目的 探讨在皮肤科住院医师规范化培训(简称住培)结业临床实践能力考核中应用真实患者的可行性,为今后制定考核方案提供依据。方法 2023年5月,选取在武汉大学中南医院考点参加皮肤科住培结业临床实践能力考核的30名住培医师为研究对象,使用自制问卷调查考生对考站设置的满意度和对接诊真实患者的评价,记录接诊真实患者的考核成绩。结果 住培医师考试满意度问卷各方面评分中位数均高于总分的80%,评分最低的条目是“考站时长设置合理”,为3.0(2.0)分;住培医师认为真实患者配合程度的评分为10.0(1.5)分;接诊病人站点考核成绩优良,30名住培医师考核成绩为(85.75±3.80)分。结论 住培医师对皮肤科住培结业临床实践能力考核试行的国家方案满意度高,但接诊病人站点的时间设置可以进一步优化,在皮肤科住培结业临床实践能力考核接诊病人站点使用真实患者具有可行性,住培医师对真实患者参与考核认可度高。

Objective To explore the feasibility of applying real patients in the clinical skills assessment of standardized training for dermatological residents, so as to inform the formulation of examination plans in the future. Methods In May 2023, 30 examinees who took part in the examination of dermatology graduation clinical skills in the examination center of Zhongnan Hospital of Wuhan University were enrolled in the study. A self-made questionnaire was used to investigate the examinees' satisfaction with the establishment of the examination station and the feelings of receiving real patients, and the assessment results were recorded. Results The median scores of all aspects in the satisfaction questionnaire for residents' examinations were all above 80% of the total score, with the lowest score given to the item ″reasonable duration of examination stations″ [3.0(2.0)]. The score for residents' assessment of the cooperation level of real patients was 10.0(1.5). The assessment results for treating patients at the examination stations were excellent, with the score of (85.75±3.80) for the 30 residents. Conclusions Examinees are highly satisfied with the national residency training program and graduation skills assessment in dermatology, but the time setting of receiving patients can be further optimized. It is feasible to use real patients in dermatology end-of-training skills assessment, and examinees have high recognition for real patients to participate in the assessment.