Mini-CEX應用於畢業後一般醫學訓練第一年住院醫師之內科教學－成大經驗

陳柏齡; 鄭修琦; 謝棟漢; 林威宏; 劉嚴文; 蔡良敏

doi:10.6145/jme.200912_13(4).0005

山西大学，您好！

感谢采购，人社期刊库｜人社论文库，期间：2025/01/01~2025/12/31

感谢试用，科学期刊库｜科学论文库，期间：2024/10/20~2025/01/20

浏览高级检索

关闭
检索检索高级检索出版物检索
浏览期刊主题浏览核心期刊浏览期刊拼音浏览

关闭

查询符号(半角)	查询符号意义说明
空格	表示为「AND」两个查询词之交集
双引号 ( " " )	片语以双引号标示开始及结束，而且只寻找出现顺序相同的字词，例： " image process "
?	表示一个字母切截，输入两个?表两个字母，依此类推，例：输入「Appl?」，查得结果应为appl e , appl y … ( 常用于英文字查询 )
*	表示不限字母切截，由0~n. 例：输入「appl*」，查得结果应为appl e , appl es , appl y , appl ied , appl ication … ( 常用于英文字查询 )
AND、OR、NOT	布尔逻辑组合关键字，用来扩大或缩小查询范围的技巧。 (1) AND ：缩小查询范围 (2) OR ：扩大查询范围(3) NOT：排除不相关的范围

DOI 是数位物件识别码（ D igital O bject I dentifier ）的简称，
为物件在网路上的唯一识别码，可用于永久连结并引用目标物件。

使用DOI作为永久连结

每个DOI号前面加上「 http://dx.doi.org/ 」便成为永久网址。
如以DOI号为 10.5297/ser.1201.002 的文献为例，此文献的永久连结便是： http://dx.doi.org/ 10.5297/ser.1201.002 。
日后不论出版单位如何更动此文献位置，永久连结所指向的位置皆会即时更新，不再错失重要的研究。

引用含有DOI的文献

有DOI的文献在引用时皆应同时引用DOI。若使用APA、Chicago以外未规范DOI的引用格式，可引用DOI永久连结。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。

ACI:

数据来源：Academic Citation Index，简称ACI

台湾最大的引用文献资料库，目前收录台湾与港澳地区所出版的人文学、社会学领域学术期刊之书目资料与参考文献，总期刊量超过690种，每年定期公布收录期刊的影响指数(Impact Factor)等指标给大众，并提供专家学者与学术单位实用的计量与分析功能。

五年影响指数（5-Year Impact Factor）：某一期刊前五年所出版的文章在当年度的平均被引用次数。

公式：（前五年发表论文在统计年的被引用次数）÷（前五年论文产出论文总篇数）

例如：A期刊2017年之五年影响指数

(A期刊2012-2016年发表论文在2017年的被引总次数)/(A期刊2012-2016年发表的论文总数)

什么是预刊文章？

为提供读者最前线之学术资讯，于期刊文献获同意刊登后、纸本印制完成前，率先于网路线上发表之文章即为预刊文章。预刊文章尚未有卷期、页次及出版日期资讯，但可藉由DOI号识别。 DOI号是文献的数位身份证字号，不论预刊或正式出版皆不会改变，读者可点击DOI连结，或于DOI号前面加上「 http://dx.doi.org/ 」连结到文献目前最新版本。

如何引用预刊文章？

请使用预刊文章的线上发表日期及DOI号来引用该篇文献。

引用范例(视不同引文格式规范可能有所差异)：

作者姓名。文章篇名。期刊名称。 YYYY/MM/DD线上预先发表。

doi:DOI 号

来源数据

P249 - 257

医药卫生 > 医药总论
社会科学 > 教育学

DOI： 10.6145/jme

书目管理工具

相关连结

问题回报

全文下载

Mini-CEX应用於毕业後一般医学训練第一年住院医师之内科教学－成大经验

Implementation of the Mini-CEX during the Teaching of Internal Medicine to Postgraduate Year One Residents: Clinical Experience at the National Cheng Kung University

