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骨科住院医师临床实践表现评估

Assessment of the Performance of Orthopedic Residents in Clinical Practice.

作者信息

Silva Bruno Air Machado da, Fernandes Marcos Rassi, Pereira Edna Regina Silva

机构信息

Departamento de Ortopedia e Traumatologia, Instituto Ortopédico de Goiânia, Goiânia, GO, Brasil.

Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade Federal de Goiás, Goiânia, GO, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2022 Apr 20;57(6):1060-1064. doi: 10.1055/s-0042-1744500. eCollection 2022 Dec.

Abstract

To evaluate the performance of orthopedic residents while conducting clinical examinations.  The Mini Clinical Evaluation Exercise (Mini-CEX) was applied by three teaching doctors at four different moments. The instrument was adapted by the authors for use in orthopedics, with the development of descriptors for each evaluated skill. Supervisors were trained to use the Mini-CEX by the principal investigator through teaching materials and discussions, with standardization of the instrument descriptors.  The mean scores obtained in the 4 evaluations for each of the 21 residents reveal improvement in the performances of residents in all skills assessed from the 1 to the 4 meeting.  We have found that the performance of orthopedic residents presented a satisfactory evolution, with progressive improvement in all skills.

摘要

评估骨科住院医师进行临床检查时的表现。三名带教医生在四个不同时间点应用了迷你临床评估练习(Mini-CEX)。作者对该工具进行了改编以用于骨科,并为每个评估技能制定了描述符。主要研究者通过教材和讨论对督导员进行培训,使其使用Mini-CEX,并对工具描述符进行标准化。对21名住院医师每人进行的4次评估中获得的平均分数显示,从第1次到第4次会面,住院医师在所有评估技能中的表现都有所提高。我们发现,骨科住院医师的表现呈现出令人满意的进展,所有技能都在逐步提高。

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