DOPS在麻醉相关操作技能教学中的应用与评价

Application and evaluation of direct observation of procedural skills in anesthesia-related teaching

目的探讨临床操作技能评估（direct observation of procedural skills，DOPS）在麻醉相关操作技能教学中的应用和评价效果。方法选择2013年6月至2015年6月在扬州大学临床医学院麻醉科实习的专科学生58名，实习中期和出科前各进行1次麻醉相关操作DOPS考核，通过对DOPS考核成绩、教师和学生对评估结果的满意度分析，评价DOPS的教学效果。考核结束后对学生进行问卷调查，了解学生对DOPS教学效果的满意度。所得数据采用SPSS18．0统计软件处理，计量资料以均数±标准差表示，组问比较采用t检验。结果中期考核指标各单项平均分超过4分，出科考核单项评分、总平均分均高于中期考核成绩，各项考核指标整体达到预期。出科考核时，教师对DOPS评估结果的满意度高于中期考核[（8．46±0．32）vs．（8．14±0．60）1，学生对DOPS评估结果的满意度高于中期考核[（8．57±0．59）vs．（8．20±0．45）]，且学生的满意度高于教师[（8．57±0．59）vs．（8．46±0．32）]，差异均有统计学意义。结论DOPS可作为麻醉相关操作技能教学和考核的有效方法，能够提高麻醉专科学生的麻醉相关操作技能水平。

Objective To explore the application of direct observation of procedural skills （DOPS） in anesthesia-related effects skills teaching. Methods Anesthesia students in the Department of Anesthe- siology, Clinical Medical College, Yangzhou University between June 2013 and June 2015, received an anesthesia-related DOPS examination at the mid-internship and pre-delivery. Through the DOPS assessment results, the analysis of teachers＇ and students＇ satisfaction degree on the evaluation results, the teaching effect of DOPS was evaluated. At the same time, the students were surveyed to find out the satisfaction degree of DOPS. SPSS 18.0 was applied to processing the date. Measurement data were expressed as mean plus or minus standard deviation, and t test was used in the comparison between groups. Results Interim assessment indicators for each individual average of more than four points, the individual departmental rotation examination scores were higher than the overall average score interim assessment results. Compared with interim assessment, satisfaction of teachers has made great progress in the end of assessment [（8.46 ± 0.32） vs. （8.14 ± 0.60）], satisfaction of students was [（8.57 ± 0.59） vs. （8.20 ± 0.45）], satisfaction of thestudents was higher than the teachers [（8.57 ± 0.59） vs. （8.46 ± 0.32）], and the differences were statistically significant. Conclusion DOPS as an effective anesthesia-related skill of teaching and assessment method, can improve the level of anesthesia anesthesia-related skills of college students.