Mini-CEX联合DOPS在感官系统疾病整合教学眼科实习中的实践研究  

Effect of Mini-Clinical Evaluation Exercise combined with direct observation of procedural skills inophthalmology practice training in integrated teaching of sensory system diseases

作　　者：王梦蕾[1] 黎梦 王茜[1] Wang Menglei;Li Meng;Wang Qian(Department of Ophthalmology,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院眼科,重庆400010

出　　处：《中华医学教育探索杂志》2023年第9期1361-1365,共5页Chinese Journal of Medical Education Research

基　　金：重庆医科大学第二临床学院院级教育教学研究项目(YJ2022-13)。

摘　　要：目的:探索基于临床演练评估(mini-clinical evaluation exercise,Mini-CEX)联合操作技能直接观察评估(direct observation of procedural skills,DOPS)在感官系统疾病整合教学眼科实习阶段培训的效果。方法:选取进入重庆医科大学第二临床学院感官系统疾病整合教学眼科实习阶段的五年制医学生作为研究组,前期(2020年10月至2021年7月)实习的五年制医学生作为对照组。比较两组出科考试成绩、研究组递进式阶段评价结果、实习满意度等。使用SPSS 23.0进行t检验。结果:研究组实习生无论是在病史询问,还是病历书写及操作技能方面,成绩均优于对照组(t=2.47,P=0.016;t=5.26,P<0.001;t=2.20,P=0.031)。在递进式培训中,第二次递进式形成性评价中Mini-CEX及DOPS分数均优于第一次(t=-21.06,P<0.001;t=-15.09,P<0.001)。第二次测评时实习生对自身表现的满意度及考官对实习生的满意度均优于第一次(t=-5.53,P<0.001;t=-8.19,P<0.001)。结论:基于Mini-CEX联合DOPS用于感官系统疾病整合教学眼科实习阶段培训中效果较好,值得推广。Objective To investigate the effect of Mini-Clinical Evaluation Exercise(Mini-CEX)combined with direct observation of procedural skills(DOPS)in ophthalmology practice training in the integrated teaching of sensory system diseases.Methods The medical students in the five-year program who entered the stage of ophthalmology practice in the integrated teaching of sensory system diseases in The Second Clinical College of Chongqing Medical University,were selected as research group,and the medical students in the five-year program who received training from October 2020 to July 2021 were selected as control group.The two groups were compared in terms of department examination score,progressive evaluation of the research group,and the degree of satisfaction with practice.SPSS 23.0 was used for the t-test.Results Compared with the control group,the research group had significantly better scores of medical history inquiry,medical record writing,and operational skills(t=2.47,P=0.016;t=5.26,P<0.001;t=2.20,P=0.031).In progressive training,the Mini-CEX and DOPS scores in the second progressive formative assessment were better than those in the first assessment(t=-21.06,P<0.001;t=-15.09,P<0.001).The degree of satisfaction with performance among the interns and the degree of satisfaction with interns among the examiners in the second assessment were better than those in the first assessment(t=-5.53,P<0.001;t=-8.19,P<0.001).Conclusion Mini-CEX combined with DOPS has a good effect in ophthalmology practice training in the integrated teaching of sensory system diseases and thus holds promise for application.

关 键 词：Mini-CEX联合DOPS 感官系统疾病 整合教学 眼科实习 

分 类 号：R77[医药卫生—眼科]