结果:後测之总成绩有明显进步(366.7±39.6 VS 396.7±48.9),以科别来说,中医妇科、中医内科、中医伤科後测成绩较前测成绩高(48.1±12.2 VS70.9±11.1, 50.9±18.1 VS 66.6±10.7, 45.6±18.7 VS 57.9±14.1)。然而,中医儿科後测成绩则明显退步(64.8±10.3 VS 51.8±10.5)。以面向来看,中医四诊与临床技能操作後测成绩显着进步。
1Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Hualien, Taiwan
2Department of Chinese Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Chiayi, Taiwan
3Department of Chinese Medicine, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taichung, Taiwan
4Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taipei, Taiwan
5School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
【Summary】
Background: Based on the guidance in Chinese Medicine Clinical Skills Assessment Model and Clinical Teaching Practice Training Program, supported by the Ministry of Health and Welfare, we conducted the objective structured clinical examination (OSCE) to evaluate the learning effectiveness in the clinical internship for the fifth-year traditional Chinese medical (TCM) students.
Subjects and methods: A total of 42 Chinese medical students were enrolled in the study during July, 2017 to May, 2018. A pretest-posttest design was employed by this study. Participants were evaluated by the OSCE before and after the 1 year clinical practice with 6 assessments of clinical skills.
Results: The total score of posttest was significantly higher than that of pretest (366.7±39.6 VS 396.7±48.9, P<0.001). In term of subjects, the score at the posttest were higher than at the pretest, as the internal medicine of TCM (50.9±18.1 VS 66.6±10.7, P<0.0001), the gynecology of TCM (48.1±12.2 VS 70.9±11.1, P<0.0001) and the traumatology of TCM (45.6±18.7 VS 57.9±14.1, P=0.001). Notably, the score of the pediatrics of TCM at the posttest declined significantly than at the pretest (64.8±10.3 VS 51.8±10.5, P<0.0001). In terms of dimensions, the ability of the four diagnostic methods and the clinical skills of TCM improved among the TCM students after the clinical practice training.
Conclusions: To conclude, the TCM students made the progress in clinical competency after 1-year clinical internship, but there is a suggestion on improving the ability for the patient’s history taking. The result could provide the information for the clinical preceptors on the modification of teaching program.
Keywords:Objective Structured Clinical Examination, Traditional Chinese Medicine, Internship Program, Learning Effectiveness