嵌入SP的形成性评价在内科实习教学中的应用与思考  

Application and exploration of formative evaluation in embedded SP mode in internal medicine practice teaching

作　　者：李芳 栗蕴[2] 魏大巧 梅妍 龚美玲 费弘靖 李娅南 Li Fang;Li Yun;Wei Daqiao;Mei Yan;Gong MeiLing;Fei Hongjing;Li Ya'nan(Office of Academic Affairs,Medical School of Kunming University of Science and Technology,Kunming 650032,China;Education Department,The First People's Hospital of Yunnan Province,Kunming 650032,China)

机构地区：[1]昆明理工大学医学院教务办,650032 [2]云南省第一人民医院教育科,昆明650032

出　　处：《中华医学教育探索杂志》2020年第10期1175-1178,共4页Chinese Journal of Medical Education Research

基　　金：昆明理工大学2017年课程考核改革面上项目;大理大学2017年教学教改项目;云南省科技厅-昆明医科大学联合专项资金项目[2018FE001(-305)];全国教育科学“十三五”规划2016年度单位资助教育部规划课题(FFB60596)。

摘　　要：目的观察嵌入标准化病人(standard patient,SP)的形成性评价对内科实习教学的应用效果。方法选取昆明理工大学医学院2014级110名在同一所附属医院内科实习的学生为研究对象,随机分为实验组和对照组,每组55人。对照组采用传统临床实习带教方法培养,实验组在内科临床实习带教期间采用SP联合迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)评价,内科实习结束后两组学生均采用Mini-CEX评价,同时两组均采用问卷调查对教学效果进行反馈。结果出科考试难易度差异无统计学意义(P>0.05),但实验组的出科考试成绩明显高于对照组;运用Mini-CEX在问诊技能、体格检查、人文关怀、组织效能等方面的成绩明显高于对照组;实验组对SP参与的形成性评价提升内科实习效果满意度高,差异具有统计学意义(P<0.05)。结论本研究中以SP参与的形成性评价,一定程度上可以提高医学生临床实习教学的效果。Objective To observe the application effect of formative evaluation of embedded standard patient(SP)on internal medicine practice teaching.Methods In this study,110 students from our school in Batch 2014 who were interned in the internal medicine of the same affiliated hospital were selected as the research objects,and they were randomized into the experimental group and the control group,with 55 students in each group.The control group was trained with traditional clinical practice teaching methods.The experimental group used SP combined mini-clinical evaluation exercise(Mini-CEX)to participate in the evaluation during the clinical practice teaching of internal medicine.After the internal medical practice,the two groups of students were evaluated by Mini-CEX,and the teaching effect of both groups was evaluated through questionnaires.Results There was no significant difference in the degree of difficulty in the examinations(P>0.05),but the test scores of the experimental group were significantly higher than those of the control group.The results of Mini-CEX used in inquiry skills,physical examination,humanistic care,and organizational effectiveness were significantly higher in the experimental group than in the control group.The experimental group was highly satisfied with the formative evaluation of SP participation in improving the effect of internal medicine practice,with statistical significance(P<0.05).Conclusion The formative evaluation with SP participation in this study can improve the clinical practice teaching effect of medical students to a certain extent.

关 键 词：标准化病人 形成性评价 内科实习 

分 类 号：R-05[医药卫生]