中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (1): 80-84.DOI: 10.3760/cma.j.cn115259-20210616-00748

• 国外医学与比较医学教育 • 上一篇    下一篇

日本国家医师资格考试含有禁忌选项试题分析及其启示

刘侃1, 郑淑园1, 邵琳1, 庄然2, 王振禹3, 肖天3, 田甜4   

  1. 1空军军医大学基础医学院外语教研室,西安 710032;
    2空军军医大学基础医学院免疫学教研室,西安 710032;
    3空军军医大学基础医学院教学科研处,西安 710032;
    4空军军医大学口腔医院特诊科,西安 710032
  • 收稿日期:2021-06-16 出版日期:2022-01-01 发布日期:2021-12-31
  • 通讯作者: 田甜, Email: 50472849@qq.com
  • 基金资助:
    2020年空军军医大学教学研究课题(ZL202018)

Analysis on the question items with contraindication options in Japan's Medical Licensing Examination and its enlightenment

Liu Kan1, Zheng Shuyuan1, Shao Lin1, Zhuang Ran2, Wang Zhenyu3, Xiao Tian3, Tian Tian4   

  1. 1Department of Foreign Languages, School of Basic Medical Sciences, Air Force Medical University, Xi'an 710032, China;
    2Department of Immunology, School of Basic Medical Sciences, Air Force Medical University, Xi'an 710032, China;
    3Office of Teaching Affairs and Scientific Research, School of Basic Medical Sciences, Air Force Medical University, Xi'an 710032, China;
    4Special Diagnosts Department of The Third Affiliated Hospital, Air Force Medical University, Xi'an 710032, China
  • Received:2021-06-16 Online:2022-01-01 Published:2021-12-31
  • Contact: Tian Tian, Email: 50472849@qq.com
  • Supported by:
    2020 Teaching and Research Project at Air Force Medical University (ZL202018)

摘要: 日本国家医师资格考试将试题禁忌选项的选择作为医师淘汰的重要标准。本文通过分析2018年至2020年日本国家医师资格考试含有禁忌选项试题的命题策略及目的,发现该考试具有以下特点:将可能对患者带来危害等相对禁忌的行为也纳入禁忌范畴以扩大禁忌的内涵,以临床情景的形式再现临床现场的紧张和严谨,通过随机选定含有禁忌选项试题督促考生时刻保持警惕以培养其对生命的尊重。建议我国临床执业医师资格考试在命制试题时扩大医学与人文融合型试题的内涵,使试题更加贴近临床实践,并不断强化考生以患者为中心的理念。

关键词: 禁忌, 禁忌选项, 日本国家医师资格考试, 启示

Abstract: Japan's Medical Licensing Examination regards the examinees' choice of question items with contraindication options as an important eligibility criterion. By analyzing the strategy and purpose of proposing question items with contraindication options of examinations from 2018 to 2020, this article finds that Japan's Medical Licensing Examination has brought the deeds of relative contraindications which may do harm to patients into the category of contraindications, thus expanding the connotation. Of the examination questions, the simulated clinical scenarios convey a sense of tension and preciseness to the examinees. Question items with contraindication options are randomly selected to urge examinees to remain vigilant at all times and develop their sense of respect for life. The above-mentioned features are worthy of consideration and reference. It is advisable that China's Medical Licensing Examination should be proposed to expand the connotation of the integrated question items of medicine and humanities, making the question items in line with clinical practice and constantly strengthening examinees' patient-centered concept.

Key words: Contraindication, contraindication options, Japan's Medical Licensing Examination, Enlightenment

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