2020年辽宁省放射科住培实践技能结业考核结果分析  

Analysis of the results of clinical skills completion assessment for standardized residency training of radiology in Liaoning province in 2020

作　　者：胡奕[1] 王晓明[1] Hu Yi;Wang Xiaoming(Department of Radiology,Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院放射科,沈阳110004

出　　处：《中华医学教育探索杂志》2022年第11期1534-1538,共5页Chinese Journal of Medical Education Research

基　　金：辽宁省教育科学“十三五”规划2017年度立项课题(JG17DB559)

摘　　要：目的通过对2020年辽宁省放射科住培实践技能结业考核结果进行分析,为调整放射科住院医师培训工作、提高培训质量、进一步完善考核体系提供帮助。方法选择186名参加考核的考生为研究对象,6场考核历时3天,分为“人机对话”和“面试”2个考站。在评价考试信度和效度的基础上,从放射、超声和核医学3个不同学科,以及放射影像特征描述、诊断及相关问题3个维度分别进行正确率比较,分析不同性别、不同地区、不同培养类型学员之间的成绩差异,并比较不同考官间的评分差异。采用SPSS 20.0软件进行t检验和单因素方差分析。结果6场考核的Cronbach’sα系数范围为0.65~0.87,KMO值接近或高于0.7;人机对话部分和面试部分与总成绩相关性良好,相关系数为0.698~0.969。放射部分正确率较高且相对稳定(80%上下),核医学正确率最低(50%左右),超声正确率波动最大(56.2%~88.8%)。影像特征描述正确率最高,诊断其次,相关问题正确率最低。男女学员人机对话部分成绩差异有统计学意义(P=0.028),面试部分成绩差异无统计学意义(P=0.050)。不同地区间学员成绩差异有统计学意义(人机对话部分P=0.009,面试部分P<0.001),从数值上看,沈阳和大连地区学员成绩相近,均高于其他地区。并轨专硕学员成绩高于其他学员(人机对话和面试部分P<0.001)。1个考官小组(1/18)发现考官间的评分差异有统计学意义(P=0.011)。结论通过考核结果分析,发现培训过程的“短板”和考核过程的不足,有利于调整和完善放射科住培工作、提高培训质量,并进一步促进住培考核工作的规范与发展。Objective To improve training quality and to standardize the assessment procedures of radiology standardized residency training by analyzing the results of the clinical skills completion assessment for radiology standardized residency training in Liaoning Province in 2020.Methods Totally 186 trainees participated the assessment with 6 exams in 3 days,including"Man-Machine interview"and"oral interview".Reliability and validity of the test were analyzed first.The accuracy were compared among the three parts of radiology,ultrasound and nuclear medicine,and also among the three portions of imaging description,diagnosis and relative question.Trainees of different type,gender and from different regions were further compared respectively.Scores of different examiners were also compared.SPSS 20.0 software was used for t-test and one-way ANOVA.Results The Cronbach'sαcoefficient ranged from 0.65 to 0.87,and KMO values were nearly or higher than 0.7.Scores of both"Man-Machine interview"and"oral interview"parts were better relative to the total scores(relativity coefficient 0.698-0.969).The accuracy of radiology was relatively higher and more stable(nearly 80%),nuclear medicine had the lowest accuracy(nearly 50%),and that of ultrasound fluctuated obviously(56.2%-88.8%).The accuracy was the highest for imaging description,followed by diagnosis,and the lowest for relative question portion.There were significant differences between male and female residents in"Man-Machine interview"portion(P=0.028),while there was not in"oral interview"(P=0.050).There were significantly statistical differences in trainees'scores between different regions(P=0.009 for"Man-Machine interview"and P<0.001 for"oral interview").Trainees from Shenyang and Dalian got almost the same scores,which were significantly higher than those from other cities.Trainees with master's degree were scored higher than others trainees that were not(all P<0.001).Significant score differences were found between the two examiners in only one examiner group(1/18)(P=0.011).C

关 键 词：放射科 住院医师规范化培训 实践技能 结业考核 医学教育 

分 类 号：R192.3[医药卫生—卫生事业管理]