文章摘要
刘永春,时忠丽,随萍.规模客观结构化临床考试组织与实施的探索[J].济宁医学院学报,2015,(5):372-374,377
规模客观结构化临床考试组织与实施的探索
Scale exploration to the organization and implementation of objective structured clinical examination
投稿时间:2015-07-11  
DOI:10.3969/j.issn.1000-9760.2015.05.019
中文关键词: 临床能力|客观结构化临床考试|形成性评价
英文关键词: Clinical skills|Objective structured clinical examination|Formative evaluation
基金项目:济宁医学院2014年教育教学改革专项课题(编号:14027)
作者单位
刘永春 济宁医学院实践教学管理处, 山东济宁 272067 
时忠丽 济宁医学院实践教学管理处, 山东济宁 272067 
随萍 济宁医学院第一临床学院, 济宁 272067 
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中文摘要:
      目的 在实习结束后对临床医学生进行客观结构化临床考试(objective structured clinical examination,OSCE),探索客观评估医学生临床能力的方法。方法 受试对象为济宁医学院2014届和2015届临床医学专业本科学生1831名。考试由两部分组成,分别为标准化病人(standardized patients,SP)站和非标准化病人站,学生依次通过各考站,全部考站结束完成考试,考试过程中注重考官对学生的当面反馈,并对考试结果进行分析。结果 2015届学生的SP问诊和外科、妇产科操作技能、辅助检查结果判读、病历书写成绩高于2014届学生,2015届学生操作熟练程度及规范性、交流技巧、爱伤观念评分成绩优良,表现出了较高的医德医风。结论 加强医学生在临床实习过程中的技能操作培训和指导,不断优化OSCE,可以对其临床能力进行全面客观评估,提高其临床技能操作水平和综合素质,从而为其今后的临床实践打下良好基础。
英文摘要:
      Objective Through OSCE for medical students after their internship,to explore methods for objectively assessing medical students' clinical ability.Methods We took 1831 undergraduate students of Jining Medical University as respondents.The examination consisted of two parts,namely standardized patient (Standardized Patients,SP) stations and non-standardized patient station.When students completed all the test stations in proper sequences,their test results were analyzed.And examiners should pay attention to the feedback face to face.Results The medical records of 2015 students were higher than those of 2014 in inquirying,operation skills,interpretation of test results and taking medical records.The 2015 students showed better proficient and normative operation,communication skills,the sense of injury-loving and a higher medical ethics.Conclusion OSCE could conduct a comprehensive and objective assessment of medical students' clinical capabilities at the end of their internship,and could be conducive to improve students' comprehensive skills and future clinical practice.
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