内科住院医师客观结构化临床考试成绩和培训表现相关性  

Correlations of objective structured clinical examination scores and medical residency evaluations

作　　者：范俊平[1] 周婧雅[2] 秦岭[3] 张晟瑜[4] 叶葳[5] 潘慧[6] 李航[5] FAN Jun-ping;ZHOU Jing-ya;QIN Ling;ZHANG Sheng-yu;YE Wei;PAN Hui;LI Hang(Department of Pulmonary and Critical Care Medicine,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Department of Medical Records,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Department of Infectious Diseases,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Department of Gastroenterology,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Department of Nephrology,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Department of Endocrinology,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院呼吸与危重症医学科,北京100730 [2]中国医学科学院北京协和医学院北京协和医院病案科,北京100730 [3]中国医学科学院北京协和医学院北京协和医院感染内科,北京100730 [4]中国医学科学院北京协和医学院北京协和医院消化内科,北京100730 [5]中国医学科学院北京协和医学院北京协和医院肾内科,北京100730 [6]中国医学科学院北京协和医学院北京协和医院内分泌科,北京100730

出　　处：《基础医学与临床》2020年第10期1449-1452,共4页Basic and Clinical Medicine

摘　　要：目的评价内科住院医师培训前客观结构化临床考试(OSCE)成绩和培训表现的相关性。方法选取2015年进入北京协和医院参加内科规范化住院医师培训的医学毕业生共53名,在培训开始前进行多站式OSCE考试并记录成绩。在第一年培训期间,每月由不同岗位的带教老师根据其轮转综合表现进行评估,统计获得其12个月后的年度考评成绩。将上述2项成绩进行相关性检验,检查其关联性。结果培训前医学教育年限更长的住院医师,OSCE考试成绩更高;年度考评成绩和OSCE总成绩高度相关,相关性系数为0.68(P<0.01)。各站点中,机考理论、病史采集、病历书写等站点的成绩与年度考评成绩的相关系数均大于0.4。结论培训前OSCE成绩可以较好地预测住院医师的轮转表现,为住院医师的分层培训提供重要依据。Objective To identify the correlation of medical residency evaluations and objective structured clinical examination(OSCE)scores.Methods In 2015,53 participants for standardized medical residency training at Peking Union Medical College Hospital were included.Before entering the program,every participant took a multi-station OSCE.Each month during training,they were given a comprehensive assessment from their supervisors.An annual score was calculated at the end of the first year.The correlation between two abovementioned scores was examined.Results Participants with longer medical education tended to score higher in OSCE.The correlation coefficient between OSCE and annual evaluation score is 0.68(P<0.01),showing high correlation.In each station,the correlation coefficient between the annual evaluation score and that of computer-based examination,history taking,medical record writing was greater than 0.4.Conclusions OSCE before entering training may predict performance during the residency training thus can be used as an important indicator for residents stratification and multilevel training.

关 键 词：客观结构化临床考试 考核 相关性 预测 

分 类 号：G420[文化科学—课程与教学论]