The usage of scene simulation combined with multiple-station mini-CEX evaluation for the teaching of standardized training of emergency medicine

Abstract

Objective To investigate the feasibility and effect of scene simulation combined with multiple-station mini-CEX evaluation used for the teaching of standardized training of emergency medicine. Methods Sixty standard-trained doctors were randomly(random number) divided into two groups. Thirty standard-trained doctors in team A were taught using the traditional teaching modality of emergency medicine, and the rest in team B were trained using the method of scene simulation combined with multiple-station mini-CEX evaluation. At the end of standardized training, comparisons of the examination results of mini-CEX evaluation and the satisfaction of standard-trained doctors with the teaching mode were done between two groups. Results The scores of team B on medical interviewing skills, clinical judgment, counseling skills, proper presentation/efficiency and overall clinical competence were significantly higher than those of team A[ (7.26±0.36), (7.63±0.39), (7.22±0.34), (7.26±0.45), (7.75±0.24) vs. (6.81±0.42), (7.24±0.39), (6.90±0.44), (6.97±0.50), (7.21±0.32)], while there were no significant differences in scores on physical examination skills and humanistic qualities/professionalism between two teams [(7.60±0.36), (7.92±0.35) vs. (7.42±0.30), (7.98±0.32)]. The satisfaction with the mini-CEX evaluation of both teachers and standard-trained doctors in team B were significantly higher than those in team A [(7.40±0.30), (7.46±0.28) vs. (7.06±0.38), (6.91±0.38)]. The satisfaction of standard-trained doctors in team B with the teaching mode and teaching effect were significantly higher than those in team A[ (8.17±0.78), (8.59±0.66) vs. (6.67±0.73), (6.80±0.72)]. Conclusions The scene simulation combined with multiple-station mini-CEX evaluation used for the teaching of standardized training of emergency medicine may improve some of the clinical skills of standard-trained doctors, and thus this teaching reform was feasible. Key words: Mini-CEX evaluating; Scene simulation; Sims; Emergency medicine; Standardized training; Standardized training of emergency medicine; Teaching; Multiple-station