Mini-CEX联合标准化病人在神经内科教学中的应用  

Application of Mini-CEX Combined With Standardized Patients in Clinical Teaching of Neurology

作　　者：秦文玲[1] 牛纪杰 牟磊[1] 安莉莉 成玉 徐星华 高志远 魏会丽 QIN Wenling;NIU Jijie;MOU Lei;AN Lili;CHENG Yu;XU Xinghua;GAO Zhiyuan;WEI Huili(Department of Neurology,Rizhao Hospital of Traditional Chinese Medicine,Rizhao Shandong 276800,China;Department of Neurosurgery,Rizhao People's Hospital,Rizhao Shandong 276800,China;Department of Pediatrics,Rizhao Maternal and Child Health Hospital,Rizhao Shandong 276800,China)

机构地区：[1]日照市中医医院神经内科,山东日照276800 [2]日照市人民医院神经外科,山东日照276800 [3]日照市妇幼保健院儿科,山东日照276800

出　　处：《中国继续医学教育》2024年第18期134-138,共5页China Continuing Medical Education

基　　金：济宁医学院2020年度实践教学教育科学研究项目(JYSJ2020B32)。

摘　　要：目的探讨Mini-CEX联合标准化病人(standardized patient,SP)在神经内科临床教学中的应用效果。方法选取2020年4月—2022年10月在日照市中医医院神经内科实习的本科医学生60名为研究对象,采用随机数字表生成随机数字,奇数分配到SP教学组(标准化病人教学组),偶数分配到对照组(传统教学组),每组30人。分别对2组采用标准化病人教学及传统教学法进行临床实习教学。应用Mini-CEX评价2组实习生的出科成绩,实习结束时进行实习满意度调查表测评。结果与对照组相比,SP教学组实习生的Mini-CEX各项成绩均较高,差异有统计学意义(P<0.05);与对照组相比,SP教学组实习生对临床教学的满意程度较高(100%vs.80%),差异有统计学意义(P<0.05)。2组实习生临床技能自评比较,SP教学组总提高率优于对照组(96.67%vs.70.00%),差异有统计学意义(P<0.05)。结论Mini-CEX联合标准化病人可以更好地提升实习生的神经内科临床实践能力,更直观地评价实习生各项临床教学实践效果,提高教学满意度。Objective To explore the application effect of Mini-CEX combined with standardized patients in clinical teaching of neurology.Methods A total of 60 undergraduate medical students who practiced in the department of neurology from Rizhao Hospital of Traditional Chinese Medicine from April 2020 to October 2022 were selected as the research objects.Random numbers were generated using a random number table,with odd numbers assigned to the SP teaching group(standardized patient teaching group)and even numbers assigned to the control group(traditional teaching group),with 30 students in each group.The standardized patient teaching method and traditional teaching method were used for clinical practice teaching.Mini-CEX was used to evaluate the graduation scores of the two groups of interns.At the end of the internship,the internship satisfaction questionnaire was used to evaluate.Results Compared with the control group,the interns in the SP teaching group showed significant improvement in all aspects of Mini-CEX scores,there was statistical significance in all scores(P<0.05).Compared with the control group,the satisfaction level of interns in the SP teaching group with clinical teaching had improved(100%vs.80%),and the difference was statistically significant(P<0.05).Comparison of clinical skill self-assessment of total increase between the two groups of interns showed that the SP teaching group was significantly better than the control group(96.67%vs.70.00%),with a statistically significant difference(P<0.05).Conclusion Mini-CEX combined with standardized patients teaching method can better enhance the clinical practice ability of interns in neurology,and more intuitively evaluate the clinical teaching effectiveness of interns,and improve teaching satisfaction.

关 键 词：MINI-CEX 标准化病人 神经内科 临床教学 医学教育 实践教学 

分 类 号：G642[文化科学—高等教育学]