全科医学住院医师临床技能全国统考模拟考核成绩分析  

Analysis on the results of the national clinical skills test for resident doctors in general practitioners

作　　者：吴超群 邱艳[2] 马小霞 赵静婷 刘良琼 梁金花[6] 杨成龙 任菁菁[2] WU Chao-qun;QIU Yan;MA Xiaoxia(Department of General Practice,Ningbo Medical Treatment Center Li Huili Hospital,Ningbo 315000,China)

机构地区：[1]宁波市医疗中心李惠利医院全科医学科,浙江宁波315000 [2]浙江大学医学院附属第一医院全科医学科 [3]盐城市亭湖区人民医院全科医学科 [4]山西省晋城市人民医院全科医学科 [5]新乡医学院第一附属医院全科医学科 [6]河南省濮阳市人民医院全科医学科 [7]广西百色市人民医院全科医学科

出　　处：《全科医学临床与教育》2024年第3期253-255,共3页Clinical Education of General Practice

基　　金：2024浙江省医药卫生科技计划项目(2024KY972)。

摘　　要：目的了解全科住院医师经过近三年住院医师规范化培训(简称住培),面临国家统考时可能存在的问题,为今后的培训工作提供指导意见。方法选择浙江大学医学院附属第一医院全科专业基地2020级共17名全科住培医师,考核采用客观结构化临床考试(OSCE)形式,包括基本技能操作站(100分,占比25%)、医患沟通站(100分,占比15%)、病人接诊站(100分,占比60%),总成绩70分为合格。分析全科医学住院医师临床技能全国统考模拟考核成绩。结果本次模拟考试,基本技能考站成绩范围74.80~99.40分,平均(89.30±7.40)分,医患沟通考站成绩范围69.00~94.00分,平均(83.60±7.10)分;病人接诊考站成绩范围66.00~98.00分,平均(86.80±8.50)分;总分73.30~97.50分,平均(86.90±6.40)分。三站平均成绩及总分均值均明显超过了合格分数线。结论全科住培医师临床技能整体掌握程度较好,部分住培医师在技能操作和医患沟通方面表现不佳,今后的住培工作及未来岗位上需不断强化练习。Objective To understand the problems that may exist when general practice residents face the national ex⁃amination after nearly three years of standardized resident training of general practitioners,and to put forward guidance for the future training work.Methods All 17 general practitioners who were grade 2020 were selected from the First Af⁃filiated Hospital of Zhejiang University School of Medicine.The objective structured clinical examination(OSCE)was used in this examination,including basic skills operation station(100 points,account for 25%),doctor-patient communi⁃cation station(100 points,account for 15%),patiant reception station(100 points,account for 60%),and a total score had a qualified score of 70.00 points.The score of standardized resident training of general practitioners was analyzed.Re⁃sults In this simulated test,the score range for the basic skills station was 74.80-99.40 points,with an average score of(89.30±7.40)points.The score range for the doctor-patient communication station was 69.00-94.00 points,with an aver⁃age score of(83.60±7.10)points.The score range for the patiant reception station was 66.00-98.00 points,with an aver⁃age score of(86.80±8.50)points.And the total score range was 73.30-97.50 points,with an average score of(86.90±6.40)points.The average scores in all stations and total score significantly exceeded the qualified points.Conclusion Resident doctors in general practitioners grasp well in clinical skills.Some of the residents doctors had poor performance in skill oper⁃ation and doctor-patient communication.It is neces⁃sary to strengthen the practice in future on residen⁃tial training work and work position.

关 键 词：全科住院医师规范化培训 全科医学 临床技能 客观结构化临床考试 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]