目的 探讨依托问卷星+微信平台的改良操作技能直接观察评估 ( direct observation of procedural skills,DOPS)在中医学专业本科生外科临床技能考核中的应用效果。方法 制定改良DOPS评估表,选择2018年6月至 2019年12月在北京中医药大学第二临床医学院外科实习的北京中医药大学2014级和2015级中医学专业的180名学生为研究对象,教师在学生实习前期、中期、后期分别对其进行 1 次外科临床操作技能的 DOPS考核, 依托问卷星+微信平台统计分析每次考核成绩并实时反馈,同时分别对教师和学生进行考核满意度的调查。结果 学生DOPS后期考核成绩(5.44±0.13)高于前期(4.20±0.21)和中期(4.44±0.13)考核成绩,其差异均具有统计学意义(均P<0.01)。对前期、中期和后期DOPS考核结果的满意度,教师评分分别为(7.33±1.51)分、(7.52±1.33)分、(8.52±0.53)分,学生评分分别为(6.72±1.55)分、(7.22±1.40)分、(8.21±1.09)分,后期评分均高于中期、中期评分均高于前期,其差异均具有统计学意义(均P<0.01)。对学生前期和后期的问卷调查结果显示,学生后期评分最高的是“有助于改进教学效果”[(4.81±0.42)分],与前期[(4.50±0.61)分]评分的差异具有统计学意义(P<0.01)。结论 依托网络问卷星+微信平台的改良DOPS在外科临床操作技能考核中的应用得到了师生的认可,有助于学生外科临床操作技能水平的提高。
刘宝清
,
张凡帆
,
张少辉
,
杨成城
,
余文
,
刘文娜
,
王革生
,
东潇博
,
刘佳霖
,
安佳琳
. 依托网络平台的DOPS在中医学专业本科生外科临床技能考核中的应用[J]. 中华医学教育杂志, 2021
, 41(7)
: 647
-651
.
DOI: 10.3760/cma.j.cn115259-20200216-01562
Objective To evaluate the effect of direct observation of procedural skills (DOPS) and outcome assessment supported by Questionnaire survey and WeChat in assessment of surgical internship by undergraduates of traditional Chinese medicine(TCM)program. Methods Improved DOPS evaluation form was formulated. From June 2018 to December 2019, 180 students in the Department of Surgery of the Second Clinical Medical College, Beijing University of Chinese Medicine, were selected to conduct a DOPS assessment of surgical clinical skill in the early, middle and later stages. The results of each assessment were statistically analyzed and given real-time feedback by Questionnaire survey and WeChat. Students at early and later stages were asked to fill in the satisfaction questionnaire. Results The scores of late DOPS assessment (5.44±0.13) were higher than those of early DOPS assessment (4.20±0.21) and middle DOPS assessment (4.44±0.13), (P<0.01). For the satisfaction of DOPS assessment results, the scores from teachers were (7.33±1.51), (7.52±1.33), (8.52±0.53), and the students were (6.72±1.55), (7.22±1.40), (8.21±1.09) respectively in the early, middle and later stages. The score of later stage was higher than that of middle stage and that of middle stage was higher than that of early stage (P<0.01). The results of the questionnaire survey among the students in early and later stage indicated that the contribution to improve teaching results was recognized with the highest score in the later stage [4.81±0.42], which was higher than that in the early stage [4.50±0.61] (P<0.01). Conclusions The application of the improved DOPS supported by a network Questionnaire and WeChat platform in the examination of surgical clinical skills has been recognized by teachers and students, which contributes to the improvement of surgical clinical operation skills of student.
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