微信支持下的Mini-CEX联合DOPS在肿瘤学临床教学考核中的应用

doi:10.3760/cma.j.cn115259-20190423-00312

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (5): 362-366.DOI: 10.3760/cma.j.cn115259-20190423-00312

微信支持下的Mini-CEX联合DOPS在肿瘤学临床教学考核中的应用

刘宏芝¹, 肖映胜², 李植锋³, 黄瑞虹⁴, 许少伟⁵, 张永渠⁶, 张凡⁷, 陈少斌⁸, 陈蕾³, 曾德³

¹汕头大学医学院附属肿瘤医院科教科 515041;
²汕头市中心医院甲状腺外科 515041;
³汕头大学医学院附属肿瘤医院肿瘤内科 515041;
⁴汕头大学医学院附属肿瘤医院放疗科 515041;
⁵汕头大学医学院附属肿瘤医院头颈外科 515041;
⁶汕头大学医学院附属肿瘤医院乳腺中心 515041;
⁷汕头大学医学院附属肿瘤医院中心实验室 515041;
⁸汕头大学医学院附属肿瘤医院胸外科 515041

收稿日期:2019-04-23 出版日期:2020-05-01 发布日期:2020-12-09
通讯作者: 曾德, Email: alexzengde@163.com, 电话: 0754-88555844-1216
基金资助:
广东省教育厅临床教学基地教学改革研究项目(2016JDB092)

Application of Mini-CEX combined with DOPS supported by WeChat in assessment of clinical teaching in oncology

Liu Hongzhi¹, Xiao Yingsheng², Li Zhifeng³, Huang Ruihong⁴, Xu Shaowei⁵, Zhang Yongqu⁶, Zhang Fan⁷, Chen Shaobin⁸, Chen Lei³, Zeng De³

¹Department of Science and Education, Cancer Hospital of Shantou University Medical College, Shantou 515041, China;
²Department of Thyroid Surgery, Shantou Central Hospital, Shantou 515041, China;
³Department of Medical Oncology, Cancer Hospital of Shantou University Medical College, Shantou 515041, China;
⁴Department of Radiation Oncology, Cancer Hospital of Shantou University Medical College, Shantou 515041, China;
⁵Department of Head and Neck Surgery, Cancer Hospital of Shantou University Medical College, Shantou 515041, China;
⁶The Breast Center, Cancer Hospital of Shantou University Medical College, Shantou 515041, China;
⁷Central Laboratory, Cancer Hospital of Shantou University Medical College, Shantou 515041, China;
⁸Department of Thoracic Surgery, Cancer Hospital of Shantou University Medical College, Shantou 515041, China

Received:2019-04-23 Online:2020-05-01 Published:2020-12-09
Contact: Zeng De, Email: alexzengde@163.com, Tel: 0086-754-88555844-1216
Supported by:
Teaching Reform Research Project of Guangdong Clinical Teaching Base, Department of Education of Guangdong Province (2016JDB092)

摘要/Abstract

摘要： 目的探讨微信支持下的迷你临床演练评估( mini-clinical examination exercise,Mini-CEX)和操作技能直接观察评估(direct observation of procedural skills,DOPS)在肿瘤学临床教学考核中的应用效果。方法制定Mini-CEX和DOPS评估表,于2018年3月开始,连续3个月对在汕头大学医学院附属肿瘤医院进行住院医师规范化培训的41名研究生和住院医师进行临床考核。带教教师借助微信填报问卷星格式的评估表,进行实时评分。统计分析评估指标的分数变化。结果 Mini-CEX的组织效能项目,第三个月评分(8.40±0.17)比第二个月评分(8.83±0.10)有所下降,其差异具有统计学意义(P=0.030)。DOPS中,执行临床操作的技术能力、与患者沟通的技巧等项目,第三个月评分[(8.87±0.17)和(9.13±0.20)]分别比第二个月评分有所提高分比[(8.17±0.20)和(8.11±0.28)],其差异均具有统计学意义(均P<0.01)。结论在肿瘤学临床教学考核中,结合微信运用Mini-CEX和DOPS效果良好,具有操作简便、观察直接、时间地点的选择灵活等特点。

