Evaluation of the Application Effect of Objective Structured Clinical Examination(OSCE)in the Graduation Assessment of Pediatric Training for General Practice Residents
Objective:To evaluate the application effect of objective structured clinical examination(OSCE)in the graduation assessment of pediatric training for general practice residents.Methods:OSCE was used to comprehensively assess 403 general practice residents who entered pediatric training from 2018 to 2020.After the assessment,a questionnaire survey was conducted to understand the candidates'evaluation of this OSCE implementation.Results:The overall difficulty coefficient of this OSCE was 0.78,the discrimination coefficient was0.67,the reliability was0.93,and the validity was0.70.The difficulty of the medical history taking station was the lowest,while the interpretation of auxiliary examination results station was the highest.The discrimination coefficients of all stations were greater than 0.500.The OSCE total scores of candidates from 2018 to 2020 were(83.5±4.7)points,(85.2±5.1)points,and(86.5±4.4)points,respectively,and the pass rates were all above 90%,showing an increasing trend year by year(χ2=10.27,P<0.05).Among the 5 stations,the scores of basic pediatric clinical skills operation and interpretation of auxiliary examination results stations were lower,while the scores of the other 3 stations were higher,and the differences were statistically significant(F=16.71,P<0.05).The results of the questionnaire survey showed that 91.5%(352/385)of candidates believed that implementing OSCE was very necessary,82.6%(318/385)believed that the station design of the assessment was reasonable,81.5%(314/385)believed that the organization and implementation of the assessment were orderly,75.6%(291/385)believed that the difficulty of the assessment was moderate,and 90.2%(347/385)believed that the assessment would be helpful for future clinical work.Conclusion:OSCE can simulate the clinical environment realistically and effectively evaluate the comprehensive clinical skills of general practice residents in pediatric training,which is worthy of promotion and application.
Objective structured clinical examinationEvaluationGeneral practice residency trainingPediatricsGeneral practice medicine
万方数据
维普
