中华医学教育杂志

中华医学教育杂志 ›› 2019, Vol. 39 ›› Issue (8): 630-634.DOI: 10.3760/cma.j.issn.1673-677X.2019.08.016

• 医学教育评估 • 上一篇    下一篇

信息化临床思维模拟培训与考核系统在临床医学专业学生临床思维能力评价中的应用

黄华1, 马元2, 王宁1, 高兴亚3   

  1. 1南京医科大学医学模拟教育中心 211166;
    2南京医科大学第一临床医学院内科学系 210029;
    3南京医科大学教务处 211166
  • 收稿日期:2018-10-07 出版日期:2019-08-01 发布日期:2020-12-09
  • 通讯作者: 高兴亚,Email:gaoxy@njmu.edu.cn,电话:025-86869575
  • 基金资助:
    江苏高校品牌专业建设工程资助项目(JX10216005)

Application of information-based clinical thinking simulation training and assessment system in the evaluation of clinical thinking ability of students majoring in clinical medicine

Huang Hua1, Ma Yuan2, Wang Ning1, Gao Xingya3   

  1. 1Department of Medical Simulation Center,Nanjing Medical University,Nanjing 211166,China;
    2Department of Medicine,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;
    3Department of Academic Affairs Office,Nanjing Medical University,Nanjing 211166,China
  • Received:2018-10-07 Online:2019-08-01 Published:2020-12-09
  • Contact: Gao Xingya,Email:gaoxy@njmu.edu.cn,Tel:0086-25-86869575

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摘要： 目的 以客观结构化临床考试(objectivestructuredclinicalexamination,OSCE)为例,探讨信息化临床思维模拟培训与考核系统在临床医学专业学生临床思维能力评价中的效果。方法 在探讨临床思维能力内涵的基础上,构建OSCE的考核方案,利用信息化临床思维模拟培训与考核系统,对南京医科大学2013级五年制和七年制临床医学专业692名学生进行考核及成绩分析。结果 本次测试4站点的难度系数0.34~0.55(平均难度系数为0.48),区分度0.01～0.53,信度0.72,效度0.74。该系统整体运行顺利,能够对考试结果进行各个维度的详细分析。结论 信息化临床思维模拟培训与考核系统应用于临床医学专业学生的OSCE中,能够客观有效地评价医学生的临床思维能力。

关键词: 信息化, 临床思维, 模拟培训, 客观结构化临床考试

Abstract: Objective To take objective structured clinical examination (OSCE) as an example to explore the application of online virtual diagnosis and treatment platform in the evaluation of clinical thinking ability of medical students.Methods Based on the study on the connotation of clinical thinking ability,an OSCE assessment scheme was constructed,and an information-based clinical thinking simulation training and assessment system was used,and totally 692 students were assessed.Results The difficulty coefficient of the four test sites was 0.34~0.55 (average 0.48),the difference was 0.01~0.53,the reliability was 0.72,and the validity was 0.74.The platform was easy to operate to implement assessment.Conclusions The application of online virtual diagnosis and treatment platform in OSCE can objectively and effectively evaluate the clinical reasoning of medical students.

Key words: Informatization, Clinical thinking, Simulation training, Objective structured clinical examination

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