操作技能直接观察评估在临床技能教学中的应用

doi:10.16352/j.issn.1001-6325.2022.10.1621

基础医学与临床 ›› 2022, Vol. 42 ›› Issue (10): 1621-1625.doi: 10.16352/j.issn.1001-6325.2022.10.1621

操作技能直接观察评估在临床技能教学中的应用

于小晴^1,2, 郭超², 易杰^3,4, 廖泉^4,5, 翁习生^4,6, 梁乃新^2*, 李单青²

1.北京协和医学院八年制临床医学专业,北京 100730;
中国医学科学院北京协和医学院北京协和医院 2.胸外科; 3.外科学系; 4.麻醉科; 5.基本外科; 6.骨科,北京 100730

收稿日期:2021-10-25 修回日期:2022-04-19 出版日期:2022-10-05 发布日期:2022-09-23
通讯作者: * pumchnelson@163.com
基金资助:
北京协和医学院青年教师项目(2014zlgc0717);小规模特色办学项目(2014zlgc0135);北京协和医学院北京市重点建设一流专业资金(2021zlgc1103)

Application of direct observation of procedural skills in clinical skill training

YU Xiao-qing^1,2, GUO Chao², YI Jie^3,4, LIAO Quan^4,5, WENG Xi-sheng^4,6, LIANG Nai-xin^2*, LI Shan-qing²

1. Eight-Year MD Program, Peking Union Medical College, Beijing 100730;
2. Department of Thoracic Surgery; 3. Department of Surgery; 4. Department of Anesthesiology; 5. Department of General Surgery; 6. Department of Orthopaedics, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China

Received:2021-10-25 Revised:2022-04-19 Online:2022-10-05 Published:2022-09-23
Contact: * pumchnelson@163.com

摘要/Abstract

摘要： 临床操作技能是医学教育中的一个重要环节,操作技能直接观察评估(DOPS)是一种评估临床操作技能的方法,兼具教学功能和评价功能,评估者直接观察被评估者的操作过程,并及时给予评估和反馈。本文主要介绍DOPS的信效度、可行性、可接受度及教育意义等以及目前DOPS的应用情况。

关键词: 操作技能直接观察评估, 临床操作技能, 信度, 效度, 应用

Abstract: The training of clinical operational skill is an important part of medical education. Direct observation of procedural skills (DOPS) is a method to evaluate clinical operational skills. It has both teaching and evaluation functions. The evaluator directly observes the operation process of the evaluated and gives evaluation and feedback in time. This paper introduces the reliability, validity, feasibility, acceptability and educational significance and the current application of DOPS.

Key words: direct observation of procedural skills, clinical operation skills, reliability, validity, application

中图分类号:

于小晴, 郭超, 易杰, 廖泉, 翁习生, 梁乃新, 李单青. 操作技能直接观察评估在临床技能教学中的应用[J]. 基础医学与临床, 2022, 42(10): 1621-1625.

YU Xiao-qing, GUO Chao, YI Jie, LIAO Quan, WENG Xi-sheng, LIANG Nai-xin, LI Shan-qing. Application of direct observation of procedural skills in clinical skill training[J]. Basic & Clinical Medicine, 2022, 42(10): 1621-1625.

