摘要
目的:建立首个针对放射肿瘤科住院医师规范化培训的简易形成性评价(Mini-FERO)量表,初步应用于教学实践并评估其实际教学应用价值。方法:基于放射肿瘤科规培教学大纲及考核要求和临床公用的Mini-CEX量表结构,制订针对放射肿瘤科住院医师规范化培训的Mini-FERO量表。本研究为前瞻性研究,采用随机数表法随机选择2021年3月1日—12月31日在中国医学科学院肿瘤医院放射治疗科轮转的26名住院医师,应用Mini-FERO量表进行轮转初期、中期、末期3次测评,使用配对t检验分析考核前后的测评结果差异,由参与考核的住院医师和带教老师进行满意度评分,对量表进行全面评估。结果:26名住院医师的3次测评平均分数逐次提高,各考核项目单项成绩同样逐次提高,且第2次与第1次测评之间成绩提升较显著,平均提升(1.43±1.02)分(t=7.13,P<0.001),第3次较第2次测评平均提升(0.41±0.50)分(t=4.07,P<0.001),二者相差(1.02±1.15)分(t=4.53,P<0.001)。考核平均用时(34.31±24.46)min。被考核住院医师对Mini-FERO量表总体满意度评分(8.42±0.85)分,带教老师总体满意度评分(8.45±0.85)分,满意度为96%(25/26)。结论:本研究建立Mini-FERO量表,并验证了其在放射肿瘤科住院医师规范化培训临床教学实践中的可行性,其可以体现住院医师在学习过程中逐渐提高的过程,同时考核时间短,不增加带教老师的教学负担,弥补了目前放射肿瘤科住院医师规范化培训过程中无形成性评价的不足。
Objective To establish the first Mini-Formative Evaluation of Radiation Oncology(Mini-FERO)scale in China and evaluate its preliminary application value in the standardized training for radiation oncology resident physicians.MethodssBased on the educational curriculum and examination requirements for the standardized training for radiation oncology resident physicians,as well as the standardized Mini-Clinical Evaluation Exercise(Mini-CEX)scale commonly used in clinical practice,the Mini-Formative Evaluation of Radiation Oncology(Mini-FERO)scale was developed to facilitate the standardized training for resident physicians in the field of radiation oncology.In this prospective study,a randomization method using a random number table was employed to select a cohort of 26 resident physicians who completed their rotations in Department of Radiation Oncology at the Cancer Hospital,Chinese Academy of Medical Sciences from March 1,2021 to December 31,2021.The Mini-FERO scale was administered in the initial,middle,and final stages during the rotation period.The differences in evaluation scores before and after the assessments were analyzed by paired t-test.Furthermore,participating resident physicians and supervising teachers provided satisfaction ratings,and a comprehensive evaluation of the Mini-FERO scale was conducted.Results The average scores of the three examinations of 26 resident physicians demonstrated a successive improvement,with individual performance in each assessed category also showing progressive enhancement.The second evaluation exhibited a more pronounced score increase compared to the first evaluation,with a mean improvement of(1.43±1.02)points(t=7.13,P<0.001);while the third evaluation had a mean improvement of(0.41±0.50)points(t=4.07,P<0.001)compaired to the second evaluation,with a mean difference of(1.02±1.15)points between the two(t=4.53,P<0.001).The average time required for the assessments was(34.31+24.46)min.Overall satisfaction ratings from the evaluated resident physicians for the Mini-FERO scale were(8.420.85)points,and supervising teachers reported an overall satisfaction rating of(8.45±0.85)points.The satisfaction rate was 96%(25/26).Conclusions In this study,the Mini-FERO scale was successfully developed and validated in the context of clinical teaching practice for radiation oncology resident physicians.The Mini-FERO scale is proven to be a feasible tool for assessing the gradual improvement of resident physicians throughout their learning process in the field of radiation oncology.Importantly,it offers the advantages of short assessment time,thereby avoiding additional burden on supervising teachers.The adoption of the Mini-FERO scale addresses current limitations of lacking of formative evaluation in the standardized training for radiation oncology resident physicians.
作者
高粹
翟医蕊
张永明
吴润叶
唐源
刘文扬
马攀
邓垒
刘清峰
王文卿
李晔雄
王淑莲
陈波
Gao Cui;Zhai Yirui;Zhang Yongming;Wu Runye;Tang Yuan;Liu Wenyang;Ma Pan;Deng Lei;Liu Qingfeng;Wang Wenqing;Li Ye-xiong;Wang Shulian;Chen Bo(Department of Radiation Oncology,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;Department of Radiation Oncology,Beijing Hospital,National Center of Gerontology/Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100005,China;Department of Education,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)
出处
《中华放射肿瘤学杂志》
CSCD
北大核心
2023年第10期928-933,共6页
Chinese Journal of Radiation Oncology
基金
北京市卫生健康委员会2021年住院医师规范化培训质量提高项目(2021036)
中国医学科学院肿瘤医院教学研究课题(E2023001、E2020002)。
关键词
放射肿瘤学
医师规范化培训
形成性评价
Radiation oncology
Standardized training for physicians
Formative evaluation
