目的 研究中医类别医师资格考试实践技能考试的考官配置,为合理配置考官提供参考。方法 2024年3月,收集全国18个考区36家中医医师资格考试实践技能考试基地2021至2023年数据,计算各专业考站考官配比,即一小时每组考官与所执考考生的比值。分析考生规模和考试年度对考官配比的影响,并确定考官配比百分位数区间数值范围,对专家进行函询,以专家选择最多的区间为相应考站考官配比标准范围。结果 中医执业专业和中医执业助理专业各有59组数据,中西医结合执业专业54组数据。不同考生规模各考站考官配比差异均无统计学意义(均P＞0.05),因为政策调整不同年度中医执业专业第一考站、第二考站和中医执业助理专业第一考站差异均具有统计学意义(均P＜0.05)。各考站考官配比标准范围分别为:中医执业专业第一考站11.42~22.29、第二考站2.83~3.83、第三考站2.94~4.44;中医执业助理第一考站14.41~33.33、第二考站2.81~4.25、第三考站2.90~4.79;中西医结合执业专业第一考站10.28~23.64、第二考站2.58~3.80、第三考站2.60~4.45。结论 考官配比标准范围体现专业与考站特点,可以用于指导基地配置考官,并适用于不同考生规模,但受政策影响,需要根据政策适时动态调整。

Objective This paper investigates the examiner allocation for the practical skills examination of medical qualification in traditional Chinese medicine to inform the rational allocation of examiners. Methods In March 2024, examination data were collected from 36 practical skills examination bases for traditional Chinese medicine practitioner qualification examinations in 18 provinces during 2021 to 2023. The student-examiner-time ratio (SETR) for each examination station across all relevant specialties was calculated, which is defined as the ratio of the number of examiners per group to the number of candidates they invigilate within one hour. The effects of candidate scale and examination year on the SETR were analyzed, and the numerical range of the percentile interval of the SETR was determined. Expert consultation was conducted, and the interval most frequently selected by experts was adopted as the standard range of the SETR for the corresponding examination stations. Results A total of 59 sets of data were collected for both the licensed traditional Chinese medicine category and the assistant licensed traditional Chinese medicine category, while 54 sets of data were obtained for the licensed integrated traditional Chinese and western medicine category. No statistically significant difference in the SETR of each examination station was observed among different candidate scales (all P>0.05). However, due to policy adjustments, statistically significant differences of SETR were found in the first and second examination stations of the licensed traditional Chinese medicine category, as well as in the first examination station of the assistant licensed traditional Chinese medicine category across different years (all P<0.05).The standard ranges of the SETR for each examination station were determined as follows: as licensed traditional Chinese medicine, 11.42-22.29 for the first station, 2.83-3.83 for the second station, and 2.94-4.44 for the third station; as assistant licensed traditional Chinese medicine, 14.41-33.33 for the first station, 2.81-4.25 for the second station, and 2.90-4.79 for the third station; as integrated traditional Chinese and western medicine, 10.28-23.64 for the first station, 2.58-3.80 for the second station, and 2.60-4.45 for the third station. Conclusions The standard range of the SETR reflects the characteristics of different specialties and examination stations, which can be used to guide practical skills examination bases in allocating examiners and is applicable to scenarios with different candidate scales. However, the standard range is affected by examination policy adjustments, and thus needs to be dynamically adjusted in a timely manner according to relevant policy changes.