第十届中国大学生医学技术技能大赛临床医学八年制赛道的设计与思考

doi:10.3760/cma.j.cn115259-20211215-01533

中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (7): 586-590.DOI: 10.3760/cma.j.cn115259-20211215-01533

第十届中国大学生医学技术技能大赛临床医学八年制赛道的设计与思考

齐心¹, 高雨松², 张鸿³, 李岩⁴, 刘兆平⁵, 王玮⁶, 王颖⁶, 李海潮⁷

¹北京大学第一医院整形烧伤科,北京 100034;
²北京大学第一医院急诊科,北京 100034;
³北京大学第一医院麻醉科,北京 100034;
⁴北京大学第一医院心脏外科,北京 100034;
⁵北京大学第一医院心内科,北京 100034;
⁶北京大学第一医院教育处,北京 100034;
⁷北京大学第一医院,北京 100034

收稿日期:2021-12-15 出版日期:2022-07-01 发布日期:2022-06-29
通讯作者: 李海潮, Email: lhch91767@sina.com

Design and thoughts of eight-year track of clinical medicine in the 10th National Medical Technical Skills Competition for College Students

Qi Xin¹, Gao Yusong², Zhang Hong³, Li Yan⁴, Liu Zhaoping⁵, Wang Wei⁶, Wang Ying⁶, Li Haichao⁷

¹Department of Plastic Surgery & Burns, Peking University First Hospital, Beijing 100034, China;
²Department of Emergency, Peking University First Hospital, Beijing 100034, China;
³Department of Anesthesiology, Peking University First Hospital, Beijing 100034, China;
⁴Department of Cardiac Surgery, Peking University First Hospital, Beijing 100034, China;
⁵Department of Cardiology, Peking University First Hospital, Beijing 100034, China;
⁶Department of Education, Peking University First Hospital, Beijing 100034, China;
⁷Peking University First Hospital, Beijing 100034, China

Received:2021-12-15 Online:2022-07-01 Published:2022-06-29
Contact: Li Haichao, Email: lhch91767@ sina.com

摘要/Abstract

摘要： 目的对第十届中国大学生医学技术技能大赛临床医学八年制赛道试题和成绩进行分析,探讨并检验试题设置的合理性及其评价效能,为进一步完善八年制赛道提出改进建议。方法基于中国本科医学教育标准、第十届中国大学生医学技术技能大赛考核范围、中国医学生临床技能操作指南以及相关胜任力框架对八年制赛道试题和各代表队成绩进行分析。采用SPSS 26.0软件,测算各考站的难度、区分度、信度,对各考站成绩与总成绩进行相关性分析。结果临床医学八年制赛道基本覆盖了中国本科医学教育标准和考核范围。银奖争夺赛的难度为0.63,区分度为0.79,克朗巴赫系数为0.93;金奖争夺赛难度为0.79,区分度为0.81,克朗巴赫系数为0.66。银奖争夺赛中得分率<60%的胜任力指标,包括CanMEDS框架内的医学专家、合作者、学者等,以及住院医师置信职业行为指标内的接诊患者、辅助检查选择和判读、诊断与鉴别诊断、治疗决策、公共卫生事件应对等。结论临床医学八年制赛道设计合理,评价准确,结果可信、可靠。各参赛队在胜任力方面仍有待提高,建议根据胜任力框架设计并完善临床医学技术技能大赛。

关键词: 医学生, 八年制医学教育, 技术技能大赛, 胜任力, 置信职业行为

Abstract: Objective To analyze the test questions and results from the eight-year track competition of clinical medicine in the 10th National Medical Technical Skills Competition joined by medical undergraduates, discuss and evaluate the rationality and assessment efficiency, and put forward some suggestions for improvment. Methods Based on Accreditation Standards for Basic Medical Education in China(2016), the examination scope of the 10th Medical Technical Skills Competition for Chinese College Students, the Operation guide of Clinical Skills for Chinese medical students and relevant competency frameworks, the eight-year track and the results of each team were analyzed. SPSS 26.0 was used to evaluate the difficulty, discrimination and reliability of each station. The correlation between each station's score and the total score was analyzed. Results The eight-year track covers Accreditation Standards for Basic Medical Education in China and Examination Scope of the 10th Medical Technical Skills Competition for Chinese College Students. The difficulty of the silver medal competition was 0.63, the discrimination was 0.79 and the Cronbach coefficient was 0.93. The difficulty of the gold medal competition was 0.79, the discrimination was 0.81 and the Cronbach coefficient was 0.66. Items with the scoring percentage of less than 60% in the silver medal competition, included Medical Expert, Collaborator and Scholar within the CanMEDS and gathering history and performing physical examination during patient encounter, selecting and interpreting auxiliary examinations, diagnosis and differential diagnosis, developing the comprehensive management plan for patients, preparing and responding to public health events within Core Residency Entrustable Professional Activities. Conclusions The design of eight-year track is reasonable. The evaluation is accurate and the results are reliable and stable. The teams still need to improve in terms of competencies. It is suggested to design and optimize the competition of clinical medical technical skills according to relevant competency frameworks.

Key words: Students, Medical, Eight-year medical education, Technical skills competition, Competency, Entrustable professional activities

中图分类号:

R-05

齐心, 高雨松, 张鸿, 李岩, 刘兆平, 王玮, 王颖, 李海潮. 第十届中国大学生医学技术技能大赛临床医学八年制赛道的设计与思考[J]. 中华医学教育杂志, 2022, 42(7): 586-590.

Qi Xin, Gao Yusong, Zhang Hong, Li Yan, Liu Zhaoping, Wang Wei, Wang Ying, Li Haichao. Design and thoughts of eight-year track of clinical medicine in the 10th National Medical Technical Skills Competition for College Students[J]. Chinese Journal of Medical Education, 2022, 42(7): 586-590.

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第十届中国大学生医学技术技能大赛临床医学八年制赛道的设计与思考

Design and thoughts of eight-year track of clinical medicine in the 10th National Medical Technical Skills Competition for College Students

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