Analysis of staged two-way evaluation results of Milestones evaluation system on obstetrics and gynecology residents
10.3760/cma.j.cn116021-20200506-00764
- VernacularTitle:Milestones评价体系对妇产科住院医师分阶段双向评估结果的分析
- Author:
Dandan ZHANG
1
;
Xiaoxue WANG
;
Qing CHANG
;
Yuting WANG
;
Yuxiao WAN
;
Caixia LIU
Author Information
1. 中国医科大学附属盛京医院妇产科教研组,沈阳 110004
- Keywords:
Obstetrics and gynecology;
Standardized residency training;
Milestones evaluation system;
Post competency
- From:
Chinese Journal of Medical Education Research
2022;21(2):193-198
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the standardized residency training of obstetrics and gynaecology in Shengjing Hospital of China Medical University with Milestones evaluation system of obstetrics and gynecology, and to evaluate the feedback effect of the system.Methods:An improved Milestones evaluation form was developed to evaluate the self-evaluation and clinical tutor's scores, collect the results and make a statistical analysis of the 1-3 years standardized training residents of the Shengjing Hospital of China Medical University in September 2019. GraphPad Prism 8 software was used for data collection and statistical analysis, and Box-Plots software was used for drawing analysist. Descriptive statistics method was used for the general situation of the research objects. After the students' self-evaluation and tutor's scores passed the normal distribution and variance homogeneity test, paired t test was performed, and the scores of residents from different sources were analyzed by variance analysis. Results:A total of 164 residents of obstetrics and gynaecology were evaluated, and there were significant differences between self-evaluation and teacher's evaluation in medical knowledge, learning ability and system work ( P<0.05). The competency scores of the first year residents ranged from 3.003 to 4.556, and at the end of the course they increased to 4.921 to 5.974, showing statistically significant differences in each item compared with the first year ( P<0.001). After three years of training, residents from different sources showed significant improvement ( P<0.001). Conclusion:The Milestones evaluation system of the obstetrics and gynecology can be used for the training assessment and feedback of the residents in obstetrics and gynecology specialty. The self-assessment of residents helps to understand the level of self-assessment, and the teacher's evaluation helps to correct the bias generated by self-assessment. The systematic and staged Milestones evaluation system can instruct the clinical tutors to instruct the residents in accordance with their aptitude, and give feedback on the training effect of the residency training base.