目的 探讨形成性评价在儿科专业住院医师规范化培训中的应用效果。方法 选取在南通大学附属医院接受规范化培训的儿科专业住院医师36人,随机分为实验组和对照组(各18人),均按照全国儿科住院医师规范化培训内容与标准进行培养。告知两组学员最终成绩的构成方式,对照组实施传统结业考核,其结业成绩为最终成绩;实验组实施形成性评价教学活动,最终总成绩构成包括过程考核(35%)、结业考核(50%)、医德医风(5%)、读书报告(5%)、考勤(5%)。通过考核成绩分析及学员自评两种方式评价实施形成性评价教学活动的效果。采用SPSS 17.0进行数据统计,两组间比较采用独立样本t检验,相关性用Pearson相关性系数表达。结果 实验组学员的过程考核、结业考核成绩与总成绩呈正相关(r=0.953,r=0.966,P=0.00)。在结业考核评定中,实验组的临床实践技能考核与病例分析成绩均高于对照组[(12.03±1.51) vs. (10.83±1.42),(12.03±1.40) vs. (10.83±1.29)],差异均有统计学意义(P<0.05)。学员自评结果显示,实验组学员临床推理及决策能力、自主学习能力、态度及专业性的评分、总分均高于对照组,且差异均有统计学意义(P<0.05)。结论 在儿科专业住院医师规范化培训中应用形成性评价,有利于提高培训效果,值得推广
Abstract
Objective To explore the application effect of formative assessment on the standardized training in pediatric residents. Methods A total of 36 pediatric residents who attended the standardized training in affiliated hospital of Nantong university were randomly divided into 2 groups (18 in the experi-mental group and 18 in the control group) and trained in accordance with the standardized training content and standard of the national resident of pediatrics. Residents in the experimental group received formative assessment
with total score including process assessment (35%)
graduation examination (50%)
medical ethics (5%)
reading report (5%) and work attendance (5%). While the other 18 residents in the control group received traditional assessment
with final score of graduation examination. The effectiveness of for-mative assessment was conducted via analysis of test score and self evaluation. The SPSS 17.0 was used for statistics
independent sample t test was used to perform inter-group comparison and Pearson correlation coefficient was used to demonstrate the correlation. P<0.05 signifies statistically significant differences. Results In the experimental group
the process evaluation and the graduation examination were both posi-tively related with the total score (r=0.953
r=0.966
P=0.00). In the graduation examination
the scores of clinical practice skills test and case analysis in the experimental group were both higher than those in the control group [(12.03±1.51) vs. (10.83±1.42)
(12.03±1.40) vs. (10.83±1.29)
P<0.05]
with statistically significant differences. The self evaluation of trainees showed that the clinical-inference and decision-making ability
the self-study ability
scores of attitudes and professionalism and total scores in the experi-mental group were higher than those in the control group
with statistically significant differences (P<0.05). Conclusion The application of formative evaluation on the standardized training in pediatric residents is beneficial to improve the training effect and is worth popularizing.
关键词
形成性评价 儿科 住院医师 规范化培训
Keywords
Formative assessment Pediatrics Resident Standardized training