标准化患者在评估麻醉临床型研究生术前访视能力中的应用  

Application of standardized patients in the assessment of competency of graduate students in anesthesiology in preoperative interview

作　　者：龚亚红[1] 王维嘉[1] 范洪伟[2] 黄晓明[2] 阮侠[1] 李旭[1] 杨萍 易杰[1] 裴丽坚[1] 黄宇光[1] GONG Yahong;WANG Weijia;FAN Hongwei;HUANG Xiaoming;RUAN Xia;LI Xu;YANG Ping;YI Jie;PEI Lijian;HUANG Yuguang(Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;不详)

机构地区：[1]中国医学科学院北京协和医院麻醉科,100730 [2]中国医学科学院北京协和医院内科,100730 [3]北京协和医学院教务处

出　　处：《临床麻醉学杂志》2019年第12期1205-1208,共4页Journal of Clinical Anesthesiology

基　　金：北京协和医学院本科教改项目(2017zlgc0102)

摘　　要：目的在现有的研究生培训体系中,术前访视能力缺少有效的评估方法。本研究拟评价标准化患者(standardized patients, SP)情景模拟在术前访视能力评估中的可行性和有效性。方法将SP情景模拟整合到多站式考核的术前访视考核站点中,对我院第二、第三年麻醉临床型研究生进行考核。考核过程中由SP和2名现场考官分别对考生进行评分,评分方法采用一个核查表评估术前访视的内容,采用一个量表评估病史采集技巧、交流技巧及人文素养的能力,同时由现场考官对SP的表现进行打分。考核结束后,另一名考官通过回顾视频对考生和SP的表现进行打分。SP与考官打分采用Pearson相关性分析。结果在量表评估中,病史采集技巧评分(r=0.701,P<0.001)、交流技巧评分(r=0.752,P<0.001)和人文素养评分(r=0.595,P<0.001)在SP与考官之间均存在良好的相关性。在核查表评估中,SP评分与考官评分也具有良好的相关性(r=0.718,P<0.001)。结论标准化患者情景模拟能够为麻醉临床型研究生术前访视过程中非技术技能的考核提供一种直观可靠的方法。Objective To explore the feasibility and effectiveness of standardized patients(SP) in the evaluation of competency in preoperative interview among graduate students in anesthesiology. Methods SP encounter was used in the evaluation of competency in preoperative interview among second-and third-year clinical graduate students in our department. Performance of the students were rated by two examiners at scene, and another examiner watching video afterwards, according to one checklist containing the contents of interview and another on the skills of history-taking, communication and humanity. Correlations between by SP ratings and clinical examiner ratings were analyzed. Results SP Ratings were highly correlated with clinical examiner rating in the assessment of history-taking skills(r = 0.701, P < 0.001), communication(r = 0.752, P < 0.001), humanity(r = 0.595, P < 0.001) and checklist assessment(r = 0.718, P < 0.001). Conclusion SP encounter could be a reliable tool in the assessment of competency of graduate students in anesthesiology in preoperative anesthesia interview.

关 键 词：麻醉术前访视 标准化患者 情景模拟 临床型研究生 非技术技能 考核 

分 类 号：R-4[医药卫生] G643[文化科学—高等教育学]