教师标准化患者联合迷你临床演练评估在心血管内科临床教学中的应用
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摘要
目的探讨教师标准化患者(TSP)联合迷你临床演练评估(Mini-CEX)在心血管内科临床教学中的应用价值。方法选择2016年9月至2017年5月在新乡医学院第三临床学院心血管内科实习的5年制本科医学生共78人为研究对象,按照随机数字表法将学生随机分为实验组(n=40)和对照组(n=38)。对照组学生采用传统教学方式教学,实验组学生在对照组教学方式的基础上采用TSP联合Mini-CEX教学,并进行2次测评,测评后由指导教师提出反馈意见。对2组学生医疗面谈技能、体格检查技能、专业态度、临床判断、沟通技能、组织效能、整体临床胜任能力及出科考核分数进行比较。结果实验组学生第2次测评医疗面谈技能、体格检查技能、专业态度、临床判断、沟通技能、组织效能、整体临床胜任能力得分高于第1次测评(P <0. 05)。2组学生理论考核分数比较差异无统计学意义(P> 0. 05);实验组学生临床技能考核成绩及病史采集、体格检查、心电图操作成绩均显著高于对照组(P <0. 05)。结论 TSP联合Mini-CEX教学有利于医学生对临床综合能力的掌握和提升。
引文
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[2] KHALIL S,AGGARWAL A,MISHRA D. Implementation of amini-clinical evaluation exercise(Mini-CEX)program to assessthe clinical competence of postgraduate trainees in pediatrics[J].Indian Pediatr,2017,54(4):284-287.
[3] CHEN W,LAI M M,LI T C,et al. Professional development isenhanced by serving as a mini-CEX preceptor[J]. J Contin EducHealth Prof,2011,31(4):225-230.
[4] POTTIER P,CASTILO J M,BOET S,et al. Validation of aquestionnaire for standardized-patient assessment of clinical skills[J]. Rev Med Interne,2016,37(12):802-810.
[5] JOSHI M K,SINGH T,BADYAL D K. Acceptability and feasibilityof mini-clinical evaluation exercise as a formative assessment toolfor workplace-based assessment for surgical postgraduate students[J]. J Postgrad Med,2017,63(2):100-105.
[6]杨冬,金美玲,白春学. Mini-CEX在临床教与学双向评估中的应用及意义:以临床八年制呼吸科床旁教学为例[J].医学与哲学,2014,35(5B):87-89.
[2] KHALIL S,AGGARWAL A,MISHRA D. Implementation of amini-clinical evaluation exercise(Mini-CEX)program to assessthe clinical competence of postgraduate trainees in pediatrics[J].Indian Pediatr,2017,54(4):284-287.
[3] CHEN W,LAI M M,LI T C,et al. Professional development isenhanced by serving as a mini-CEX preceptor[J]. J Contin EducHealth Prof,2011,31(4):225-230.
[4] POTTIER P,CASTILO J M,BOET S,et al. Validation of aquestionnaire for standardized-patient assessment of clinical skills[J]. Rev Med Interne,2016,37(12):802-810.
[5] JOSHI M K,SINGH T,BADYAL D K. Acceptability and feasibilityof mini-clinical evaluation exercise as a formative assessment toolfor workplace-based assessment for surgical postgraduate students[J]. J Postgrad Med,2017,63(2):100-105.
[6]杨冬,金美玲,白春学. Mini-CEX在临床教与学双向评估中的应用及意义:以临床八年制呼吸科床旁教学为例[J].医学与哲学,2014,35(5B):87-89.