陈柏龄(Po-Lin Chen) ；郑修琦(Hsiu-Chi Cheng) ；谢栋汉(Tung-Han Hsieh) ；林威宏(Wei-Hung Lin) ；劉严文(Yen-Wen Liu) ；蔡良敏(Liang-Miin Tsai)

Journal of Medical Education ； 13 卷 4 期 (2009 / 12 / 01) ， P249 - 257

繁体中文 DOI： 10.6145/jme.200912_13(4).0005

迷你臨床演練评量；毕业後第一年住院医师训練； mini-clinical exercise examination ； postgraduate year 1 ； PGY1

0 个人觉得这篇文章赞

摘要 │ 参考文献 (13) │ 被引用文献 (2) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

Introduction: The mini-CEX (Mini-clinical exercise examination) has been introduced into Taiwan and has become popular as an effective assessment tool. At the National Cheng Kung University Hospital, the mini-CEX evaluation system has been in use since February 2007 on the general medicine ward. After 19 months of implementation, this study was undertaken to evaluate the fitness of the tool and its application in terms of improving clinical teaching. Materials and Methods: The evaluators included seven visiting internal medicine staff who had attended workshops associated with mini-CEX evaluation. The trainees were the first year residents who had rotated through the general medicine ward, where there is a general medicine training unit. A total of 44 trainees and 65 encounters were evaluated during the 19-month study period. Results: The time taken for each evaluation was about 20 minutes. Most (84%) of the patient problems were of low to intermediate complexity. The scores obtained by the students were even across the seven aspects of mini-CEX. Most of the encounters involved diagnosis of a disease (71.6%), and history taking (68.3%), but fewer involved therapy (43.3%) and education of a patient (50%). Our results indicated that tutors rarely gave feedback to the trainees in areas associated with counseling skills and humanism/professionalism, which matches the variation in types of encounter experienced to some extent. In addition, we investigated 24 residents who had completed their PGY1 training in internal medicine and had experienced the mini-CEX evaluation system; this was done by questionnaire. The results demonstrated that the majority of these residents considered the mini-CEX to be beneficial to clinical practice (92%), but these residents also pointed out a number of disadvantages for students (83%). Most of them also indicated that they were willing to be evaluated repeatedly (75%) and were happy to become a rater of the mini-CEX (71%). With regard to assessment by tutors, the mini-CEX was alsoconsidered by them to be a practical and effective assessment tool. Physicians were able to learn quickly how to use it and became experienced in applying it in a short time. However, tutors indicated that they found it difficult to rate students in area of humanism and professionalism. Conclusion: In our experience, the mini-CEX promises to be one of the most practical and useful evaluation systems for both trainees and tutors who are involved in internal medicine. Moreover, multiple assessments by multiple observers are important in order to maintain the quality of the mini-CEX. Therefore, it is important to encourage physicians to become involved in the system. Moreover, the quantitative and qualitative data produced by mini-CEX should become a reference point for improving clinical teaching.

参考文献 ( 13 ) 〈TOP〉

Chen W,Lin CC,Huang CC(2006).Implementation of the mini-CEX(Clinical Evaluation Exercise): experiences and preliminary results.J Med Educ,10,232-239.
连结：
Chen W,Lin CC,Huang CC(2006).Implementation of the mini-CEX(Clinical Evaluation Exercise): experiences and preliminary results.J Med Educ,10,232-239.
连结：
Chen W,Tsai CH,Huang KY(2005).Clinical medical education and mini-CEX(Clinical Evaluation Exercise).J Med Educ,9,370-377.
连结：
Lai MM,Chen W,Chen HS(2008).Stakeholders' feedback and satisfaction with the use of the mini-CEX to assess medical students.J Med Educ,12,160-166.
连结：
Yeh JH,Chiu HC,Chou TY(2008).Implementation of the mini-CEX during the clerkship part of medical training.J Med Educ,12,77-83.
连结：

被引用文献 ( 2 ) 〈TOP〉

潘筱芳(2021)。原发性高醛固酮症之诊断与治疗。临床医学月刊，88(4)，637-641。
(2024)。以迷你临床演练评量评估物理治疗实习学生之学习成效。医学与健康期刊，13(1)，25-36。

国际计量

〈TOP〉

E-mail ：

文章公开取用时，将寄通知信至您填写的信箱地址