Value of combined application of Mini-CEX and DOPS in teaching evaluation of paediatric interns
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摘要:
目的 探讨迷你临床演练评量(Mini-CEX)和操作技能直接观察评估(DOPS)量表在儿科实习医师教学评估中的联合应用价值,提高实习医师教学质量。 方法 选择2020年10月—2021年9月在蚌埠医学院第一附属医院儿科实习的临床医学专业学生30名,应用Mini-CEX和DOPS对实习医师进行临床知识和临床操作技术测评。每名实习医师在儿科6周实习期间接受2次测评(实习初期及实习末期);经Mini-CEX和DOPS量表考核,与带教考核教师进行沟通反馈后,了解到自身的不足,并在以后的学习中加强相关理论知识的自学和操作练习;比较实习医师前后2次测评的合格人数、评估花费时间。 结果 实习初期及实习末期Mini-CEX量表测评合格人数分别为18人、25人(Z=4.055,P<0.001), 考核用时分别为(13.13±2.56)min和(11.43±2.34)min,反馈用时分别为(9.37±1.59)min和(7.63±1.33)min,2次考核用时和反馈用时比较差异有统计学意义(均P<0.05)。实习初期及实习末期DOPS量表测评合格人数分别为18人、26人(Z=4.347,P<0.001),考核用时分别为(18.40±2.81)min和(15.90±2.12)min,反馈用时分别为(8.83±1.76)min和(7.33±1.32)min,2次考核用时和反馈用时比较差异有统计学意义(均P<0.05)。 结论 实习医师在儿科临床实习期间使用Mini-CEX和DOPS量表进行教学,可以提高实习医师整体的专业沟通能力、自主学习能力,提高实习医师的专业技能、专业素养,临床教学效果良好,值得推广。 -
关键词:
- 迷你临床演练评量 /
- 操作技能直接观察评估 /
- 教学评估 /
- 儿科 /
- 联合应用
Abstract:Objective To explore the combined application value of the Mini-clinical evaluation exercise (Mini-CEX) and direct observation of procedural skills (DOPS) scale in the teaching evaluation of paediatric interns, so as to improve the quality of clinical teaching for interns. Methods A total of 30 students majoring in clinical medicine who were practicing paediatrics in Department of Pediatrics of the First Affiliated Hospital of Bengbu Medical College from October 2020 to September 2021 were selected to evaluate the clinical knowledge and clinical operation techniques of the interns with Mini-CEX and DOPS. Each resident was evaluated twice during the 6-week paediatric residency (the beginning and end of the internship). After the assessment of the Mini-CEX and DOPS scale, they learned shortcomings after communicating and giving feedback to the assessment teachers and strengthened self-study and operation practice of relevant theoretical knowledge in a future study. The qualified number of interns and the evaluation time before and after the two evaluations were compared. Results At the beginning and end of the internship, the number of people who passed the Mini-CEX scale assessment were 18 and 25 (Z=4.055, P < 0.001), the assessment time was (13.13±2.56) min and (11.43±2.34) min, and the feedback time were (9.37±1.59) min and (7.63±1.33) min, respectively. There were statistically significant differences in the time spent in the two assessments and feedback (all P < 0.05). Meanwhile, at the beginning and end of the internship, the number of people who passed the DOPS scale assessment were 18 and 26 (Z=4.347, P < 0.001), the assessment time were (18.40±2.81) min and (15.90±2.12) min, and the feedback time were (8.83±1.76) min and (7.33±1.32) min, respectively. There were statistically significant differences in the time spent in the two assessments and feedback (all P < 0.05). Conclusion The using of Mini-CEX and DOPS scale for teaching in paediatric clinical practice can improve the overall professional communication ability and autonomous learning ability of interns, improve the professional skills and professional literacy of interns and achieve good clinical teaching effect. It is worthy of clinical promotion. -
表 1 实习初期及末期实习医师Mini-CEX量表测评用时比较(x±s,min)
Table 1. Comparison of the time spent on Mini-CEX scales between the early and late interns (x±s, min)
