Design and thoughts of eight-year track of clinical medicine in the 10th National Medical Technical Skills Competition for College Students

doi:10.3760/cma.j.cn115259-20211215-01533

Abstract

Abstract: Objective To analyze the test questions and results from the eight-year track competition of clinical medicine in the 10th National Medical Technical Skills Competition joined by medical undergraduates, discuss and evaluate the rationality and assessment efficiency, and put forward some suggestions for improvment. Methods Based on Accreditation Standards for Basic Medical Education in China(2016), the examination scope of the 10th Medical Technical Skills Competition for Chinese College Students, the Operation guide of Clinical Skills for Chinese medical students and relevant competency frameworks, the eight-year track and the results of each team were analyzed. SPSS 26.0 was used to evaluate the difficulty, discrimination and reliability of each station. The correlation between each station's score and the total score was analyzed. Results The eight-year track covers Accreditation Standards for Basic Medical Education in China and Examination Scope of the 10th Medical Technical Skills Competition for Chinese College Students. The difficulty of the silver medal competition was 0.63, the discrimination was 0.79 and the Cronbach coefficient was 0.93. The difficulty of the gold medal competition was 0.79, the discrimination was 0.81 and the Cronbach coefficient was 0.66. Items with the scoring percentage of less than 60% in the silver medal competition, included Medical Expert, Collaborator and Scholar within the CanMEDS and gathering history and performing physical examination during patient encounter, selecting and interpreting auxiliary examinations, diagnosis and differential diagnosis, developing the comprehensive management plan for patients, preparing and responding to public health events within Core Residency Entrustable Professional Activities. Conclusions The design of eight-year track is reasonable. The evaluation is accurate and the results are reliable and stable. The teams still need to improve in terms of competencies. It is suggested to design and optimize the competition of clinical medical technical skills according to relevant competency frameworks.

Key words: Students, Medical, Eight-year medical education, Technical skills competition, Competency, Entrustable professional activities

CLC Number:

R-05

Qi Xin, Gao Yusong, Zhang Hong, Li Yan, Liu Zhaoping, Wang Wei, Wang Ying, Li Haichao. Design and thoughts of eight-year track of clinical medicine in the 10th National Medical Technical Skills Competition for College Students[J]. Chinese Journal of Medical Education, 2022, 42(7): 586-590.

References

[1] Jiang G, Chen H, Wang Q, et al. National Clinical Skills Competition: an effective simulation-based method to improve undergraduate medical education in China[J]. Med Educ Online, 2016,21:29889. DOI: 10.3402/meo.v21.29889.
[2] 教育部, 国务院学位委员会. 教育部国务院学位委员会关于增加八年制医学教育(医学博士学位)试办学校的通知[EB/OL]. (2004-05-28)[2021-12-10]. http://www.moe.gov.cn/srcsite/A08/moe_740/s3864/200405/t20040528_109610.html.
[3] 教育部临床专业类教学指导委员会和教育部临床实践教学指导分委员会. 第十届中国大学生医学技术技能大赛范围(临床医学专业八年制赛道用)[EB/OL]. (2020-12-17) [2021-12-10]. http://medu.bjmu.edu.cn/cms/show.action?code=publish_4af037e16e264f60016eaa7dea9c0ef7&siteid=100001&newsid=3b72e4772bcf46a6858445fc752da5bf&channelid=0000000061.
[4] Frank JE. The CanMEDS 2005 Physician Competency Framework[EB/OL]. [2021-12-10]. http://rcpsc.medical.org/canmeds/CanMEDS2005/CanMEDS2005_e.pdf.
[5] 齐心, 金哲, 韩晓宁, 等. 住院医师置信职业行为指标的构建研究[J].中华医学教育杂志,2021,41(2):104-108. DOI: 10.3760/cma.j.cn115259-20201117-01599.
[6] 齐心, 付瑶, 王建六, 等. 临床医学专业实习教学质量影响因素的调查分析[J].中华医学教育杂志,2021,41(4):334-338. DOI: 10.3760/cma.j.cn115259-20201127-01637.
[7] 刘婧, 姜冠潮, 张斯琴, 等. 全国高等医学院校大学生临床技能竞赛的问题与思考[J].中华医学教育杂志,2017,37(2):161-165. DOI: 10.3760/cma.j.issn.1673-677X.2017.02.001.
[8] 教育部. 关于政协第十三届全国委员会第四次会议第3755号(教育类322号)提案答复的函[EB/OL]. (2021-09-28) [2021-12-17]. http://www.moe.gov.cn/jyb_xxgk/xxgk_jyta/jyta_gaojiaosi/202110/t20211021_574066.html.
[9] 厉岩. 全国高等医学院校大学生临床技能竞赛总决赛竞赛形式设计的反思[J].中华医学教育杂志,2021,41(7):616-621. DOI: 10.3760/cma.j.cn115259-20210414-00494.

