摘要
目的应用迷你临床评估对121腔颌面外科医学生进行临床能力评估，以分析此种评估方法在Vl腔颌面外科门诊、急诊教学及临床评估中的可行性及应用价值。方法2010年～2011年，北京大学口腔医学院3位口腔颌面外科或急诊科带教医师利用改进的迷你临床评估量表对40位本院实习的医学生进行临床能力评估，每人在临床真实环境中接受4次一8次评估，患者为我院门诊和急诊患者，随机挑选并取得患者的知情同意；评估后教师即时给予学生反馈意见，同时教师和学生对此次评估做出评价。评估结束后，对评估过程进行评价，对评估数据进行分析。结果在研究期间共完成265人次的评估，每次评估平均用时25．3分钟，信息反馈用时4．1分钟，教学之初的评估显示，学生有3项一4项不达标，通过有针对性的指导，教学结束时评估显示学生各项均达标。所有参与者对此种评估方式表示满意或非常满意并认为其也可以作为一种学习和教学工具。结论迷你临床评估是一种可行的、有效的、可靠的临床评估和教学工具，其简便易行，值得在口腔医学临床教学和评估中推广。
Objective To assess the feasibility, acceptability and effects of mini-clinical evaluation exercise（mini-CEX） for performance evaluation among students or graduate students of oral and maxillofacial surgery outpatient or emergency department. Methods From 2010 to 2011, the clinical per- formances of forty medical college students in the outpatient department of oral and maxillofacial surgery or department of oral emergency were evaluated by three doctors. Four to eight times assessments were performed for every student during the entire study period. The patients were elected randomly in the outpatient or emergency department of oral and maxillofacial surgery, who were informed and consent to the study. Every participant assessed the evaluation at the end of the evaluation. We analyzed the processes and results of the evaluation, and assessed the effects of mini-CEX in the performance evaluation among students or graduate students of oral and maxillofacial surgery outpatient or emergency department. Results We completed 265 successfully evaluations. It took 25.3 minutes for the evaluation, and 4.1 minutes for the feedback in mean. At the end of teaching course, all students met the teaching requirement. All participants were satisfied with this kind of mini-CEX, and all participants believed that mini-CEX was a good evaluation and learning tool, too. Conclusions The mini-CEX is a reliable tool for learning and per- formance evaluation of students or graduate students of oral and maxillofacial surgery outpatient or emergency department, and is acceptable and well received by both students and supervisors.
出处
《中华医学教育杂志》
2012年第6期949-951,共3页
Chinese Journal of Medical Education
关键词
迷你临床评估
口腔颌面外科学
临床教学
应用
Mini-clinical evaluation exercise
Oral and maxillofacial surgery
Clinical teaching
Application