时间 人数 考核用时 反馈时间 初期 30 13.13±2.56 9.37±1.59 末期 30 11.43±2.34 7.63±1.33 t值 2.953 5.158 P值 0.006 <0.001 表 2 实习初期及末期实习医师DOPS量表测评用时比较(x±s, min)
Table 2. Comparison of the duration of DOPS scales between the early and late interns (x±s, min)
时间 人数 考核用时 反馈时间 初期 30 18.40±2.81 8.83±1.76 末期 30 15.90±2.12 7.33±1.32 t值 6.165 3.619 P值 <0.001 0.001 -
[1] 刘红丹, 徐文思, 张博, 等. Mini-CEX在医学生消化内科临床能力培养中的效果研究[J]. 中国卫生产业, 2017, 14(13): 52-53. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201713024.htmLIU H D, XU W S, ZHANG B, et al. Effect of Mini-CEX on clinical ability training of medical students in gastroenterology[J]. China Health Industry, 2017, 14(13): 52-53. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201713024.htm [2] 王磊, 徐家新, 陈信, 等. PBL联合课间见习教学对儿科教学效果的影响[J]. 中华全科医学, 2021, 19(10): 1752-1754. doi: 10.16766/j.cnki.issn.1674-4152.002159WANG L, XU J X, CHEN X, et al. Influence of PBL combined with interclass probation teaching on paediatric teaching effect[J]. Chinese Journal of General Practice, 2021, 19(10): 1752-1754. doi: 10.16766/j.cnki.issn.1674-4152.002159 [3] 曲巍, 刘学政. 基于器官系统整合理念的医学人才培养模式改革的探索[J]. 医学教育管理, 2017, 3(6): 403-407. doi: 10.3969/j.issn.2096-045X.2017.06.001QU W, LIU X Z, Exploration of the training mode of medical talent based on the integration of organ system[J]. Medical Education Management, 2017, 3(6): 403-407. doi: 10.3969/j.issn.2096-045X.2017.06.001 [4] 邵珠建, 葛正龙, 李春鸣, 等. "一轴三联"医学人才培养模式改革探索[J]. 医学教育研究与实践, 2021, 29(5): 663-666. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYX202105004.htmSHAO Z J, GE Z L, LI C M, et al. Research on the reform of "One Axis-Three Links" medical talent training mode[J]. Medical Education Research and Practice, 2021, 29(5): 663-666. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYX202105004.htm [5] 钟庆华, 谢云波, 齐志业, 等. Mini-CEX及DOPS在儿科实习生培养与考核中的应用探索[J]. 中国高等医学教育, 2021(10): 11-13. doi: 10.3969/j.issn.1002-1701.2021.10.006ZHONG Q H, XIE Y B, QI Z Y, et al. Application of Mini-CEX and DOPS in the training and assessment of pediatric interns[J]. China Higher Medical Education, 2021(10): 11-13. doi: 10.3969/j.issn.1002-1701.2021.10.006 [6] 宗璐, 黄谱, 潘怡霞, 等. Mini-CEX与DOPS系统在本科生妇产科教学中的应用评价[J]. 中国妇幼健康研究, 2019, 30(9): 1115-1119. doi: 10.3969/j.issn.1673-5293.2019.09.016ZONG L, HUANG P, PAN Y X, et al. Evaluation of Mini-CEX & DOPS evaluation system in gynecology and obstetrics teaching for medical undergraduates[J]. Chinese Journal of Woman and Child Health Research, 2019, 30(9): 1115-1119. doi: 10.3969/j.issn.1673-5293.2019.09.016 [7] LÖRWALD A C, LAHNER F M, MOOSER B, et al. Influences on the implementation of Mini-CEX and DOPS for postgraduate medical trainees' learning: A grounded theory study[J]. Med Teach, 2019, 41(4): 448-456. doi: 10.1080/0142159X.2018.1497784 [8] 贾宝芝, 包凤燕. 阶段性情景模拟考核与Mini-CEX在骨科护理实践教学中的应用效果分析[J]. 中国高等医学教育, 2017(4): 78, 131. https://www.cnki.com.cn/Article/CJFDTOTAL-ZOGU201704040.htmJIA B Z, BAO F Y, Analysis of the application effect of Stage scenario Simulation assessment and Mini-CEX in orthopedic nursing practice teaching[J]. China Higher Medical Education, 2017(4): 78, 131. https://www.cnki.com.cn/Article/CJFDTOTAL-ZOGU201704040.htm [9] 何文博, 关超, 王朗. 结合Mini-CEX和DOPS评分量表的形成性评价在心内科临床实习教学中的应用[J]. 卫生职业教育, 2021, 39(6): 63-65. