为探索形成性评价在住院医师核心胜任力培养中的应用效果,本文以华中科技大学协和深圳医院2020年参加住院医师规范化培训(简称住培)的94位住院医师为例,阐述了住培基地主导的形成性评价应用于住培第一年的设计及实施过程,以住院医师核心胜任力评分和首次参加医师资格考试通过率评价效果。结果显示,住院医师核心胜任力的5个模块评分(满分均为30分)中,职业素养(21.5分)、专业能力(23.4分)、病人管理(24.2分)、沟通合作(21.6分)、学习提升(20.8分)评分比2019年参加住培的住院医师提高1.3~5.3分;首次参加医师资格考试通过率为96.8%(91/94),高于2019年住院医师的79.6%(43/54)。形成性评价有利于住院医师核心胜任力的提升,有助于提高医师资格考试通过率,为住院医师第二年和第三年培训赢得更多独立临床诊疗机会。
In order to explore the application effect of formative assessment in the cultivation of the core competency of residents, 94 residents who participated in the standardized residency training in Huazhong University of Science and Technology Union Shenzhen Hospital in 2020 were taken as examples. This paper expounds the application of the formative evaluation led by residential training base to the design and implementation of the first year of standardized residency training, and evaluates the effect by the score of core competency evaluation and the passing rate of the first time taking the Medical Licensing Examination. The results showed that among the five modules of core competency scores of residents (full score: 30), the scores of professional literacy (21.5 points), professional competence (23.4 points), patient management (24.2 points), communication and cooperation (21.6 points) and learning improvement (20.8 points) were 1.3 points to 5.3 points higher than those of residents who participated in standardized training in 2019. The passing rate of the first time taking the Medical Licensing Examination was 96.8% (91/94), higher than 79.6% (43/54) of residents in 2019. The application of formative assessment is conducive to the cultivation and improvement of core competency of residents, the passing rate of the Medical Licensing Examination, and more independent clinical diagnosis and treatment opportunities for the second and third years of resident training.
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