PDCA循环与OSCE双轨考核模式在泌尿外科临床本科实习生能力培养中的探索与实践  

The Exploration and Practice of PDCA Cycle and OSCE Dual-track As⁃sessment Model in the Ability Training of Clinical Undergraduate Students in Urology Department

作　　者：黄敏玉 吴军[1,2] 覃天资 黄璐[1,2] 苏立泽 周威 邱荣 HUANG Minyu;WU Jun;QIN Tianzi;HUANG Lu;SU Lize;ZHOU Wei;QIU Rong(Clinical Medicine School,Youjiang Medical University for Nationalities,Baise,533000,Guangxi Zhuang Autono-mous Region,China;Department of Urology,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]右江民族医学院临床医学院,广西百色533000 [2]右江民族医学院附属医院泌尿外科,广西百色533000

出　　处：《中国卫生产业》2024年第17期9-11,19,共4页China Health Industry

摘　　要：目的探究PDCA循环结合客观结构化临床考核(objective structured clinical examination,OSCE)双轨考核模式应用于泌尿外科临床本科实习生能力培养里的成效。方法选取2022年10月—2023年10月在右江民族医学院附属医院泌尿外科实习的70名临床本科实习生为研究对象,根据教学模式的不同划分成对照组(n=35)和观察组(n=35)。对照组接受传统带教和考核;观察组带教总范畴同对照组,但详细教学措施依照PDCA循环设计,运用OSCE考核。比较两组迷你临床演练评价结果、教学满意度等。结果观察组迷你临床演练评估表(Mini-Clinical Evaluation Exercise,Mini-CEX)各个维度的测评成绩均高于对照组,差异有统计学意义(P均<0.05);观察组Mini-CEX测评成绩的总评分为(50.26±3.02)分,高于对照组的(54.91±2.41)分,差异有统计学意义(t=7.049,P<0.05)。观察组对于课程设计合理性、临床教学方式、自我学习兴趣、理论和操作掌握度、分析和解决能力的临床教学满意度评分及总满意度评分均优于对照组,差异有统计学意义(P均<0.05)。结论PDCA循环与OSCE双轨考核模式相结合可提升泌尿外科临床本科实习生的综合素质、临床实践能力及临床教学满意度。Objective To explore the effect of PDCA cycle combined with objective structured clinical examination(OSCE)dual-track examination mode in the ability training of clinical undergraduate interns in urology.Methods Sev-enty clinical undergraduate interns who practiced in urology in Affiliated Hospital of Youjiang University of Ethnic Medicine from October 2022 to October 2023 were selected and divided into control group(n=35)and observation group(n=35)according to the different teaching mode.The control group received traditional teaching and assessment;The general category of teaching in the observation group is the same as that in the control group,but the detailed teaching measures are designed according to PDCA cycle and assessed by OSCE.The evaluation results and teaching satisfaction were compared between the two groups.Results The scores of each dimension of Mini-Clinical Evaluation Exercise(Mini-CEX)in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).The total score of Mini-CEX in the observation group was 50.26±3.02,which was higher than 54.91±2.41 in the control group,and the difference was statistically significant(t=7.049,P<0.05).The sat-isfaction scores and total satisfaction scores of the observation group for the five dimensions of curriculum design ratio-nality,clinical teaching methods,self-learning interest,theoretical and operational mastery,analysis and solution abil-ity of clinical teaching were better than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion The combination of PDCA cycle and OSCE dual-track assessment model can improve the compre-hensive quality,clinical practice ability and clinical teaching satisfaction of clinical undergraduate interns in urology.

关 键 词：PDCA循环 双轨考核 本科实习生 能力培养 

分 类 号：R19[医药卫生—卫生事业管理]