Objective In 2023,the national unified proposition was adopted in the assessment of clinical practice ability after standardized training for general practice residents.There is no research on the effect of this proposition on the assess-ment of the clinical practice ability level of residents and the impact on the improvement of the quality of resident training.This paper aims to compare the evaluation effect of the national proposition and provincial proposition method on the clinical practice ability of general practice residents in standardized training,analyze the promotion effect of the national proposition on the improvement of assessment quality,and put forward reliable suggestions.Methods The results of the clinical prac-tice ability assessment of standardized training of general practice residents in Hubei Province in 2022 and 2023 were col-lected,the difficulty of the examination was analyzed,and the suggestions and feedback of candidates and examiners on dif-ferent proposition methods were collected by questionnaires.Results There was no significant difference in the pass rate between 2023(98.88％)and 2022(98.38％).The average score of the basic skills operation test station in 2023(19.00±2.34)was lower than that in 2022(20.88±2.40),the average score of the doctor-patient communication test station in 2023(11.78±1.44)was lower than that in 2022(13.20±1.09),and the average score of the total score in 2023(79.24±6.75)was lower than that in 2022(81.86±7.29),all of which showed significant significance(P＜0.001).Candidates and examiners tend to choose the organizational form of the practical assessment of the national unified proposition assess-ment.The difficulty coefficient of the 2023 exam(0.79)was more difficult than that of 2022(0.82).Conclusion The national proposition promotes the improvement of the standardized training and assessment quality of general practice resi-dents,which is more in line with the current development situation of resident training.
关键词
国家命题/省级命题/全科/住院医师规范化培训/客观结构化临床考核
Key words
National proposition/Provincial propositions/General Practice/Standardized training for residents/Objec-tive structured clinical examination
维普
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