基于MiniCEX-DOPS的形成性评价在呼吸与危重症医学科住院医师规范化培训中的探索

Exploration on the MiniCEX-DOPS evaluation in standardized residency training of respiratory and critical care medicine

目的探索基于临床演练评估(mini-clinical evaluation exercise,MinCEX)和操作技能直接观察评估(direct observation of procedural skills,DOPS)形成性评价在呼吸与危重症医学科住院医师规范化培训中的效果。方法选取2019年进入复旦大学附属中山医院呼吸与危重症医学科参加规范化培训的住院医师为研究组,以前期进入医院的参加规范化培训的住院医师为对照组。比较两组住院医师出科考试成绩、递进式轮转效果及住院医师和考官的满意度。结果无论是在病史书写,还是操作技能及临床能力方面,研究组即参加MiniCEX-DOPS形成性评价的住院医师成绩均优于对照组(P<0.05);在递进式轮转中,第三次轮转形成性评价的分数优于第一次轮转形成性评价的分数(P<0.05);住院医师和考官对形成性评价整体较满意。结论基于MiniCEX-DOPS形成性评价在呼吸与危重症医学科住院医师规范化培训中效果较好,值得推广。

Objective To explore the effect of mini-clinical evaluation exercise (MiniCEX) and direct observation of procedural skills (DOPS) formative evaluation in standardized residency training of respiratory and critical care medicine. Methods The residents who participated in standardized residency training of Zhongshan Hospital, Fudan Unviersity in 2019 were collected in study group, and the residents received the training in previous were collected in control group. The graduation examination scores, the effect of progressive rotations and the satisfaction of residents and examiners were compared between the two groups. Results The scores of medical history writing, operation and clinical abilities were higher in the study group who were received MiniCEX-DOPS formative evaluation than those in the control group (P < 0.05). The scores of MiniCEX-DOPS evaluation in the third rotation were better than those in the first rotation (P < 0.05). The residents and examiners were generally satisfied with MiniCEX-DOPS evaluation. Conclusion MiniCEX-DOPS evaluation is effective in residents training of respiratory and critical care medicine, and it is worth popularizing.