中华医学教育杂志

中华医学教育杂志 >

2019 , Vol. 39 >Issue 7: 535 - 538

DOI: https://doi.org/10.3760/cma.j.issn.1673-677X.2019.07.013

住院医师规范化培训

操作技能直接观察评估在外科住院医师规范化培训中的应用研究

  • 刘冰 ,
  • 齐殿君
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  • 1中国医科大学附属第一医院肛肠外科和局部手术学教研室,沈阳 110001;
    2中国医科大学附属第一医院全科医学科,沈阳 110001

收稿日期: 2018-11-28

  网络出版日期: 2020-12-11

基金资助

2016年中华医学会医学教育分会和中国高等教育学会医学教育专业委员会医学教育立项课题(2016B-RC042,2016B-QK013);中国医科大学“十三五”医学教育科学研究课题(YDJK2018011)

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Application of direct observation of procedural skills as formative evaluation in surgical residency training

  • Liu Bing ,
  • Qi Dianjun
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  • 1Department of Anorectal Surgery and Local Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, China;
    2Department of General Practice, the First Affiliated Hospital of China Medical University, Shenyang 110001, China

Received date: 2018-11-28

  Online published: 2020-12-11

Supported by

Chinese Medical Association General Medical Education Branch and China Association of Higher Education Medical Education Specialized Committee 2016 Medical Education Reasearch Project(2016B-RC042、2016B-QK013);The 13th Five-year Medical Education Scientific Research Project of China Medical University(YDJK2018011)

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摘要

目的 探讨采用操作技能直接观察评估(direct observation of procedural skills,DOPS)开展形成性评价在外科住院医师规范化培训中的应用效果。 方法 选取中国医科大学附属第一医院外科住院医师规范化培训基地的64名外科住院医师为研究对象,应用随机数字表法将其分为实验组和对照组,每组32名住院医师。对照组住院医师的临床操作技能培训采用传统带教方法,实验组住院医师的临床操作技能培训增加了DOPS作为形成性评价,两组授课教师和培训内容均相同。为期2个月的轮转结束时,采用理论笔试、病历书写评估、迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)和临床操作技能操作评分表进行效果评价。采用SPSS 22.0软件对相关数据进行统计分析。结果 实验组住院医师临床操作技能考试成绩(82.31±4.40)分高于对照组(78.22±6.95)分,其差异具有统计学意义(t=-2.817,P<0.05);实验组住院医师Mini-CEX考试的整体表现评分(6.59±0.56)分高于对照组(6.13±0.49)分,其差异具有统计学意义(t=-3.558,P<0.05);实验组住院医师理论笔试成绩为(80.31±7.51)分,高于对照组(79.09±7.27)分,其差异无统计学意义(t=-0.660,P>0.05);实验组住院医师病历书写评估成绩为(79.68±7.54)分高于对照组(77.63±7.47)分,其差异无统计学意义(t=-2.817,P>0.05)。结论 采用DOPS开展形成性评价可以有效提高外科住院医师的临床操作技能考试成绩和Mini-CEX考试成绩,改善外科住院医师规范化培训的效果。

关键词： 操作技能直接观察评估; 住院医师规范化培训; 形成性评价

本文引用格式

刘冰 , 齐殿君 . 操作技能直接观察评估在外科住院医师规范化培训中的应用研究[J]. 中华医学教育杂志, 2019 , 39(7) : 535 -538 . DOI: 10.3760/cma.j.issn.1673-677X.2019.07.013

Abstract

Objective T o discuss the effect of direct observation of procedural skills (DOPS) as formative evaluation in surgical residency training. Methods A total of 64 students in surgery residency training were randomly assigned to the experimental group (n=32) and the control group (n=32) . The clinical skill training of the control group was conducted by the traditional teaching method. DOPS was used in the experimental group as the formative evaluation. Both groups are trained by same group of teachers. After 2 month rotation, theoretical examination, medical record writing evaluation, Mini-CEX and clinical skill operation test were applied to evaluate the learning outcomes. SPSS 22.0 software was used for statistical analysis. Results The scores of clinical skill operation test of the experimental group (82.31±4.40) was higher than that of the control group (78.22±6.95), it showed statistically significant (t=-2.817,P<0.05). The scores of Mini-CEX of the experimental group (6.59±0.56) was higher than that of the control group (6.13±0.49), it showed statistically significant (t=-3.558,P<0.05). There was no statistically significant between the theoretical examination scores of the experimental group (80.31±7.51) and the control group (79.09±7.27) (t=-0.660,P>0.05). There was no statistically significant between the experimental group's medical record writing scores (79.68±7.54) and the control group (77.63±7.47) (t=-2.817, P>0.05). Conclusions DOPS as formative evaluation in the surgical residency training definitely increase the score of mini-CEX and clinical skill operation test, and improve the teaching outcome.

Key words： Direct observation of procedural skills; Residency training; Formative assessment

参考文献

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