Mini-CEX与DOPS形成性评价体系在牙周病学临床实习教学中的应用  

Application of formative evaluation system of Mini-CEX and DOPS in clinical internship teaching in periodontology

作　　者：耿莹 李璐[1] 王晓茜[1] 陈旭[1] 周逸 孙颖[1] 徐艳[1] GENG Ying;LI Lu;WANG Xiaoqian;CHEN Xu;ZHOU Yi;SUN Ying;XU Yan(Department of Periodontics,The Affiliated Stomatological Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学附属口腔医院牙周病科,江苏南京210029

出　　处：《口腔医学》2024年第12期931-935,共5页Stomatology

基　　金：南京医科大学2021年度校级教育教改研究课题(2021LX045);南京医科大学口腔医学院2022年度教育教改研究课题(ZC32022JG05)。

摘　　要：目的探讨迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)和操作技能直接观察评估(direct observation of procedure skills,DOPS)形成性评价体系在牙周病学临床实习教学中的应用效果。方法选择在牙周病科实习的56名本科生,随机分为对照组和教改组,对照组采用传统带教模式,教改组采用基于Mini-CEX和DOPS联合应用的形成性评价带教模式,通过比较两组学生的出入科考核成绩、教改组学生临床实习前后Mini-CEX和DOPS评分情况和问卷调查评价应用效果。结果两组学生的临床实习前考核成绩未见明显差异(P>0.05);出科考核中,教改组学生的病例汇报和临床技能成绩均明显优于对照组(P<0.05);实习结束时,教改组学生Mini-CEX和DOPS中各项成绩均较实习前明显提升(P<0.05);学生及带教老师对形成性评价及效果较为满意。结论Mini-CEX和DOPS形成性评价体系可有效提升牙周病学临床实习教学质量,得到了学生和带教老师的广泛认可,值得推广应用。Objective To explore the effect of a formative assessment of mini clinical evaluation exercise(Mini-CEX)and direct observation of procedure skills(DOPS)on clinical internship teaching in periodontology.Methods Fifty-six undergraduates,who were interning in the Department of Periodontics,were selected and randomly divided into the control group and the teaching reform group.The traditional summative evaluation teaching mode was adopted in the control group,while the formative evaluation teaching methods of Mini-CEX and DOPS were used in the teaching reform group.The application effect was evaluated through the examination scores of two groups of students before and after the clinical practice,the Mini-CEX and DOPS scores of students in the teaching reform group before and after clinical practice,and a questionnaire survey.Results There was no significant difference in the scores of pre-clinical practice examination between the two groups(P>0.05).However,after the clinical practice,the scores of case report and clinical skills of the students in the teaching reform group were significantly higher than those in the control group(P<0.05).In addition,after the clinical practice,the scores of each item in the Mini CEX and DOPS of teaching reform group were significantly improved compared with those before clinical practice(P<0.05).The students and teachers were both satisfied with the formative assessment and its effectiveness.Conclusion The formative evaluation system of Mini-CEX and DOPS can effectively improve the quality of clinical internship teaching in periodontology,which has been widely recognized by students and teachers and is worthy of promoting and application.

关 键 词：迷你临床演练评估 操作技能直接观察评估 本科生 形成性评价 牙周病学 

分 类 号：R781.4[医药卫生—口腔医学]