OSCE在儿科专业医学生轮科实习考核中的应用与评价
海南省妇女儿童医学中心儿科, 海南省医学院儿科学院, 海南海口 570000
| 摘 要： | 目的：将OSCE应用到儿科专业学生轮科实习考核中，客观评价OSCE在儿科轮科实习考核中实施的可行性和意义。方法：以海南医学院19届五年制临床医学儿科专业学生为研究对象，实施OSCE考核（三项考核：病例考核、体格检查考核及临床技能考核），并在考核后对考官与考生实施问卷调查。结果：海南医学院19届五年制临床医学儿科专业毕业生OSCE考核成绩均符合正态分布；100份OSCE考核表得分均≥75分。各项考核的及格率与优良率的组内比较，差异有统计学意义（x2=10.899，P=0.004），组间两两比较，提示体检考核与技能考核的优良率均高于病例考核，差异有统计学意义（x2分别为8.303、5.531，P分别为0.004、0.019）。本次OSCE考核平均得分91.39±4.42，传统笔试考核平均得分80.64±4.20，两者比较差异有统计学意义（t=11.478，P<0.001）。实施问卷调查结果显示儿科专业医学生临床基本功欠扎实，临床思维缺乏。结论：客观结构化临床考试可客观、有效地评估儿科专业医学生临床能力，促进学习积极性，值得推广。 |
| 关 键 词： | 客观结构化临床考试; 成绩分析; 临床能力 |
| DOI： | 10.57237/j.edu.2023.04.002 |
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收稿日期: 2023-09-21
接受日期: 2023-10-24
在线出版日期: 2023-10-28
Application and Evaluation of OSCE in Rotation Practice of Pediatric Medical Students
Paediatrics Department, Hainan Women and Children's Medical Center-Academy of Pediatrics, Hainan Medical College, Haikou 570000, China
| Abstract: | Objective: To objectively evaluate the feasibility and significance of OSCE in the pediatric rotation practice assessment. Methods: OSCE (include three examinations: case examination, physical examination and clinical skills examination) was conducted for the 19th five-year clinical pediatrics students of Hainan Medical College, and a questionnaire survey was conducted for examiners and candidates after the assessment. Results: The OSCE results of the 19th five-year clinical pediatrics graduates of Hainan Medical College were in line with the normal distribution. All of the 100 OSCE forms scores were more than 75 points. The difference between the pass rate and the excellent rate in the three assessments was statistically significant (x2=10.899, P=0.004). The pairwise comparisons between groups indicated that the excellent rate of physical examination and skill assessment were higher than that of case assessment, and the differences were statistically significant (x2 was 8.303 and 5.531 respectively, and P was 0.004 and 0.019 respectively). The difference between the average score of the OSCE (91.39±4.42) and the traditional written test (80.64±4.20) was statistically significant (t=11.478, P<0.001). The results of the questionnaire survey showed that pediatric medical students lacked solid clinical basic skills and clinical thinking. Conclusion: OSCE can objectively and effectively evaluate the clinical ability of pediatric medical students and promote their learning enthusiasm, which is worth promoting. |
| Keywords: | Objective Structured Clinical Examination; Score Analysis; Clinical Ability |
基金
| 1. | 2022年海南医学院校级教育科研课题 (HYYB202239) |
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