OSCE在中医心病科住院医师规范化培训教学中的应用  

Application of OSCE in the Standardized Resident Training Teaching of Traditional Chinese Medicine Cardiology

作　　者：廖艳林[1] 朱根源[1] 明冠 李松[1] LIAO Yanlin;ZHU Genyuan;MING Guan;LI Song(Department of Cardiovascular Medicine,Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430014,Hubei,China)

机构地区：[1]武汉市中医医院心血管内科,湖北武汉430014

出　　处：《中国卫生产业》2024年第6期189-192,共4页China Health Industry

摘　　要：目的分析客观结构化临床考试(Objective Structured Clinical Examination,OSCE)在中医心病科(心血管内科)住院医师规范化培训(住培)教学应用的效果与价值。方法选取2022年4月—2023年4月在武汉市中医医院进行住培的学生60名,采用随机数字表法分成观察组(30名,采取OSCE考核模式教学)和对照组(30名,采取常规考核模式教学)。比较两组教学效果。结果观察组汇报病史(14.43±0.94)分、理论知识考核(14.17±1.09)分、临床技能考核(22.30±1.09)分、病收集及体格检查(25.70±1.47)分、临床病历书写及分析(14.23±1.30)分、临床临床能力考核总成绩(90.30±4.34)分均高于对照组,差异有统计学意义(t=1.472、0.913、2.686、2.630、2.129、2.694,P均<0.05)。观察组自我导向学习评定得分均高于对照组,差异有统计学意义(P均<0.05)。结论中医心血管内科住院医师规范化培训教学中借助OSCE考核,还可以让学生更好掌握专业知识、临床技能,提高分析、处理临床问题的能力,增加住培生对中医住培教学主观能动性。Objective To analyze the effect and value of the application of objective structured clinical examination(OSCE)in the standardized resident training teaching of traditional Chinese medicine cardiology(cardiovascular medi⁃cine).Methods Sixty students who underwent standardized resident training in the Wuhan Hospital of Traditional Chi⁃nese Medicine(WUHTC)from April 2022 to April 2023 were selected and divided into observation group(30 stu⁃dents,teaching with OSCE examination mode)and control group(30 students,teaching with conventional examination mode)by random number table method.Compare the teaching effect of the two groups.Results In the observation group,the reported medical history score was 14.43±0.94,theoretical knowledge assessment score was 14.43±0.94,clinical skills assessment score was 14.43±0.94,disease collection and physical examination score was 25.70±1.47,clinical medical record writing and analysis score was 14.23±1.30,and clinical ability assessment score was 90.30±4.34,higher than those of the control group,and the differences were statistically significant(t=1.472,0.913,2.686,2.630,2.129,2.694,all P<0.05).The self-directed learning assessment scores of the observation group were higher than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion The teach⁃ing of standardized resident training in Chinese medicine cardiovascular internal medicine with the help of OSCE as⁃sessment can also enable students to better master professional knowledge,clinical skills,improve the ability to ana⁃lyze and deal with clinical problems,and increase the subjective initiative of resident training students on Chinese medicine residency training teaching.

关 键 词：客观结构化临床考试 中医心血管内科 住院医师规范化培训 教学 

分 类 号：R19[医药卫生—卫生事业管理]