[1]	Zheng Lu, Qu Wei, Wang Xiaofei. Research on development of post competency model for education administrators in medical universities [J]. Chinese Journal of Medical Education, 2022, 42(7): 613-617.
[2]	Lyu Tao, Liu Jun, Liu Ying, Wang Xiaoqian, Zeng Zhen, Feng Yanyan, Feng Zonghao, Chen Huayun, Zhang Lei, Huang Zhenyu. Establishment of standardized training and assessment model for residents in obstetrics and gynecology based on entrustable professional activities [J]. Chinese Journal of Medical Education, 2022, 42(6): 550-553.
[3]	Zeng Qingqi, Wang Jianliu, Liu Jing, Chang Lianfang, Gao Jie. A study on the correlation between the results of the annual clinic competency test and the final examination for residents in Beijing [J]. Chinese Journal of Medical Education, 2022, 42(6): 558-562.
[4]	Gao Weiyin, Jin Shuai, Fu Xin, Lu Qian. Bibliometric analysis of English literature on entrustable professional activities in nursing field [J]. Chinese Journal of Medical Education, 2022, 42(5): 413-416.
[5]	Zeng Qingqi, Liu Jing, Chen Shengyu, Fang Caimei, Wu Zhenlong, Li Haichao, Qi Xin, Gao Jie, Wang Jianliu. A study on the effect of residency training on the competence of residents [J]. Chinese Journal of Medical Education, 2022, 42(5): 468-472.
[6]	Zhang Wenjie, Lai Yaning, Qing Ping. The mediating role of deep learning in the relationship between professional identity and competency in medical students [J]. Chinese Journal of Medical Education, 2022, 42(3): 220-223.
[7]	Li Shan, Zhou Wenjing, Qi Xin, Jiang Zhehan, Qi Jianguang. A pilot study to implement entrustable professional activities in pediatric residency program in China [J]. Chinese Journal of Medical Education, 2022, 42(3): 263-267.
[8]	Liu Jihai, Chen Zhiqiao, Ji Shengchao, Wang Gang, Chai Jingjing, Shi Di, Chen Chi, Du Tiekuan, Liu Anlei, Zhu Huadong. Evaluation of the emergency physicians' competency of resuscitation in critical ill patients based on hybrid simulation technology [J]. Chinese Journal of Medical Education, 2022, 42(3): 280-284.
[9]	Liu Lei, Chen Zhida, Wen Lihong, Pan Xia, Hua Wen, Ye Jian, Lou Hanyu, Chen Panpan, Hong Shiyan, Lei Hongmei, Xue Jing. Survey and analysis of competency of medicine residents after resident standardization training [J]. Chinese Journal of Medical Education, 2022, 42(2): 171-174.
[10]	Ma Lili, Guo Qiaohong, Xi Lanxin, Chen Zhiqian. The development of hospice nurses training system based on the competency improvement needs [J]. Chinese Journal of Medical Education, 2021, 41(8): 725-728.
[11]	Jiang Yu, Xia Jie, Chen Xinhang, Zang Yue, Li Weishi, Gu Shixian, Wang Heng, Li Nan, Tian Hua. Construction of non-professional clinical competency framework for residents [J]. Chinese Journal of Medical Education, 2021, 41(8): 749-753.
[12]	Lu Man, Zheng Zhijie. Discussion on the essential quality requirements for medical students in the era of globalization [J]. Chinese Journal of Medical Education, 2021, 41(5): 425-428.
[13]	Li Yue, Zhang Dingding, Tong Yuanren, Wei Yizhen, Zhu Huijuan, Liu Jihai, Luo Linzhi, Zhang Shuyang. Reliability and validity of the mandarin version of mentor competency assessment [J]. Chinese Journal of Medical Education, 2021, 41(5): 472-476.
[14]	Hong Xiaomei, Li Yueping, Lai Yingzhen, Ji Qing, Liang Hao, Dai Qinyue. Reliability and validity of self-assessment questionnaire on competence of assistant dentist in China [J]. Chinese Journal of Medical Education, 2021, 41(5): 477-480.
[15]	Liu Yanguo, Guo Peng, Li Xiao, Jiang Guanchao, Wang Jianliu. New understanding and practice of clinical medicine teaching by ward round [J]. Chinese Journal of Medical Education, 2021, 41(4): 339-342.