摘要
目的 了解全科医师规范化培训带教师资对小型临床演练评量（mini-CEX）培训的需求及其培训后的效果.方法 采用问卷调查方式,对114名参加mini-CEX师资培训的全科医师规范化培训带教师资（全科师资）在培训前后进行调查,了解培训需求及对培训的满意程度、对教学录像的评分.结果 全科师资培训前,39%（44/114）知道mini-CEX,97%（111/114）希望通过培训了解如何实施mini-CEX.培训后,30%（34/114）～55%（63/114）对mini-CEX的7项主要考核项目完全理解.50名全科师资在培训后对教学录像进行了评分,其中对冠心病、便血教学录像的评分与标准评分之间的差异有统计学意义（P〈0.05）,对腹痛教学录像的评分与标准评分之间的差异无统计学意义（P〉0.05）;临床带教年限≤5年和〉5年的全科师资对3段教学录像整体表现评分的差异,均无统计学意义（P〉0.05）.结论 目前全科带教师资对mini-CEX的师资培训有较高的需求,但短期培训效果尚不理想,需要进一步改进培训方式.
Objective To study needs of training of trainers（ToT）in mini-clinical evaluation exercise（mini-CEX）and its effectiveness.Methods One hundred and fourteen doctors involved in TOT for mini-CEX were interviewed with questionnaire before and after training for their satisfaction of training and fifty of them scored the training videos.Results Before the training.39%（44/114）of doctors involved in TOT knew mini-CEX and 97%（111/114）of them hoped to know how to carry out mini-CEX thronsh training.When the training finished,30%（34/114）tO 55%（63/114）of them could completely understand seven items of examinations of mini-CEX.Fifty doctors involved in TOT scored the training videos after the training.There was signifieant difference in scores between TOT and standard scoring on training video 1 for teaching of coronary heart disease and video 2 for teaching of hematochezia（P〈0.05）.No significant difference Was found in scores between TOT and standard scoring on the video 3 for teaching of abdomihal pain（P〉0.05）.as well as those between TOT with five or less years experience and those with more than five years experience（P〉0.05）.Conclusions Currently,doctors involved in TOT have more demands on mini-CEX.However,effectiveness of short-course training for mini-CEX is not satisfactory,and pattern of its training should be improved further.
出处
《中华全科医师杂志》
2011年第6期386-389,共4页
Chinese Journal of General Practitioners
基金
上海市公共卫生三年行动计划全科医学重点学科建设项目（08GWZX1001）
关键词
小型临床演练评量
师资培训
评价研究
Mini-Clinical evaluation exercise
Teacher training
Evaluation studies
