Objective To
investigate whether application of the situational simulation teaching model in
clinical clerkship improves Mini-CEX scores and post competencies of interns. Methods Ninety interns of the Second
Affiliated Hospital, Kunming Medical
University participated in this study. During their clerkship in the Department
of Neurology, a group of 45 interns undertook a 2-day situational simulation
training course consisting of clinical simulations, role-playing, neurology
history taking, physical examination skills training, then followed their
teachers for clinical practice. The control group of another 45 interns began
clinical practice by accompanying their teachers upon entering the Department
of Neurology. Both the intervention and control groups took comprehensive
Mini-CEX evaluations, the first on the day of admission, and the second on the
day of completion. Results There
was no significant difference in Mini-CEX scores between the two groups when
they entered the department. Mini-CEX evaluation performed at clerkship
completion showed significant differences between the two groups, with
intervention group scores being higher than those of the control group in
history taking, physical examination, clinical judgment, health education
consultation and organizational effectiveness. Conclusion The
organized situational simulation teaching with the goal of post competency,
followed by repeated clinical practice, can significantly improre the overall
clinical skills in a short time.
