目的 分析医师资格考试临床类别分阶段考试第一阶段基本操作考试结果,为改进医师资格考试临床类别分阶段考试实证研究提供参考。方法 采用资料分析方法。通过分析2015年～2017年医师资格考试临床类别分阶段考试实证研究考生临床基本技能考试相关数据,重点分析2016年基本操作考试各项目结果。结果 2015年、2016年和2017年考生对临床基本技能各考试模块掌握率分别为:2015年病史采集77.6%、体格检查75.5%、基本操作82.5%;2016年病史采集73.5%、体格检查73.0%、基本操作82.4%;2017年病史采集79.3%、体格检查76.4%、基本操作85.1%。同一年度考生临床基本技能各考试模块比较,基本操作掌握率最高。2016年基本操作各考试项目掌握率总体较高,均在75.0%以上。结论 考生对医师资格考试临床类别分阶段考试实证研究中基本操作各项目掌握较好。考试对提高院校的临床基本技能培养具有重要引领作用。

Objective To provide new reference for improveing Medical Licensing Examination step examinations empirical research of Physician through analyzing the test results of clinical operation skills. Methods The data related to the clinical fundamental skills test of Step 1 Medical Licensing Examination empirical research of Physician from 2015 to 2017 were collected and analyzed and the situation of clinical operation skills test in 2016 was emphatically analyzed. Results The mastery levels of each test module in 2015, 2016 and 2017 were as follows: 77.6% in medical history taking test module, 75.5% in physical examination test module, and 82.5% in clinical operation skills test module in 2015; 73.5% in medical history taking test module, 73.0% in physical examination test module, and 82.4% in clinical operation skills test module in 2016; 79.3% in medical history taking test module, 76.4% in physical examination test module, and 85.1% in clinical operation skills test module in 2017. The mastery level of clinical operation skills was the highest among all test modules in the same year. Generally speaking, the mastery level of each test item in clinical operation skills test in 2016 was relatively high and all above 75.0%.Conclusions The applicants had generally good mastery of clinical operation skills test. The clinical fundamental skills test played an important role in improving clinical practice training of students in medical schools.