DOPS在临床医学专业本科生外科学临床技能考核中的应用

褚维伟; 徐静; 李旭文; 韩志强; 田丽; 黄鹤; 高颖; 宋培军

doi:10.16766/j.cnki.issn.1674-4152.004103

DOPS在临床医学专业本科生外科学临床技能考核中的应用

doi: 10.16766/j.cnki.issn.1674-4152.004103

蚌埠医科大学第一附属医院整形烧伤科，安徽蚌埠 233004

基金项目:

安徽省教育厅省级质量工程项目 2022jyxm1007

蚌埠医科大学2024年校级质量工程项目 2024fyjyxm40

蚌埠医科大学2024年校级质量工程项目 2024fyjyxm31

详细信息

通讯作者:
宋培军，E-mail：songpeijun22@163.com

中图分类号: R192
计量
- 文章访问数: 5
- HTML全文浏览量: 3
- PDF下载量: 0
- 被引次数: 0
出版历程
- 收稿日期: 2025-01-22
- 网络出版日期: 2025-10-25

Application of DOPS in the clinical skills assessment of undergraduates in clinical medicine and surgery

Department of Plastic Surgery, the First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China

摘要

摘要: 目的观察评价依托问卷星与微信平台的改良操作技能直接观察评估(DOPS)在临床医学专业本科生外科学临床技能考核中的应用效果。方法研究时间为2022年11月—2023年10月，选取在蚌埠医科大学第一附属医院外科实习的100名临床医学专业本科生作为研究对象，按照随机数字表法将其分为对照组与观察组，每组50人。对照组进行常规临床技能考核，观察组在其基础上加用DOPS，采用问卷星与微信平台对考核成绩进行综合分析与实时反馈，了解学生的基本技能掌握情况，并针对性进行纠错与改进练习，对学生的技能操作水平进行等级划分，超过平均能力预期标准为优，达到平均能力预期标准为良，未达到能力预期标准或仅达到能力预期标准下限为差，比较2组的技能操作优良率。优良率=(优+良)人数/总人数×100%。结果前期技能考核成绩，2组差异无统计学意义(P＞0.05)；中期、后期考核成绩，观察组均优于对照组(P＜0.05)；实习后，观察组的技能操作优良率为92.00%(46/50)，对照组为76.00%(38/50)，2组差异有统计学意义(χ²=4.762，P=0.029)。结论在外科学教学过程中运用DOPS能起到良好效果，可为教师合理调整教学模式提供便利，有利于激发学生的学习兴趣，该评价方法具有较高的应用价值，值得临床推广与使用。
- 直接观察评估 /
- 临床医学专业 /
- 外科学 /
- 临床技能考核
Abstract: Objective To observe and evaluate the application effectiveness of the enhanced direct observation of procedural skills (DOPS) utilizing the Wenjuanxing and Wechat platform in assessing surgical clinical skills among undergraduate students in clinical medicine. Methods The study was conducted from November 2022 to October 2023, involving 100 clinical medicine undergraduates interning in Surgical Department of the First Affiliated Hospital of Bengbu Medical University. They were randomly divided into two groups of equal size. The control group underwent traditional clinical skills assessment, while the observation group also received DOPS assessment. Real-time feedback was provided through Wenjuanxing and WeChat platforms for comprehensive analysis of the results and understanding of students ' basic skill mastery. Targeted error correction and improvement exercises were conducted, with skill operation levels graded as excellent for surpassing expected standards, good for meeting them, and poor for falling short. The rate of excellent skill operation was compared among the three groups using a calculation of (excellent+good)/total number of participants×100%. Results The preliminary skill assessment results did not show significant differences between the two groups (P>0.05). However, the mid-term and post-term assessments revealed superior results in the observation group compared to the control group (P < 0.05). Following the internship, the observation group demonstrated an excellent skill operation rate of 92.00% (46/50), while the control group ' s rate was 76.00% (38/50), indicating a significant difference between the two groups (P < 0.05). Conclusion The implementation of DOPS in surgical education yields favorable outcomes, providing instructors with the flexibility to adapt their teaching methodologies and ignite students ' enthusiasm for learning. This assessment approach holds significant practical value and deserves widespread adoption in clinical settings.
- Direct observation of procedural skills /
- Clinical medicine /
- Surgery /
- Clinical skill assessment

