Effects of teaching in actual scene on neuropsychology by consistency check

Objective To explore the effect of consistency check combined with teaching in actual scene on clinical teaching practice of neuropsychology. Methods From June to August in 2009， 100 medical staff from 21 military hospitals were trained for the assessment methods of Peking Union Medical College Hospital ［PUMCH］ version of Montreal Cognitive Assessment （MoCA-P）by traditional lecture， illustration and practice in Beijing for 3 times. During training period， teaching in actual scene combined with consistency check was performed. The median and the standard score of these staff were tested by consistency check， and the problems found by consistency check would be solved during the second training program. Results The results of consistency check after the first training found that the median and the standard scores of medical staff showed significant differences in 7 subitems，including copy cube， draw clock， naming， serial 7 subtraction， repeat， fluency and abstraction. The median scores of medical staff in another 5 subitems were consistent with the standard scores. After further training which was focused on the complicated evaluation standard， the differences in revised evaluation method and original English edition and typical mistakes in staff due to the unconsistency of scores in 7 subitems， the consistency of all scores improved significantly except the median and the standard score of abstraction. Conclusion The consistency check combined with multiple teaching methods including teaching in actual scene can improve the quality of clinical teaching practice of neuropsychology.