Mini-CEX在临床技能竞赛培训教学中对医学生临床实践能力的影响  

Application of Mini-CEX in Clinical Skills Competition Training and Its Impact on the Clinical Practice Ability of Medical Students

作　　者：汪英男 薛程辉 李祥 郑云红 WANG Yingnan;XUE Chenghui;LI Xiang;ZHENG Yunhong(Department of Geriatrics,Ulanqab Central Hospital,Ulanqab Inner Mongolia 012000,China)

机构地区：[1]乌兰察布市中心医院老年科,内蒙古乌兰察布012000

出　　处：《中国继续医学教育》2024年第13期147-150,共4页China Continuing Medical Education

基　　金：包头医学院2021年“问学计划”“为学计划”“践学计划”项目(2021BYWWJ-ZC-05)。

摘　　要：目的探讨迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)在大学生临床技能竞赛培训教学中的应用效果。方法选取2021年1月-2022年6月在乌兰察布市中心医院临床医学院的本科实习生40名为研究对象,分为试验组和对照组,每组各20名。试验组采用Mini-CEX完成临床技能竞赛培训,对照组以传统实习带教方式完成临床技能竞赛培训。比较2组学生培训前后Mini-CEX量表考核成绩的差异及理论成绩和实践技能成绩的差异。结果2组学生培训前Mini-CEX量表的考核成绩比较,差异无统计学意义(P>0.05)。2组学生培训后Mini-CEX量表的考核成绩比较,差异有统计学意义(P<0.001)。培训后试验组的理论成绩、实践技能成绩及总成绩分别为(22.77±3.04)分、(65.50±2.62)分、(88.55±3.69)分,均高于对照组的(16.10±2.43)分、(47.20±4.86)分、(63.30±5.24)分,差异有统计学意义(P<0.001)。结论在大学生临床技能竞赛培训教学中应用Mini-CEX能较好地激发学生的学习积极性和主动性,提高其理论和实践综合能力。Objective To explore the effect of the mini-clinical evaluation exercise(Mini-CEX)in the training of clinical skills competition training.Methods From January 2021 to June 2022,a total of 40 undergraduate interns from the Clinical Medical College of Ulanqab Central Hospital were selected as research subjects and divided into an experimental group and a control group,with 20 students in each group.The experimental group used the Mini-CEX method to complete clinical skills competition training,while the control group used traditional internship teaching methods to complete clinical skills competition training.Differences in the aspects of Mini-CEX scale before and after training between the two groups of students,as well as differences in practical skills and theoretical examination scores after training,were compared.Results There was no statistically significant difference in the aspects of Mini-CEX scale assessment scores between the two groups of students before training(P>0.05).After training,there was a statistically significant difference in the aspects of Mini-CEX scale assessment scores between the two groups of students(P<0.001).The theoretical scores,practical skills scores,and total scores of the experimental group after training were(22.77±3.04)points,(65.50±2.62)points,and(88.55±3.69)points,respectively,all of which were higher than those of the control group[(16.10±2.43)points,(47.20±4.86)points,and(63.30±5.24)points],with statistically significant differences(P<0.001).Conclusion The application of Mini-CEX scale in the training of clinical skills competition training can better stimulate students'enthusiasm and initiative for learning and improve their comprehensive theoretical and practical abilities.

关 键 词：迷你临床演练评估 临床实践能力 大学生临床技能竞赛 理论考核 技能训练模式 教学 

分 类 号：G642[文化科学—高等教育学]