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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2025; 9: (6) ; 10.12208/j.ijcr.20250309 .

Exploring the effect of minicex-dops formative assessment on enhancing the competency of gastroenterology residents in their positions
基于MiniCEX-DOPS的形成性评价对消化内科住院医师岗位胜任力提升的效果研究

作者： 王超 *

嘉兴市第一医院消化内科 浙江嘉兴

*通讯作者： 王超,单位：嘉兴市第一医院消化内科 浙江嘉兴；

引用本文: 王超 基于MiniCEX-DOPS的形成性评价对消化内科住院医师岗位胜任力提升的效果研究[J]. 国际临床研究杂志, 2025; 9: (6) : 149-154.
Published: 2025/6/27 13:05:13

摘要

目的 本研究旨在探讨MiniCEX（Mini-clinical evaluation exercise）联合DOPS（direct observation of procedural skills）形成性评价在消化内科住院医师规范化培训中对岗位胜任力提升的效果。方法 2022-2023年间，从本院消化内科住院医师规范化培训项目中随机选取70名医师，分为试验组和对照组。对照组接受常规教学，试验组在常规教学基础上融入MiniCEX和DOPS形成性评价。比较两组在住培考评和岗位胜任力方面的差异。结果 试验组在病历书写、操作技能、临床思维及总分方面均显著优于对照组（p<0.05）。在职业素养、知识技能、临床实践、沟通合作和问题解决等岗位胜任力维度上，试验组表现更佳，差异具有统计学意义（p<0.05）。结论 与传统教学相比，MiniCEX和DOPS形成性评价能显著提高住院医师的岗位胜任力，值得在更广泛的范围内推广。

关键词： 形成性评价；岗位胜任力；住院医师规范化培训；MiniCEX；DOPS

Abstract

Objective This study aims to evaluate the effectiveness of formative assessment integrating the Mini-clinical evaluation exercise (MiniCEX) with the direct observation of procedural skills (DOPS) in enhancing the competency of gastroenterology residents in standardized training.
Methods Between 2022 and 2023, 70 residents were randomly selected from the gastroenterology standardized training program at our hospital and divided into an experimental group and a control group. The control group received conventional teaching, while the experimental group was provided with formative assessment that included both MiniCEX and DOPS in addition to conventional teaching. The study compared the differences in standardized training assessments and competency between the two groups.
Results The experimental group significantly outperformed the control group in medical record writing, procedural skills, clinical thinking, and total scores (p<0.05). In terms of professional literacy, knowledge skills, clinical practice, communication and cooperation, and problem-solving competencies, the experimental group also demonstrated better performance, with statistically significant differences (p<0.05).
Conclusion   Compared with traditional teaching, the integration of MiniCEX and DOPS into formative assessment can significantly improve the competency of residents in their positions. This teaching model is worthy of being promoted on a broader scale.

Key words： Formative evaluation; Post-competency; Standardized training for resident doctors; MiniCEX; DOPS

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