迷你临床演练评估在八年制儿科临床教学双向评估中的应用  

Application of Mini-Cex in Bidirectional Evaluation of Pediatric Clinical Teaching on Eight-Year Medical Students

作　　者：张晓燕[1] 吴斌[1] 刘俊红[1] 邵巧燕[1] 黄欢欢[1] 许淑争 ZHANG Xiaoyan;WU Bin;LIU Junhong;SHAO Qiaoyan;HUANG Huanhuan;XU Shuzheng(Department of Pediatrics,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China)

机构地区：[1]福建医科大学附属第一医院儿科,福州350005

出　　处：《福建医科大学学报》2020年第5期339-341,共3页Journal of Fujian Medical University

基　　金：福建省中青年教师教育科研项目(JAS170191)。

摘　　要：目的探讨迷你临床演练评估(mini-CEX)应用于八年制本硕连读临床医学生在儿科学的临床教学实践中的价值。方法选取2018年1月-2019年12月60例八年制本硕连读临床医学生作为研究对象,随机分为观察组及对照组,每组各30例。观察组采用mini-CEX教学方法,分别在入科时以及入科2,4及6周(出科时)采用mini-CEX量表进行双向评估;对照组采用传统教学方法。结果与入科时比较,学生在入科2,4及6周(出科时)整体测评合格率逐渐上升,差别具有统计学意义(P<0.05)。观察组在医疗问诊、体格检查、沟通技巧、临床判断、人文关怀、组织效能及整体表现等7项临床核心能力上的合格率,入科时与对照组无明显差别,出科时明显高于对照组,差别具有统计学意义(P<0.05)。结论在儿科教学中采用mini-CEX方法有利于提高医学生的临床实践能力。Objective To explore the clinical teaching value of mini-CEX in the clinical teaching practice of pediatrics for eight-year undergraduate and postgraduate students majoring in clinical medicine.Methods A total of 60 eight-year undergraduate and postgraduate clinical medical students who did internship in pediatrics in our hospital from January 2018 to December 2019 were selected as the study objects.They were randomly divided into observation group and control group with 30 students in each group.In the observation group,mini-CEX teaching method was adopted when entering the department,2 weeks after entering the department,4 weeks after entering the department,and 6 weeks after entering the department.And the mini-CEX scale was used for two-way evaluation when the teacher evaluated the students,the students also evaluated the teacher.The control group used traditional teaching methods.Results Compared with when students entered the department,the pass rate of the overall assessment for the students who entered the department after 2 weeks,4 weeks and 6 weeks,gradually increased,and the difference was statistically significant.In the observation group,the pass rate of 7 clinical core competencies,including medical history collection,physical examination,doctor-patient communication,operational skills,humanistic care and overall performance.There was no significant difference between the observation group and the control group.However,upon completion the pass rate was significantly higher compared to the control group(P<0.05).Conclusion The implementation of mini-CEX teaching methods in pediatrics is conducive to improve the clinical practice ability of the medical students.

关 键 词：教育 医学 临床实习 儿科学 

分 类 号：R192[医药卫生—卫生事业管理]