Effect of a three-round hierarchical and progressive teaching on clinical competency in obstetric residents based on Mini-CEX formative evaluation

Zhu Hao; Xu Yan; Lu Yemin; Ning Chengcheng; Xu Huan

Abstract：Objective To explore the effect of three-rounds of hierarchical and progressive training in the obstetrics residents training during their rotation.Methods A total of 66 residents rotating through obstetrics at the Obstetrics and Gynecology Hospital of Fudan University,including Grade 2020(n=30)and Grade 2021(n=36).The Grade 2021 underwent three-rounds of hierarchical and progressive training,while the Grade 2020 received two-rounds of phased training.Mini-CEX method was used to evaluate the obstetric clinic competencies of residents at the end of each training round.The evaluation results of the two grades were observed and compared,and feedback from residents after assessment,as well as the satisfaction of examiners and resident physicians with the evaluation process,were collected.Results The level of medical history collection,humanistic care and overall performance of Grade 2020 residents were higher than those of the first evaluation(all P<0.05).The Grade 2021 residents were improved in all aspects of the three-round evaluation(all P<0.05).Through multiple phased assessments continuous feedback,there was no statistically significant difference between the two grades in the first round of Mini-CEX evaluations(P>0.05).In the final round of Mini-CEX evaluations,the Grade 2021 residents scored higher in the aspects of medical history collection,clinical thinking and overall performance(all P<0.05).The focus of feedback from residents after each evaluation varied depending on the level of rotation.The satisfaction of both the residents and the examiners with the evaluation reached 100%.Conclusion The three-round hierarchical progressive training mode demonstrates significant effectiveness in the obstetric rotation for residents and is worthy applying and promoting in clinical teaching.