Objective To set up a standardized examination system for clinical internship at the de-partment level
and to evaluate the system using educational measurement method. Methods All the 327 clinical five-year and eight-year intern trainees who took clinical internship in the spinal orthopedics de-partment of a teaching hospital from July 1
2014 to June 30
2016 were selected as the research subjects. All the subjects took the standardized examination
educational and measurement methods such as general descriptive analysis
project relevance analysis and grader consistency analysis were executed to assess the content validity of the system
the relevance of the project and the consistency of the scorers. Statistical calculation was executed by SPSS 23.0 software. Results The average score of all 312 trainees included was controlled at (80.07±4.67)
the lowest score was 70.01
and the highest score was 90.01
which reflected that the overall difficulty was moderate
the difference was reasonable and the scores were evenly distributed. To the theory
skills
medical records
teachers' score and the reward plus
normalized regression coeffi-cients were 0.479
0.473
0.118
0.135 and 0.364 respectively
which were in good agreement with the scores of each item in the total score. To the theory
skills and teacher evaluation
the analysis of variance of the total score showed that the P values were both ≥0.05 with no significant difference between the groups
so the consistency of the scorers were satisfactory. The P values of variance analysis of the two items of the medical record and bonus points were 0.000 and 0.002 respectively
with significant differences among the groups
the scorers were less consistent. Conclusion The standardized examination system can meet the requirements of comprehensive
full-scale
quantitative and stable feedback teaching effect. The system of internship practice examination must be able to withstand continuous implementation and repeated correc-tion over many years
so as to ensure the teaching quality.
关键词
临床实习 出科考核 教育测量
Keywords
Clinical internship Department examination Education measurement