客观结构化临床考试应用于牙周临床出科考核的探索  

The application of objective structured clinical examination in the departmental rotation ex-amination of periodontal clinical assessment

作　　者：李丹[1] 陈悦[1] 张江琳 杨相笛 王浩宇[1] 高歌[2] 侯铁舟[3] 

机构地区：[1]西安交通大学附属口腔医院牙周黏膜科,710004 [2]西安交通大学附属口腔医院教学科,710004 [3]西安交通大学附属口腔医院牙体牙髓科,710004

出　　处：《中华医学教育探索杂志》2015年第1期59-63,共5页Chinese Journal of Medical Education Research

基　　金：2013年西安交通大学本科教学改革专题研究青年项目;2012西安交通大学口腔医院教育改革项目

摘　　要：为改进我院牙周病学临床教学，我院牙周黏膜科首次引入客观结构化临床考试（objective structured clinical examination，OSCE）应用于牙周病学出科考核。通过设立OSCE考站、建立题库、培训标准化病人（SP），对考生的知识、技能、态度进行全面评估。较之于传统考核，本次考核较好地评价了考生在临床接诊、病史采集、治疗计划制定等方面的能力。本次考核合格率86.4%（19/22），良好率36.4%（8/22），优秀率9.1%（2/22）。之后的问卷调查显示，大部分考生认为OSCE有助于促进理论知识的学习（87.5%，14/16），有利于自身将学到的知识和技能转化为职业能力（87.5%，14/16）。To improve the clinical teaching work, the objective structured clinical examination （OSCE） was first introduced into the periodontal clinical assessment held by Departments of Periodon-titis and Mucosal Disease. With the OSCE exam station and item pool established, standardized pa-tients tralned, the examination form reformed, the knowledge, skill, and attitude of the examinee were assessed comprehensively. Compared with traditional exam,the OSCE evaluated the examinee＇s skills on clinical admissions, history collection, treatment plan development better. Most examinee have got satisfactory result （pass rate： 86.4 %, 19/22; good rate： 36.4%, 8/22; excellent rate： 9.1%, 2/22）. The feedback of the following questionnalre also showed that most of the candidates thought the OSCE helpful to promoting the learning of theoretical knowledge （87.5%, 14/16） and good for converting the learned knowledge and skills into occupation ability （87.5%, 14/16）.

关 键 词：牙周病学 客观结构化临床考试 标准化病人 临床考核 

分 类 号：R781.3[医药卫生—口腔医学]