关键词: 迷你临床演练评估, 操作技能直接观察评估, 微信, 临床教学, 考核, 肿瘤学

Abstract: Objective To explore the effect of mini-clinical evaluation exercise (Mini-CEX) and direct observation of procedural skills (DOPS) evaluation supported by WeChat in assessing clinical capacity and clinical skills of medical students and residents. Methods Mini-CEX and DOPS evaluation forms in oncology were developed in this study. March to September 2018, questionnaire survey and WeChat Real-time Login were used to evaluate the performance of postgraduates and residents trained in the Cancer Hospital of Shantou University Medical College (SUMC). The evaluation and feedback were streamlined within 30 minutes and conducted for 3 consecutive months. Results In the Mini-CEX, organizational effectiveness significantly decreased in the third month compared with the second month [(8.40±0.17)vs(8.83±0.10), P=0.030].In the DOPS,the ability to perform operations and communication skills significantly increased in the third month compared with the second month with statistical difference [(8.87±0.17)vs(8.17±0.20), (9.13±0.20)vs(8.11±0.28), all P<0.01]. Conclusions In clinical teaching of Oncology, using Mini-CEX and DOPS evaluation supported by WeChat has the merits of easy operation, direct observation, flexible choice of time and place, as well as high reliability.

Key words: Mini-CEX, DOPS, WeChat, Clinical teaching, Assessment, Application

中图分类号:

R0
R-05

刘宏芝, 肖映胜, 李植锋, 黄瑞虹, 许少伟, 张永渠, 张凡, 陈少斌, 陈蕾, 曾德. 微信支持下的Mini-CEX联合DOPS在肿瘤学临床教学考核中的应用[J]. 中华医学教育杂志, 2020, 40(5): 362-366.

Liu Hongzhi, Xiao Yingsheng, Li Zhifeng, Huang Ruihong, Xu Shaowei, Zhang Yongqu, Zhang Fan, Chen Shaobin, Chen Lei, Zeng De. Application of Mini-CEX combined with DOPS supported by WeChat in assessment of clinical teaching in oncology[J]. Chinese Journal of Medical Education, 2020, 40(5): 362-366.

参考文献

[1] Lörwald AC, Lahner FM, Nouns ZM, et al. The educational impact of mini-clinical evaluation exercise (Mini-CEX) and direct observation of procedural skills (DOPS) and its association with implementation: a systematic review and meta-analysis[J]. PLoS One, 2018, 13(6):e0198009. DOI: 10.1371/journal.pone.0198009.
[2] Nair BR, Alexander HG, McGrath BP, et al. The mini clinical evaluation exercise (mini-CEX) for assessing clinical performance of international medical graduates[J]. The Med J Aust,2008,189(3):159-161.
[3] Lörwald AC, Lahner FM, Greif R, et al. Factors influencing the educational impact of Mini-CEX and DOPS: a qualitative synthesis[J]. Med Teach, 2018, 40(4):414-420. DOI: 10.1080/0142159X.2017.1408901.
[4] Siau K, Dunckley P, Valori R, et al. Changes in scoring of direct observation of procedural skills (DOPS) forms and the impact on competence assessment[J]. Endoscopy,2018,50(8):770-778. DOI:10.1055/a-0658-2732.
[5] Erfani Khanghahi M, Ebadi Fard Azar F. Direct observation of procedural skills (DOPS) evaluation method: systematic review of evidence[J]. Med J Islam Repub Iran,2018,32:45. DOI:10.14196/mjiri.32.45.
[6] Arezou FJ, Amini M, Elham P, et al. Using modified direct observation of procedural skills (DOPS) to assess undergraduate medical students[J]. J Adv Med Educ Prof, 2018,6(3):130-136.
[7] Al Ansari A, Ali SK, Donnon T. The construct and criterion validity of the mini-CEX: a meta-analysis of the published research[J].Acad Med, 2013, 88(3):413-20. DOI: 10.1097/ACM.0b013e318280a953.
[8] Sara MH, Mohammad J, Mandana S, et al. The utility of mini-clinical evaluation exercise (mini-CEX) in undergraduate and postgraduate medical education: protocol for a systematic review[J]. Syst Rev, 2017, 6 :146. DOI:10.1186/s13643-017-0539-y.
[9] Norcini JJ, Blank LL,Duffy FD, et al. The mini-CEX: a method for assessing clinical skills[J]. Ann Intern Med,2003,138(6):476-481.
[10] Liao KC, Pu SJ, Liu MS,et al. Development and implementation of a mini-clinical evaluation exercise (mini-CEX) program to assess the clinical competencies of internal medicine residents: from faculty development to curriculum evaluation[J].BMC Med Educ, 2013, 13:31-34. DOI:10.1186/1472-6920-13-31.

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微信支持下的Mini-CEX联合DOPS在肿瘤学临床教学考核中的应用

Application of Mini-CEX combined with DOPS supported by WeChat in assessment of clinical teaching in oncology

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