PBL教学模式联合Mini-CEX和DOPS形成性评价体系在儿科实习教学中的应用  

Application of PBL teaching mode combined with Mini-CEX and DOPS formative evaluation systems in pediatric practical teaching

作　　者：李冉 孙丽娜 苏博 LI Ran;SUN Lina;SU Bo(Department of Pediatrics,People's Hospital Affiliated to Shandong First Medical University,Jinan 271100,China)

机构地区：[1]山东第一医科大学附属人民医院儿科,山东济南271100

出　　处：《全科医学临床与教育》2023年第7期633-636,共4页Clinical Education of General Practice

摘　　要：目的 探索以问题为基础的学习(PBL)教学模式联合迷你临床演练评估(Mini-CEX)和操作技能直接观察评估(DOPS)形成性评价体系在儿科实习教学中的应用。方法 选取2021年7月至2021年12月在山东第一医科大学附属人民医院儿科轮转实习的临床医学生共40名,随机分为实验组及对照组。对照组进行传统教学模式,实验组给予PBL教学模式。两组在入科时及出科前分别进行1次Mini-CEX和DOPS评估,同时完成两次理论考试。对两组数据进行比较。结果 实验组出科时Mini-CEX评分在病史询问、体格检查、临床判断、组织效能、整体表现评分高于对照组(t分别=3.89、5.40、2.08、4.13、3.86,P均<0.05)。实验组出科时DOPS评分中的对操作适应证和操作步骤的了解和理解、操作技能、无菌观念、操作后相关处理、医患沟通的技巧、整体表现评分高于对照组(t分别=2.17、2.56、2.53、3.88、2.29、2.50,P均<0.05),理论考试成绩高于对照组(t=2.47,P<0.05)。结论 在儿科实习教学中联合采用PBL教学模式及Mini-CEX、DOPS评价体系,能提升实习医师的学习能力、分析问题能力、创新思维能力及临床综合能力。Objective To explore the application of PBL teaching model combined with Mini-CEX and DOPS formative evaluation system in pediatric practice teaching.Methods A total of 40 clinical medical students who had rotated internship in pediatrics in the Affiliated People's Hospital of Shandong First Medical University from July 2021 to December 2021 were randomly divided into experimental group and control group.The control group was received the traditional teaching mode,and the experimental group was received the PBL teaching mode.The two groups received once Mini-CEX and DOPS assessment at the time of admission and before leaving the department,and theoretical exams were taken at the same time.Results The scores of Mini-CEX in the experimental group were higher than those in the control group in medical history inquiry,physical examination,clinical judgment,organizational efficacy and overall performance(t=3.89,5.40,2.08,4.13,3.86,P<0.05).The DOPS scores in operation knowledge,operation skills,asepsis concept,postoperative management,doctor-patient communication and overall performance of experimental group were higher than those of the control group(t=2.17,2.56,2.53,3.88,2.29,2.50,P<0.05).The theoretical test score of experimental group was higher than that of control group(t=2.47,P<0.05).Conclusion The combination of PBL teaching model and Mini-CEX and DOPS evaluation system in pediatric practice teaching can improve the learning ability,problem analysis ability,innovative thinking ability and clinical comprehensive ability of interns,which is worth promoting.

关 键 词：以问题为基础的学习 迷你临床演练评估 操作技能直接观察评估 形成性评价 儿科 实习教学 

分 类 号：R-4[医药卫生] G642.44[文化科学—高等教育学]