日本国家医师资格考试含有禁忌选项试题分析及其启示  

Analysis on the question items with contraindication options in Japan's Medical Licensing Examination and its enlightenment

作　　者：刘侃 郑淑园 邵琳 庄然 王振禹 肖天 田甜 Liu Kan;Zheng Shuyuan;Shao Lin;Zhuang Ran;Wang Zhenyu;Xiao Tian;Tian Tian(Department of Foreign Languages,School of Basic Medical Sciences,Air Force Medical University,Xi'an 710032,China;Department of Immunology,School of Basic Medical Sciences,Air Force Medical University,Xi'an 710032,China;Office of Teaching Affairs and Scientific Research,School of Basic Medical Sciences,Air Force Medical University,Xi'an 710032,China;Special Diagnosts Department of The Third Affiliated Hospital,Air Force Medical University,Xi'an 710032,China)

机构地区：[1]空军军医大学基础医学院外语教研室,西安710032 [2]空军军医大学基础医学院免疫学教研室,西安710032 [3]空军军医大学基础医学院教学科研处,西安710032 [4]空军军医大学口腔医院特诊科,西安710032

出　　处：《中华医学教育杂志》2022年第1期80-84,共5页Chinese Journal of Medical Education

基　　金：2020年空军军医大学教学研究课题(ZL202018)。

摘　　要：日本国家医师资格考试将试题禁忌选项的选择作为医师淘汰的重要标准。本文通过分析2018年至2020年日本国家医师资格考试含有禁忌选项试题的命题策略及目的,发现该考试具有以下特点:将可能对患者带来危害等相对禁忌的行为也纳入禁忌范畴以扩大禁忌的内涵,以临床情景的形式再现临床现场的紧张和严谨,通过随机选定含有禁忌选项试题督促考生时刻保持警惕以培养其对生命的尊重。建议我国临床执业医师资格考试在命制试题时扩大医学与人文融合型试题的内涵,使试题更加贴近临床实践,并不断强化考生以患者为中心的理念。Japan's Medical Licensing Examination regards the examinees'choice of question items with contraindication options as an important eligibility criterion.By analyzing the strategy and purpose of proposing question items with contraindication options of examinations from 2018 to 2020,this article finds that Japan's Medical Licensing Examination has brought the deeds of relative contraindications which may do harm to patients into the category of contraindications,thus expanding the connotation.Of the examination questions,the simulated clinical scenarios convey a sense of tension and preciseness to the examinees.Question items with contraindication options are randomly selected to urge examinees to remain vigilant at all times and develop their sense of respect for life.The above-mentioned features are worthy of consideration and reference.It is advisable that China's Medical Licensing Examination should be proposed to expand the connotation of the integrated question items of medicine and humanities,making the question items in line with clinical practice and constantly strengthening examinees'patient-centered concept.

关 键 词：禁忌 禁忌选项 日本国家医师资格考试 启示 

分 类 号：R-4[医药卫生]