基于Mini-CEX联合DOPS评价的四阶段教学模式在心内科实习中的应用

    Application of a four-stage teaching model based on Mini-CEX and DOPS evaluation in clinical internship of cardiovascular medicine

    • 摘要:
      目的 探讨基于Mini-CEX联合DOPS评价的四阶段教学模式在心血管内科实习教学中的应用效果。
      方法 选取2021 ~ 2024年在心内科进行实习的253名学生为研究对象,按照入科时间分为对照组(n=117)和观察组(n=136)。对照组采取传统实习教学模式,观察组采取Mini-CEX联合DOPS评价的四阶段教学模式。两组学生均需参加入科、出科考核以及实习教学满意度问卷调查。
      结果 观察组学生出科考核理论成绩、技能成绩均高于对照组(P<0.01),其中观察组A2型题及B1型题成绩高于对照组(P<0.01),认知层次上理解及应用型题成绩高于对照组(P<0.05,P<0.01);观察组病史采集、病历书写、临床诊疗、技能操作成绩均高于对照组(P<0.05,P<0.01)。观察组学生Mini-CEX及DOPS考核各项指标得分均高于实习前(P<0.01)。两组学生对师资队伍水平的满意度无统计学差异;观察组学生在教学内容进度设置、自主学习能力、学习效率、临床思维能力、临床操作能力、医学人文素养、沟通表达能力、团队协作能力、科研创新能力和专业热爱程度方面满意度明显高于对照组(P<0.05,P<0.01)。
      结论 采用Mini-CEX与DOPS评价相结合的四阶段教学模式,可显著提升心内科实习生的学习成效,有效提高医学人才的培养质量。

       

      Abstract:
      AIM  To investigate the effect of the four-stage teaching model based on Mini-CEX combined with DOPS evaluation in cardiovascular medicine internship training.
      METHODS 253 interns in cardiovascular medicinewere selected from 2021 to 2024 as the research subjects and divided into the control group (n=117) and the observation group (n=136) according to their enrollment time. The control group was introduced to the traditional internship teaching model, while the observation group was trained with the four-stage teaching model based on Mini-CEX plus DOPS evaluation. Following the internship training in the department, both groups participated in the examination and the satisfaction survey of internship teaching.
      RESULTS  The theoretical and technical scores of the students in the observation group were higher than those in the control group (P<0.01), and the scores of type A2 and type B1 in the observation group were higher than those in the control group (P<0.01), and the scores of cognitive level comprehension and application questions in the observation group were higher than those in the control group (P<0.05, P<0.01); The scores of medical history collection, medical record writing, clinical diagnosis and treatment, and skill operation in the observation group were higher than those in the control group (P<0.05, P<0.01). The scores of Mini-CEX and DOPS of the observation group were higher than those before the internship (P<0.01). There was no significant difference in the satisfaction of the two groups of students with the level of teaching staff. The satisfaction of the observation group was significantly higher than that of the control group in the aspects of teaching content progress setting, autonomous learning ability, learning efficiency, clinical thinking ability, clinical operation ability, medical humanistic quality, communication and expression ability, team cooperation ability, scientific research innovation ability and professional love (P<0.05, P<0.01).
      CONCLUSION  The four stage teaching model combining Mini-CEX and DOPS evaluation significantly enhances the learning effectiveness of cardiology interns and effectively promotes the improvement of the quality of medical talent cultivation.

       

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