从临床执业医师资格考试成绩分析加强基础与临床结合的教学改革效果  

Analysis of the effects of the teaching reform to strengthen the integration of basic medicine and clinical medicine through the National Medical Licensing Examination scores

作　　者：孙莉[1] 郎明非[1] 曾常茜[1] 张庆镐[1] 陶然[1] Sun Li;Lang Mingfei;Zeng Changqian;Zhang Qinggao;Tao Ran(Medical College,Dalian University,Dalian 116622,China)

机构地区：[1]大连大学医学院,大连116622

出　　处：《中华医学教育探索杂志》2023年第2期203-207,共5页Chinese Journal of Medical Education Research

基　　金：2018年度辽宁省普通高等教育本科教学改革研究项目(2018202);2018年度大连大学教学改革项目(201844)。

摘　　要：目的通过统计2014年至2018年临床执业医师资格考试成绩,分析加强基础与临床结合的教学改革效果。方法通过完善培养方案、开设学科整合课程、规范化病例教学模式和开设综合性医学实验课程,进行基础与临床结合的教学改革。对临床执业医师资格考试本校考生与全国院校考生的成绩进行差值比较,包括总成绩平均分数、通过率、基础医学部分平均掌握率、基础医学部分认知层次平均掌握率等4个指标。结果2014年、2015年和2016年本校考生总成绩平均分数为(384.70±53.62、395.45±50.49、401.43±50.88),低于全国水平(396.15±58.85、400.78±56.88、405.15±58.06);本校考生基础医学部分平均掌握率为(56.28%、62.45%、64.92%),低于全国水平(58.41%、62.46%、65.36%);2014至2016年本校考生基础医学部分认知层次平均掌握率低于全国水平,2017至2018年高于全国。2017年和2018年本校考生总成绩平均分数为(397.11、400.26±61.15),高于全国水平(388.91、397.01±58.35);本校考生基础医学部分平均掌握率为(61.53%、59.85%),高于全国水平(58.64%、58.38%);本校考生基础医学部分认知层次平均掌握率为(61.53%、59.85%),高于全国水平(58.64%、58.38%)。总成绩通过率,本校考生2014年和2016年为(91.11%、72.73%),低于全国水平(91.18%、73.75%);2015年、2017年和2018年为(76.47%、77.78%、77.59%),均高于全国水平(73.59%、74.29%、76.89%)。随着教学改革进程成绩呈上升趋势。结论在基础医学阶段加强基础与临床结合的教学改革,能够提高学生对基础医学知识的学习兴趣和重视程度,加强了基础与临床相关性的认识,对医学生岗位胜任力的培养和应用型医学人才培养目标的达成有着积极的作用。Objective To investigate the effects of teaching reform to strengthen the integration of basic medicine and clinical medicine by analyzing the scores of the National Medical Licensing Examination from 2014 to 2018.Methods Through the improvement of the training program,the establishment of subject integration courses,the standardization of case teaching mode and the establishment of comprehensive medical experiment courses,the teaching reform of the combination of basic medicine and clinical medicine was carried out.The differences in the scores of the National Medical Licensing Examination between the students from Dalian University and those from the whole country were compared,including the average total scores,the passing rates,the average mastery rates of the basic medicine,and the average mastery rates of the cognitive level of the basic medicine.Results In 2014,2015 and 2016,the average total scores of the students from Dalian University were 384.70±53.62,395.45±50.49,and 401.43±50.88,respectively,which were lower than those from the whole country(396.15±58.85,400.78±56.88,and 405.15±58.06).The average mastery rates of the basic medicine of the students from Dalian University were 56.28%,62.45%,and 64.92%,respectively,lower than those from the whole country(58.41%,62.46%,and 65.36%).The average mastery rates of the basic medicine of the students form Dalian University from 2014 to 2016 were lower than those from the whole country,and those were higher in 2017 to 2018 than the whole country.The average total scores of the students form Dalian University in 2017 and 2018 were 397.11 and 400.26±61.15,respectively,higher than those from the whole country(388.91 and 397.01±58.35).The average mastery rates of the basic medicine of the students form Dalian University were 61.53%and 59.85%,respectively,higher than those from the whole country(58.64%and 58.38%).The total passing rates of the students from Dalian University in 2014 and 2016 were 91.11%and 72.73%,respectively,lower than those from the whole c

关 键 词：执业医师资格考试 基础与临床结合 岗位胜任力 培养目标 教学改革 

分 类 号：R3[医药卫生—基础医学]