放射肿瘤学住院医师规范化培训3站式OSCE技能考核  

Three-station OSCE skill assessment for standardized training of radiation oncology residents

作　　者：李济时 马伶玉 兰琼雅 罗婷月 韩颖 徐志渊 李咏梅 香港大学深圳医院住院医师规范化培训放射肿瘤科基地教学小组 Li Jishi;Ma Lingyu;Lan Qiongya;Luo Tingyue;Han Ying;Xu Zhiyuan;Lee Wing Mui Anne;Teaching Team of Standardized Training of Radiation Oncology Residents in The University of Hongkong-Shenzhen Hospital(Oncology Medical Center,The University of Hongkong-Shenzhen Hospital,Shenzhen 518000,China;Medical Simulation Education Center,The University of Hongkong-Shenzhen Hospital,Shenzhen 518000,China;不详)

机构地区：[1]香港大学深圳医院肿瘤医学中心,深圳518000 [2]香港大学深圳医院医学模拟教育中心,深圳518000 [3]不详

出　　处：《中华放射肿瘤学杂志》2024年第11期1064-1069,共6页Chinese Journal of Radiation Oncology

基　　金：深圳市医学重点专科(SZXK014)。

摘　　要：目的评估自主设计的客观结构化临床考核方式(OSCE)用于放射肿瘤学住院医师规范化培训模拟结业技能考核与年度技能考核的效果。方法香港大学深圳医院住院医师规范化培训放射肿瘤科基地教学小组采用自主设计的考站结构、标准化问题设计、标准化任务设计进行不同病种的技能考核,前瞻性观察其在2019级至2021级放射肿瘤学专业住院医师规范化培训年度考核、模拟结业考核中的实施效果。采用配对t检验比较双考官独立评分之间的差异,考核结束后调查考生与考官对不同考站以及整体实施情况的反馈。结果共18位住院医师参加了不同疾病种类的67次3站式技能考核,其中包含2次补考。3站双考官之间的分数配对、等级配对检验差异没有统计学意义(t=0.85、-0.68、-1.16;P=0.401、0.499、0.255)。共有91.3%的住培医师反馈,OSCE可以反映其平时的真实临床能力水平。结论本套OSCE考核方案,实现了客观化、标准化、高效率,达到了使培训医师熟悉结业考核形式、检验其综合临床胜任力的目标,是一个可复制的、较灵活的结构化考核模式。Objective To conduct simulated graduation skill assessment and annual skill assessment by self-designed objective structured clinical examination(OSCE)for standardized training of radiation oncology residents.Methods The structured examination,standardized questions and standardized tasks of each disease were designed by teaching team of radiation oncology in the University of Hong Kong-Shenzhen Hospital.The implementation effect of the annual assessment and simulated completion assessment of standardized training for residents in radiation oncology from Class 2019 to 2021 was prospectively observed.The difference between scores by two independent examiners was analyzed by the paired t-test.The overall feedback of residents and examiners for the implementation were collected after the completion of OSCE.Results A total of 18 residents participated in 67 sessions of 3-station skill assessments of different diseases,including 2 make-up tests.There was no difference in the score pairing and grade pairing tests between two examiners at 3 stations(t=0.85,-0.68,-1.16;P=0.401,0.499,0.255).A total of 91.3% of the residents reported that the assessment well reflected their actual clinical competency.Conclusions The current program of OSCE assessment for radiation oncology meets objectification,standardization and high efficiency,and achieves the goal of making trainers familiar with the graduation skill assessment and assessing comprehensive clinical competence.It is a reproducible and flexible structured assessment model.

关 键 词：放射肿瘤学 客观结构化临床考试 住院医师规范化培训 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]