改良迷你临床演练评估在骨科临床实习教学的应用  

Application of modified mini-clinical evaluation exercise in clinical teaching of orthopedic interns

作　　者：章筛林[1] 商培洋 潘刚[2] 陈腾[2] 石继祥[1] ZHANG Shai-lin;SHANG Pei-yang;PANG Gang;CHEN Teng;SHI Ji-xiang(Department of Orthopedics,Putuo Hospital,Shanghai University Affiliated to Traditional Chinese Medicine,Shanghai 200062,China;Department of Gastrointestinal Surgery,Putuo Hospital,Shanghai University Affiliated to Traditional Chinese Medicine,Shanghai 200062,China)

机构地区：[1]上海中医药大学附属普陀医院骨科,上海200062 [2]上海中医药大学附属普陀医院胃肠外科,上海200062

出　　处：《中国当代医药》2020年第18期201-204,共4页China Modern Medicine

基　　金：上海中医药大学第十八期课程建设项目(2019SHUTCM146)。

摘　　要：目的 探讨改良迷你临床演练评估(Mini-CEX)在骨科临床实习教学中应用的可行性及其价值.方法 选取2018年8月~2019年7月在上海中医药大学附属普陀医院骨科进行实习的84名临床医学五年制本科医学生.按照随机数字表法分为对照组和观察组,每组42名.对照组采用传统带教模式教学,观察组采用改良Mini-CEX教学法.比较两组实习学生的临床综合能力考核成绩、教学满意度.结果 实习前,两组学生临床综合能力各项目考核成绩比较,差异无统计学意义(P>0.05).实习后,两组学生临床综合能力各项目考核成绩高于实习前,差异有统计学意义(P<0.05).且实习后观察组学生临床综合能力各项目考核成绩高于对照组,差异有统计学意义(P<0.05).观察组学生对临床教学的总满意率高于对照组,差异有统计学意义(P<0.05).结论 应用改良Mini-CEX教学法进行临床教学,可有效提高骨科实习生的临床综合能力,有利于提高其实习生对临床教学的满意度,更适合外科科室的临床实习教学.Objective To investigate the feasibility and value of modified mini-clinical evaluation exercise(Mini-CEX)in clinical teaching of orthopedic interns.Methods From August 2018 to July 2019,84 undergraduates of five-year clinical medicine practiced in the Department of Orthopedics,Putuo Hospital Affiliated to Shanghai University of Traditional Chinese Medicine were selected.According to the random number table method,they were divided into control group and observation group,with 42 cases in each group.In the control group,the interns received the traditional teaching method,and the interns in observation group received the modified Mini-CEX teaching method.The results of clinical comprehensive ability assessment and teaching satisfaction rate between the two groups were compared.Results Before the internship,there were no significant differences between the two groups in the assessment results of clinical comprehensive ability(P>0.05).After the internship,the assessment results of clinical comprehensive ability of the two groups were higher than those before the internship,and the differences were statistically significant(P<0.05).Moreover,after the internship,students in the observation group scored higher in the assessment of clinical comprehensive ability than the control group,with statistically significant difference(P<0.05).The total rate of teaching satisfaction in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of modified Mini-CEX teaching method can effectively enhance the clinical comprehensive ability of orthopedic interns and their satisfaction with clinical teaching,and more suitable for clinical practice teaching in surgical departments.

关 键 词：骨科 临床教学 临床实习 改良迷你临床演练评估 

分 类 号：R642.44[医药卫生—外科学]