Fast Mini-CEX结合CBL在急诊住培教育中的探讨

Discussion of Fast Mini-CEX Combined With CBL in Standardized Training of Emergency Residents

目的探讨以快速迷你临床演练评估(Fast MiniCEX)结合以案例为基础的教学法(case-based learning,CBL)在急诊住院医师规范化培训中的应用效果。方法将2020年1月—2021年3月在湛江中心人民医院急诊科进行规范化培训的43名学员随机分为两组:目标组(应用Fast Mini-CEX结合CBL教学模式)20名及对照组(应用传统教学模式)23名,两组学员在急诊科轮转结束后均完成出科考试、学员满意度调查表、360评价,并结合入科考试成绩对学员教学效果进行评估。结果目标组出科考试成绩整体优于对照组,且相对于入科成绩的增幅也高于对照组,差异有统计学意义(P<0.05);目标组满意度调查表评分高于对照组,差异有统计学意义(P<0.05);360评价中整体评价、工作方式评分均高于对照组,差异有统计学意义(P<0.05)。结论Fast MiniCEX结合CBL教学模式在急诊住院医师规范化培训中的效果优于传统急诊住培教学模式,充分发挥了学员的积极主动性.

Objective To explore the effect of fast mini clinical exercise evaluation(Fast Mini-CEX)combined with case-based learning(CBL)in standardized training of emergency residents.Methods 43 students were randomly divided into two groups:20 students in the target group(applied Fast Mini-CEX combined with CBL teaching model)and 23 students in the control group(applied traditional teaching model),from January 2020 to March 2021.Both groups completed their examinations,student satisfaction questionnaires and 360 evaluation,and combined with the examination results to evaluate the teaching effect of students.Results The test scores of the target group were better than those of the control group,the results of the increase was higher than the control group,the difference was statistically significant(P<0.05).The satisfaction questionnaire score of target group was higher than that of control group,the difference was statistically significant(P<0.05).The overall evaluation and working style scores were higher than those of the control group,the difference was statistically significant(P<0.05).Conclusion Fast Mini-CEX combined with the CBL teaching mode is better than the traditional teaching mode in the standardized training of emergency residents,and it give full play to the active initiative of the students.