fa ارزیابی عملکرد بالینی کارورزان پزشکی و عوامل موثر بر آن با آزمون mini-CEX در بیمارستان حضرت رسول اکرم (ص) تهران- 1390 پزشکی اجتماعی Community Medicine پژوهشي Research <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">زمینه و هدف</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: یکی از فعالیت های مهم در فرآیندهای آموزشی، ارزشیابی دانشجویان است. برای ارزیابی عملکرد حرفه ای دانشجویان، انتخاب یک سیستم ارزشیابی مناسب مهم است. هدف از این بررسی، ارزیابی عملکرد بالینی کارورزان پزشکی و عوامل موثر بر آن به وسیله آزمون مینی سیکس (</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">mini-CEX</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>) بود.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">روش کار</span></b><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: این مطالعه به صورت نیمه تجربی بود و از تمام کارورزان بخش اورژانس، دو بار</span><span dir="ltr"></span><span lang="AR-SA" style="line-height: 115% font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">در ابتدا و انتهای دوره، آزمون مینی سیکس گرفته شد و ارزیاب با توجه به چک لیست به عملکرد کارورزان نمره می داد. نمرات آزمون ها با یکدیگر مقایسه شد.</span><span lang="FA" style="font-family: "B Mitra" mso-bidi-language: FA mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">یافته‌ها:</span></b><span lang="AR-SA" style="color: black font-family: "B Lotus" font-size: 14pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">در مجموع 76 شرکت کننده توانستند آزمون های اول و دوم را به انجام برسانند. میانگین نمرات آزمون مینی سیکس از 3/11 با انحراف معیار 67/1 در ابتدای دوره به 3/12 با انحراف معیار 53/1 در انتهای دوره رسید و 07/1 نمره افزایش یافت (</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">p= 0/000</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>).</span><span lang="FA" style="font-family: "B Mitra" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">نتیجه</span></b><b><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt" dir="ltr">‌</span></b><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">گیری</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: نتایج این مطالعه به تاثیر متغیرهای موثر بر بهبود مهارت های بالینی کارورزان و انجام ارزشیابی در ابتدا و انتهای آموزش، برای بررسی پیامد‌های یادگیری کارورزان تاکید می کند.<o:p /></span></p><font face="Times New Roman" size="3"> </font> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">Background: </span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt">One of the most important activities in educational processes is evaluation of students<span dir="rtl"></span><span lang="AR-SA" dir="rtl"><span dir="rtl"></span><font face="Times New Roman" size="3">.</font></span><span dir="ltr"></span><span dir="ltr"></span> For evaluating the students’ professional performance, selecting an appropriate evaluation system is important. The aim of this study was to assess the clinical performance of medical interns and its affecting factors by mini-CEX test.</span><span style="font-size: 13pt mso-bidi-font-family: "B Mitra""><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Methods</span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt">: This study was semi-experimental<span dir="rtl"></span><span dir="rtl"><span dir="rtl"></span><font face="Times New Roman" size="3"> </font></span>and mini-CEX test was given to the emergency department interns’ twice at the beginning and end of the period and the assessor gave score<font size="3"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>the interns’ performance according to the checklist. Test scores were compared.<span lang="AR-SA" dir="rtl"><o:p /></span></font></font></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Results:</span></b><span style="font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><font face="Calibri"> </font></span><span style="font-family: "Times New Roman","serif" font-size: 12pt">In total 76 participants were able to fulfill the first and second tests. Mean of test scores<font size="3"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>increased from 11.3 with a standard deviation 1.67 to 12.3 with a standard deviation 1.53 and increased 1.07 score (p value= 0.000).<o:p /></font></font></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Conclusions: </span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt">The result of the study emphasizes the affect of the variables on improvement of the clinical skills of interns’ and evaluating them at the beginning and end of the courses to investigate learning outcomes.<span lang="AR-SA" dir="rtl"><o:p /></span></span></p><font face="Times New Roman" size="3"> </font> Mini-CEX, Work place based assessment, Medical interns 18 26 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1495&slc_lang=fa&sid=1 Jalil Kuhpayehzadeh جلیل کوهپایه زاده 3900319475328460025102 3900319475328460025102 No Iran University of Medical Sciences دانشگاه علوم پزشکی ایران Peyman Hafezi Moghadam پیمان حافظی مقدم 3900319475328460025103 3900319475328460025103 No Iran University of Medical Sciences دانشگاه علوم پزشکی ایران Hosein Danesh حسین دانش 3900319475328460025104 3900319475328460025104 No Iran University of Medical Sciences دانشگاه علوم پزشکی ایران Zahra Imanizadeh زهرا ایمانی زاده 3900319475328460025105 3900319475328460025105 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Saeideh Daryazadeh سعیده دریازاده 3900319475328460025106 3900319475328460025106 Yes Iran University of Medical Sciences دانشگاه علوم پزشکی ایران