Application of Formative Evaluation of Mini-CEX Combined With DOPS in Standardized Training of Rheumatology and Immunology Resident Physicians
Objective To investigate the applicability of formative evaluation system mini-clinical evaluation exercise(Mini-CEX)and directly observed procedural skills(DOPS)in resident training in the department of Rheumatology and Immunity.Methods A total of 64 resident physicians who participated in resident training in the department of rheumatology and immunity,the Second Affiliated Hospital of Guangxi Medical University from December 2021 to December 2022 were randomly divided into control group and observation group,with 32 physicians in each group.The observation group received Mini-CEX training every 2 weeks and DOPS assessment every 4 weeks on the regular training basis,those in the control group were given regular training.At the end of the rotation,residents in both groups were simultaneously received Mini-CEX,DOPS assessment and routine graduation theory and operation skills assessment.The teaching effect and the learning effect of resident physicians were compared between the two groups.Results The Mini-CEX assessment indicators of the observation group at the time of graduation included consultation skills[7.0(7.0,8.0)points vs.6.0(5.0,6.0)points],physicalexamination[7.5(7.0,8.0)points vs.6.0(5.0,6.0)points],humanistic care[8.0(7.0,8.0)points vs.6.0(5.0,6.0)points],clinical judgment[8.0(7.0,8.0)points vs.6.0(5.0,6.0)points],communication skills[7.0(7.0,8.0)points vs.6.0(5.0,6.0)points],organizational efficiency[7.5(7.0,8.0)points vs.6.0(5.0,6.0)points],and overall performance[8.0(7.0,8.0)points vs.6.0(5.0,6.0)points].The scores were higher than those of the control group,and the difference was statistically significant(P＜0.05).The DOPS assessment score[(58.56±3.16)points vs.(53.03±2.57)points],theoretical assessment score[(86.84±2.48)points vs.(79.56±2.20)points],and skill assessment score[(85.72±3.12)points vs.(79.88±2.84)points],scores of the observation group were higher than those of the control group at the time of graduation.Conclusion Formative evaluation of Mini-CEX combined with DOPS can improve the clinical capability and operational skills,and enhance post competence of residents undergoing standardized residency training in the department of rheumatology and immunity.
formative evaluationmini-clinical evaluation exercisedirectly observed procedural skillsstandardized training of resident doctorsdepartment of rheumatology and immunitypost competenceclinical teachingteaching methods
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