HTML全文

表 1 2组临床医学专业本科生临床技能考核成绩比较(x ± s，分)

Table 1. Comparison of clinical skills examination results between the two groups of clinical medical undergraduates (x ± s, points)

组别	人数	前期	中期	后期
观察组	50	4.05±0.18	4.51±0.21^a	5.51±0.14^ab
对照组	50	4.01±0.79	4.11±0.23^a	4.23±0.25^ab
F值		0.122	82.474	997.808
P值		0.728	< 0.001	< 0.001
注：与同组前期比较，^aP < 0.05；与同组中期比较，^bP < 0.05。

下载: 导出CSV

表 2 2组临床医学专业本科生技能操作水平比较

Table 2. Comparison of skill operation level between two groups of clinical medical undergraduates

组别	人数	超过平均能力预期标准[人数(%)]	达到平均能力预期标准[人数(%)]	达到能力预期标准下限[人数(%)]	未达到能力预期标准[人数(%)]	优良率(%)
观察组	50	21(42.00)	25(50.00)	3(6.00)	1(2.00)	92.00(46/50)
对照组	50	10(20.00)	28(56.00)	9(18.00)	3(6.00)	76.00(38/50)
注：2组优良率比较，χ²=4.762，P=0.029。

下载: 导出CSV

参考文献(16)

