目的探讨迷你临床评估演练（mini-clinical evaluation exercise，Mini-CEX）结合模拟教学+案例教学在儿科临床教学中的应用效果。
方法选取2019年8月至2020年8月在济宁医学院附属医院儿科实习的60名医学生为研究对象，根据不同教学方式将其分为对照组（30名）与观察组（30名）。对照组接受传统教学，观察组接受Mini-CEX结合模拟教学+案例教学。对比两组考核成绩、医疗面谈综合能力、批判性思维能力和教学满意度。采用SPSS 20.0进行 t检验和卡方检验。
结果观察组各项考核成绩及总成绩高于对照组（ P<0.05）。教学后，两组Mini-CEX各项评分、批判性思维量表（critical thinking disposition inventory Chinese version，CTDI-CV）各项评分及总分增加，观察组高于对照组（ P<0.05）。观察组教学方案满意问卷各项评分高于对照组（ P<0.05）。
结论在儿科临床教学中应用Mini-CEX结合模拟教学+案例教学，有助于培养实习生的医疗面谈能力、临床实践能力与批判性思维能力，并能提高考核成绩，教学满意度更高。
ObjectiveTo explore the effect of mini-clinical evaluation exercise (Mini-CEX) combined with simulation teaching + case-based learning (CBL) in pediatric clinical teaching.
MethodsA total of 60 medical students who practiced in Department of Pediatrics, Affiliated Hospital of Jining Medical College from August 2019 to August 2020 were selected as the research objects. According to different teaching methods, they were divided into control group ( n=30) and observation group ( n=30). The control group received traditional teaching, and the observation group received Mini-CEX combined with simulated teaching + CBL. The assessment results, comprehensive ability of medical interview, critical thinking ability and teaching satisfaction of the two groups were compared. SPSS 20.0 was performed for t-test and Chi-square test.
ResultsThe test scores and total scores of the observation group were significantly higher than those of the control group ( P<0.05). After teaching, the Mini-CEX scores, the CTDI-CV (critical thinking disposition inventory Chinese version) scores and the total scores of the two groups increased significantly, and the above scores were significantly higher in the observation group than the control group ( P<0.05). The scores of the teaching program satisfaction questionnaire in the observation group were significantly higher than those in the control group ( P<0.05).
ConclusionThe application of Mini-CEX combined with simulation teaching + CBL in pediatric clinical teaching can help to cultivate the medical interview ability, clinical practice ability and critical thinking ability of interns, improve the examination results, and improve the teaching satisfaction.
徐玮玮,常艳华,孟灿灿,等. Mini-CEX结合模拟教学+案例教学在儿科临床教学中的应用[J]. 中华医学教育探索杂志,2022,21(10)：1341-1345.
DOI:10.3760/cma.j.cn116021-20201104-01031版权归中华医学会所有。
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除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。
徐玮玮：确定研究题目、设计研究方案、撰写及修改论文；徐玮玮、常艳华、刘海霞：收集资料；徐玮玮、孟灿灿、徐心坦、杨蕾：提供研究建议、审校论文
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