形成性评价在临床技能模拟训练课程中的应用  

Application of formative assessment in clinical skills simulated training course

作　　者：梁宇[1] 孟晶莹[2] 乔建梁[3] Liang Yu;Meng Jingying;Qiao Jianliang(Department of Rehabilitation,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,China;Educational Administration Office,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,China;Department of Hepatobiliary Surgery,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,China)

机构地区：[1]内蒙古医科大学附属医院康复科,呼和浩特010050 [2]内蒙古医科大学附属医院教务部,呼和浩特010050 [3]内蒙古医科大学附属医院肝胆外科,呼和浩特010050

出　　处：《中华医学教育探索杂志》2020年第2期141-144,共4页Chinese Journal of Medical Education Research

基　　金：内蒙古医科大学临床实践技能教学团队(NYJXTD201603);内蒙古医科大学2018年高等教育教学改革研究项目(NYJXGG2018094)。

摘　　要：目的探讨形成性评价在临床技能模拟训练课程中的应用价值。方法在内蒙古医科大学卓越医生临床技能模拟训练课程中,针对2014级学生(38人)采用传统的终结性评价,作为对照组,采用多站式考试进行考核;针对2015级学生(72人)在终结性评价的基础上引入形成性评价,作为实验组,建立包括学生组内互评、教师抽查评价、分阶段录制操作视频反馈及学生课后意见实时反馈4种方法的多元化评价体系。课程结束后对实验组学生和教师进行问卷调查。数据比较采用SPSS 15.0进行t检验和卡方检验。结果实验组学生成绩[(91.88±3.27)分]高于对照组[(86.05±4.31)分],差异有统计学意义(P<0.05)。问卷调查显示,教师及学生对形成性评价反馈"较好"的比例明显高于"一般"和"较差",认为形成性评价有助于提高学生自主学习的积极性,有助于提高学生学习效果,有助于全面准确地评价学生临床技能操作水平,有助于提高教师临床实践技能教学水平。结论形成性评价和终结性评价相结合构建的多元化评价体系在临床技能训练课程中取得了良好效果,值得推广应用。Objective To explore the application of formative assessment in clinical skills simulated training course.Methods The clinical skills simulated training course for excellent doctors in our school was selected as the research focus, students of Grade 2014 adopted traditional summative evaluation (control group), and the multi-station examination was used as evaluation method. Students of Grade 2015 adopted the formative evaluation on the basis of summative evaluation (experimental group), a diversified evaluation system was established, including inter-group evaluation by students, random evaluation by teachers, feedback of operation videos of different stages and real-time feedback of students' opinions after class. Questionnaires were conducted among students and teachers at the end of the course.Results The scores of the experimental group were higher than those of the control group, with differences being statistically significant (P<0.05). Questionnaires showed that the proportion of "good" selected by teachers and students in the feedback of formative assessment was markedly higher than that of "just so-so" and "bad", indicating that formative assessment is conducive to increasing students' initiative for self-studying, improving students' learning effect, comprehensively and accurately evaluating students' clinical operational skills, as well as improving the teaching level of clinical practice skills.Conclusion The diversified evaluation system, which combines formative evaluation with summative evaluation, has achieved good teaching results in clinical skills simulated training course and it is worth to be widely applied.

关 键 词：形成性评价 终结性评价 临床技能模拟训练课程 

分 类 号：G642[文化科学—高等教育学] R-4[文化科学—教育学]