计算机模拟病例与客观结构化考试方法测评全科医师实践能力的对比研究  

Evaluation of clinical competence by computer-based case simulation and objective structured clinical examinations for general practitioners

作　　者：李鲁 李勤[1] 耿晓北[1] 丁盟琪[1] 

机构地区：[1]浙江大学医学院社会医学与全科医学研究所,杭州310058

出　　处：《中华全科医师杂志》2007年第2期88-90,共3页Chinese Journal of General Practitioners

摘　　要：目的探讨运用全科医师计算机模拟病例考试和客观结构化临床考试(OSCE)在全科医师实践技能评价中的应用价值。方法对已完成全科医师规范化培训的18名学员分别进行计算机模拟病例考试和 OSCE,对考试成绩分别进行 Pearson 相关性检验和多元线性回归分析。结果计算机模拟病例考试成绩与 OSCE 总评分及临床技能评分具有相关性(r=0.475,P=0.047;r=0.568,P=0.014;F=7.622,P=0.014)。结论计算机模拟病例考试方法可替代 OSCE 的部分考试项目测试全科医师实践能力。Objective To explore the application value of computer-based case simulation （CCS） and objective structured clinical examination （OSCE） in evaluating the clinical practical competence of general practitioners. Methods Eighteen general practitioners who have completed their residency training programs were tested by OSCE and CCS, respectively. Data of test results were analyzed using Pearson correlation and multiple linear regression methods. Results Overall score of OSCE and score for clinical competence correlated with score of CCS in general practitioners （ r = 0. 475, P = 0. 047 ; r = 0. 568, P = 0. 014 ; F = 7. 622, P = 0. 014, respectively）. Conclusion Some items in OSCE can be replaced by CCS in evaluating clinical practical competence of general practitioners.

关 键 词：社区医学 临床工作能力 计算机模拟病例考试 

分 类 号：R-4[医药卫生]