医学生临床实践能力考核与评价方法的探索与实践  

CLINICAL ABILITY OF MEDICAL STUDENTS:EXPLORATION AND IMPLEMENTATION OF ASSESSMENT AND PRACTICE

作　　者：李云芳[1] 王元松[2] 姚珊珊[1] 赵兵[3] 马桂馨[3] 刘成玉[4] 

机构地区：[1]青岛大学附属医院临床技能培训中心,山东青岛266003 [2]青岛大学医学院临床技能学实验室,山东青岛266003 [3]青岛大学医学院教学科研办公室,山东青岛266003 [4]青岛大学医学院诊断学教研室,山东青岛266003

出　　处：《青岛大学医学院学报》2015年第5期614-616,共3页Acta Academiae Medicinae Qingdao Universitatis

基　　金：国家级高等学校特色专业建设点项目[教高函(2008)21号(TS1Z171)];山东省高等学校教学改革研究项目(重点项目)[鲁教高字(2010)13号(2009022)];教育部卫生部第一批卓越医生教育培养计划项目[教高函[2012]20号(92)];山东省高等学校教学改革立项项目[鲁教高字(2012)16号(2012173)]

摘　　要：目的探讨医学生临床实践能力考核与评价方法。方法在＂3站式＂临床技能考核方法基础上,建立了＂9站式＂客观结构化临床考试（OSCE）方法,并对740名临床医学专业医学生的临床实践能力进行了考核与评价。同时采用调查问卷方法,调查了740名医学生对OSCE评价。结果 7年制医学生OSCE得分高于5年制医学生,差异有显著性（t=7.860,P〈0.01）。各考站失分率为11%～28%,以病史采集、临床基本操作技能和病例分析失分率较高。95%以上的医学生认为OSCE客观、公正,可以反映医学生的临床实践能力,具有较高的实用性和可操作性。结论 OSCE能客观反映医学生临床实践能力。Objective To explore the methods for examination and assessment of clinical practice ability of medical students. Methods Based on the three-station clinical skill examination,a nine-station objective structured clinical examination（OSCE）was established,and used in 740 medical students for examination and assessment of their ability in clinical work,and,at the same time,aquestionnaire survey was conducted in 740 medical students for their appraisal of OSCE. Results The OSCE scores of 7-year program medical students were higher than that of 5-year program medical students（t=7.860,P〈0.01）.The losing rate was 11%-28%in each test station,history taking,clinical basic skills and case analysis being the highest in the loss.More than 95% of the students thought OSCE was objective and fair,which could reflect the clinical practice ability of medical students.The OSCE was regarded as having a higher practicality and manipuility. Conclusion OSCE can objectively reflect the clinical practice ability of medical students.

关 键 词：学生 医科 临床工作能力 教育考核 客观结构化临床考试 

分 类 号：G642.4[文化科学—高等教育学] R-4[文化科学—教育学]