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小型临床演练评量在全科医师培训轮转考核中的信度与效度分析 被引量:54

Reliability and validity of the mini-clinical evaluation exercise for rotation examination in general practice training
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摘要 应用小型临床演练评量(mini—CEX),于2009年9月至2010年2月对在复旦大学附属中山医院接受上海市全科医师规范化培训的34名学员及11名专升本学员在培训、轮转到社区门诊与医院全科病房时进行出科考核。45名学员和9名教师共完成81次mini—CEX。mini—CEX各项目Cronbach α系数为0.932。以同时期出科考成绩为效标,mini—CEX整体表现项目的效标关联效度为0.53(P〈0.001)。提示mini—CEX适合在全科医师培训中作为轮转考核方法使用。 Thirty four residents of general practice and 11 students of junior college to undergraduate program were evaluated with the mini-clinical evaluation exercise ( mini-CEX ) when they were rotated to community clinics or the ward of general practice in Zhongshan Hospital from September 2009 to February 2010. The reliability and validity of mini-CEX for rotation examination in general practice training was assessed. Forty five trainees and 9 clinical faculty members completed 81 mini-CEX evaluations. The Cronbach's alpha coefficient was 0. 932. Criterion-related validity for mini-CEX overall competence with the end examination of rotation was 0. 53 ( P 〈 0. 001 ) . The results indicate that mini-CEX may be an appropriate evaluation tool for rotation examination in general practice training.
出处 《中华全科医师杂志》 2010年第11期786-787,共2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 信度 小型临床演练评量 Reliability Mini-clinical evaluation exercise
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参考文献6

  • 1Norcini JJ,Blank LL,Duffy FD,et al.The mini-CEX:a method for assessing clinical skills.Ann Intern Med,2003,138:476-481.
  • 2曹伟.Mini-CEX与住院医师能力评估[J].中国卫生质量管理,2009,16(3):24-27. 被引量:61
  • 3Norcini JJ,Blank LL,Arnold GK,et al.The mini-CEX (clinical evaluation exercise):a preliminary investigation.Ann Intern Med,1995,123:795-799.
  • 4Durning SJ,Cation LJ,Maskert RJ,et al.Assessing the reliability and validity of the mini-clinical evaluation exercise for internal medicine residency training.Acad Med,2002,77:900-904.
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  • 6Kogan JR,Holmboe ES,Hauer KE.Tools for direct observation and assessment of clinical skills of medical trainees:a systematic review.JAMA,2009,302:1316-1326.

二级参考文献1

  • 1Dr. Eric S. Holmboe MD,Monica Yepes MD,Frederick Williams MD,Stephen J. Huot PhD, MD. Feedback and the mini clinical evaluation exercise[J] 2004,Journal of General Internal Medicine(5):558~561

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