迷你临床演练评估在肿瘤专科医师规范化培训中的应用

Application of mini-clinical evaluation exercise in specialists standardized training of oncology department

目的探讨迷你临床演练评估(Mini-CEX)在肿瘤专科医师规范化培训中的应用效果。方法选取2017年1月至2019年10月在该院肿瘤科进行专科医师规范化培训的52名学员为研究对象,分为对照组和试验组,每组26名学员。对照组采用传统教学模式,试验组采用传统教学结合Mini-CEX模式。对照组开始行传统教学考核,第8周行Mini-CEX考核;试验组在第2、4、6、8周进行Mini-CEX考核,并采用问卷调查方式了解试验组学员对Mini-CEX应用效果评价。结果第8周与第2、4、6周比较,试验组学员各项考核成绩明显提高,差异均有统计学意义(P<0.001)。第8周末试验组各项考核成绩均高于对照组,差异有统计学意义(P<0.05)。问卷调查结果显示,大部分试验组学员认为传统教学结合Mini-CEX模式能够改善教师和学生、医生和患者关系,激发学习兴趣,提高临床技能,及时发现自己缺点等。结论Mini-CEX运用于肿瘤专科医师规范化培训中,能明显提高专科医师临床综合能力,是一种实用、高效的教学模式和评估工具,值得推广和应用。

Objective To explore the application of mini-clinical evaluation exercise(Mini-CEX)in the standardized training of oncologists.Methods A total of 52 physicians receiving the standardized training for specialists in the oncology department of this hospital from January 2017 to October 2019 were selected as the research subjects and divided into the control group and experimental group with 26 cases in each group.The control group adopted the traditional teaching model,while the experimental group used traditional teaching combined with Mini-CEX model.The control group began to conduct the traditional teaching assessment,and the Mini-CEX assessment in 8 weeks;the experimental group received the Mini-CEX assessment in 2,4,6,8 weeks and the questionnaire survey mode was used to understand the evaluation of the student of the experiment group on the Mini-CEX application effect.Results Compared with in 2,4,6 weeks,the various examinations results in 8 weeks in the students of the experimental group were significantly improved,and the differences were statistically significant(P<0.001).At the end of 8 weeks,the various examination results in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).The questionnaire survey results showed that the majority of the students in the experimental group considered that the traditional teaching model combined with Mini-CEX could improve the relationship between the teachers and students,and between doctors and patients,stimulate the learning interest,improve the clinical skills,and timely find their own shortcomings.Conclusion The application of Mini-CEX in the standardized training of oncologists can significantly improve the comprehensive clinical ability of specialists,which is a practical and highly efficient teaching model and evaluation tool,and is worthy promoting and applying.