以执业医师资格考试为导向构建Mini-CEX联合DOPS在急诊医学规培教学中的应用

吴继宏; 龚斌; 邹俊杰; 李清; 钟颖

doi:10.3760/cma.j.cn116021-20211001-01354

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以执业医师资格考试为导向构建Mini-CEX联合DOPS在急诊医学规培教学中的应用

住院医师规范化培训 | 更新时间：2023-08-02

- 以执业医师资格考试为导向构建Mini-CEX联合DOPS在急诊医学规培教学中的应用
- Application of Mini-Clinical Evaluation Exercise combined with direct observation of procedural skills in standardized training of emergency medicine guided by professional physician qualification examination
- 中华医学教育探索杂志 2023年22卷第7期页码：1054-1058
- 作者机构：
  
  广西中医药大学附属瑞康医院急诊外科，南宁　530001
- 作者简介：
  
  吴继宏，邮箱：zhunhaolanpi8@163.com
- 基金信息：
  
  广西中医药大学教育教学改革与研究项目(2021A002)
- DOI：10.3760/cma.j.cn116021-20211001-01354
  中图分类号： R-05
- 纸质出版日期：2023-07-20，
  
  收稿日期：2021-10-01，
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吴继宏, 龚斌, 邹俊杰, 等. 以执业医师资格考试为导向构建Mini-CEX联合DOPS在急诊医学规培教学中的应用[J]. 中华医学教育探索杂志, 2023, 22(7): 1054-1058.

Wu Jihong, Gong Bin, Zou Junjie, et al. Application of Mini-Clinical Evaluation Exercise combined with direct observation of procedural skills in standardized training of emergency medicine guided by professional physician qualification examination[J]. Chinese Journal of Medical Education Research, 2023,22(7):1054-1058.
吴继宏, 龚斌, 邹俊杰, 等. 以执业医师资格考试为导向构建Mini-CEX联合DOPS在急诊医学规培教学中的应用[J]. 中华医学教育探索杂志, 2023, 22(7): 1054-1058. DOI： 10.3760/cma.j.cn116021-20211001-01354.

Wu Jihong, Gong Bin, Zou Junjie, et al. Application of Mini-Clinical Evaluation Exercise combined with direct observation of procedural skills in standardized training of emergency medicine guided by professional physician qualification examination[J]. Chinese Journal of Medical Education Research, 2023,22(7):1054-1058. DOI： 10.3760/cma.j.cn116021-20211001-01354.

摘要

目的

探究以执业医师资格考试为导向构建迷你临床演练评估（mini-clinical evaluation exercise，Mini-CEX）联合操作技能直接观察评估（direct observation of procedural skill，DOPS）在急诊医学规培教学中的应用效果。

方法

以广西中医药大学附属瑞康医院急诊医学教学改革为分界线，将2020年9月前急诊科32名临床规培生纳为对照组，采用传统教学；将2020年9月后参加的32名临床规培生纳为观察组，采用以执业医师资格考试为导向构建Mini-CEX联合DOPS教学。比较两组Mini-CEX评分、DOPS评分、综合急救技能测评得分，执业医师资格考试通过率，以及综合教学质量。采用SPSS 25.00统计软件进行

检验和卡方检验。

结果

培训后，观察组学员Mini-CEX、DOPS、综合急救技能测评各项评分均高于对照组（

0.05）；两组执业医师资格考试理论和实践通过率比较，差异均无统计学意义，观察组总通过率高于对照组（

0.05）；观察组综合教学质量各项评分均高于对照组（

0.05）。

结论

以执业医师资格考试为导向构建Mini-CEX联合DOPS有助于提高急诊规培生教学效果，有助于提升规培生综合技能、急诊专业技能，执业医师资格考试通过率较高，有利于提高规培生的岗位胜任能力，值得推荐。

Abstract

Objective

To investigate the application effect of Mini-Clinical Evaluation Exercise (Mini-CEX) combined with direct observation of procedural skills (DOPS) in standardized training of emergency medicine guided by professional physician qualification examination.

Methods

Based on the time of emergency medicine teaching reform in Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine

32 standardized training residents in Emergency Department before September 2020 were included as control group and were given traditional teaching

and 32 standardized training residents after September 2020 were included as observation group and were given Mini-CEX combined with DOPS teaching under the guidance of professional physician qualification examination. The two groups were compared in terms of Mini-CEX score

DOPS score

assessment score of comprehensive emergency skills

pass rate of professional physician qualification examination

and comprehensive teaching quality. SPSS 25.00 was used to perform the

-test and the chi-square test.

Results

Compared with the control group after training

the observation group had significantly higher scores of Mini-CEX

DOPS

and comprehensive emergency skill assessment (

0.05). There were no significant differences between the two groups in the pass rates of theoretical and practical examinations in professional physician qualification examination

and the observation group had a significantly higher total pass rate than the control group (

0.05). The observation group had significantly higher comprehensive teaching quality scores than the control group (

0.05).

Conclusion

Mini-CEX combined with DOPS guided by professional physician qualification examination can help to improve the teaching effectiveness of standardized training residents in emergency

enhance their comprehensive skills and emergency professional skills

achieve a relatively high pass rate of professional physician qualification examination

and improve their post competency

and thus it holds promise for clinical application.

关键词

迷你临床演练评估操作技能直接观察评估急诊医学规培生

Keywords

Mini-Clinical Evaluation ExerciseDirect observation of procedural skillEmergency medicineStandardized training resident

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