从国家执业医师资格考试角度浅谈课程教学改革  

Curriculum and teaching reform from the perspective of the national medical practitioner qualification examination

作　　者：卢丽笋 吕志钢 徐以淅 俞秋嫣 余清[2] LU Lisun;LYU Zhigang;XU Yixi;YU Qiuyan;YU Qing(Academic Affairs Office,Wenzhou Medical University,Wenzhou 325035,China;School of Public Health,Wenzhou Medical University,Wenzhou 325035,China)

机构地区：[1]温州医科大学教务处,浙江温州325035 [2]温州医科大学公共卫生学院,浙江温州325035

出　　处：《温州医科大学学报》2024年第5期427-430,F0003,共5页Journal of Wenzhou Medical University

基　　金：浙江省高等教育研究课题(KT2023085);温州医科大学高等教育教学改革项目(JG2023016)。

摘　　要：目的:以温州医科大学某年度执业医师资格考试成绩及影响因素为切入点,探讨医科院校教学改革方案。方法:某年度温州医科大学参加临床执业医师考试878人,公共卫生执业医师考试78人,口腔执业医师考试26人,对比分析执业医师资格考试其各科成绩与国家平均得分、平均掌握率等的差异;查阅参加执业医师资格考试考生在校期间相应各科成绩,分析本科阶段医学教育与国家执业医师资格考试成绩间的关联性。结果:临床执业医师资格考试,各科目成绩均高于全国平均分(P<0.05)。公共卫生执业医师资格考试除卫生统计学、妇幼保健学,口腔执业医师资格考试除口腔内科学、口腔预防、内科学、外科学与国家平均分无差别外,其他科目得分均高于全国平均分(P<0.05)。临床、公共卫生执业医师资格考试中基础知识、专业知识的成绩与在校期间多数相关科目成绩呈中、低度相关(P<0.05),医学人文知识以及口腔专业多数相关科目两类成绩间关联性不显著(P>0.05)。结论:应重视在校医学人文学科教育,提高医学生人文素养;注重过程性考核评价,重视理论与实践相结合、基于问题教学为有效的教学改革以提高课程教学质量。Objective:To provide reference for the teaching reform of medical colleges by taking the scores and influencing factors of one annual medical practitioner qualification exam at Wenzhou Medical University(WMU)as the entry point.Methods:In this study,878 participants in the Clinical Practitioner Examination,78 participants in the Public Health Practitioner Examination,and 26 participants in the Oral Practitioner Examination at WMU in a certain year were selected as subjects.The scores of each subject in the practitioner examination were compared with analysis with the national average score and average mastery rate;the correlation between the score of each subject during undergraduate medical education and the corresponding result in the National Medical Practitioner Qualification Examination was retrospectively verified.Results:The Clinical Practitioner Examination showed that the scores in all subjects were higher than the national average(P<0.05).Except for Health Statistics and Maternal and Child Health Care in the Public Health Practitioner Examination,and Oral Internal Medicine,Oral Prevention,Internal Medicine,and Surgery in the Oral Practitioner Examination,which had no difference from the national average,scores in all other subjects were higher than the national average(P<0.05).The scores in basic knowledge and professional knowledge in the National Practitioner Qualification Examination for Clinical and Public Health were moderately or low correlated with the scores of majority relevant subjects during the undergraduate years(P<0.05).However,there was no significant correlation between the scores of majority relevant subjects in medical humanities and dental majors(P>0.05).Conclusion:Importance should be attached to the undergraduate education of medical humanities for medical students to improve their humanistic literacy,and emphasis should be placed on process-based assessment and evaluation,combining theory with practice as well as problem-based teaching to ensure an effective curriculum reform and de

关 键 词：国家执业医师资格考试 医学教育 教学效果 

分 类 号：G424.74[文化科学—课程与教学论]