首页|基于多元评价主体的临床技能自主训练评价系统构建与实践

基于多元评价主体的临床技能自主训练评价系统构建与实践

扫码查看
目的 完善临床技能自主训练的评价机制,提升技能自主训练的质量和效果.方法 基于学评融合的理念,在临床技能自主训练中引入包括训练者本身、多名同伴和教师在内的多元评价主体,自主设计研发临床技能自主训练评价系统.在已完成体格检查学习并考核合格的2021级临床医学专业461名学生中进行教学应用实践,包括教师发布训练任务、系统随机抽签项目、学生录制训练视频、系统随机分配视频,由学生自评、同伴互评和教师抽评训练视频、系统检测评价信息生成反馈报告等系列环节.同时发放调查问卷,了解学生对录制评价视频对自身技能的影响和满意度.结果 92.1%的学生表示录制和评价视频对自己的技能有积极影响;54.2%的学生对目前自己体格检查技能的掌握情况表示满意;仅有29.2%的学生使用评语评价.结论 系统的构建给学生之间、师生之间提供了更多互动机会,随机抽签项目提高了视频拍摄质量,随机分配消除了人际因素对评价的影响.学生在自评中进行了反思、在同伴互评中吸取了不同评价者的意见,教师在抽评中了解到学生训练情况的同时,也尽量避免教师评价对学生评价的消极影响.大部分学生认为该系统对自身技能有积极影响.
Construction and practice of clinical skills self-training evaluation system based on multiple evaluation subjects
Objective To improve the evaluation mechanism of clinical skills self-training and enhance the quality and effectiveness of clinical skills self-training.Methods Based on the concept of learning-assessment integration,multiple evaluation subjects including trainers themselves,multiple peers,and teachers were introduced to construct a clinical skills self-training evaluation system,which was independently designed and developed.Preliminary practice was conducted on 461 students majoring in Clinical Medicine who enrolled in 2021 and have completed physical examination and passed the assessment.The practice contained several parts,including assigning training tasks by teachers,randomly selecting items by the system,recording training videos by students,randomly distributing videos by the system,assessing videos by students'self-assessment,peer assessment and teachers'spot-assessment,and detecting and evaluating information by the system to generate feedback report.At the same time,questionnaire survey was distributed to understand students'im-pressions of the influence of recording assessment videos on their own skills and their satisfaction.Results 92.1%of students reported that recording and evaluating videos had a positive impact on their skills,and 54.2%of students were satisfied with their current mastery of physical examination skills.Only 29.2%of students used comments for evaluation.Construction The construction of the system has provided more opportunities for interaction among students and between teachers and stu-dents.The random draw for items has improved the quality of video filming,and random allocation has eliminated the influence of interpersonal factors on evaluation.Students reflected on their self-evaluation and drew on the opinions of different evaluators in peer evaluation.Teachers learned about the training situation of students and tried to avoid the negative impact of teachers'evaluation on students'evaluation.Most students reported that this system has a positive impact on their skills.

clinical skillsself-trainingevaluation systemmultiple evaluation

陈晓勤、洪晓琳、许杰州、吴凡、张伟山

展开 >

汕头大学医学院,广东 汕头 515041

临床技能 自主训练 评价系统 多元评价

2021年广东省高等教育教学改革建设项目

粤教高函[2021]29号002-181233123

2024

中国医学教育技术
西安交通大学

中国医学教育技术

影响因子:1.087
ISSN:1004-5287
年,卷(期):2024.38(4)
  • 7