基于Mini-CEX测评的Teamwork模式在康复治疗教学中的应用  

Application of Teamwork Model Based on Mini-CEX Evaluation in Teaching of Rehabilitation Therapy

作　　者：成浩 陈娜[1] 李娜[1] 曾铭锋 刘羲 CHENG Hao;CHEN Na;LI Na;ZENG Mingfeng;LIU Xi(Department of Rehabilitation Medicine,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an Shaanxi 710061,China)

机构地区：[1]西安交通大学第一附属医院康复医学科,陕西西安710061

出　　处：《中国继续医学教育》2024年第19期97-101,共5页China Continuing Medical Education

基　　金：陕西省2022年科技计划项目(2022JQ-984)。

摘　　要：目的研究分析基于简易临床演练评估(mini-clinical evaluation exercise,Mini-CEX)测评的Teamwork教学模式在康复治疗学专业学生临床实习过程中的应用成效。方法选取2021年6月—2022年5月在西安交通大学第一附属医院康复医学科进行康复治疗学实习的79名学生为研究对象,按照随机数字表法分为试验组(n=40)和对照组(n=39)。试验组采用Teamwork带教模式,对照组采用常规临床带教模式。实习结束后,应用出科考试(理论和康复操作技术)、Mini-CEX测评(病史询问、体格检查、人文关怀、医患沟通、卫教咨询、组织效能及整体表现)及学习反馈调查问卷表(学习兴趣、知识掌握程度、临床思维、团队合作能力和教学方法满意度)对2组进行评价。结果在出科考试方面,试验组的康复操作技术成绩为(85.01±2.67)分,高于对照组的(80.84±3.51)分(P<0.05)。在Mini-CEX测评项目中,试验组在人文关怀、医患沟通、卫教咨询、组织效能和整体表现方面的评分均优于对照组(P<0.05)。在学生学习反馈评价方面,试验组的临床思维为(4.48±0.51)分、团队合作能力为(4.55±0.50)分、教学方法满意度为(4.28±0.71)分,均优于对照组[(3.49±0.79)分,(3.46±0.68)分,(3.54±0.75)分],差异有统计学意义(P<0.05)。结论基于Mini-CEX测评的Teamwork教学模式能提高学生的临床实践和沟通合作能力,提升临床思维。Objective To explore the effect of teamwork teaching model based on mini-clinical evaluation exercise(Mini-CEX)in clinical teaching of rehabilitation therapy.Methods From June 2021 to May 2022,a total of 79 interns majoring in rehabilitation therapy in the department of rehabilitation medicine,the First Affiliated Hospital of Xi’an Jiaotong University were selected and randomly divided into an experimental group(n=40)and a control group(n=39).The experimental group adopted the Teamwork teaching mode,and the control group adopted the conventional clinical teaching mode.After the internship,the scores of entrance examination(theory and practical test),Mini-CEX assessment(clinical judgment,physical examination skills,humanistic qualities/professionalism,medical interviewing skills,counseling skills,organization efficiency,overall clinical competence)and learning feedback questionnaire(learning interest,knowledge mastery,clinical thinking,teamwork ability and teaching method satisfaction)were evaluated between the two groups.Results In terms of entrance examination,the practical test score of the experimental group was(85.01±2.67)points,which was higher than that of the control group[(80.84±3.51)points](P<0.05).In the Mini-CEX assessment,the scores of the experimental group in the aspects of humanistic qualities/professionalism,medical interviewing skills,counseling skills,organization efficiency and overall clinical competence were better than those of the control group(P<0.05).In terms of students’learning feedback evaluation,the experimental group scored in clinical thinking was(4.48±0.51)points,teamwork ability was(4.55±0.50)points and teaching method satisfaction was(4.28±0.71)points,were better than the control group[(3.49±0.79)points,(3.46±0.68)points,(3.54±0.75)points],and the difference were statistically significant(P<0.05).Conclusion The application of teamwork teaching based on Mini-CEX can significantly improve the students'clinical practice,communication and cooperation ability as well as cl

关 键 词：Teamwork教学模式 简易临床演练评估 康复治疗 教学效果 人文关怀 医患沟通 

分 类 号：G642[文化科学—高等教育学]