Application Value of Goal-Directed Feedback Mechanism in Clinical Internship Teaching of Otorhinolaryngology

CHEN Tao; ZENG Limei; XU Haiyan; DONG Hongsong; ZHAO Duanlong

doi:10.16458/j.cnki.1007-0893.2025.20.004

Abstract：Objective To explore the application value of goal-directed feedback mechanism(GDF)in clinical internship teaching of otorhinolaryngology.Methods Forty clinical interns from the department of otorhinolaryngology head and neck surgery of The First Affiliated Hospital of Shenzhen University from June 2024 to March 2025 were selected and randomly divided into a control group and an observation group,with 20 cases in each group.The control group was taught with conventional methods,while the observation group was taught with the addition of the goal-directed feedback mechanism.The final examination scores,clinical practice abilities,satisfaction of interns with teaching,and satisfaction of teachers with students were compared between the two groups.Correlation analysis was conducted between satisfaction and scores.Results The theoretical examination scores and clinical skills assessment scores of the observation group were higher than those of the control group,with statistically significant differences(P<0.05).The scores of the observation group in all dimensions of the Mini-CEX(interview skills,physical examination skills,humanistic care,clinical judgment,communication skills,organizational effectiveness,and overall clinical competence)were higher than those of the control group,with statistically significant differences(P<0.05).The satisfaction of interns with clinical internship teaching in the observation group was higher than that in the control group,and the satisfaction of teachers with the clinical internship of interns in the observation group was also higher than that in the control group,with statistically significant differences(P<0.05).Spearman correlation analysis showed that the satisfaction of teachers was positively correlated with the clinical skills assessment scores and overall clinical competence of interns(r=0.921,0.428,both P<0.01),and the satisfaction of students was positively correlated with theoretical examination scores and clinical skills assessment scores(r=0.760,P<0.01;r=0.313,P<0.05).Conclusion The goal-directed feedback mechanism can improve the theoretical knowledge and skills of clinical interns,enhance their comprehensive abilities,and effectively improve the quality of clinical internship teaching.