即时反馈型客观结构化临床教考模式对提高实习生自信的实证研究

An empirical study of the effect of the objective structured clinical examination based on immediate feedback on improving the confidence of interns

目的探究即时反馈型客观结构化临床教考模式(即时反馈型OSCE)对提高临床实习生的自信力和临床技能的影响。方法选取30名即将进入临床实习的医学生分别进行即时反馈型OSCE和传统培训考核模式,1个月后考察临床实习生的自信力水平、临床技能出科成绩、患者满意度、带教老师评价。结果即时反馈型OSCE组临床实习生在训练后的自信力水平显著高于训练前(t分别=-2.85、-3.75、-3.67、-3.98、-3.54、-5.26,P均<0.05)。即时反馈型OSCE组学员的临床技能考核成绩、患者各方面满意度、带教老师对各方面能力的评价均明显优于传统培训组(t分别=2.35、2.82、2.48、2.07,4.71、2.42、4.77,2.07、3.04、3.62、2.98,P均<0.05)。结论即时反馈型OSCE有利于提升临床实习生自信力和临床技能,增加患者的满意度,对其未来职业生涯的发展有积极意义。

Objective To explore the effect of the instant feedback objective structured clinical examination(instant feedback OSCE)on improving the self-efficacy and clinical skills of clinical interns.Methods Totally 30 pre-clinical medical students were selected in groups of instant feedback OSCE and traditional training model respectively.After 1 month of clinical interns,the self-efficacy level,clinical skills,patients’satisfaction scores,teachers’evaluation were in-vestigated.Results After the instant feedback OSCE training,the self-efficacy of clinical interns was significantly im-proved and the improvement level was obviously higher than that of the traditional training group.Meanwhile,clinical skills examination results,patients’satisfaction and teachers’evaluation of the instant feedback OSCE group were all su-perior to the traditional training group(t=2.35,2.82,2.48,2.07,4.71,2.42,4.77,2.07,3.04,3.62,2.98,P<0.05).Conclu⁃sion Instant feedback OSCE can improve clinical interns'confidence,clinical skills and patients'satisfaction,showing a positive significance for future career development of clinical interns.