医学实习生医院感染学培训考核及正确率影响因素  

Factors affecting the assessment and correct answering rate of healthcare-associated infection training for medical interns

作　　者：卢珍玲[1] 傅建国[2] 张小螺[1] LU Zhenling;FU Jianguo;ZHANG Xiaoluo(Department of Infection Management,Zhongshan Hospital,Xiamen University,Xiamen 361004,China;Department of Public Health,Zhongshan Hospital,Xiamen University,Xiamen 361004,China)

机构地区：[1]厦门大学附属中山医院感染管理科,福建厦门361004 [2]厦门大学附属中山医院公共卫生科,福建厦门361004

出　　处：《中国感染控制杂志》2025年第4期545-550,共6页Chinese Journal of Infection Control

摘　　要：目的分析医学实习生医院感染学试题答题正确率及其影响因素,为制定教学方案提供参考依据。方法选取某院2020年10月—2024年2月参加岗前医院感染学培训和考试的全部实习学生。实习前进行医院感染学岗前培训,并采用随堂考试;实习期结束后每年随机抽取一个班级学生再次使用同一套试题直接进行笔试。分析考试内容、题型、专业、学历、疫情对实习前考试正确率的影响,并比较实习前后的考试答题正确率。结果共考核实习生1163名,实习前答题正确率在90%~100%的人数最多,占48.75%。10项考试内容中,多重耐药菌感染防控答题正确率最低[(67.13±34.35)%],3类题型中不定项选择题答题正确率最低[(79.80±19.31)%],临床医学[(90.49±12.32)%]和护理学[(87.54±10.73)%]学生答题正确率高于其他专业学生[(82.80±12.24)%],本科生答题正确率[(89.05±11.29)%]高于专科生[(83.77±12.26)%],疫情期间实习生答题正确率[(87.51±11.48)%]高于疫情后[(79.85±13.98)%],实习后考试答题正确率[(81.89±14.78)%]较实习前[(92.99±10.48)%]下降;差异均有统计学意义(均P<0.005)。结论授课教师可根据答题正确率的影响因素如不同专业学生、不同授课内容、不同实习时期等进行针对性的教学方案改革,提高教学质量。Objective To analyze the correct answering rate and factors affecting healthcare-associated infection(HAI)test questions among medical interns,and provide reference for formulating teaching plans.Methods All medical interns who participated in pre-job training and testing on HAI in a hospital from October 2020 to February 2024 were selected.Pre-internship training and in-class testing on HAI were conducted.After the internship ended,a class of students was randomly selected each year to directly take the written test using the same set of questions.The impact of test content,question types,majors,educational background,and the epidemic on the correct answering rate of pre-internship test was analyzed,and correct answering rate for tests before and after internships was compared.Results A total of 1163 interns were assessed,out of which 48.75%obtained a correct answering rate of 90%-100%for test questions before the internship.Among the 10 test contents,the correct answering rates for questions about multidrug-resistant organism infection prevention and control were the lowest([67.13±34.35]%),among 3 types of questions,the correct answering rate for indefinite-choice questions was the lowest([79.80±19.31]%).The correct answering rates of interns majoring in clinical medicine([90.49±12.32]%)and nursing([87.54±10.73]%)were higher than those of other majors([82.80±12.24]%).The correct answering rate of undergraduate students([89.05±11.29]%)was higher than that of junior college student([83.77±12.26]%).The correct answering rate of interns during the epidemic period([87.51±11.48]%)was higher than that after the epidemic([79.85±13.98]%),and the correct answering rate after the internship([81.89±14.78]%)decreased compared with that before the internship([92.99±10.48]%).Differences were all statistically significant(all P<0.005).Conclusion Teachers can carry out targeted teaching plan reforms based on the factors affecting the correct answering rate(such as different majors,teaching content,and internship peri

关 键 词：医院感染学 医学实习生 医学教育 培训 答题正确率 

分 类 号：R197.323.4[医药卫生—卫生事业管理]