目的 了解龋病学融合课程临床龋病学考试命题现状,以提高试卷命题质量,促进教学质量的提高。方法 对北京大学口腔医学院3届八年制口腔医学专业学生的162份临床龋病学试卷进行了试卷结构和质量分析。结果 学生考试成绩良好;3届试卷结构不够稳定,试卷中主客观题比例相差较大;试卷难度和信度尚可,试卷区分度略低,其中简答题和论述题区分度最低。结论 3届学生临床龋病学考试结果基本可信。今后命题时需适度提高试卷的区分度,并在教学和试卷中体现“融合”特点,引导学生多学科思考。进一步探索试卷中融合题目的比例,改变命题和阅卷形式,建立题库,并提高综合应用题目所占比重。

Objective By analysis of examination papers , theObjective was to summarize effects of “integration of multidiscipline course of cariology” on teaching and learning, for further improving the teaching quality.Methods Analysis of final test papers of clinical cariology for consecutive classes of eight-year program students major in stomatology of grade 2010-2012 in Peking University School of Stomatology.Results Students have good scores with a normal distribution. However, the structure consistence among the examination papers for consecutive classes was not well consistent, and proportion of the subjective item andObjective item were not well balanced .The item difficulty and reliability was well designed, but the item discrimination index was lower.Conclusions The result of examination paper of three consecutive years is basically reliable, but the discrimination index should be improved moderately, in order to reflect the “integration” characteristics, and guide the students to the multidisciplinary thinking. Therefore, it is necessary to further explore the proportion of the integration topic in the examination paper, change the form of proposition and paper marking, establish the question bank, and improve the proportion of comprehensive application topics.