客观结构化考核在年度考核中的应用对提升脑血管病住院医师结业考核成绩的意义  

Objective Structured Clinical Examination in Annual Assessment Improve the Results of Completion Assessment in Cerebrovascular Disease Residents

作　　者：王宇晴 任依[1] 袁雪姣 霍墨菲[1] WANG Yuqing;REN Yi;YUAN Xuejiao;HUO Mofei(Department of Education,Beijing TianTan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院教育处,北京100070

出　　处：《中国卒中杂志》2022年第2期208-212,共5页Chinese Journal of Stroke

摘　　要：目的探讨年度考核中应用客观结构化考核(objective structured clinical examination,OSCE)对提升脑血管病住院医师结业考核成绩的作用。方法回顾性连续纳入2018-2021年首都医科大学附属北京天坛医院参加北京市住院医师规范化培训结业技能考核的脑血管病住院医师,收集其规范化培训第三年的年度考核成绩及结业考核成绩,按照第三年的年度考核成绩分为前1/3组、中1/3组和后1/3组,比较3组年度考核和结业考核成绩变化(结业考核成绩-第三年年度考核成绩)的差异,分析OSCE应用于年度考核对提升结业考核成绩的作用。结果研究共纳入住院医师133名,平均年龄27.01±1.87岁,其中男性20名(15.0%),2018年结业考核30名(22.6%),2019年结业考核33名(24.8%),2020年结业考核36名(27.1%),2021年结业考核34名(25.6%)。从整体趋势上看,年度考核中辅助检查、临床考核、技能考核及总成绩排名分别位于后1/3的住院医师,其结业考核的成绩变化优于年度考核前1/3和中1/3的住院医师,差异有统计学意义。随着OSCE的逐步应用,2018年、2019年、2020年和2021年住院医师结业考核辅助检查(P=0.001)、临床考核(P<0.001)及总成绩(P<0.001)较第三年年度考核成绩提升的比例逐年升高。结论OSCE应用于年度考核有利于提升住院医师的结业考核成绩,培训基地应重视形成性评价,从而提升住院医师规范化培训的质量。Objective To investigate the effect of objective structured clinical examination(OSCE)in annual assessment on improving the results of completion assessment in cerebrovascular disease residents.Methods Cerebrovascular disease residents from Beijing Tiantan Hospital,Capital Medical University who participated in the completion skill assessment of standardized training for resident doctors in Beijing from 2018 to 2021 were selected.Their annual assessment of the third year of training and completion assessment results were collected.According to the annual assessment results of the third year of training,they were divided into three groups:top 1/3 group,middle 1/3 group and bottom 1/3 group.The changes in annual assessment and final assessment results(the completion assessment results-the annual assessment results of the third year)among the three groups were compared,and the effect of OSCE in annual assessment on improving the completion assessment results was analyzed.Results A total of 133 resident physicians were included in the study,with an average age of 27.01±1.87 years and 20 males(15.0%),including 30(22.6%)in 2018,33(24.8%)in 2019,and 36(27.1%)in 2020,34(25.%)in 2021.In terms of the overall trend,the changes in the scores of completion examination in the residents with the scores of auxiliary examination,clinical assessment,skill assessment and total score in the annual assessment ranking in the bottom 1/3 group were better than those in the top 1/3 and middle 1/3 group,with statistical differences.With the gradual application of OSCE,the proportion of improved scores of auxiliary examination(P=0.001),clinical examination(P<0.001)and total score(P<0.001)in completion examination in residents in 2018,2019 and 2020 increased year by year,compared with the annual examination in the third year.Conclusions The application of OSCE in annual assessment can improve the results of completion examination of residents,which help to improve the quality of standardized training for residents.

关 键 词：住院医师规范化培训 脑血管病 客观结构化考核 年度考核 结业考核 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]