参考文献 27

[1]	Miller GE. The assessment of clinical skills/competence/performance[J]. Acad Med, 1990, 65(9 Suppl): S63-S67.
[2]	Rawekar A, Choudhari SG, Mishra V, et al. Formative assessment in practical for Indian postgraduates in health professions education: a strategic initiative towards competency-based education[J]. J Family Med Prim Care, 2020, 9: 3399-3404.
[3]	Wragg A, Wade W, Fuller G, et al. Assessing the performance of specialist registrars[J]. Clin Med (Lond), 2003, 3: 131-134.
[4]	魏冲, 毛玥莹, 李菁, 等. 客观结构化临床考试应用于规范化培训住院医师入科考试的实践探索[J]. 基础医学与临床, 2018, 38: 1513-1516.
[5]	张大明, 金征宇, 薛华丹, 等. OSCE在北京市放射科住院医师规范化培训Ⅰ阶段技能考试中应用的评价[J]. 基础医学与临床, 2017, 37: 1778-1781.
[6]	Naeem N. Validity, reliability, feasibility, acceptability and educational impact of direct observation of procedural skills (DOPS)[J]. J Coll Physicians Surg Pak, 2013, 23: 77-82.
[7]	白杨, 陈彬, 魏书婷. 操作技能直接观察评估在护理技能评估中的应用进展[J]. 护理研究, 2018, 32: 1680-1683.
[8]	Lorwald AC, Lahner FM, Nouns ZM, et al. The educational impact of Mini-Clinical Evaluation Exercise (Mini-CEX) and Direct Observation of Procedural Skills (DOPS) and its association with implementation: A systematic review and meta-analysis[J]. PLoS One, 2018, 13: e0198009.doi: 10.1371/journal.pone.0198009.
[9]	Mayne A, Wilson L, Kennedy N. The usefulness of procedure-based assessments in postgraduate surgical training within the intercollegiate surgical curriculum programme; A Scoping Review[J]. J Surg Educ, 2020, 77: 1227-1235.
[10]	Khan R, Zheng E, Wani SB, et al. Colonoscopy competence assessment tools: a systematic review of validity evidence[J]. Endoscopy, 2021, 53: 1235-1245.
[11]	Telford J, Gondara L, Pi S, et al. Higher adenoma detection, sessile serrated lesion detection and proximal sessile serrated lesion detection are associated with physician specialty and performance on Direct Observation of Proce-dural Skills[J]. BMJ Open Gastroenterol, 2021, 8: e000677. doi: 10.1136/bmjgast-2021-000677.
[12]	Siau K, Crossley J, Dunckley P, et al. Colonoscopy direct observation of procedural skills assessment tool for evaluating competency development during training[J]. Am J Gastroenterol, 2020, 115: 234-243.
[13]	Siau K, Crossley J, Dunckley P, et al. Direct observation of procedural skills (DOPS) assessment in diagnostic gastroscopy: nationwide evidence of validity and competency development during training[J]. Surg Endosc, 2020, 34: 105-114.
[14]	Liu CS, Wang YM, Lin HN. An 8-year retrospective survey of assessment in postgraduate dental training in complicated tooth extraction competency[J]. J Dent Sci, 2020, 16: 891-898
[15]	Jafarpoor H, Hosseini M, Sohrabi M, et al. The effect of direct observation of procedural skills/mini-clinical evaluation exercise on the satisfaction and clinical skills of nursing students in dialysis[J]. J Educ Health Promot, 2021, 10: 74. doi: 10.4103/jehp.jehp_618_20.
[16]	Mohamadirizi S, Mardanian F, Torabi F. The effect of direct observation of procedural skills method on learning clinical skills of midwifery students of medical sciences[J]. J Educ Health Promot, 2020, 9: 91. doi: 10.4103/jehp.jehp_672_19.
[17]	李晓勇, 姬乐, 刘涛, 等. DOPS联合Mini-CEX在普外科规培教学中的实践应用[J]. 继续医学教育, 2021, 35:13-15.
[18]	Dabir S, Hoseinzadeh M, Mosaffa F, et al. The effect of repeated direct observation of procedural skills (R-DOPS) assessment method on the clinical skills of anesthesiology residents[J]. Anesth Pain Med, 2021, 11: e111074. doi: 10.5812/aapm.111074.
[19]	万玉骁, 张丹丹, 李阳, 等. 改良DOPS量表在麻醉科住院医师技能考核与培训中的应用[J]. 继续医学教育, 2021, 35: 35-38.
[20]	Lagoo JY, Joshi SB. Introduction of direct observation of procedural skills (DOPS) as a formative assessment tool during postgraduate training in anaesthesiology: Explora-tion of perceptions[J]. Indian J Anaesth, 2021, 65: 202-209.
[21]	Weissenbacher A, Bolz R, Zimmermann A, et al. Mentoring and workplace-based assessments for final year medical students: An effective way to increase satisfac-tion and competence?[J]. Anaesthesist, 2021, 70: 486-496.
[22]	Li KF, Liu BZ, Wu FF, et al. Outcome-based student assessment enhances academic performance in basic medical laboratory course[J]. Adv Physiol Educ, 2021, 45: 269-275.
[23]	Khan MR, Shariff AH, Nasim S, et al. Effectiveness of laparoscopic skills workshop on enhancing knowledge and skills of surgical residents and its comparison with DOPS (direct observation of procedural skills) scores: prospective cohort study[J]. Med Sci Educ, 2020, 30: 861-867.
[24]	Ong MN, Lew KM, Cheong YJ, et al. Can we use peer-assisted learning to teach basic surgical skills?[J]. Malays J Med Sci, 2020, 27: 101-107.
[25]	Walsh CM, Scaffidi MA, Khan R, et al. Non-technical skills curriculum incorporating simulation-based training improves performance in colonoscopy among novice endoscopists: randomized controlled trial[J]. Dig Endosc, 2020, 32: 940-948.
[26]	Mouli TC, Davuluri A, Vijaya S, et al. Effectiveness of simulation based teaching of ventilatory management among non-anaesthesiology residents to manage COVID 19 pandemic-A Quasi experimental cross sectional pilot study[J]. Indian J Anaesth, 2020, 64(Suppl 2): S136-S140.
[27]	Ghiasian L, Hadavandkhani A, Abdolalizadeh P, et al. Comparison of video-based observation and direct observation for assessing the operative performance of residents undergoing phacoemulsification training[J]. Indian J Ophthalmol, 2021, 69: 574-578.

