中华医学教育杂志

中华医学教育杂志 ›› 2021, Vol. 41 ›› Issue (2): 175-178.DOI: 10.3760/cma.j.cn115259-20200708-01030

• 医学教育评估 • 上一篇    下一篇

基于Python编程的形成性评价在神经外科住院医师临床思维能力培养中的应用

郭洪彬1, 王筝扬2, 万英锋1, 李新伟1, 王义荣1   

  1. 1浙江大学医学院附属邵逸夫医院下沙院区神经外科,杭州 310016;
    2浙江大学医学院附属邵逸夫医院教育办公室,杭州 310016
  • 收稿日期:2020-07-08 出版日期:2021-02-01 发布日期:2021-02-02
  • 通讯作者: 郭洪彬, Email: guohongbin@zju.edu.cn, 电话: 0571-86006166
  • 基金资助:
    浙江大学医学院附属邵逸夫医院教学研究课题(SYF2020JG01)

Application of formative evaluation based on Python programming in the cultivation of clinical thinking ability of residents in neurosurgery department

Guo Hongbin1, Wang Zhengyang2, Wan Yingfeng1, Li Xinwei1, Wang Yirong1   

  1. 1Department of Neurosurgery, Xia Sha Campus of Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China;
    2Education Office of Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China
  • Received:2020-07-08 Online:2021-02-01 Published:2021-02-02
  • Contact: Guo Hongbin, Email: guohongbin@zju.edu.cn, Tel: 0086-571-86006166
  • Supported by:
    Teaching Research Project of the Sir Run Run Shaw Hospital, Medical Colleage, Zhejiang University (SYF2020JG01)

PDF (PC)

70

摘要： 目的 探索基于Python编程的形成性评价在提高神经外科住院医师临床思维能力方面的作用。方法 选择2019年在浙江大学附属邵逸夫医院神经外科进行住院医师规范化培训的116名学员为研究对象,以随机数字表法将其随机分为试验组(49人)和对照组(67人)。试验组学员每周安排1次形成性评价,带教教师使用Python编程快速制作考题并进行快速评价。对照组学员按照常规方式和流程进行培训。培训结束后对两组学员进行出科考试,并收集学员对教学的评价。结果 试验组学员出科考试理论和技能成绩均高于对照组学员[(89.94±5.43)分比(84.82±5.73)分,(80.18±7.23)分比(73.67±7.48)分],其差异均具有统计学意义(均P<0.01)。在访谈中,有61.2%(30/49)的试验组学员表示基于Python编程的形成性评价对提高临床思维能力非常有帮助。 基于Python编程的形成性评价有助于提高神经外科住培学员的临床思维能力,其优点是可以快速、多次实施,可以作为其他形成性评价的有益补充。

关键词: 住院医师规范化培训, 形成性评价, 神经外科, 临床思维能力, 编程

Abstract: Objective To explore the role of formative evaluation based on Python Programming in improving the clinical reasoning by residents in neurosurgery department.Methods Totally 116 residents trained in neurosurgery department of Sir Run Run Shaw Hospital Affiliated to Zhejiang University were randomly divided into test group (n=49) and control group (n=67). The residents in the control group were trained with the conventional pathway and while the residents in the Python group received formative assessment once a week in addition to the conventional training. Python programming was used in Python group to quickly make examination questions. At the end of the training, the students will join a final exam and their evaluation of teaching will be collected.Results The scores of theory and skill in the experimental group were significantly higher than those in the control group [(89.94±5.43) vs. (84.82±5.73), (80.18±7.23) vs. (73.67±7.48), P<0.01]. In the interview, 61.2% (30/49) of the experimental group students said that the formative evaluation based on python programming was very helpful to improve their capacity of clinical reasoning.Conclusions The formative assessment based on Python programming can improve the clinical reasoning by residents. This method can be implemented quickly and more frequently as a supplement for the formative assessment of mini-CEX and DOPS.

Key words: Residency training, Formative assessment, Neurosurgery, Clinical reasoning

中图分类号: