Suzhou215006,Jiangsu,China)

机构地区：[1]苏州大学附属第一医院康复医学科

出　　处：《医学信息》2019年第17期20-22,25,共4页Journal of Medical Information

摘　　要：目的本研究旨在了解康复医学住培学员在康复轮转过程中,接受改良版迷你临床演练评测(mini-CEX)方案对其临床能力的提升效果。方法选择2017年1月~2018年10月在我院参加规范化培训的住院医师28名,进行迷你临床演练评测,重点评测体现学员核心能力的七项指标,包括医疗面谈、功能评估、康复计划、沟通能力、人文关怀、组织效能和整体适应;并对评测结果进行分析。结果28名学员在科室规范化培训过程中均完成了4次mini-CEX评测,七项评估内容均较之前改善,差异有统计学意义(P<0.05);第四次评测中,功能评估、康复计划及人文关怀项得分分别为(7.07±0.72)分、(7.04±0.67)分、(7.29±0.66)分,均达到优秀等级。结论改良mini-CEX应用于康复医学住培带教中,有助于住培学员实际临床能力的提升,在康复医学核心能力提高和人文关怀上效果较为突出。Objective The purpose of this study was to understand the effect of the improved(mini-CEX)program on the clinical ability of rehabilitation students in the rehabilitation process.Methods A total of 28 residents who participated in standardized training in our hospital from January 2017 to October 2018 were selected to conduct mini-clinical drill evaluation.The key indicators were to evaluate the seven indicators that reflected the core competence of the students,including medical interviews,functional assessment,rehabilitation programs,communication skills,human care,organizational effectiveness and overall adaptation;and analysis of the results.Results 28 students completed four mini-CEX evaluations in the standardized training process.The seven evaluations were improved compared with the previous ones,the difference was statistically significant(P<0.05).In the fourth evaluation,functional evaluation scores of rehabilitation program and humanistic care items were(7.07±0.72),(7.04±0.67),and(7.29±0.66),respectively.Conclusion The improved mini-CEX is used in rehabilitation and medicine training,which helps the students to improve their clinical ability.It is more effective in improving the core competence of rehabilitation medicine and human care.

关 键 词：MINI-CEX 康复医学科 住培医师 

分 类 号：G642[文化科学—高等教育学]