临床医学专业毕业生客观结构化临床考试的效果分析

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[关键词] 教育考核;临床工作能力;学生，医科;教学方法[中图分类号] G6 [文献标志码] A [文章编号] 096-53（05）0-0301-0doi：10.171/jms.096-53.05.61.056

[Abstract] Objective Toanalyzetheobjectivestructuredclinicalexamination（OSCE）scoresandtestquestionqualitycharacteristicsofclinicalmedicinegraduatesenroledatQingdaoUniversityin019andprovideareferenceforoptimizingtheOSCE asesmentsystem. Methods OSCEscoreswerecolectedfromthefive-yearregularprogram，five-yearexcelenceprogram， and 5+3′′ integratedprogram medicalgraduates.Questionqualitywasevaluatedusingthedificultyindex，discriminationindex， andCronbach’sαcoeficient.Scoresofmedicalgraduatesindiferentprogramswerecomparedusinganalysisofvarianceandchisquaretest. Results TheOSCEexhibitedanoveraldificultindexof0.8，adiscriminationindexof0.3，andCronbach’sαof 0.89.Significantdiferenceswereobservedinfailureratesamongthethre programs ⟨χ=3.631，P<0.001⟩ ）aswelasinthe proportionofstudentsscoring ⩾80 χ=7.63，P<0.05） ）.Exceptforelectrocardiogramoperationandinterpretationandimaging analysis，alclinicalskilscoresandtotalOSCEscoresdiferedsignificantlyacros programs （F=5.80-3.915，P<0.05） ）.Pairwisecomparisonsrevealedsignificantdiferencesinalskilscores（al P<0.05 ）exceptforphysicalexaminationscoresbetwenthe 5+3 ”andregularprograms. Conclusion OSCEperformancevariessignificantlyamongmedicalstudentsfromdiferenttrainingprograms.CurentOSCEquestionsdemonstrateadequatediscriminationandreliabilitybutlowdificulty.Futureasesments shouldmode-ratelyincreasequestiondificultywhilestrengtheninghomogeneousclinicalcompetencytrainingacros programs.

[Keywords] educationalmeasurement;clinicalcompetence;students，medical;teachingmethods

客观结构化临床考试（ ）是在模拟临床真实环境下考核与评价临床胜任力的多站式临床考试方法，是一种客观评价临床技能的方法。（剩余5749字）