CBL联合Mini-CEX评估在全科住院医师糖尿病教学中的应用效果

Application research of CBL combined with Mini-CEX in the teaching of diabetes for general resident physicians

目的探讨基于案例教学(case-based learning,CBL)联合形成性评价迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)在全科住院医师糖尿病教学中的应用效果。方法选择该院2019级—2022级全科住院医师114名为研究对象,随机分为观察组和对照组,每组57人。观察组采用CBL联合Mini-CEX教学模式,对照组采用传统教学模式,两组住院医师在入科前后进行理论考核,课后进行问卷调查,比较两组考核成绩及教学满意度。结果两组住院医师出科考核成绩均高于入科考核成绩,差异有统计学意义(P<0.05);对照组理论成绩为(75.63±7.46)分,观察组为(84.09±8.83)分,观察组Mini-CEX评估各个维度的评分均高于对照组,差异具有统计学意义(均P<0.05)。CBL联合Mini-CEX评估的教学满意度高于传统教学模式。结论CBL与Mini-CEX评估相结合有助于活跃课堂气氛、激发学习热情,在培训中取得良好的学习效果。

Objective To explore the effect of case-based learning(CBL)integrated with the formative evaluation mini-clinical evaluation exercise(Mini-CEX)in Diabetes Mellitus teaching for general resident doctors.Methods A total of 114 general resident doctors of Grade 2019 to Grade 2022 in the Hospital were selected as the research subjects and randomly divided into an observation group and a control group,with 57 doctors in each group.The teaching mode of the integration of CBL with Mini-CEX was adopted for the observation group,and traditional teaching was adopted for the control group.The theoretical examinations of the two groups of resident doctors were carried out before and after taking the courses,a questionnaire was administered after class,and the examination results and teaching satisfaction of the two groups were compared.Results The two groups achieved significantly greater examination results after the courses than before the courses(P<0.05).The theoretical examination result of the control group was(75.63±7.46)points,while the theoretical examination result of the observation group was(84.09±8.83)points.The observation group achieved significantly greater scores in every Mini-CEX dimension than the control group(all P<0.05).Teaching satisfaction was greater for the mode in which CBL was integrated with the Mini-CEX than for the traditional teaching mode.Conclusion The integration of CBL with the Mini-CEX helps students activate their classroom atmosphere and arouse enthusiasm for learning,thus achieving good learning effects during training.