中华医学教育杂志

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (6): 467-470.DOI: 10.3760/cma.j.cn115259-20190603-00432

• 住院医师规范化培训 • 上一篇    下一篇

客观结构化临床考试在口腔住院医师规范化培训阶段考核中的实施与评价

朱锋1, 吴丽2, 杨洁2, 谢思静2, 孙卫斌2, 聂蓉蓉3   

  1. 1南京大学医学院附属口腔医院 南京市口腔医院颌面外科 210008;
    2南京大学医学院附属口腔医院 南京市口腔医院教育科 210008;
    3南京大学医学院附属口腔医院 南京市口腔医院修复科 210008
  • 收稿日期:2019-06-03 出版日期:2020-06-01 发布日期:2020-12-08
  • 通讯作者: 聂蓉蓉, Email: nrr63@sina.com, 电话: 025-83620263
  • 基金资助:
    南京市医学科技发展资金(QRX17082);南京市卫生科技发展专项资金(YKK17142,YKK18129)

Application and assessment of objective structured clinical examination in evaluation of standardized training for stomatological residents

Zhu Feng1, Wu Li2, Yang Jie2, Xie Sijing2, Sun Weibin2, Nie Rongrong3   

  1. 1Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital & The Affiliated Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China;
    2Department of Education, Nanjing Stomatological Hospital & The Affiliated Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China;
    3Department of Prosthodontics, Nanjing Stomatological Hospital & The Affiliated Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
  • Received:2019-06-03 Online:2020-06-01 Published:2020-12-08
  • Contact: Nie Rongrong, Email: nrr63@sina.com, Tel: 0086-25-83620263
  • Supported by:
    Nanjing Medical Science and Technique Development Foundation (QRX17082); Nanjing Medical Science and Technology Development Fund( YKK17142,YKK18129)

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摘要： 目的 评价客观结构化临床考试在江苏省口腔住院医师规范化培训(简称住培)阶段考核中的有效性和可靠性,为进一步制定规范化、科学化的考试方案提供参考。方法 本研究采用资料分析方法。选取2017年江苏省南京市口腔医学专业94名住院医师规范化培训阶段考试成绩作为研究对象,对客观结构化临床考试方案及其成绩的信度、难度和区分度等指标进行统计分析和综合评价。结果 客观结构化临床考试方案共有3个部分和8个站点,本次考试科目的总平均成绩为260.95(256.21,263.67),合格率为90.4%(85/94);克朗巴赫系数为0.700,难度系数为0.81~0.91,区分度为0.125~0.540。结论 运用客观结构化临床考试方案在江苏省口腔住院医师规范化培训进行阶段考核是有效的、可靠的和适宜的,对个别信度和区分度较差的考核站点需要进一步改进。

关键词: 客观结构化临床考试, 口腔医学, 住院医师规范化培训, 临床能力, 阶段考核

Abstract: Objective To evaluate the effectiveness and reliability of objective structured clinical examination program in standardized training of residents in stomatological department of Jiangsu province, and to provide a reference for the further development of standardized and scientific examination program. Methods The data analysis method was used. The objective structured clinical examination results of 94 resident physicians in Jiangsu Province in 2017 were selected as the research objects to conduct statistical analysis and comprehensive evaluation on the reliability, difficulty and differentiation of the objective structured clinical examination program as well as its results. Results The objective structured clinical examination program consists of 3 parts and 8 stations. The median score of this examination subject is 260.95 (256.21, 263.67), and the passing rate is 90.4% (85/94).The Cronbach coefficient was 0.700, the difficulty coefficient was 0.81~0.91, and the discrimination was 0.125~0.540. Conclusions It is effective, reliable and appropriate to carry out objective structural clinical assessment program in the evaluation of residents in stomatological department of Jiangsu province in the planning and training stage.

Key words: Objective structured clinical examination, Stomatology, Standardized training, Clinical competence, Assessment

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