关键词: 麻醉学, 住院医师规范化培训, 客观结构化临床考试(OSCE)

Abstract: Objective To set up methods of objective structured clinical examination (OSCE) for application in the assessment of clinical competencies of residents trainees in standardized training of anesthesiology. Methods Designed OSCE assessment stations, including writing medical records, training standardized patients, as well as creating forms for assessment scoring. All third-year residents attended the OSCE in 2018 and 2019. At the end of the exams, the residents' performance was evaluated according to the preset score forms. Results Six stations were set up for OSCE, including oral examination, endo-tracheal intubation, spinal anesthesia, deep vein catheterization, cardiopulmonary resuscitation and preoperative interview, the OSCE lasted for 70 minutes. Totally 44 residents took part in OSCE and all passed examination. Compared with the results of oral exam, clinical skills and preoperative interview, the results showed that the score of clinical skills was significantly higher than that of oral exam and preoperative interview (P＜0.01), the score of oral exam was significantly lower than that of preoperative interview station (P＜0.01). There were moderate positive correlations between oral exam and clinical skill, clinical skill and preoperative interview, and between oral exam and preoperative interview. Conclusions Clinical competence of anesthetic residents can be assessed by OSCE in multiple aspects, which provides an effective examination method for residents training in anesthesiology.

Key words: anesthesiology, standardized resident training, objective structured clinical examination(OSCE)