Objective To evaluate the effectiveness of objective structured clinical examination (OSCE) for nuclear medicine residents in Beijing.Methods The OSCE score of residents participating the standardized training from 2014 to 2017 were analyzed, including score, passing rate, difficulty, discrimination, reliability, validity. The examination was composed of six stations including radioactivity operating and protection, case analysis, history acquisition, image acquisition and processing, doctor-patients communication, report writing.Results The median OSCE score of 2014 and 2015 was 89.20(86.68-92.30)、88.38(83.33-90.80) respectively. The mean OSCE score of 2016、2017 was (86.52±3.33), (88.47±1.42) respectively. The passing rate of each year was more than 90%. The difficulty was 0.87, 0.87, 0.87, 0.88,and the Cronbach α of reliability was 0.88, 0.72, 0.55, 0.32 respectively for OSCE from 2014 to 2017. The discrimination range was 0.49～0.92 for all stations. The raters reliability was good for stations including radioactivity operating and protection, case analysis, history acquisition and slightly bad for image acquisition and processing, doctor-patients communication in 2017.Conclusions OSCE can truly imitate clinical environment and evaluate the residents’s comprehensive clinical skills effectively, but the program should be further optimized to improve the application effects.
Di Lijuan
,
Liao Xuhe
,
Wang Rongfu
,
Fan Yan
,
Yan Ping
,
Zhang Jianhua
,
Zhang Chunli
,
Zhang Xuchu
,
Liu Meng
,
Cui Yonggang
,
Zhao Guangyu
,
Sun Hongwei
,
Yin Lei
,
Chen Xueqi
. Evaluation of objective structured clinical examination for nuclear medicine residents[J]. Chinese Journal of Medical Education, 2018
, 38(3)
: 430
-434
.
DOI: 10.3760/cma.j.issn.1673-677X.2018.03.026
[1] 闫平,王荣福,张春丽,等.八年制临床医学专业核医学课程考试成绩和试卷分析的评价与思考[J]. 中华医学教育杂志,2017,37(1):134-138. DOI:10.3760/cma.j.issn.1673-677X.2017.01.029.
Yan P, Wang RF, Zhang CL, et al.Evaluation and thinking of test scores and examination paper for nuclear medicine course in eight years program students[J]. Chin J Med Edu,2017,37(1):134-138. DOI: 10.3760/cma.j.issn.1673-677X.2017.01.029.
[2] 王荣福.核医学.3版.北京: 北京大学医学出版社, 2013: 2-8.
[3] 王荣福, 李少林.核医学(临床和教学参考书).2版.北京: 人民卫生出版社, 2015: 3-9.
[4] 朱滨海, 吴畏, 陈园园.江苏省妇产科住院医师规范化培训结业考核中客观结构化临床考试的实施与评价[J]. 中华医学教育杂志,2014,34(5):788-792. DOI:10.3760/cma.j.issn.1673-677X.2014.05.046.
Zhu BH, Wu W, Chen YY.Implementation and evaluation of objective structured clinical examination in residency standardized training graduation examination of gynecology and obstetrics in Jiangsu Province[J]. Chin J Med Edu,2014,34(5):788-792. DOI: 10.3760/cma.j.issn.1673-677X.2014.05.046.
[5] Brannick MT, Erol-Korkmaz HT, Prewett M.A systematic review of the reliability of objective structured clinical examination scores[J]. Med Educ, 2011, 45(12): 1181-1189. DOI:10.1111/j.1365-2923.2011.04075.x.
[6] 王彧, 姜莉, 赵霁阳, 等.OSCE:医学人文教育考核评价模式的更新与实践[J]. 医学与哲学,2016,37(19):91-94. DOI: 10.12014/j.issn.1002-0772.2016.10a.23.
Wang Y, Jiang L, Zhao JY, et al.OSCE: Innovating and implementing of the assessment of medical humanistic education[J]. Medicine & Philosophy,2016,37(19):91-94. DOI:10.12014/j.issn.1002-0772.2016.10a.23.
