摘要
目的 评估迷你临床演练评估(Mini-CEX)在全科(助理)医师规范化培训中的应用效果.方法 选择2020年9 月至2021年9 月期间在全科(助理)医师规范化培训住培医师中招募的20名学员,按照随机数字表法分为Mini-CEX教学组和传统教学组.在为期12 个月的培训中,Mini-CEX教学组每月接受一次迷你临床演练,由经验丰富的指导教师进行直接观察和评估.传统教学组按照传统规培制度进行培训.培训结束后,两组住培医师进行客观结构化临床考试(OSCE)评估.此外,通过问卷调查比较两组住培医师对培训方式的满意度.结果 培训结束后,Mini-CEX教学组在OSCE评估中各项指标得分(临床结果判读、病人接诊、医疗文书书写、临床思维与决策、基本技能操作、专科技能操作及OSCE总体得分)均高于传统教学组,差异均有统计学意义(t分别=3.54、3.30、3.74、3.77、2.20、2.72、3.21,P均＜0.05).Mini-CEX 教学组在教学满意度、实用性、教师及时反馈性、对自身能力提升感知及专业素养影响方面的满意度均高于传统教学组,差异均有统计学意义(t分别=6.00、5.07、6.71、6.00、6.00,P均＜0.05).结论 Mini-CEX在全科(助理)医师规范化培训中的应用具有积极效果,能够有效提高住培医师的临床实践能力.
Abstract
Objective To assess the application effectiveness of mini-clinical evaluation exercise(Mini-CEX)in standardized training for general(assistant)physicians.Methods A total of 20 participants from September 2020 to September 2021 were enrolled to participate in the study,and were divided into Mini-CEX teaching group and tradition-al teaching group according to the random number table.During the 12-month training period,the Mini-CEX teaching group receives mini-clinical drills monthly with direct observation and evaluation by an experienced instructor.The tradi-tional teaching group conducts training in accordance with the traditional regular training system.After the training,the objective structured clinical examination(OSCE)was used to evaluate the results.In addition,the satisfaction of the two groups of residents with the training method was compared by questionnaire survey.Results After the training,the Mini-CEX teaching group had higher scores including(clinical results interpretation,patient reception,medical docu-ment writing,clinical thinking and decision making,basic skills operation,specialized skills operation,and OSCE overall score than the traditional teaching group,and the differences were statistically significant(t=3.54,3.30,3.74,3.77,2.20,2.72,3.21,P＜0.05).The Mini-CEX teaching group had higher satisfaction than the traditional teaching group in teach-ing satisfaction,practicality,timely feedback from teachers,perception of their ability improvement and the impact of pro-fessional quality,and the differences were statistical-ly significant(t=6.00,5.07,6.71,6.00,6.00,P＜0.05).Conclusion The application of Mini-CEX in the standardized training of general(assistant)practitioners has a positive effect,which can effec-tively improve the clinical practice ability of resi-dents.
维普
万方数据