郑烈;段盛蕾;闻新丽;王勇刚;强少盈;曹情雯;

• 1:陕西省中医医院

摘要(Abstract)：

目的 观察重症消化系统疾病应用迷你临床评估练习（Mini-CEX）形成性评价在住院医师规范化培训教学管理中的应用。方法 选取2021年10月至2022年5月在本科的36名住培医师为研究对象，制定MiniCEX量表。在入科第1周时对住培医师进行Mini-CEX量表规范化测评，测评时间20～30 min，然后带教老师进行问题反馈，住培医师针对存在的问题进行整改和反复练习，在轮转最后1周时，再次进行测评，并最终统计得分。另在出科时，发放自行设计的《Mini-CEX教学法问卷反馈调查表》由住培医师独立完成，要求在5～10 min完成，当场回收问卷。结果 重症消化系统疾病患者以年龄≥60岁的男性为主，其中大部分为再次住院患者。通过Mini-CEX测评后医疗面谈/病史采集、体格检查、人文关怀/医德医风、中西医诊治、医患沟通、组织效能、整体表现/临床胜任力等评分均明显升高（P <0.05）。结论 对重症消化系统疾病应用Mini-CEX，在住培医师学习中是易于接受和实用性较强的测评工具。

关键词(KeyWords)： 重症消化系统疾病;Mini-CEX;中医医院;住院医师;规范化培训;教学管理

Abstract:

Keywords:

基金项目(Foundation): 陕西省自然科学基础研究计划一般项目[（面上）2019JM-580];; 陕西省中医药管理局科研项目（2019-ZZJC010）;; 陕西省中医医院“苗圃培优”计划项目（2021-07）;陕西省中医医院院级课题（2018-04）

作者(Authors): 郑烈;段盛蕾;闻新丽;王勇刚;强少盈;曹情雯;

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