基于客观结构化临床考试的阶段考核模式对超声住院医师规范化培训结业考核成绩的影响  

Impact of stage assessment model based on objective structured clinical examination on graduation assessment scores of ultrasound residents attending standardized training

作　　者：江庆 顾军[1] 郭建锋[1] 殷林亮[1] 季春亚 高雅[1] 顾悦凡 王欣 冯冠男[2] 唐少文 邓学东[1] Qing Jiang;Jun Gu;Jianfeng Guo;Linliang Yin;Chunya Ji;Ya Gao;Yuefan Gu;Xin Wang;Guannan Feng;Shaowen Tang;Xuedong Deng(Ultrasound Department,the Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou Municipal Hospital,Suzhou 215001,China;Education Section,the Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou Municipal Hospital,Suzhou 215001,China;Department of Epidemiology,School of Public Health,Nanjing Medical University,Nanjing 211166,China)

机构地区：[1]南京医科大学附属苏州医院/苏州市立医院超声中心,苏州215001 [2]南京医科大学附属苏州医院/苏州市立医院教育处,苏州215001 [3]南京医科大学公共卫生学院流行病学系,南京211166

出　　处：《中华医学超声杂志(电子版)》2024年第11期1072-1078,共7页Chinese Journal of Medical Ultrasound(Electronic Edition)

基　　金：苏州市立医院教育科研项目(Slyyjy202204)。

摘　　要：目的探索基于客观结构化临床考试(OSCE)的阶段考核模式对住院医师结业考核成绩的影响。方法设南京医科大学附属苏州医院2018级、2019级超声住院医师为对照组,接受传统的阶段考核方法;2020级、2021级超声住院医师为试验组,接受基于OSCE的阶段考核方法。基于OSCE的考核方法共设3个考站,包括超声临床思维站、超声操作技能站(包含腹部超声、浅表器官和外周血管超声、心脏超声3个模块)以及临床人文沟通站。收集所有研究对象的基本信息及入基地第1季度理论考核、结业理论、技能考核成绩、通过率和2021—2024年苏州市所有超声住院医师结业技能考核成绩,对应年度苏州市所有超声住院医师结业技能考核具体人数和成绩从苏州市结业考核中心获得,采用独立样本t检验及χ^(2)检验比较2组间考核成绩及通过率的差异。结果对照组与试验组住院医师入住培基地第1季度理论考核成绩[(102.56±15.13)分 vs (97.76±16.08)分]、结业理论考核成绩[(420.33±16.32)分 vs (423.76±13.08)分]比较,差异均无统计学意义(P均>0.05);2组结业理论考核通过率比较(88.9% vs 100%),差异无统计学意义(P>0.05)。对照组与试验组对应年度的苏州市超声医学住院医师规范化培训结业技能考核成绩[(646.39±31.28)分 vs(653.52±30.53)分]及通过率(87.9% vs 92.9%)比较,差异无统计学意义(P>0.05)。试验组结业技能考试成绩、通过率高于对照组[(656.82±22.74)分 vs (631.41±30.77)分;100% vs 77.78%],差异具有统计学意义(t =-2.96,P=0.005;χ^(2)=5.20,P=0.037)。试验组结业技能考核成绩与对应年度苏州市结业技能考核成绩平均分差值高于对照组[(2.77±22.76)分 vs (-15.03±29.09)分],差异具有统计学意义(t =-2.14,P=0.039)。试验组结业技能考核中的腹部、浅表器官和外周血管、心脏超声技能考核成绩高于对照组[(87.05±4.27)分vs (78.61±4.82)分;(80.14±3.71)分vs (7ObjectiveTo explore the impact of the stage assessment model based on objective structured clinical examination (OSCE) on the graduation theory and skill assessments scores of ultrasound residents.MethodsThis study involved two groups: control group and study group. The control group was composed of ultrasound residents of grades 2018 and 2019 who received traditional stage assessment, while the study group consisted of ultrasound residents grades 2020 and 2021 who received stage assessment based on OSCE. Based on the OSCE assessment method, a total of 3 test stations were set up, including ultrasonic clinical thinking station, ultrasonic operation skills station (including 3 modules, i.e., abdominal ultrasound,superficial organ and peripheral vascular ultrasound, and cardiac ultrasound), and clinical humanistic communication station. The basic information of all subjects, their scores and pass rates of theory assessment in the first quarter of standardized training, graduation theory and skill assessments, and the results of the skill assessment of all ultrasound residents in Suzhou from 2021 to 2024 were collected for independent sample t-tests and chi-square tests. The specific number and results of completion skills assessment of all ultrasound residents in Suzhou in the corresponding year were obtained from the Suzhou Completion Assessment Center.ResultsThere was no statistical difference (P>0.05) in the score of the theory assessment in the first quarter of standardized training [(102.56±15.13) vs (97.76±16.08)], or in the score [(420.33±16.32)vs (423.76±13.08)] or pass rate (88.9% vs 100%) of graduation theory assessment between the control group and the study group. There was no significant difference (P>0.05) in the score [(646.39±31.28) vs(653.52±30.53)] or pass rate (87.9% vs 92.9%) of graduation skill assessment of the residents of Suzhou in the corresponding years between the two groups. The score of the graduation skill assessment and the pass rate [(656.82±22.74) vs (631.41±30.77);100% vs 7

关 键 词：住院医师 规范化培训 超声医学 客观结构化临床考试 阶段考核 

分 类 号：R47[医药卫生—护理学]