Mini-CEX联合DOPS双轨系统在内分泌科住培医师教学中的应用评价

Evaluation of applying Mini-CEX and DOPS dual-track system in instruction of residents undergoing standardized residency training in the department of endocrinology

目的:探讨迷你临床演练评估(Mini-CEX)和临床操作技能评估(DOPS)双轨系统在内分泌科教学中的应用和效果评价。方法:选取2018年1月~2019年6月弋矶山医院内分泌科住院医师规范化培训的医师80名为研究对象,随机分配至实验组和对照组各40名。实验组在常规带教的基础上每2周进行Mini-CEX,在第3周和第6周进行DOPS考核,对照组行常规带教;在第8周对两组进行Mini-CEX、DOPS考核和出科理论及技能考核。结果:第8周实验组Mini-CEX 7个核心指标中职业素养、沟通交流、组织效率和综合能力4个方面得分高于对照组(P<0.05),实验组DOPS考核成绩、技能考核成绩及总成绩均高于对照组(P<0.05),两组出科理论考试成绩差异无统计学意义(P>0.05)。结论:Mini-CEX联合DOPS双轨评价系统能有效提高内分泌科住培医师的临床综合能力和操作技能水平,值得在教学工作中推广应用。

Objective:To evaluate the effectiveness of applying both mini-clinical evaluation exercise(Mini-CEX)and directly observed procedural skills(DOPS)systems in instruction of residents undergoing standardized residency training in the department of endocrinology.Methods:Eighty residents undergoing standardized residency training in the department of endocrinology of our hospital were included from January 2018 to June 2019,and equally randomized into observational group and control group.Residents in the observational group underwent Mini-CEX training every other week on the regular training basis,and additional DOPS assessment was given at the 3 rd and 6 th week.Those in the control group were given mere regular training.By the 8 th week,residents in both groups were assessed for the theoretical knowledge and clinical skills using both Mini-CEX and DOPS programs.Results:Evaluation conducted at the 8 th week showed that residents in the observational group had higher scores on professional quality,ability of communication,organizational efficiency and comprehensive ability out of the 7 core indicators of Mini-CEX than those in the control group(P<0.05).The scoring by DOPS assessment and for skills as well as total scores were better in the observational group than in the control group(P<0.05),yet there was no statistical difference in the scores of the two groups in theoretical achievement(P>0.05).Conclusion:Dural evaluation with Mini-CEX and DOPS can effectively improve the clinical capability and operational skills of residents undergoing standardized residency training in the department of endocrinology,and is worthy of recommendation in clinical teaching.