首页|DOPS联合改良OSCE在泌尿外科技能教学中的应用研究

DOPS联合改良OSCE在泌尿外科技能教学中的应用研究

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目的 探讨诊疗技能直接观察法(directly observed procedural skills,DOPS)联合改良客观结构化临床考试(objective structured clinical examination,OSCE)在泌尿外科临床技能教学中的应用效果.方法 选取重庆医科大学附属永川医院轮转至泌尿外科的 2016 级和 2017 级共102 名全科订单定向临床医学专业本科实习生为研究对象,将 2017 级的 52 名学生设为试验组,于 2021 年 7 月—2022 年 6 月在泌尿外科实习,采用DOPS的临床带教方式;将 2016 级的 50 名学生设为对照组,于 2020 年 7 月—2021 年 6 月在泌尿外科实习,采用传统临床带教方式.2 组均以改良OSCE为评价方式进行出科考核.比较并分析 2 组学生的改良OSCE考核成绩,通过问卷调查方式评价 2 组的教学效果.结果 试验组的改良OSCE考试总成绩为(83.54±5.45)分,高于对照组的(76.71±6.78)分,差异有统计学意义(P<0.05);试验组的病史采集、病例分析、体格检查、泌尿外科基本技能、辅助检查及分析5站的考核成绩均高于对照组,差异有统计学意义(P<0.001);试验组对教学方法的满意率高于对照组,差异有统计学意义(P<0.05);试验组在激发学习兴趣、提高学习主动性、提高临床思维能力、促进临床技能掌握方面的认可度均高于对照组,差异有统计学意义(P<0.05);2组学生的认同改良OSCE出科考核方式比较,差异无统计学意义(P>0.05).结论 DOPS联合改良OSCE的教学方式优势互补,可以提高泌尿外科临床技能教学的质量.
Study on Application of DOPS Combined With Improved OSCE of Skill Teaching in the Department of Urology
Objective To explore the application effect of directly observed procedural skills(DOPS)combined with improved objective structured clinical examination(OSCE)of clinical skill teaching in the department of urology.Methods A total of 102 undergraduate interns majoring in general practice order-oriented clinical medicine who were transferred to department of urology from the Affiliated Yongchuan Hospital of Chongqing Medical University in the class of 2016 and 2017 were selected as the research objects,and 52 students from the class of 2017 were set as the experimental group and practiced in department of urology from July 2021 to June 2022,clinical teaching method of DOPS was adopted.The remaining 50 students from the class of 2016 were set as the control group and practiced in department of urology from July 2020 to June 2021,and traditional clinical teaching method was adopted.Both two groups were evaluated using improved OSCE as the evaluation method for their graduation assessment.The difference of improved OSCE assessment results between the two groups was compared and analyzed,and the teaching effect of the two groups was evaluated by questionnaire survey.Results The total score of improved OSCE in the experimental group was(83.54±5.45)points,which was higher than that in the control group[(76.71±6.78)points],and the difference was statistically significant(P<0.05).The test scores of medical history collection,case analysis,physical examination,basic skills of urology,auxiliary examination and analysis of 5 stations in the experimental group were higher than those in the control group,the differences were statistically significant(P<0.001).The satisfaction rate of teaching methods in the experimental group was higher than that in the control group,the difference was statistically significant(P<0.05).The degrees of acceptance in stimulating learning interest,improving learning initiative,improving clinical thinking ability and promoting clinical skills mastery of the experimental group were higher than those of the control group,the differences were statistically significant(P<0.05).There was no significant difference in the comparison of the identification improved OSCE graduation assessment method between the two groups(P>0.05).Conclusion The combination of DOPS and improved OSCE teaching methods has complementary advantages and can improve the quality of clinical skills teaching in the department of urology.

directly observed procedural skillsobjective structured clinical examinationteaching methoddepartment of urologyclinical skillsgraduation assessment

陈新宇、熊永江、田春

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重庆医科大学附属永川医院教务科,重庆 402160

重庆医科大学附属永川医院泌尿外科,重庆 402160

重庆医科大学附属永川医院麻醉科,重庆 402160

操作技能直接观察评估 客观结构化临床考试 教学方法 泌尿外科 临床技能 出科考核

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(15)