以国家执业医师资格考试为参照的临床医学教学改革思考  

Thinking on the reform of clinical medicine teaching based on the national medical licensing examination

作　　者：史宏灿[1] 龚卫娟[2] 郑英[2] 王正兵[1] 王劲松[2] 

机构地区：[1]扬州大学医学院临床医学系,225001 [2]扬州大学医学院基础医学系,225001

出　　处：《中华医学教育探索杂志》2016年第5期459-464,共6页Chinese Journal of Medical Education Research

摘　　要：目的汇总分析我校毕业生参加国家执业医师资格考试成绩，由此探讨临床医学教学改革。方法汇总2011至2013年扬州大学临床医学专业770名毕业生参加国家执业医师资格考试情况，运用Excel2007分析总通过率、学科平均成绩与平均掌握度、以认知层次划分的平均成绩以及不同认知层次的平均掌握程度。结果三年间，我校考生总通过率高于全国平均通过率，分别高出17．11％、18．10％和17．82％：实践技能考试通过率高于全国平均通过率，分别高出7．30％、7．19％和5．90％；理论考试通过率高于全国平均通过率，分别高出12．91％、12．97％和14．29％。我校考生学科平均成绩与平均掌握度、以认知层次划分的平均成绩以及不同认知层次的平均掌握程度等，也均高于全国平均水平。结论可以国家执业医师资格考试为重要参照，通过优化医学课程设置与教学模式、优化临床实践技能训练体系和优化临床实践技能考核体系等，进一步完善临床医学人才培养模式。Objective To summarize and analyze the results of our university graduates＇ participa- tion in the national medical licensing examination in order to investigate the clinical medical teaching re- form. Methods There were 770 candidates who took the NMLE from 2011 to 2013. Excel 2007 was used to statistically analyze the total score, passing rate, average score and mastery rate for each subject, and average score and mastery rate at different cognitive level. Results In these three years, our candidates＇ total pass rate was higher than the national average total pass rate, respectively higher 17.11%, 18.10%, 17.82%; the pass rate of practical skills examination was also higher than the national average pass rate, respectively higher 7.30% and 7.19% and 5.90%; the pass rate of theory examination was higher than thenational average pass rate, respectively higher 12.91%, 12.97% and 14.29%. The average score and mastery rate for each subject, the average score and mastery rate at different cognitive level were also all higher than those of the national average of medical colleges. Conclusions National medical licensure examination can be used as an important reference, through optimization of medical curriculum and teaching mode, optimization of clinical practice skills training system and optimization of clinical practical skill evaluation system etc., to further improve the clinical medical personnel training mode.

关 键 词：国家执业医师资格考试 教学改革 临床实践技能 考核模式 

分 类 号：R-05[医药卫生]