首页|置信职业行为在儿科本科实习中的应用初探

置信职业行为在儿科本科实习中的应用初探

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目的 探索如何将置性职业行为(entrustable professional actibities,EPAs)应用于儿科学本科临床医学教育的实习阶段,提升儿科本科实习培养质量.方法 选取 2021 年 6 月—2022 年 6 月南通大学附属医院儿内科参加实习的本科医学生 56 名.随机分为对照组与试验组,各 28 名.对照组采用传统实践教学模式,试验组在传统教学模式的基础上加入EPAs评价.两组学员的培训时间均为4周.观察学生实习前后EPAs评分的差异,以及试验组和对照组学员在传统教学考核成绩方面的差异.结果 试验组EPAs自评分、中级职称带教老师评分、高级职称带教老师评分均高于对照组[(16.96±1.75)分vs(39.32±2.06)分]、[(17.21±1.66)分vs(41.00±1.68)分]、[(17.35±1.64)分vs(39.86±1.84)分],差异有统计学意义(P<0.05).试验组病史采集、体格检查、病历书写、沟通能力评价评分及总分高于对照组,差异有统计学意义(P<0.05);2 组体格检查、技能操作比较差异无统计学意义(P>0.05).结论 EPAs评价在儿科本科实习教学中的应用可有效提高实习教学质量.
Application and Exploration on Entrustable Professional Actibities in Pediatric Undergraduate Practice
Objective To explore how to apply the Entertainable Professional Activities(EPAs)to the practice stage of clinical medical education in pediatrics undergraduate,and improve the quality of practice training in pediatrics undergraduate.Methods A total of 56 undergraduate medical students were selected to participate in the department of pediatric internal medicine,Affiliated Hospital of Nantong University from June 2021 to June 2022.They were randomly divided into control group and test group,28 in each group.The control group adopted the traditional practice teaching mode,and the test group added EPAs evaluation based on the traditional teaching mode.The training duration for both groups was 4 weeks.The differences of EPAs scores before and after practice were observed,as well as the differences of traditional teaching assessment scores between the experimental group and the control group.Results The scores of EPAs self-scoring,intermediate professional title teacher and senior professional title teacher in test group were higher than those in control group[(16.96±1.75)points vs(39.32±2.06)points],[(17.21±1.66)points vs(41.00±1.68)points],[(17.35±1.64)points vs(39.86±1.84)points],the difference was statistically significant(P<0.05).The scores of medical history collection,physical examination,medical record writing,communication ability evaluation and total scores of experimental groups were higher than those of control group,and the difference was statistically significant(P<0.05).There was no significant difference in physical examination and skill operation between the two groups(P>0.05).Conclusion The application of EPAs evaluation in pediatric undergraduate practice teaching can effectively improve the quality of practice.

entrustable professional actibitiesundergraduate internshippediatricsmedical educationinternship trainingteaching model

申飞飞、邵志莉、郑玉芹、吴尤佳

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南通大学附属医院儿内科,江苏 南通 226001

置信职业行为 本科实习 儿科学 医学教育 实习培养 教学模式

南通大学教学改革研究课题

2022B46

2024

中国继续医学教育

中国继续医学教育

影响因子:2.564
ISSN:1674-9308
年,卷(期):2024.16(4)
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