形成性评价在西医外科临床实习教学中的应用

目的 观察形成性评价在西医外科临床实习教学中的应用效果。方法 在2017～2018 学年中，将2013 级五年制中医学专业本科生分为试验组和对照组。各组学生分别进入外科实习4 周。在第2 周末对试验组进行形成性评价，评价方式包括病例分析和外科基本操作。在第4 周末对两组学生进行终结性评价，作为教学效果的最终评价。评价方式包括出科考试（满分100 分）和外科实习满意程度调查表。对两组学生的出科考试成绩和外科实习满意度进行比较。结果 与对照组相比，试验组学生的出科考试成绩更高（86.12±12.37）分vs.（80.46±11.85）分，P=0.022]；试验组学生对自身在外科实习期间的临床能力（8.47±1.36）分vs.（7.92±1.29）分，P=0.041]、合作能力（8.56±1.93）分vs.（7.62±2.11）分，P=0.027]和发展能力（8.38±1.75）分vs.（7.65±1.63）分，P=0.033]等三方面的提高程度自我评分更高。结论 形成性评价考核模式能够提高中医院校学生在外科临床实习的教学效果。

Application of formative evaluation in clinical practice teaching of Western medicine surgery

Objective To observe the application effect of formative evaluation in clinical practice teaching of Western medical surgery.Methods In the 2017-2018 school year,the 2013 five-year undergraduate students of traditional Chinese medicine were divided into experimental group and control group.Each group of students entered the surgical internship for 4 weeks.A formative evaluation of the experimental group was conducted at the end of the second week,and the evaluation methods included case analysis and basic surgical operations.At the end of the fourth week,final evaluation was performed on the two groups of students.The evaluation methods included the department examination(total 100 points) and the surgical internship satisfaction questionnaire.The scores of the department examination and the satisfaction of surgical internship between the two groups of students were compared.Results Compared with the control group,the students in the experimental group had higher scores in the department examinations (86.12±12.37)points vs (80.46±11.85) points,P=0.022].The students in the experimental group had higher self-scoring on their own clinical ability (8.47±1.36) points vs.(7.92±1.29) points,P=0.041],cooperation ability (8.56±1.93) points vs.(7.62±2.11) points,P=0.027]and development ability (8.38±1.75) points vs.(7.65±1.63) points,P=0.033]during the surgical internship.Conclusion The formative evaluation model can improve the teaching effect of Chinese medicine school students in the clinical practice of Western medical surgery.