目的 以客观结构化临床考试(objectivestructuredclinicalexamination,OSCE)为例,探讨信息化临床思维模拟培训与考核系统在临床医学专业学生临床思维能力评价中的效果。方法 在探讨临床思维能力内涵的基础上,构建OSCE的考核方案,利用信息化临床思维模拟培训与考核系统,对南京医科大学2013级五年制和七年制临床医学专业692名学生进行考核及成绩分析。结果 本次测试4站点的难度系数0.34~0.55(平均难度系数为0.48),区分度0.01～0.53,信度0.72,效度0.74。该系统整体运行顺利,能够对考试结果进行各个维度的详细分析。结论 信息化临床思维模拟培训与考核系统应用于临床医学专业学生的OSCE中,能够客观有效地评价医学生的临床思维能力。

Objective To take objective structured clinical examination (OSCE) as an example to explore the application of online virtual diagnosis and treatment platform in the evaluation of clinical thinking ability of medical students.Methods Based on the study on the connotation of clinical thinking ability,an OSCE assessment scheme was constructed,and an information-based clinical thinking simulation training and assessment system was used,and totally 692 students were assessed.Results The difficulty coefficient of the four test sites was 0.34~0.55 (average 0.48),the difference was 0.01~0.53,the reliability was 0.72,and the validity was 0.74.The platform was easy to operate to implement assessment.Conclusions The application of online virtual diagnosis and treatment platform in OSCE can objectively and effectively evaluate the clinical reasoning of medical students.