本研究尝试针对北京协和医学院八年制临床医学专业建立临床准入性质的阶段性考核——临床前综合考核,以考查学生医学基础知识的整体掌握情况及综合运用能力。通过比较分析2018至2020年临床前综合考核的实施情况,评价临床前综合考核的题库建设质量与应用效果,总结临床前综合考核在临床医学专业教学中发挥的指导意义与借鉴价值,结合学生对临床前综合考核实施的反馈意见,思考进一步完善八年制临床医学专业阶段性考核的可行方法和运作机制。
This study attempts to establish a phased assessment system, preclinical comprehensive assessment system for clinical access according to the eight-year consistent training mode of clinical medicine major in Peking Union Medical College to examine students' overall mastery of basic medical knowledge and comprehensive application ability at the end of the basic medical stage. Through comparative analysis of the implementation of the preclinical comprehensive assessment system in the past three years, the quality and application effectiveness of the itembank construction of the preclinical comprehensive assessment were evaluated, and the guiding significance and important reference value of the preclinical comprehensive assessment in the eight-year consistent training mode of clinical medicine major were summarized. Combined with feedback from students on its implementation, the feasible methods for further improving the phased assessment system were reflected upon.
[1] 王小莉. 临床医学专业基础医学综合考试的问题及对策[J].基础医学教育,2015,17(2):165-167. DOI: 10.13754/j.issn2095-1450.2015.02.28.
[2] 赵晨曦, 张淑娥, 张进, 等. 美国医学教育体系改革对我国本科临床医学教育的启示[J].中华医学教育杂志,2021,41(4):381-384. DOI: 10.3760/cma.j.cn115259-20201118-01604.
[3] 庄伟涛, 张祥彤, 黄树杰, 等. 汕头大学医学院全英与中文教学效果对比分析——以基础综合考试及OSCE为例[J].医学教育研究与实践,2017,25(6):912-915. DOI: 10.13555/j.cnki.c.m.e.2017.06.026.
[4] 俞斌, 何博学, 赵晓华, 等. 执业医师资格分阶段考试临床理论考试成绩的评价与思考[J].中华医学教育探索杂志,2020,19(11):1302-1305. DOI: 10.3760/cma.j.cn116021-20191219-00304.
[5] 时瑾, 高茵茵, 赵霞, 等. 临床医学专业基础医学综合考试试题库设计与管理问题的探讨[J].中华医学教育杂志,2007,27(5):113-115. DOI: 10.3760/cma.j.issn.1673-677X.2007.05.046.
[6] 梅林, 王云贵, 黄建军, 等. 基础医学综合考试的探索与实践[J].重庆医学,2012,41(23):2450-2451. DOI: 10.3969/j.issn.1671-8348.2012.23.046.
[7] 梅林, 黄继东, 罗长坤, 等. 医学院校本科创新人才培养综合考核评价体系的构建与实践[J].中国高等医学教育,2016(4):25-26. DOI: 10.3969/j.issn.1002-1701.2016.04.013.
[8] 孙金婉, 席峥, 何佳, 等. 基于临床应用的融合型试题难度与区分度分析[J].中华医学教育杂志,2021,41(5):468-471. DOI: 10.3760/cma.j.cn115259-20201123-01616.
[9] 刘棣, 张淑群, 管海涛, 等. 出科综合考核改革在临床教学中的导向作用[J].教育现代化,2018,5(12):53-54. DOI: 10.16541/j.cnki.2095-8420.2018.12.026.
[10] 刘侃, 郑淑园, 田甜, 等. 基于试卷分析的基础医学整合课程考核评价[J].中华医学教育杂志,2020,40(5):397-400. DOI: 10.3760/cma.j.cn115259-20190419-00298.
[11] 刘郁莹, 张佳俐, 薛振毅, 等. 天津医科大学基础医学专业阶段综合能力考核系统的建立[J].教育现代化,2018,5(14):118-119,128. DOI: 10.16541/j.cnki.2095-8420.2018.14.046.