| Objective To explore the application and effect of mini-clinical evaluation exercise (Mini-CEX) and direct observation of procedural skills (DOPS) in orthopaedic resident standardized training. Methods Between August 2020 to July 2023, 46 residents who underwent standardized resident training in the Department of Orthopaedics in Union Hospital, Tongji Medical College, Huazhong University of Science and Technology were divided into experimental group (23 cases) and control group (23 cases). Both groups underwent the same teaching method. The experimental group was assessed by Mini-CEX, DOPS and summative evaluation, while the control group was assessed by summative evaluation. Annual theoretical test, clinical examination skills assessment and sum score were compared between two groups. The Mini-CEX, DOPS scores of the experimental group before and after standardized training were compared. Results Annual clinical examination skills scores and sum scores of experimental group were higher than those of control group (P＜0.05), while annual theoretical test scores of the two groups showed no significant difference (P＞0.05). The Mini-CEX scores of the experimental group after standardized training were higher than those before standardized training, including interviewing skills, clinical examination skills, humanistic qualities, clinical judgment, counseling skills, organization and overall clinical competence (P＜0.05). The DOPS scores after standardized training were higher than those before standardized training, including humanistic qualities, operation knowledge, preoperative preparation, patient safety, operation skills, aseptic technique, postoperative management (P＜0.05). Conclusion The formative assessment including Mini-CEX and DOPS can improve the clinical comprehensive ability and job competence of orthopedic resident physicians. |
