客观结构化临床考试在临床药学本科生药学监护技能评估中的探索与应用  

Exploration and application of objective structured clinical examinations in the assessment of pharmaceutical care skills among undergraduate clinical pharmacy students

作　　者：裴毓瑶 胡源晖 张倩[2] 杨贤 张蔚 李涵涵 徐彤彤 吴楠[4] 潘希丁 王鹏远 强磊 郑玉粉 PEI Yuyao;HU Yuanhui;ZHANG Qian;YANG Xian;ZHANG Wei;LI Hanhan;XU Tongtong;WU Nan;PAN Xiding;WANG Pengyuan;QIANG Lei;ZHENG Yufen(Department of Clinical Pharmacy,School of Basic Medicine and Clinical Pharmacy,China Pharmaceutical University,Nanjing 211198,China;Department of Pharmacy,Nanjing First Hospital,Nanjing 210006,China;Department of Pharmacy,Nanjing Drum Tower Hospital,Nanjing 210008,China;Department of Pharmacy,Jiangsu Cancer Hospital,Nanjing 210009,China)

机构地区：[1]中国药科大学基础医学与临床药学学院临床药学教研室,南京211198 [2]南京市第一医院药学部,南京210006 [3]南京鼓楼医院药学部,南京210008 [4]江苏省肿瘤医院药学部,南京210009

出　　处：《中国临床药学杂志》2024年第10期733-738,共6页Chinese Journal of Clinical Pharmacy

基　　金：2023年中国药科大学校级教改课题(编号2023XJZD10);2023年中国药科大学高等药学教育科学规划课题;2023年江苏省高等教育教改研究课题一般课题(编号2023JSJG485);南京大学中国医院改革发展研究院课题项目(编号NDYG2022082)。

摘　　要：目的 探索客观结构化临床考试(OSCE)在临床药学本科学生药学监护技能评估中的应用。方法 于我校2021级临床药学本科大三学生中开展OSCE,从信息采集、管理策略、随访评估及沟通技巧4个方面评价学生临床技能,并与学生撰写的SOAP(S-主观信息、O-客观信息、A-分析评价、P-治疗方案)执业记录成绩进行比较,探究学生制定监护计划与临床实践执行计划状况的差异;开展问卷调查以评估学生及考官对OSCE的满意度。结果 学生在主动聆听(占59.1%)及提问方式(占67.4%)2个方面的沟通技巧表现欠佳;与学生SOAP执业记录成绩相比,OSCE中的信息采集、管理策略、随访评估方面的得分率较低(P <0.05)。90%学生认为OSCE能反映他们的临床思维能力及沟通交流技能水平。结论 OSCE能客观反映学生的临床技能,提示学生在制定监护计划与实践执行计划中存在差异,但OSCE开展也面临诸多困难与挑战。在未来需积极探索OSCE在评估学生全方位药学实践技能中的应用。AIM To explore the application of objective structured clinical examination(OSCE) in assessing patient education skills of undergraduate clinical pharmacy students. METHODS OSCE was applied to third-year clinical pharmacy undergraduates of class 2021 to assess their pharmaceutical care practice skills, focusing on information collection, management strategies, follow-up assessment, and communication skills. The results were then compared to the students' SOAP(S-Subjective, O-Objective, A-Assessment, P-Plan) grades to examine any discrepancies between their development of plans and their implementation in clinical practice. Additionally, a survey was conducted to assess students' and examiners' satisfaction levels with the OSCE. RESULTS Students performed poorly on communication skills in active listening(59.1%) and questioning style(67.4%). Compared with students' SOAP scores, the scores of information collection, management strategies, and follow-up assessment in OSCE were lower(P < 0.05). About 90% of the students believed that OSCE could reflect their clinical thinking ability and communication skill level. CONCLUSION The OSCE objectively reflects students' clinical skills and highlights discrepancies between students' development of monitoring plans and their practical execution. However, implementing OSCE also faces numerous difficulties and challenges. In the future,it is essential to actively explore the application of OSCE in assessing students' comprehensive pharmacy practice skills.

关 键 词：客观结构化临床考试 临床药学 患者教育 

分 类 号：R-4[医药卫生] G642[文化科学—高等教育学]