Mini-CEX联合MDT在急诊科住院医师规范化培训中的应用效果  

Application Effect of Mini-CEX Combined MDT in Standardized Training of Residents in Emergency Department

作　　者：王川江[1] 刘景仑[1] 周发春[1] 罗娜[1] WANG Chuanjiang;LIU Jinglun;ZHOU Fachun;LUO Na(Department of Emergency,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院急诊科,重庆400016

出　　处：《中国继续医学教育》2024年第4期114-119,共6页China Continuing Medical Education

基　　金：重庆医科大学2018年校级教育教学研究项目立项项目(JY180110)。

摘　　要：目的探讨迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)联合多学科综合治疗协作组(multidisciplinary team,MDT)在急诊科住院医师规范化培训中的运用效果。方法选择于医院急诊科进行规范化培训的住院医师,2022年6—8月进行规范化培训者为传统培训组,2022年9—11月进行规范化培训者为Mini-CEX联合MDT组。传统培训组35名,给予常规教学方式教学,Mini-CEX联合MDT组35名,给予Mini-CEX联合MDT教学,教学完成后评估规范化培训住院医师的理论成绩及实际操作技能,教学前、后通过Mini-CEX考核规范化培训住院医师的问诊能力、临床诊断、操作能力、查体能力、治疗方案、沟通能力,给予评判性思维能力量表-中文版(critical thinking disposition inventory—Chinese version,CTDI-CV)、学生自主学习能力评价量表评价,比较2组教学满意度。结果Mini-CEX联合MDT组理论知识、实际操作技能评分较传统培训组高,差异有统计学意义(P<0.001);Mini-CEX联合MDT组问诊能力、临床诊断、操作能力、查体能力、治疗方案、沟通能力评分较传统培训组高,差异有统计学意义(P<0.001);Mini-CEX联合MDT组CTDI-CV评分较传统培训组低,自主学习能力评分、教学满意度较传统培训组高,差异有统计学意义(P<0.001)。Mini-CEX联合MDT组教学满意度(97.14%)较传统培训组高(85.71%),差异有统计学意义(P<0.05)。结论在急诊科住院医师规范化培训中运用Mini-CEX联合MDT教学,可提升规范化培训住院医师理论及实践操作成绩,提升其综合临床能力、评判性思维能力、自学能力及教学满意度。Objective To explore the application effect of mini-clinical evaluation exercise(Mini-CEX)combined with multidisciplinary team(MDT)in standardized training of residents in emergency department.Methods For residents selected to receive standardized training in the emergency department of the hospital,those who received standardized training from June to August 2022 were the traditional training group,and those who received standardized training from September to November 2022 were the Mini-CEX combined MDT group.The traditional training group of 35 resident physicians was given conventional teaching methods,and the Mini-CEX combined with MDT group of 35 resident physicians resident physicians was given Mini-CEX combined with MDT teaching.After the completion of teaching,the theoretical achievements and practical skills of standardized training residents were evaluated.Before and after teaching,Mini-CEX was used to assess the questioning ability,clinical diagnosis ability,operation ability,physical examination ability,treatment plan and communication ability of the standardized training residents,and CTDI-CV and students'autonomous learning ability evaluation scale were given to evaluate the teaching satisfaction of the two groups.Results The scores of theoretical knowledge and practical skills of Mini-CEX combined with MDT group were higher than those of traditional training group(P<0.001).The scores of inquiry ability,clinical diagnosis,operation ability,physical examination ability,treatment plan and communication ability of Mini-CEX combined with MDT group were higher than those of traditional training group(P<0.001).The CTDI-CV score of Mini-CEX combined with MDT group was lower than that of traditional training group,and the score of autonomous learning ability and teaching satisfaction were higher than that of traditional training group(P<0.001).The teaching satisfaction of Mini-CEX combined with MDT group(97.14%)was higher than that of traditional training group(85.71%),and the difference was statistically

关 键 词：急诊科 住院医师规范化培训 多学科综合治疗协作组 迷你临床演练评估 综合临床能力 评判性思维能力 自学能力 

分 类 号：G642[文化科学—高等教育学]