临床流程式考试量表在麻醉科住院医师规范化培训中的应用  

Application of clinical flow examination scale in standardized residency training of anesthesiology

作　　者：郭飞 黄康[3] 吴朝萌[1] 郑业英 朱涛[1] 杜磊[1] Guo Fei;Huang Kang;Wu Chaomeng;Zheng Yeying;Zhu Tao;Du Lei(Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Anesthesiology,Zigong Fourth People's Hospital,Zigong 643000,China;Department of Scientific Research and Education,Zigong Fourth People's Hospital,Zigong 643000,China)

机构地区：[1]四川大学华西医院麻醉科,成都610041 [2]自贡市第四人民医院麻醉科,643000 [3]自贡市第四人民医院科教科,643000

出　　处：《中华医学教育探索杂志》2021年第2期208-212,共5页Chinese Journal of Medical Education Research

基　　金：四川省卫生厅科研基金(S18083)。

摘　　要：目的运用临床流程式考试(clinical flow examination,CFE)量表评估四川大学华西医院麻醉科住院医师规范化培训的效果。方法采用CFE方法,98名学员进行连续3次考试,并分别对考核导师和学员进行满意度调查;然后对CFE量表进行信效度检验,并对成绩和满意度进行统计分析。应用SPSS 23.0软件进行t检验和卡方检验。结果最终95名学员完成考核,CFE量表信效度较高。学员的基础、专业及最终总成绩的优秀率均较高;除女生组在基础、专业及最终总成绩均高于男生组(P<0.05)外,其余各组之间的差异均无统计学意义(P>0.05)。学员与导师对CFE的满意度分别为98.9%和100%。结论用CFE量表能够较好评估住院医师规范化培训效果,该院麻醉科培训的效果好且达到基本同质,但仍有进一步提升的空间。Objective The clinical flow examination(CFE)scale was used to evaluate the effect of standardized residency training in the department of anesthesiology in West China Hospital of Sichuan University.Methods Using the CFE scale,98 students were tested three times consecutively,and then satisfaction surveys were conducted on the assessment tutors and students respectively.IBM SPSS software was used to test the reliability and validity of the CFE scale,and then the scores and satisfaction were statistically analyzed.SPSS 23.0 was used for t test and chi-square test.Results The CFE scale had high reliability and validity,and the results of 95 students were included for analysis.The 95 students had a very high rate of excellence in basic,professional and final grades.Except that the basic,professional and final overall scores of the female group were higher than those of the male group(P<0.05),the differences between the other groups were not statistically significant(P>0.05).Results of the CFE satisfaction survey showed that the satisfaction of students and instructors was 98.9%and 100%,respectively.Conclusion CFE scale can be well used to evaluate the effect of standardized residency training,and the training effect of anesthesiology department in our hospital is good and basically homogeneous,while there is still room for further improvement.

关 键 词：效果 同质性 临床流程式考试 考核成绩 住院医师规范化培训 量表 

分 类 号：R4[医药卫生—临床医学] G642[文化科学—高等教育学]