Reform clinical skill training model to improve performance of objective structured clinical examination

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Reform clinical skill training model to improve performance of objective structured clinical examination

更新时间：2024-09-19

- Reform clinical skill training model to improve performance of objective structured clinical examination
- Vol. 14, Issue 10, Pages: 1040-1043(2015)
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Reform clinical skill training model to improve performance of objective structured clinical examination. [J]. 14(10):1040-1043(2015)
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Reform clinical skill training model to improve performance of objective structured clinical examination. [J]. 14(10):1040-1043(2015) DOI：

摘要

目的　分析客观结构化考试（objecitve structured clinical examination，OSCE）成绩，改进临床医学专业型硕士临床技能培训模式。方法　选择重庆医科大学附属第一医院2010级、2011级临床医学专业型硕士研究生为研究对象。分析2010级临床医学专业型硕士研究生毕业考试OSCE成绩，总结临床技能培训中的问题，在对2011级临床医学专业型硕士研究生最后一年临床培训中，针对临床技能培训实施改革。改革提出①公布往年成绩；②分析OSCE量化评定表，加强对教研室临床技能培训的监督；③加强对出科考试的考核力度；④组织集体培训等改进措施。最后，通过2010级与2011级两次OSCE成绩对比，评估实施改进措施的效果。应用SPSS １９.0软件对两次毕业操作考试成绩进行统计分析，计量资料以均数±标准差（x±s）表示，采用t检验、卡方检验进行统计分析。结果　2010级临床医学专业型硕士研究生毕业考试OSCE成绩显示：SP站、体格检查站、外科操作站、现场急救站、CPR站、病例分析站6站，考试成绩不及格率均超过5%。经过临床技能培养改进，采用独立样本t检验及卡方检验，与对比2010级成绩，2011级硕士毕业考试OSCE成绩中体格检查站、外科操作站、现场急救站、CPR站、病例分析站5站，成绩不及格率明显改善（P＜0.05）。结论　合理进行OSCE考核及成绩分析，改进临床技能培养模式，可有效促进提高学生的临床实践能力

Abstract

Objective　To improve the mode of clinical medicine postgraduates for specialty degree by OSCE. Methods　Clinical medicine postgraduates for specialty degree of Grade 2010 and 2011 were enrolled as research objects. The OSCE scores of the students of Grade 2010 were analyzed and the problems in clinical skills training were summarized. In the last year of clinical training for the clinical medical students of Grade 2011

the reform of clinical skills training was implemented with such improvement measures as publishing last year achievement

analyzing OSCE assessment

strength-ening the supervision of the department of clinical skill training

strengthening the examination as-sessment efforts and organizing collective training. And finally the OSCE scores of the students of Grade 2011 were compared with the scores of the students of Grade 2010. SPSS 19.0 was used to analyze the OSCE scores. Quantitative data were expressed as x±s. T test and Chi-squared test were em-ployed to do statistical analysis

with the inspection level of ?琢=0.05. Result　The graduate exami-nation OSCE scores of clinical medicine professional master's degree postgraduates of Grade 2010 display that the failure rate of SP

Physical

Surgical Operation

CPR and Case analysis are more than 5%. After the improvement of clinical skill training

using independent samples t test and chi square test

and contrasting grade 2010

the failure rate of the OSCE score of Grade 2011 in physical examination

surgical operation

site emergency station

CPR station

and case analysis station is significantly improved (P<0.05). Conclusions　Improving the mode of clinical skill training by OSCE and performance analysis can effectively enhance clinical competence.

关键词

客观结构化临床考试　临床技能考核　毕业考试

Keywords

Objective structured clinical examination　Clinical skill evaluation　Gradua-tion examination

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