第十届中国大学生医学技术技能大赛临床医学八年制赛道的设计与思考  

Design and thoughts of eight-year track of clinical medicine in the 10th National Medical Technical Skills Competition for College Students

作　　者：齐心[1] 高雨松[2] 张鸿[3] 李岩[4] 刘兆平[5] 王玮[6] 王颖[6] 李海潮[7] Qi Xin;Gao Yusong;Zhang Hong;Li Yan;Liu Zhaoping;Wang Wei;Wang Ying;Li Haichao(Department of Plastic Surgery&Burns,Peking University First Hospital,Beijing 100034,China;Department of Emergency,Peking University First Hospital,Beijing 100034,China;Department of Anesthesiology,Peking University First Hospital,Beijing 100034,China;Department of Cardiac Surgery,Peking University First Hospital,Beijing 100034,China;Department of Cardiology,Peking University First Hospital,Beijing 100034,China;Department of Education,Peking University First Hospital,Beijing 100034,China;Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院整形烧伤科,北京100034 [2]北京大学第一医院急诊科,北京100034 [3]北京大学第一医院麻醉科,北京100034 [4]北京大学第一医院心脏外科,北京100034 [5]北京大学第一医院心内科,北京100034 [6]北京大学第一医院教育处,北京100034 [7]北京大学第一医院,北京100034

出　　处：《中华医学教育杂志》2022年第7期586-590,共5页Chinese Journal of Medical Education

摘　　要：目的对第十届中国大学生医学技术技能大赛临床医学八年制赛道试题和成绩进行分析,探讨并检验试题设置的合理性及其评价效能,为进一步完善八年制赛道提出改进建议。方法基于中国本科医学教育标准、第十届中国大学生医学技术技能大赛考核范围、中国医学生临床技能操作指南以及相关胜任力框架对八年制赛道试题和各代表队成绩进行分析。采用SPSS 26.0软件,测算各考站的难度、区分度、信度,对各考站成绩与总成绩进行相关性分析。结果临床医学八年制赛道基本覆盖了中国本科医学教育标准和考核范围。银奖争夺赛的难度为0.63,区分度为0.79,克朗巴赫系数为0.93;金奖争夺赛难度为0.79,区分度为0.81,克朗巴赫系数为0.66。银奖争夺赛中得分率<60%的胜任力指标,包括CanMEDS框架内的医学专家、合作者、学者等,以及住院医师置信职业行为指标内的接诊患者、辅助检查选择和判读、诊断与鉴别诊断、治疗决策、公共卫生事件应对等。结论临床医学八年制赛道设计合理,评价准确,结果可信、可靠。各参赛队在胜任力方面仍有待提高,建议根据胜任力框架设计并完善临床医学技术技能大赛。Objective To analyze the test questions and results from the eight-year track competition of clinical medicine in the 10th National Medical Technical Skills Competition joined by medical undergraduates,discuss and evaluate the rationality and assessment efficiency,and put forward some suggestions for improvment.Methods Based on Accreditation Standards for Basic Medical Education in China(2016),the examination scope of the 10th Medical Technical Skills Competition for Chinese College Students,the Operation guide of Clinical Skills for Chinese medical students and relevant competency frameworks,the eight-year track and the results of each team were analyzed.SPSS 26.0 was used to evaluate the difficulty,discrimination and reliability of each station.The correlation between each station's score and the total score was analyzed.Results The eight-year track covers Accreditation Standards for Basic Medical Education in China and Examination Scope of the 10th Medical Technical Skills Competition for Chinese College Students.The difficulty of the silver medal competition was 0.63,the discrimination was 0.79 and the Cronbach coefficient was 0.93.The difficulty of the gold medal competition was 0.79,the discrimination was 0.81 and the Cronbach coefficient was 0.66.Items with the scoring percentage of less than 60%in the silver medal competition,included Medical Expert,Collaborator and Scholar within the CanMEDS and gathering history and performing physical examination during patient encounter,selecting and interpreting auxiliary examinations,diagnosis and differential diagnosis,developing the comprehensive management plan for patients,preparing and responding to public health events within Core Residency Entrustable Professional Activities.Conclusions The design of eight-year track is reasonable.The evaluation is accurate and the results are reliable and stable.The teams still need to improve in terms of competencies.It is suggested to design and optimize the competition of clinical medical technical skills according to rel

关 键 词：医学生 八年制医学教育 技术技能大赛 胜任力 置信职业行为 

分 类 号：R-05[医药卫生]