職能治療臨床教師與學員應用迷你臨床演練評量的意見調查研究

A Survey of the Use of the mini-CEX in Occupational Therapy for Clinical Supervisors and Trainees

10.6534/jtotrp.202312_19(2).0002

劉怡佳(Yi-chia Liu)；李翊溱(Yi-chen Lee)；黃百川(Pai-Chuan Huang)；蘇玟禎(Wen-Chen Su)；黃玉芬(Yu-Fen Huang)；許瑋云(Wei-Yun Hsu)；李怡慧(I-Hui Lee)；林克忠(Keh-chung Lin)

醫事教育 ； 職能治療 ； mini-CEX ； 臨床培訓計畫 ； allied health education ； occupational therapy ； postgraduate training program ； mini-CEX

臺灣職能治療研究與實務雜誌

19卷2期（2023 / 12 / 31）

9 - 28

繁體中文;英文

目的：本研究目的為調查台灣教學醫院職能治療臨床教師及學員使用迷你臨床演練評量（mini-Clinical Evaluation Exercise, mini-CEX）的看法及態度。方法：本研究以問卷調查法進行，以2017年曾接受臨床醫事人員培訓計畫教學醫院職能治療教師及學員為研究對象，所有參與者的回覆均採匿名方式參與。問卷是透過電子郵件和郵件發寄給參與者，問卷內容包含五個部分：包含人口學資料、使用mini-CEX之經驗、感受、態度及行為。結果：問卷回收共90份，含58位教師及32位學員，在使用mini-CEX後之意見，超過70%教師和學員同意使用mini-CEX的時間和人員支持是足夠的，且一致認為mini-CEX與職能治療培訓目標相符，有利於專業能力培訓，並具有公平、客觀和一致的評分系統。超過80%學員同意mini-CEX是實用且適當的評估，且比教師認同度高。然而，與學員相比，較高比例的教師認為使用mini-CEX的技能需要進一步培訓。mini-CEX項目的難易度評估方面，教師和學員間無顯著差異。結論：mini-CEX為廣泛使用的評估，本研究受訪臨床職能治療教師及學員對此工具的適用性，多持正向觀點。此評量應用於職能治療的計分標準仍待建立更一致的共識，未來可依職能治療核心能力，收集各界專家意見，且同時考慮教師與學員的意見，提供使用方法之工作坊，以提升臨床教學品質。

Objective: The post-graduate year training is implemented to ensure the quality of occupational therapy (OT) postgraduate year (PGY) education. The mini-Clinical Evaluation Exercise (mini-CEX) is a work-based assessment to evaluate competency in OT clinical training. The perspectives of OT PGY supervisors and trainees on the utility of the mini-CEX are important but remained understudied in Taiwan. This study aimed to investigate the perspectives of OT supervisors and trainees and their discrepancy in experiences in the use of the mini-CEX for OT PGY training. Methods: An online survey was distributed to OT supervisors and trainees who participated in OT PGY training programs. The survey comprised of five sections: demographic information, the experience in using the mini-CEX, the practicality in using the mini-CEX in clinical settings, the "use attitude" items in the fieldwork education questionnaire, and the "use behaviors" in the mini-CEX. Results: A total of 90 surveys were returned, and 58 and 32 from OT supervisors and trainees were analyzed. Over 70 percent of the OT supervisors and trainees agree that time and personnel support were sufficient when using the mini-CEX. Most OT supervisors and trainees agree that use of the mini-CEX in consideration of the training goals benefited competence training and the scoring system was fair, objective and consistent. A large proportion of the PGY trainees agrees that mini-CEX was a practical and appropriate assessment for OT competence training and the mini-CEX is a fair, objective and consistent scoring system. This percentage of agreement was significantly higher than that of the supervisors. However, a significant higher percentage of supervisors agrees that they need further training for appropriate use of the mini-CEX. The percentage of the PGY trainees who expressed the need for training was lower. There were no significant differences between the supervisors and the trainees regarding the easiness of rating on the mini-CEX. Conclusion: Most PGY supervisors and trainees in occupational therapy agree that the mini-CEX was a practical and appropriate assessment for PGY training. Further research may extend to validate findings of this survey study.