简易临床评估实习量表在神经病学实习教学中的应用

Application of mini-clinical evaluation exercise in clinical neurology practice

目的评价在神经病学临床实习中引入简易临床评估实习量表（Mini-clinical evaluation exercise，Mini—CEX）的可行性及其价值。方法将进入神经内科实习的94名学生随机分为对照组和观察组，对照组按照现行的管理带教方法进行实习教学和管理，观察组要求在进入神经内科实习开始后第1周末、第2周末和第3周末由带教教师按照要求对实习学生分别进行1次评估和意见反馈，实习结束后，由带教教师对所有实习学生（包括对照组和观察组）按前述方法交叉评估。结果完成评估时间25～40min，学生实习结束时，观察组神经系统检查技能评分与对照组比较差异有统计学意义（P〈0．05），以此为基础的定位、定性诊断和处理建议评分与对照组比较差异有统计学意义（P〈0．05）。结论在神经病学实习过程中引入Mini—CEX评价和反馈促进教学效果是可行的，可弥补现行考试方法的不足。

Objective To evaluate the feasibility and value of mini-clinical evaluation exercise （Mini-CEX） in clinical neurology practice. Methods Ninety-four interns were randomly divided into observation group and control group, students in control group were teached and managed in accordance with existing management while those in observation group were evaluated by teachers after the 1 st, 2nd and 3rd week. At the end of clinical practice, all the students（ including students in control group and observation group）were cross assessed by teachers based on the methods mentioned above. Results The time to complete the assessment was about 25 - 40 min. The scores of nervous system examination at the end of the training were significant different between observation group and control group and the scores of diagnosis and treatment on the basis of examination were also significant different between observation group and control group （P 〈 0. 05 ）. Conclusion The Mini-CEX assessment and feedback to promote teaching effect is feasible in the practice process of neurology, it can make up for the deficiency of current examination.