Application of Mini-CEX Combined With PBL Teaching Method in PACU Practice Teaching
Objective To observe the effectiveness of mini-clinical evaluation exercise(Mini-CEX)combined with problem-based learning(PBL)in teaching anesthesiology trainees in post anesthesia care unit(PACU).Methods A total of 50 interns in the department of anesthesiology of the First Affiliated Hospital of Chongqing Medical University from July 2022 to June 2023 were selected as the study subjects,and randomly divided into 25 interns in the control group and 25 interns in the experimental group.The control group was taught with the traditional internship teaching mode,and the experimental group was taught with Mini-CEX evaluation combined with PBL.The Mini-CEX scores and test scores of two groups were compared before and after the teaching,and a questionnaire survey on teaching satisfaction was also conducted.Results Before teaching,the Mini-CEX scores of the interns in the two groups were compared,and the difference was not statistically significant(P>0.05).After teaching,the Mini-CEX scores of the interns in the two groups were higher than before,and the difference was statistically significant(P<0.05).The experimental group's ability to obtain medical history[(6.64±0.91)points vs.(4.40±1.41)points],ability to check the body[(5.72±1.06)points vs.(4.76±1.13)points],ability to diagnose in the PACU[(5.76±1.33)points vs.(3.92±1.26)points],and ability to treat the disease[(5.52±1.19)points vs.(4.44±1.04)points],humanistic care[(7.08±0.81)points vs.(5.40±1.15)points],and overall evaluation[(6.04±1.21)points vs.(4.84±0.85)points]were higher than those of the control group,and the differences were all statistically significant(P<0.001).The theoretical examination score of the interns in the experimental group was(87.80±2.50)points and the practical operation score was(92.32±2.12)points,higher than(82.16±5.94)points and(87.60±3.82)points of the control group,and the difference was statistically significant(P<0.001).Compared with the control group,the experimental group had higher scores in independent learning,clinical reasoning,clinical practice,doctor-patient communication and teamwork,and the difference was statistically significant(P<0.05).Conclusion Mini-CEX combined with the PBL teaching method can improve the clinical practice ability of anesthesia interns.
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