关键词: 住院医师规范化培训, 共情, 自我效能感, 客观结构化临床考试

Abstract: Objective The purpose of this study was to investigate the current situation of empathy and self-efficacy, and relation with performance of Objective structured clinical examination in residents of standardized training. Methods Questionnaire surveys with Health Professional-version of Jefferson Scale of Empathy and General Self-Efficacy Scale were conducted among residents of grade 2015 and grade 2016 from Dept. of Internal Medicine of PUMCH. Results 101 questionnaires were delivered, and 99 were effectively received. The average empathy score was 111.3 ±1.2, with that of grade 2015 slightly higher than that of grade 2016. The empathy score from residents of different degree and different sources showed no significant difference. The average self-efficacy score was 22.77±0.50. The score of residents of grade 2015 was significantly higher than that of grade 2016. The score was higher in residents with higher degree. The score of residents from PUMCH was higher than the other subgroups. The score of empathy showed no significant correlation with OSCE scores, while the score of self-efficacy of residents of grade 2015 significantly positively correlated with scores of medical recording (R=0.35, P<0.05), case analyzing (R=0.31, P<0.05) and average score(R=0.33, P<0.05) of OSCE. Conclusions The empathy and self-efficacy of residents remained to be improved, and could be improved through clinical training. Psychological evaluation could be inducted into standardized resident training system, and provide helpful supplementary to OSCE with more comprehensive evaluation of residents.

Key words: Resident standardized training, Empathy, Self-efficacy, Objective Structured Clinical Examination (OSCE)