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目的:探讨Mini-CEX量表在儿科临床实践中的可行性及应用效果。方法:对2016年3月至2017年9月在北京大学第三医院儿科进行北京市住院医师规范化培训的住院医师，在每季度出科考核中应用Mini-CEX结构式表格评估其临床能力，评估其作为培训指导和考核方式的效果。采用SPSS 25.0软件进行n t检验。n 结果:共在7次出科考核中引入Mini-CEX量表，共有36名住院医师参与测评，完成量表110份。与2016年度相比，2017年度的Mini-CEX量表在问诊技巧[（7.4±0.9）vs. (7.7±0.7）]、体格检查[（7.5±1.1）vs. (7.6±0.9）]、临床判断[（7.5±0.9）vs. (7.6±0.9）]、组织效能[（7.4±0.9）vs. (7.7±0.9）]、整体临床胜任力[（7.5±0.9）vs. (7.7±0.9）]方面均有不同程度的提高，但差异无统计学意义（n P>0.05）。共有17人完成3次及以上的评估，与2016年度相比，2017年度Mini-CEX量表平均分在问诊技巧、组织效能、整体临床胜任力方面有显著提高。n 结论:Mini-CEX量表简便易行，可能对儿科住院医师临床能力的提高有一定的帮助，可以作为对儿科住院医师临床能力进行评估的测评方法。“,”Objective:To explore the feasibility and application effect of Mini-CEX in pediatric clinical practice.Methods:Residents who received standardized residency training in pediatrics department of Peking University Third Hospital from March 2016 to September 2017 were selected as research objects. The clinical ability of the residents were evaluated by application of the Mini-CEX structured form. Its effectiveness as a training guide and assessment method was also evaluated. SPSS 25.0 was used for n t test.n Results:The Mini-CEX scale was refined according to the characteristics of pediatrics. In this study, a total of 36 residents participated in the evaluation and 110 cases were completed by introducing Mini-CEX structured form in 7 examinations. Compared with 2016, the Mini-CEX scores of the residents in the 2017 showed different degrees of improvement in information gathering [(7.4±0.9) vs. (7.7±0.7)], clinical examination [(7.5±1.1) vs. (7.6±0.9)], clinical judgment [(7.5±0.9) vs. (7.6±0.9)], organizational effectiveness [(7.4±0.9) vs. (7.7±0.9)], and overall clinical competency [(7.5±0.9) vs. (7.7±0.9)], without significant differences (n P > 0.05). A total of 17 residents completed the assessments more than or equal to 3 times. Compared with 2016, the mean scores of the 17 individuals' Mini-CEX scales in 2017 were significantly improved in terms of information gathering, organizational effectiveness, and overall clinical competency.n Conclusion:The results have shown that the Mini-CEX scale is simple and easy to operate, it maybe helpful to improve the clinical ability of pediatric residents, and it can be used as a method to evaluate the clinical ability of pediatric residents.