[1]	李君丽, 曹文娟, 李艳青, 等. DOPS及引导式反馈在儿科实习护生技能考核中的应用[J]. 中国高等医学教育, 2021(5): 46-47. LI J L, CAO W J, LI Y Q, et al. Application of DOPS and guided feedback in skill assessment of pediatric nursing students[J]. China Higher Medical Education, 2021(5): 46-47.
[2]	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(5): 35-38. WAN Y X, ZHANG D D, LI Y, et al. Application of modified DOPS scoring in standardized residents'skills assessment and training of anesthesiology[J]. Continuing Medical Education, 2021, 35(5): 35-38.
[3]	刘宝清, 张凡帆, 张少辉, 等. 依托网络平台的DOPS在中医学专业本科生外科临床技能考核中的应用[J]. 中华医学教育杂志, 2021, 41(7): 647-651. LIU B Q, ZHANG F F, ZHANG S H, et al. Application of DOPS relying on network platform in surgical clinical skill assessment of undergraduates majoring in traditional Chinese medicine[J]. Chinese Journal of Medical Education, 2021, 41(7): 647-651.
[4]	王莹, 郝艳坤, 李姝, 等. 基于DOPS的形成性评价在医学机能学技能考核中的应用[J]. 中国高等医学教育, 2021(1): 61-62. WANG Y, HAO Y K, LI S, et al. Application of formative evaluation based on DOPS in medical functional skill assessment[J]. China Higher Medical Education, 2021(1): 61-62.
[5]	吴骥, 周刚, 朱红. DOPS在外科实习医师技能操作考核中的应用探讨[J]. 中国继续医学教育, 2020, 12(5): 60-62. WU J, ZHOU G, ZHU H. The application of DOPS in the evaluation of practice test of surgical intern[J]China Continuing Medical Education, 2020, 12(5): 60-62.
[6]	解福臣, 张太哲, 邱兆磊, 等. 以职业胜任力为导向的多元化教学法在急诊外科临床带教中的应用[J]. 中华全科医学, 2024, 22(4): 682-684, 689. doi: 10.16766/j.cnki.issn.1674-4152.003479 XIE F C, ZHANG T Z, QIU Z L, et al. Application of competency-based and diversified teaching methods in clinical teaching of emergency surgery[J]. Chinese Journal of General Practice, 2024, 22(4): 682-684, 689. doi: 10.16766/j.cnki.issn.1674-4152.003479
[7]	杨代琼, 廖巾琼. DOPS与传统评分方法在新入职护士技能考核中的效果比较[J]. 医药前沿, 2020, 10(8): 233-234. YANG D Q, LIAO J Q. Comparison of the effect of DOPS and traditional scoring method in the skill assessment of new nurses[J]. Journal of Frontiers of Medicine, 2020, 10(8): 233-234.
[8]	叶晨静, 张弦, 周淑颖, 等. 操作技能直接观察评估考核在全科住院医师规范化培训中的应用及效果评价[J]. 诊断学理论与实践, 2021, 20(3): 311-313. YE C J, ZHANG X, ZHOU S Y, et al. Application and effect evaluation of direct observation assessment of procedural skills in the standardized training of general practice residents[J]. Journal of Diagnostics Concepts & Practice, 2021, 20(3): 311-313.
[9]	张志勇, 窦颖, 郭艺, 等. 临床问题引导的集成教学在《儿科学》的应用研究[J]. 中华医学教育探索杂志, 2024, 23(5): 623-626. ZHANG Z Y, DOU Y, GUO Y, et al. Application of clinical problem-centered integrated teaching in Pediatrics curriculum[J]. Chinese Journal of Medical Education Research, 2024, 23(5): 623-626.
[10]	宋郁欣, 白鹰, 高爱民. 操作技能直接观察评估考核在普通外科住院医师规范化培训中的应用[J]. 中国医药指南, 2020, 18(9): 290, 292. SONG Y X, BAI Y, GAO A M. Application of operational skills direct observation and assessment in standardized training of general surgery residents[J]. Guide of China Medicine, 2020, 18(9): 290, 292.
[11]	谈梦伟, 白一帆, 姜晓瑜, 等. ARCS模型下情景教学法和Mini-CEX/DOPS测评在本科生外科学大班课和临床实习的应用探讨[J]. 中西医结合心血管病电子杂志, 2020, 8(10): 197-198. TAN M W, BAI Y F, JIANG X Y, et al. Application of situational teaching method and Mini-CEX/DOPS evaluation under ARCS model in large class and clinical practice of surgery undergraduates[J]. Cardiovascular Disease Journal of Integrated Traditional Chinese and Western Medicine (Electronic), 2020, 8(10): 197-198.
[12]	郭道华, 胡永全, 任丽, 等. 客观结构化临床考核模式在药学本科生实习前临床技能考核中的应用与研究[J]. 吉林医学, 2022, 43(11): 3163-3166. GUO D H, HU Y Q, REN L, et al. Investigation and research on objective structured clinical examination of clinical skills of pharma-ceutical undergraduate[J]. Jilin Medical Journal, 2022, 43(11): 3163-3166.
[13]	邸琨敏, 冯会玲. 基于微信小程序的应急救护课程评价系统的应用研究[J]. 中国护理管理, 2021, 21(4): 575-578. DI K M, FEN H L. Research on the application of emergency nursing course evaluation system based on WeChat applet platform[J]. Chinese Nursing Management, 2021, 21(4): 575-578.
[14]	孙奕纯, 黄杏, 刘茵, 等. 中医临床技能操作规范化训练与考核实践探索[J]. 中国毕业后医学教育, 2022, 6(3): 277-279. SUN Y C, HUANG X, LIU Y, et al. Practice exploration on standardized training and assessment of TCM clinical skills operation[J]. Chinese Journal of Graduate Medical Education, 2022, 6(3): 277-279.
[15]	闫加艳, 郭德镇, 陈霏雨, 等. 三维可视化技术在肝胆外科临床解剖教学中的应用研究[J]. 中国临床医学, 2020, 27(6): 1026-1031. YAN J Y, GUO D Z, CHEN F Y, et al. The study of application value of three-dimensional visualization technique in clinical anatomy teaching of hepatobiliary surgery[J]. Chinese Journal of Clinical Medicine, 2020, 27(6): 1026-1031.
[16]	丁彦芝, 马玉腾, 王国英, 等. 体验式教学在ICU护士执行身体约束的临床价值[J]. 河北医药, 2022, 44(4): 625-628. DING Y Z, MA Y T, WANG G Y, et al. Clinical application value of experiential teaching method in physical restraint norms for the nurses in ICU[J]. Hebei Medical Journal, 2022, 44(4): 625-628.