基础医学与临床 ›› 2018, Vol. 38 ›› Issue (10): 1513-1516.

• 医学教育 • 上一篇    

客观结构化临床考试应用于规范化培训住院医师入科考试的实践探索

魏冲1,毛玥莹1,李菁2,李晓青1,李航3   

  1. 1. 北京协和医院
    2. 北京协和医院,北京协和医学院,中国医学科学院,国家教育部风湿免疫学重点实验室
    3. 北京协和医院 肾内科
  • 收稿日期:2017-12-21 修回日期:2018-05-05 出版日期:2018-10-05 发布日期:2018-09-28
  • 通讯作者: 李晓青 E-mail:lixiaoqing20060417@126.com

Exploration of the application of OSCE to the standardized training system of residents as an entrance examination

  • Received:2017-12-21 Revised:2018-05-05 Online:2018-10-05 Published:2018-09-28

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。

关键词: 客观结构化临床考试, 住院医师师规范化培训, 医学教育

Abstract: Objective To investigate effective ways of assessing and improving clinical competence of residents, objective structured clinical examination (OSCE) was applied to the standardized training system 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.

Key words: OSCE, standardized training of residents, medical education