Volume 19 Issue 9
Sep.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(9): 1569-1572
WU Gao, WU Xian-ning. The application of scenario simulation teaching method combined with mini-clinical examination exercise in resident standardized training of thoracic surgery[J]. Chinese Journal of General Practice, 2021, 19(9): 1569-1572. doi: 10.16766/j.cnki.issn.1674-4152.002114
Citation: WU Gao, WU Xian-ning. The application of scenario simulation teaching method combined with mini-clinical examination exercise in resident standardized training of thoracic surgery[J]. Chinese Journal of General Practice, 2021, 19(9): 1569-1572. doi: 10.16766/j.cnki.issn.1674-4152.002114
shu

The application of scenario simulation teaching method combined with mini-clinical examination exercise in resident standardized training of thoracic surgery

doi: 10.16766/j.cnki.issn.1674-4152.002114

  • Department of Thoracic Surgery, the First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital), Hefei, Anhui 230001, China

Funds:

 2018jyxm0744

  • Received Date: 2020-08-31
    Available Online: 2022-02-15
    Abstract
  •   Objective  To explore the application of scenario simulation teaching method combined with mini-clinical examination exercise (Mini-CEX) in resident standardized skill training of thoracic surgery to improve the clinical teaching quality and assessment effect.  Methods  A total of 47 students who attended and graduated successfully from the Thoracic Surgery Department of the First Affiliated Hospital of University of Science and Technology of China between March 2019 and December 2019 were randomly divided into the traditional teaching group (24 people) and the situational simulation teaching group (23 people) according to the odd-even number of students in the course month. Students with odd number of months were classified into the traditional teaching group, whereas students with even number of months were classified into the situational simulation teaching group. The Mini-CEX scale was used to score the ability of the two groups of students quantitatively from seven aspects, namely, interview of surgical consent, physical examination, operational skills, clinical judgment, humanistic care, surgical organizational effectiveness and overall performance. The difference between the two groups in the simulation examination achievement and satisfaction survey was determined.  Results  The total mean score of mini-CEX in the scenario simulation teaching group [(7.53±0.49) points] was higher than that in the traditional teaching group [(6.62±0.49) points]. The total mean score of clinical judgment was higher in the scenario simulation teaching group [(6.24±0.28) points] than in the traditional teaching group [(5.94±0.19) points], and the difference was statistically significant (all P < 0.01). Students in the scenario simulation teaching group were more satisfied with teaching than those in the traditional teaching group. The differences were statistically significant (all P < 0.05) according to whether the learning interest was improved, whether the autonomous learning ability was improved, whether the clinical thinking ability was trained and whether the doctor-patient communication ability was improved.  Conclusion  Scenario simulation teaching method can improve the teaching effect of standardized skill training for thoracic surgery residents. The Mini-CEX quantitative assessment can more comprehensively reflect the clinical comprehensive ability of trainees, leading to higher satisfaction. It is worth promoting in clinical thoracic surgery teaching.

     

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