目的 通过对2018～2020年北京市助理全科医师规范化培训结业实践技能考核结果进行分析,提出培训改进建议,为进一步提高培训质量提供依据。方法 分析2018～2020年北京市助理全科医师规范化培训结业实践技能考核试题质量,统计其难度系数、区分度和信度,并采用通过率评价考核通过情况。结果 2018～2020年北京市助理全科医师规范化培训结业实践技能考核试题总体难度系数分别为0.789、0.776和0.815;区分度分别为0.206、0.218和0.212;信度分别为0.537,0.528和0.503。3年总体通过率在65.9%～86.0%之间;接诊患者考站通过率在87.6%～98.6%之间,技能操作考站通过率在89.9%～95.8%之间,辅助检查考站通过率在79.8%～87.4%之间。结论 北京市助理全科医师规范化培训结业实践技能考核试题质量稳定可靠,考生对接诊患者考站考核内容掌握较好,技能操作考站和辅助检查考站考核内容有待加强,培训基地应当为考生提供充分的临床实践机会,提高考生的临床实践技能。

Objective To analyze the results of clinical skill test after the standardized training for assistant general practitioner in Beijing. Methods The data covered test results in 2018,2019 and 2020 of the assistant general practitioner standardized training in Beijing and analyzed for the difficulty coefficient,differentiation degree and reliability and compared the passing rate of the trainees. Results The overall difficulty coefficients of the test were 0.789, 0.776 and 0.815, respectively. The differentiation degrees of the examination were 0.206, 0.218 and 0.212, respectively. The reliabilities of the test were 0.537, 0.528 and 0.503 respectively. The overall passing rate recorded in the period from 2018 to 2020 ranged from 65.9% to 86.0%. The passing rate of patients' assessment ranged from 87.6% to 98.6%. The passing rate of skill test from 2018 to 2020 ranged from 89.9% to 95.8% and from 79.8% to 87.4% for auxiliary test. Conclusions The quality of the test was stable and reliable. The trainees have good performance in patients' assessment, but the clinical skill and auxiliary examination need to be strengthened. The training base institutions should provide the trainees with sufficient opportunity for clinical skill training.