首页|Mini-CEX联合DOPS双轨形成评价体系在血液科住培中的应用

Mini-CEX联合DOPS双轨形成评价体系在血液科住培中的应用

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目的 探讨迷你临床演练评分量表(mini clinical evaluation exercise,Mini-CEX)结合临床技能操作评分量 表(direct observation of procedural skills,DOPS)双轨形成性评价体系在血液科住培中的应用及价值.方法 选取 2021 年 10 月—2022 年 12 月在南京医科大学康达学院第一附属医院血液内科参加住院医师住培的 72 名住院医师为研究对象,按照随机数字表法分为对照组(n=35)和观察组(n=37).对照组采用传统教学模式.观察组在传统教学基础上纳入Mini-CEX联合DOPS形成性评价体系.在轮转结束时对2组同步进行Mini-CEX、DOPS考核及常规出科理论、病历书写质量和操作技能考核,对比考核成绩,观察教学效果.结果 2组学员的出科理论考核成绩、病历书写质量和技能操作成绩比较[(84.27±5.89)分vs.(81.43±3.13)分,(81.89±3.85)分vs.(79.69±3.57)分,(86.95±4.96)分vs.(83.66±4.52)分],差异有统计学意义(P<0.05).观察组的Mini-CEX考核量表成绩、DOPS考核成绩、出科各项考核成绩均优于对照组,差异有统计学意义(P<0.05).相比于对照组,观察组住培学员对Mini-CEX联合DOPS的双轨评价体系教学效果的各项评分更高(P<0.05).结论 将Mini-CEX结合DOPS双轨形成性评价应用于血液科住培中,能提升住培学员的临床理论水平和实践操作水平.
Application of Mini-CEX and DOPS Dual Track Formative Evaluation System in Standardized Residency Training of Hematology
Objective To investigate the application value of mini clinical evaluation exercise(Mini-CEX)combined with direct observation of procedural skills(DOPS)dual-track evaluation system in standardized training of resident physicians in the department of hematology.Methods From October 2021 to December 2022,a total of 72 trainers who received standardized training as residents in the Department of Hematology of the First Affiliated Hospital of Kangda College,Nanjing Medical University were selected as the research subjects and randomly divided into control group and observation group.The control group received routine clinical teaching activities.The observation group was included in the Mini-CEX combined with DOPS formative evaluation system on the basis of traditional teaching.At the end of the rotation,the two groups simultaneously underwent Mini-CEX,DOPS assessments,as well as routine theoretical,medical record writing quality and operational skills assessments for graduation.The assessment results and the teaching effectiveness were compared.Results There was a statistically significant difference in the theoretical assessment scores,medical record writing quality and skill operation scores between the two groups[(84.27±5.89)points vs.(81.43±3.13)points,(81.89±3.85)points vs.(79.69±3.57)points,(86.95±4.96)points vs.(83.66±4.52)points],the difference were statistically significant(P<0.05).The observation group's Mini-CEX assessment scale scores,DOPS assessment scores,and various assessment scores for graduation were significantly higher than those of the control group,the difference was statistically significant(P<0.05).The scores of satisfaction survey at the end of standardized training showed that,the satisfaction of group with the dual track evaluation system of Mini-CEX combined with DOPS was higher than those of control group(P<0.05).Conclusion The application of Mini-CEX combined with DOPS dual track formative assessment in hematology residential training can significantly improve the clinical theoretical and practical skills of residential trainers.

mini clinical evaluation exercisedirect observation of procedural skillsdual trackformative evaluationstandardized training of residentsteachingdepartment of hematology

毛建平、薛连国、朱原辛、贾韬、苗蕾、蔡志梅

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连云港市第一人民医院/徐州医科大学附属连云港医院/南京医科大学康达学院第一附属医院/南京医科大学连云港临床医学院血液科,江苏 连云港 222002

迷你临床演练评分量表 临床技能操作评分量表 双轨 形成性评价 住院医师规范化培训 教学 血液科

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(19)