临床思维能力测评框架构建和测评系统设计  

Framework construction and system design of clinical thinking ability assessment

作　　者：李国建[1] 向阳 何惧[3] 刘茂伟 韩春梅[1] 席峥[1] 张东奇[1] Li Guojian;Xiang Yang;He Ju;Liu Maowei;Han Chunmei;Xi Zheng;Zhang Dongqi(Clinical&Basic Medicine Item Development Division of National Medical Examination Center,Beijing 100097,China;General Surgery Department of Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China;National Medical Examination Center,Beijing 100097,China)

机构地区：[1]国家医学考试中心临床与基础试题开发处,北京100097 [2]复旦大学附属华山医院普外科,上海200040 [3]国家医学考试中心,北京100097

出　　处：《中华医学教育杂志》2020年第7期565-568,共4页Chinese Journal of Medical Education

摘　　要：为了提高我国临床医学考试医师临床思维能力测评水平,创建一种适用于我国临床执业医师资格考试的相对客观化、结构化的考试形式,自2017年开始,国家医学考试中心组织15名医学教育学专家和3名心理测量学专家开展研究,于2018年提出了医师临床思维能力测评(clinical thinking ability assessment,CTA)指标,构建了CTA框架,开发了CTA系统,并在2018年和2019年的临床执业医师资格分阶段考试实证研究考试中使用和完善。本文介绍CTA框架和系统,以使院校和考生了解CTA,推动CTA系统应用,提高我国临床执业医师资格考试实践技能考试中临床思维能力测评水平。In order to improve the evaluation level of clinical thinking ability in China's medical examinations and create an objective and structured examination form for Chinese National Medical Licensing Examination(NMLE)in 2017,the National Medical Examination Center organized 15 experts in medical education and 3 experts in psychometrics to conduct a study on clinical thinking ability assessment(CTA).The index,framework and system of CTA were put forward in 2018 and was used in the empirical study of NMLE phased examination in 2018 and 2019.The purpose of this paper is to introduce the index and framework of CTA system,to promote a better understanding of the CTA framework and system for colleges and students,to further promote the system application,and to improve the evaluation level of clinical thinking ability in clinical practice skills examination of NMLE.

关 键 词：医师资格考试 考试方式 临床思维能力测评 

分 类 号：RO[医药卫生] R-05