中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (6): 459-462.DOI: 10.3760/cma.j.cn115259-20220727-00945

• 住院医师与专科医师规范化培训 • 上一篇    下一篇

导师制结合迷你临床演练评估在超声医学科住院医师规范化培训中的应用

赵博, 陈文, 张帆, 崔立刚   

  1. 北京大学第三医院超声医学科, 北京 100191
  • 收稿日期:2022-07-27 发布日期:2023-05-31
  • 通讯作者: 陈文, Email:wendy7989@sina.com
  • 基金资助:
    北京大学第三医院教学研究课题(2018bysyjxkt12)

The application of mentorship combined with Mini-CEX for standardized residency training in ultrasound

Zhao Bo, Chen Wen, Zhang Fan, Cui Ligang   

  1. Department of Ultrasound, Peking University Third Hospital, Beijing 100191, China
  • Received:2022-07-27 Published:2023-05-31
  • About author:Chen Wen, Email: wendy7989@sina.com
  • Supported by:
    Peking University Third Hospital Education Research Program (2018bysyjxkt12)

摘要: 目的 探讨将导师制与迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)相结合在超声医学科住院医师规范化培训(简称住培)中的应用效果。方法 以2018年6月至2019年10月在北京大学第三医院超声医学科轮转的21名住培学员为研究对象,采用导师制结合Mini-CEX的教学方式,教学结束后比较学员末次和初次Mini-CEX成绩并对学员和10名导师进行问卷调查。采用配对样本t检验对成绩进行分析。结果 学员Mini-CEX中问诊技巧、超声扫查技能、超声声像图描述及报告、诊断及鉴别诊断能力、沟通技能及人文关怀、组织效能、整体临床胜任力7个方面的末次评估成绩均高于首次评估成绩[(7.52±0.75)分比(6.38±1.47)分、(7.67±0.73)分比(6.47±1.29)分、(7.61±0.74)分比(6.80±1.25)分、(7.38±0.59)分比(6.29±1.35)分、(8.00±0.77)分比(7.14±1.28)分、(7.33±0.58)分比(6.52±1.12)分、(7.52±0.81)分比(6.52±1.17)分],其差异均具有统计学意义(均P<0.05)。所有学员和9名导师对教学方式感到满意。结论 导师制结合Mini-CEX在超声医学科住培中具有较好的应用效果,可以为住培教学改革提供参考。

关键词: 超声学, 导师制, 迷你临床演练评估, 住院医师

Abstract: Objective To explore the application effect of mentorship combined with mini-clinical evaluation exercise (Mini-CEX) in standardized residency training in ultrasound. Methods A total of 21 residents who were trained in the ultrasound department of Peking University Third Hospital from June 2018 to October 2019 were selected as the research subjects. Mentorship combined with Mini-CEX teaching method was adopted. When the training finished, the final and initial Mini-CEX scores of the residents were compared, and a questionnaire survey was conducted on the residents and 10 mentors. Paired sample t-test were used for grades analysis. Results The final and initial evaluation scores in Mini-CEX of the residents was recorded in 7 aspects that contained consultation skills, ultrasound scanning skills, ultrasound image description and reporting, diagnostic and differential diagnostic skills, communication and humanistic care skills, organizational effectiveness, overall clinical competence. The final scores of the 7 aspects were higher than the initial scores [(7.52±0.75) vs. (6.38±1.47) , (7.67±0.73)vs. (6.47±1.29) , (7.61±0.74)vs. (6.80±1.25) , (7.38±0.59) vs. (6.29±1.35) , (8.00±0.77) vs. (7.14±1.28) , (7.33±0.58) vs.(6.52±1.12) , (7.52±0.81) vs. (6.52±1.17), all P<0.05]. All residents and 9 tutors were satisfied with the teaching method. Conclusions Mentorship combined with Mini-CEX practices has practical value in training effect improvement of ultrasonic residents. It can provide a reference for the teaching reform in residents training.

Key words: Ultrasonics, Mentorship, Mini-clinical evaluation exercise, Residents

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