操作技能直接观察评估在临床技能教学中的应用

Application of direct observation of procedural skills in clinical skill training

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 27

相关文章 15

编辑推荐

Metrics

本文评价

[1]	杜丰禾, 刘暴. 血管周围脂肪组织炎性反应促进动脉粥样硬化作用机制的研究进展[J]. 基础医学与临床, 2023, 43(4): 685-689.
[2]	朱李茹, 黄友明, 章宏祥, 周发友, 唐晓磊. 葡聚糖结合蛋白的原核表达及检测深部真菌感染的应用[J]. 基础医学与临床, 2022, 42(6): 883-889.
[3]	邹兴龙, 陈柱先, 孙娟娟, 蔡江滢, 苏露, 马薇, 傅思武. 壳聚糖药用制剂及其应用的研究进展[J]. 基础医学与临床, 2022, 42(11): 1791-1794.
[4]	吴岳恒, 余细勇. 人工智能在心血管疾病研究和临床中的应用[J]. 基础医学与临床, 2022, 42(11): 1644-1649.
[5]	白慧君高百红王健伟潘慧. 基于e-learning的医学科研管理模式在学术交流领域的实践与经验[J]. 基础医学与临床, 2019, 39(4): 604-607.
[6]	黄敏贾宝辉杨少龙刘艺欣. 外泌体在脓毒症诊疗中的研究进展[J]. 基础医学与临床, 2019, 39(1): 106-109.
[7]	王树文林鸿程杨丰童金生尹金宝. 微课堂在诊断学实验教学中的应用效果分析[J]. 基础医学与临床, 2017, 37(8): 1195-1198.
[8]	刘伟刘克李文婷申新华陈咏梅马超. 以创新为理念的临床应用解剖学教学改革[J]. 基础医学与临床, 2015, 35(6): 854-856.
[9]	黄建易善勇杨晶官丽莉杜琳娜李海燕姜潮. FGF10与相关疾病的关系及其临床应用[J]. 基础医学与临床, 2015, 35(11): 1559-1562.
[10]	刘紫玲彭志平史学森. 胃癌相关miRNA的临床应用价值[J]. 基础医学与临床, 2014, 34(4): 566-569.
[11]	苏仲春王圳陈晓韵王跃春. 自组装肽纳米纤维支架及其在组织工程的应用[J]. 基础医学与临床, 2012, 32(8): 971-973.
[12]	牟一蔡鹏飞高友鹤. PDZ结构域中间序列结合特性及其临床应用[J]. 基础医学与临床, 2012, 32(10): 1230-1234.
[13]	栾力程玉峰. 蛋白质组学技术在宫颈癌研究中的应用进展 [J]. 基础医学与临床, 2011, 31(7): 839-842.
[14]	宋丽陈嘉林. 间充质干细胞免疫调节作用及其在自身免疫病中的意义[J]. 基础医学与临床, 2009, 29(11): 1221-1223.
[15]	郑永红白玉茹胡锡衷. 联合应用缬沙坦和雷米普利对自发性高血压大鼠心肌重塑的影响[J]. 基础医学与临床, 2006, 26(1): 96-96.