摘要
目的将客观结构化临床考试(OSCE)应用于规范化培训住院医师的入科评估,全面评价住院医师的各项临床能力,以期发现弱点,利于后续开展针对性培训。方法对2016年至2017年进入北京协和医院内科进行规范化培训的102名住院医师,在入科前设置6站式OSCE作为入科摸底考试,并对考试结果进行分析。结果 2016年至2017年OSCE总成绩均符合正态分布。在病史采集站及总成绩方面,2017年对比2016年考生成绩有显著提高(P<0.05)。2017年基地规培住院医师在各考站及总成绩的平均分数均优于并轨硕士研究生,但除体格检查考站外。结论将OSCE应用于规范化培训住院医师的入科考试的总体设计是成功的。该考试能够全面评估不同来源住院医师的临床能力及弱点,对于后续的规范化培训具有一定指导意义。
Objective To investigate effective ways of assessing and improving clinical competence of residents, objective structured clinical examination （OSCE） was applied to the standardized training as an entrance test. Methods A total of 102 first year residents who began their training in 2016 and 2017 in Peking Union Medical College Hospital（PUMCH）were enrolled in the project. A 6-station OSCE was set up as the entrance examination. Results The total scores of OSCE were normally distributed. Residents enrolled in 2017 showed better results in medical history taking and total score compared with residents enrolled in 2016（ P 〈0.05）. The examination results of 2017 residents were obviously superior to the master degree candidates in each station except in physical examination station（ P 〈0.05）. Conclusions The overall design of the application of OSCE to the standardized training of residents is successful. It provides a reliable tool for assessment and enhancing clinical competence. OSCE may play an instructive role in medical training in the future.
作者
魏冲
毛玥莹
李菁
李晓青
李航
WEI Chong;MAO Yue-ying;LI Jing;LI Xiao-qing;LI Hang(Dept.of Internal Medicine;Dept.of Immunology;Dept.of Gastroenterology;Dept.of Nephrology,Peking Union Medical College Hospital,CAMS ＆ PUMC,Beijing 100730,China)
出处
《基础医学与临床》
CSCD
2018年第10期1513-1516,共4页
Basic and Clinical Medicine
关键词
客观结构化临床考试
住院医师规范化培训
医学教育
objective structured clinical examination
standardized training of residents
medical education
作者简介
通信作者：李晓青 lixiaoqing20060417＠126.com;通信作者：李航 lihang9＠hotmail.com
