中华医学教育探索杂志
中華醫學教育探索雜誌
중화의학교육탐색잡지
Chinese Journal of Medical Education Research
2012年
8期
800-802
,共3页
李晋芳%毛思忠%罗海彦%李小凤%童林艳%吴禹%邓芬%李长清
李晉芳%毛思忠%囉海彥%李小鳳%童林豔%吳禹%鄧芬%李長清
리진방%모사충%라해언%리소봉%동림염%오우%산분%리장청
简易临床评估实习量表%神经病学%实习教学
簡易臨床評估實習量錶%神經病學%實習教學
간역림상평고실습량표%신경병학%실습교학
Mini-clinical evaluation exercise%Neurology%Clinical practice
目的 评价在神经病学临床实习中引入简易临床评估实习量表( Mini-clinical evaluation exercise,Mini-CEX)的可行性及其价值.方法 将进入神经内科实习的94名学生随机分为对照组和观察组,对照组按照现行的管理带教方法进行实习教学和管理,观察组要求在进入神经内科实习开始后第1周末、第2周末和第3周末由带教教师按照要求对实习学生分别进行1次评估和意见反馈,实习结束后,由带教教师对所有实习学生(包括对照组和观察组)按前述方法交叉评估.结果 完成评估时间25～40 min,学生实习结束时,观察组神经系统检查技能评分与对照组比较差异有统计学意义(P＜0.05),以此为基础的定位、定性诊断和处理建议评分与对照组比较差异有统计学意义(P＜0.05).结论 在神经病学实习过程中引入Mini-CEX评价和反馈促进教学效果是可行的,可弥补现行考试方法的不足.
目的 評價在神經病學臨床實習中引入簡易臨床評估實習量錶( Mini-clinical evaluation exercise,Mini-CEX)的可行性及其價值.方法 將進入神經內科實習的94名學生隨機分為對照組和觀察組,對照組按照現行的管理帶教方法進行實習教學和管理,觀察組要求在進入神經內科實習開始後第1週末、第2週末和第3週末由帶教教師按照要求對實習學生分彆進行1次評估和意見反饋,實習結束後,由帶教教師對所有實習學生(包括對照組和觀察組)按前述方法交扠評估.結果 完成評估時間25～40 min,學生實習結束時,觀察組神經繫統檢查技能評分與對照組比較差異有統計學意義(P＜0.05),以此為基礎的定位、定性診斷和處理建議評分與對照組比較差異有統計學意義(P＜0.05).結論 在神經病學實習過程中引入Mini-CEX評價和反饋促進教學效果是可行的,可瀰補現行攷試方法的不足.
목적 평개재신경병학림상실습중인입간역림상평고실습량표( Mini-clinical evaluation exercise,Mini-CEX)적가행성급기개치.방법 장진입신경내과실습적94명학생수궤분위대조조화관찰조,대조조안조현행적관리대교방법진행실습교학화관리,관찰조요구재진입신경내과실습개시후제1주말、제2주말화제3주말유대교교사안조요구대실습학생분별진행1차평고화의견반궤,실습결속후,유대교교사대소유실습학생(포괄대조조화관찰조)안전술방법교차평고.결과 완성평고시간25～40 min,학생실습결속시,관찰조신경계통검사기능평분여대조조비교차이유통계학의의(P＜0.05),이차위기출적정위、정성진단화처리건의평분여대조조비교차이유통계학의의(P＜0.05).결론 재신경병학실습과정중인입Mini-CEX평개화반궤촉진교학효과시가행적,가미보현행고시방법적불족.
Objective To evaluate the feasibility and value of mini-clinical evaluation exercise (Mini-CEX) in clinical neurology practice.Methods Ninety-four interns were randomly divided into observation group and control group,students in control group were teached and managed in accordance with existing management while those in observation group were evaluated by teachers after the 1 st,2nd and 3rd week.At the end of clinical practice,all the students( including students in control group and observation group)were cross assessed by teachers based on the methods mentioned above.Results The time to complete the assessment was about 25 - 40 min.The scores of nervous system examination at the end of the training were significant different between observation group and control group and the scores of diagnosis and treatment on the basis of examination were also significant different between observation group and control group ( P ＜ 0.05 ).Conclusion The Mini-CEX assessment and feedback to promote teaching effect is feasible in the practice process of neurology,it can make up for the deficiency of current examination.
