中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (1): 72-76.DOI: 10.3760/cma.j.cn115259-20220424-00535

• 国外医学与比较医学 • 上一篇    

中日临床执业医师资格考试医学综合考试比较与思考

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

  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:2022-04-24 出版日期:2023-01-01 发布日期:2022-12-29
  • 通讯作者: 赵佳, Email: 63718550@qq.com
  • 基金资助:
    2020年空军军医大学教学研究课题(ZL202018)

Comparative analysis and reflection on comprehensive written test of Medical Practitioners Examination in China and Japan

Liu Kan1, Zhuang Ran2, Zheng Shuyuan1, Wang Zhenyu3, Xiao Tian3, Tian Tian4, Zhao Jia1   

  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:2022-04-24 Online:2023-01-01 Published:2022-12-29
  • Contact: Zhao Jia, Email: 63718550@qq.com
  • Supported by:
    2020 Teaching and Research Project at Air Force Medical University (ZL202018)

摘要: 随着胜任力导向的新一代医学教育改革的推进,中日两国临床执业医师资格考试均以考查临床医生岗位胜任力为目标进行了一系列改革。在命制试题时如何模拟临床真实场景,实现在模拟临床环境下考查考生综合能力和临床思维成为两国临床执业医师资格考试亟待解决的问题。通过比较中日两国临床执业医师资格考试试题,发现两国考试都致力于提高临床案例型试题的质量,日本临床案例型试题从提高融合型试题的比重入手,在命制临床案例型试题,切实考查考生信息处理能力、疾病诊断能力、决策能力等方面,值得我国临床执业医师资格考试借鉴。

关键词: 临床执业医师资格考试, 临床案例型试题, 岗位胜任力, 临床思维, 临床医生

Abstract: With the advancement of the competency-based medical education reform, both China and Japan have carried out a series of reforms to test the competencies of clinicians in respective Medical Practitioners Examinations (MPE). How to reconstruct a high-fidelity representation of clinical environments by designing examination questions to assess comprehensive ability and clinical thinking in a simulated setting, has become an urgent problem to be solved in the medical examinations in both countries. By comparing the questions of Medical Practitioners Examinations between China and Japan, it is concluded that both countries are committed to improving the quality of clinical case type examination questions. The Japanese clinical case type examination questions, starting with increasing the proportion of fusion type examination questions, making clinical case type examination questions with higher cognitive levels, practically examining examinees' information processing, disease induction and reasoning, and ability to make decisions at the moment, which are valuable to inform China's MPE.

Key words: Medical Practitioners Examination, Case-based test questions, Competence, Clinical thinking, Clinicians

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