基于Mini-CEX和DOPS的评分量表在创伤骨科规范化教学中的应用

为探讨基于Mini-CEX和DOPS的改良评分量表在创伤骨科规范化教学中的应用价值,选取2016年2月-2018年2月在中山大学孙逸仙纪念医院创伤骨科临床实习及规范化培训的学员共80名,由获得中山大学住院医师规培师资证书的老师进行为期4-24周的临床规范化教学,实习及规培期间先后利用基于Mini-CEX和DOPS的改良评分量表进行测评,每1-3周测评一次,分析比较培训前后Mini-CEX和DOPS评分及其合格率、优秀率。结果显示,Mini-CEX和DOPS在培训末次测评的及格率依次为96.9%和68.8%,优秀率依次为68.8%和21.9%,均高于初次测评。基础临床能力水平均高于临床操作技能水平,且经过临床培训后基础能力较操作技能水平提高更快(P<0.05)。因此,我们认为基于Mini-CEX和DOPS的改良评分量表在创伤骨科规范化教学中操作简单,节省时间,能够在较短时间内提高创伤骨科实习及规培医生的基本临床能力和外科操作技能,促进学员们熟练掌握临床知识。

opedics, 80 trainees in Sun Yat-Sen memorial hospital were cultivated and evaluated with this assessment system for 4-24 weeks by teachers who had gained the certification of standardized training for resident physicians in Sun Yat-Sen university. The results show that the pass rate of last evaluation in Mini-CEX group and DOPS group were 96.9% and 68.8% respectively, the excellence rate were 68.8% and 21.9% respectively, which were higher than the first evaluation significantly. The levels of basic clinical ability were higher than that of surgical skill and it had been improved faster than that of surgical skill. Therefore, it should be concluded that the standardized training based on evaluation scale of Mini- CEX and DOPS achieved good effective with its advantages of easy performance and time saving. It can improve the basic clinical ability and surgical skill for trainees in a short-time and promote them to master the clinical knowledge.