基础医学与临床 ›› 2020, Vol. 40 ›› Issue (10): 1449-1452.

• 医学教育 • 上一篇    下一篇

内科住院医师客观结构化临床考试成绩和培训表现相关性

范俊平1#, 周婧雅2#, 秦岭3, 张晟瑜4, 叶葳5*, 潘慧6, 李航5   

  1. 1.中国医学科学院 北京协和医学院 北京协和医院 呼吸与危重症医学科;
    2.中国医学科学院 北京协和医学院 北京协和医院 病案科;
    3.中国医学科学院 北京协和医学院 北京协和医院 感染内科;
    4.中国医学科学院 北京协和医学院 北京协和医院 消化内科;
    5.中国医学科学院 北京协和医学院 北京协和医院 肾内科;
    6.中国医学科学院 北京协和医学院 北京协和医院 内分泌科,北京100730
  • 收稿日期:2019-09-09 修回日期:2020-05-31 出版日期:2020-10-05 发布日期:2020-09-29
  • 通讯作者: * pumch-yw@163.com
  • 作者简介:#对本文有相同贡献

Correlations of objective structured clinical examination scores and medical residency evaluations

FAN Jun-ping1#, ZHOU Jing-ya2#, QIN Ling3, ZHANG Sheng-yu4, YE Wei5*, PAN Hui6, LI Hang5   

  1. 1. Department of Pulmonary and Critical Care Medicine;
    2. Department of Medical Records;
    3. Department of Infectious Diseases;
    4. Department of Gastroenterology;
    5. Department of Nephrology;
    6. Department of Endocrinology,Peking Union Medical College Hospital, CAMS & PUMC,Beijing 100730, China
  • Received:2019-09-09 Revised:2020-05-31 Online:2020-10-05 Published:2020-09-29
  • Contact: * pumch-yw@163.com

摘要: 目的 评价内科住院医师培训前客观结构化临床考试(OSCE)成绩和培训表现的相关性。方法 选取2015年进入北京协和医院参加内科规范化住院医师培训的医学毕业生共53名,在培训开始前进行多站式OSCE考试并记录成绩。在第一年培训期间,每月由不同岗位的带教老师根据其轮转综合表现进行评估,统计获得其12个月后的年度考评成绩。将上述2项成绩进行相关性检验,检查其关联性。结果 培训前医学教育年限更长的住院医师,OSCE考试成绩更高;年度考评成绩和OSCE总成绩高度相关,相关性系数为0.68(P<0.01)。各站点中,机考理论、病史采集、病历书写等站点的成绩与年度考评成绩的相关系数均大于0.4。结论 培训前OSCE成绩可以较好地预测住院医师的轮转表现,为住院医师的分层培训提供重要依据。

关键词: 客观结构化临床考试, 考核, 相关性, 预测

Abstract: Objective To identify the correlation of medical residency evaluations and Objective structured clinical examination (OSCE) scores. Methods In 2015, 53 participants for standardized medical residency training at Peking Union Medical College Hospital were included. Before entering the program, every participant took a multi-station OSCE. Each month during training, they were given a comprehensive assessment from their supervisors. An annual score was calculated at the end of the first year. The correlation between two abovementioned scores was examined. Results Participants with longer medical education tended to score higher in OSCE. The correlation coefficient between OSCE and annual evaluation score is 0.68(P<0.01), showing high correlation. In each station, the correlation coefficient between the annual evaluation score and that of computer-based examination, history taking, medical record writing was greater than 0.4. Conclusions OSCE before entering training may predict performance during the residency training thus can be used as an important indicator for residents' stratification and multilevel training.

Key words: objective structured clinical examination, evaluation, correlation, prediction

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