Chinese Journal of Medical Education ›› 2019, Vol. 39 ›› Issue (7): 553-558.DOI: 10.3760/cma.j.issn.1673-677X.2019.07.017

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Analysis and reflection on the examination achievement of community health practice for five-year program students major in clinical medicine

Ji Yan, Yan Chunze, Sun Yange, Ding Jing   

  1. Teaching and Research Department of General Medicine, Yuetan Health Service Center, Fu Xing Hospital, Capital Medical University, Beijing 100038, China
  • Received:2018-11-04 Published:2020-12-11
  • Contact: Ding Jing, Email: xiaoxiaodingj@126.com, Tel: 0086-10-68056002
  • Supported by:
    Beijing Health System High-level Health Technology Talents Training Program(2014-3-102)

Abstract: Objective Analyze the examination achievement of community health practice of five-year program students major in clinical medicine in Capital Medical University, and provide reference for accumulating experience in improving the quality of undergraduate community health practice. Methods Analyses the scores of general medical theory test, health education test and problem-oriented medical record writing of 171 five-year program students major in clinical medicine from the Capital Medical University who practiced at Yuetan Community Health Service Center from 2014 to 2018. Results The pass rate of the general medical theory was 100.0%, and the scores were basically in accordance with the normal distribution. The average score was (71.04±8.29). The examination content includes chronic non-communicable diseases, knowledge about general medical and preventive health care. The difficulty of the test paper was 0.64~0.81, the reliability was 0.56~0.70, and the discrimination degree was 0.14~0.22. The average score of health education test was (85.10±15.83) and the average score of problem-oriented medical record writing was (93.59±5.05).The excellent rate of the general medical theory, health education test and problem-oriented medical record was 31.6% (54/171)、95.4% (163/171)、100.0% (171/171). For the results of the general medicine theory examination, the excellent rate of the students practiced in 2015 was the highest (81.8%), next was the students practiced in 2018 (43.2%), the different between the two was statistically significant (χ2=5.944, P<0.05). Conclusions The pass rate and excellent and good rate of community health practice for five-year program students major in clinical medicine were higher. It is necessary to improve the quality of community health practice by strengthening the construction of test questions, paying attention to concept teaching and reforming assessment methods to further improve the quality of community health practice.

Key words: Five-year program, Clinical medicine major, Introduction to general practice, Examination achievement, Analysis, Reflection

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