首页|基于OSCE考试成绩的临床基本技能教学同质化分析

基于OSCE考试成绩的临床基本技能教学同质化分析

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的:查找和改进临床医学专业学生临床实践教学中的薄弱环节,提高实践教学质量.方法:以沈阳某医学院校在12个实践教学基地实习的2016级临床医学专业参加毕业技能考试的291名实习学生作为研究对象,采用单因素方差分析和Kruskal-Wallis检验分析其客观结构化临床考试(objective structured clinical examination,OSCE)的临床基本技能成绩.结果:在标准化病人问诊及查体成绩中,H实践教学基地的及格率和平均分均最低,其实习学生的平均分与A、B、F、G、K、L实践教学基地实习学生比较差异有统计学意义(P＜0.01).在技能操作成绩中,H实践教学基地及格率和平均分最低,其实习学生的平均分与A、D、E、F、G、I、J、K实践教学基地实习学生比较差异有统计学意义(P＜0.01).在辅助检查结果判读成绩中,H实践教学基地及格率和平均分最低,A、H基地实习学生的平均分与B、J基地实习学生的平均分比较差异有统计学意义(P＜0.01).结论:不同实践教学基地的学生实习效果存在较大差异,医学院校要加强对实践教学基地的管理,确保临床实践教学质量同质化.
Analysis on the homogeneity of clinical basic skills teaching based on OSCE exam scores
Objective:To identify and improve the weakness in different clinical practice teaching hospital,and enhance the quality of practical teaching.Methods:A total of 291 trainees majoring in clinical medicine in grade 2016 in a medical college in Shenyang who practiced in different clinical teaching hospitals and participated in the objective structured clinical examination(OSCE)were enrolled.The OSCE scores was analyzed with one way ANOVA and Kruskal-Wallis statistic methods to identify the weakness in clinical practice teaching and improve the teaching quality.Results:In the standardized patient consultation and physical examination results,the passing rate and average score of H hospital was the lowest.The average score of trainees in H hospital was statistically significant compared to that in A,B,F,G,K,and L hospitals(P＜0.01).In terms of skill operation scores,H hospital had the lowest pass rate and average score.The average score of interns in H hospital was statistically significant compared to that in A,D,E,F,G,I,J,K hospitals(P＜0.01).In the interpretation of auxiliary examination results,the passing rate and average score of H hospital was the lowest.The average score of interns in A and H hospital was significantly different from that of B and J hospitals(P＜0.01).Conclusions:There are great differences in the practice effect of students in different clinical teaching hospitals.Medical colleges and universities should strengthen the management of clinical teaching hospitals to ensure the homogeneity of clinical practice teaching quality.

objective structured clinical examinationclinical teachingbasic clinical skillsteaching qualityhomogenization

徐佳、王国利、张汝峰、王晶、王赓、杨宇

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沈阳医学院临床实践教学中心,辽宁 沈阳 110034

沈阳医学院医学教育研究中心,辽宁 沈阳 110034

客观结构化临床考试 临床教学 临床基本技能 教学质量 同质化

中华医学会医学教育分会和中国高教学会医学教育专业委员会医学教育研究项目(2020)沈阳医学院教学研究项目辽宁省研究生教育教学改革项目(2022)沈阳医学院教学研究项目

20B0725YB20220083752023ZX12

2024

10.16753/j.cnki.1008-2344.2024.02.022

沈阳医学院学报
沈阳医学院

沈阳医学院学报

影响因子：0.591
ISSN：1008-2344
年,卷(期)：2024.26(2)
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