客观结构化临床考试在妇产科学专业学位研究生培养中的应用  

Application of objective structured clinical examination in the training of professional postgraduate students in obstetrics and gynecology

作　　者：何帆[1] 董晓静[1] 张觇宇[1] 李敏[1] 甘晓玲[1] 朱轶[1] 胡丽娜[1] He Fan;Dong Xiaojing;Zhang Chanyu;Li Min;Gan Xiaoling;Zhu Yi;Hu Lina(Obstetrics and Gynecology Department, the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院妇产科,400010

出　　处：《中华医学教育探索杂志》2019年第3期262-266,共5页Chinese Journal of Medical Education Research

基　　金：重庆市研究生教育教学改革研究项目(yjg20162010).

摘　　要：目的针对妇产科学专业学位研究生设计与开展客观结构化临床考试(objective structured clinical examination,OSCE),并通过分析研究生在OSCE中的表现,探索妇产科学专业学位研究生教学工作的改进措施。方法2017年10月采用OSCE形式考核2016级、2017级妇产科学专业学位硕士研究生的临床能力。该OSCE中设置标准化病人问诊、专科基本操作、辅助检查利用和结果判读及病例分析共4个站点;评分标准包括医患沟通能力、问诊内容完整性、专科基本操作技能、辅助检查利用度、临床思维水平以及知识掌握情况共6个条目。采用SPSS18.0进行统计分析,组间比较采用t检验。结果总计27名研究生参加OSCE。6个评分条目中,问诊内容完整性条目得分最低[(78±6)分],辅助检查利用度条目得分最高[(85±3)分]。25.9%(7/27)的研究生在医患沟通技巧方面存在明显不足,22.2%(6/27)的研究生在专科基本操作站点暴露了明显的问题,22.2%(6/27)的研究生缺乏科学的临床诊断思维方法。结论在妇产科学专业学位硕士研究生教育中,应注重培养研究生的医患沟通能力和临床思维方法,并加强其临床基本技能培训。Objective To design and conduct objective structured clinical examination (OSCE) in professional postgraduates in obstetrics and gynecology, and to investigate the improvement measures for the teaching of professional postgraduates in obstetrics and gynecology by analyzing the performance of postgraduates in OSCE. Methods In October 2017, OSCE was performed for postgraduates in obstetrics and gynecology in the classes of 2016 and 2017 to evaluate their clinical ability. This OSCE consisted of the following four aspects: inquiry of standardized patients, basic practical skills in obstetrics and gynecology, utilization and interpretation of auxiliary examinations, and case analysis. The postgraduates were scored according to the following six items: doctor-patient communication skills, completeness of inquiry, basic practical skills in obstetrics and gynecology, utilization of auxiliary examinations, competence of clinical thinking, and mastery of medical knowledge. SPSS 18.0 was used for statistical analysis, and the t-test was used for comparison between groups. Results A total of 27 postgraduates participated in this OSCE. Among the six scoring items, completeness of inquiry had the lowest score (78±6), and utilization of auxiliary examinations had the highest score (85±3). Among the 27 postgraduates, 7 (25.9%) lacked doctor-patient communication skills, 6 (22.2%) showed serious problems in basic practical skills in obstetrics and gynecology, and 6 (22.2%) lacked the scientific thinking of clinical diagnosis. Conclusion In the training of professional postgraduate students in obstetrics and gynecology, doctor-patient communication skills and clinical thinking should be emphasized, and basic clinical skill training should be strengthened.

关 键 词：客观结构化临床考试 妇产科学 专业学位研究生 

分 类 号：R71[医药卫生—妇产科学]