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX202106032.htmHE W B, GUAN C, WANG L. Application of formative evaluation combined with Mini-CEX and DOPS scale in clinical practice teaching of Cardiology department[J]. Health Vocational Education, 2021, 39(6): 63-65. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX202106032.htm [10] 张晓燕, 吴斌, 刘俊红, 等. 迷你临床演练评估在八年制儿科临床教学双向评估中的应用[J]. 福建医科大学学报, 2020, 54(5): 339-341. doi: 10.3969/j.issn.1672-4194.2020.05.012ZHANG X Y, WU B, LIU J H, et al. Application of Mini-Cex in bidirectional evaluation of pediatric clinical teaching on eight-year medical students[J]. Journal of Fujian Medical University, 2020, 54(5): 339-341. doi: 10.3969/j.issn.1672-4194.2020.05.012 [11] 王筱雯, 杨瑞霞, 纪洪辰, 等. Mini-CEX联合DOPS在临床操作技能规范化培训中的应用[J]. 医学教育研究与实践, 2022, 30(1): 100-104. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYX202201021.htmWANG X W, YANG R X, JI H C, et al. Application of Mini-CEX and DOPS in standardized training of clinical skills in residents[J]. Medical Education Research and Practice, 2022, 30(1): 100-104. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYX202201021.htm [12] SUHOYO Y, SCHÖNROCK-ADEMA J, EMILIA O, et al. How students and specialists appreciate the mini-clinical evaluation exercise (Mini-CEX) in Indonesian clerkships[J]. BMC Med Educ, 2020, 20(1): 144. [13] 谷立杰, 王玲, 于青, 等. 迷你临床演练评量在肾内科实习医师和住院医师规范化培训中的应用[J]. 中国高等医学教育, 2017(9): 76-77, 79. https://www.cnki.com.cn/Article/CJFDTOTAL-ZOGU201709043.htmGU L J, WANG L, YU Q, et al. Using mini clinical evaluation exercise in clinical practice teaching of advanced undergraduate students and standardized training of residents in department of nephrology[J]. China Higher Medical Education, 2017(9): 76-77, 79. https://www.cnki.com.cn/Article/CJFDTOTAL-ZOGU201709043.htm [14] 高璐, 高晶, 李红伟, 等. 以DOPS为工具的形成性评价在临床技能教学中的应用研究[J]. 中国医学教育技术, 2017, 31(6): 714-716. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXJ201706029.htmGAO L, GAO J, LI H W, et al. Application of formative assessment with DOPS as a tool in teaching of clinical skills[J]. China Medical Education Technology, 2017, 31(6): 714-716. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXJ201706029.htm [15] 叶志伟, 詹高房, 钟树栅, 等. 操作技能直接观察评估(DOPS)在实习医师外科实践教学中的应用[J]. 广州医科大学学报, 2019, 47(2): 95-97. https://www.cnki.com.cn/Article/CJFDTOTAL-GZXI201902028.htmYE Z W, ZHAN G F, ZHONG S S, et al. Application of Direct Observation assessment of Operational Skills (DOPS) in surgical practice teaching of interns[J]. Academic Journal of Guangzhou Medical University, 2019, 47(2): 95-97. https://www.cnki.com.cn/Article/CJFDTOTAL-GZXI201902028.htm [16] 陈劲松, 曾海燕, 田国平. 医学院附属医院临床实践教学改革实践研究[J]. 教育现代化, 2018, 5(6): 111-112. https://www.cnki.com.cn/Article/CJFDTOTAL-JYXD201806042.htmCHEN J S, ZENG H Y, TIAN G P. Research on clinical practice teaching reform in affiliated hospital of Medical College[J]. Education Modernization, 2018, 5(6): 111-112. https://www.cnki.com.cn/Article/CJFDTOTAL-JYXD201806042.htm [17] KHALIL S, AGGARWAL A, MISHRA D. Implementation of a mini-clinical evaluation exercise (Mini-CEX) program to assess the clinical competencies of postgraduate trainees in pediatrics[J]. Indian Pediatr, 2017, 54(4): 284-287.
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