CAJ | 학술논문

目的探讨客观结构化临床考试（objective structured clinical examination，OSCE）在中医专业学生麻醉科实习出科考核的应用效果。方法制定中医专业学生麻醉科出科考核OSCE方案，并应用此方案对62名学生进行考核，考核内容为术前评估、气管插管术、深静脉置管术、腰椎穿刺术、病例分析、医疗文书书写掌握情况。通过考核成绩和问卷调查进行评估，定量资料采用单因素方差分析，问卷结果采用百分比，直接描述调查结果。结果考核成绩显示，医疗文书书写得分最高（18.25±1.53），病例分析得分最低（13.49±1.46），三大操作技能得分差异无统计学意义（P＞0.05）；问卷调查显示，OSCE方案科学、客观、公正，考核效果优于传统考核方案。结论 OSCE方案能科学检验中医专业学生在麻醉科的临床实习效果，发现教学中存在的不足，促进临床教学工作的评估和改进。
목적탐토객관결구화림상고시（objective structured clinical examination，OSCE）재중의전업학생마취과실습출과고핵적응용효과。방법제정중의전업학생마취과출과고핵OSCE방안，병응용차방안대62명학생진행고핵，고핵내용위술전평고、기관삽관술、심정맥치관술、요추천자술、병례분석、의료문서서사장악정황。통과고핵성적화문권조사진행평고，정량자료채용단인소방차분석，문권결과채용백분비，직접묘술조사결과。결과고핵성적현시，의료문서서사득분최고（18.25±1.53），병례분석득분최저（13.49±1.46），삼대조작기능득분차이무통계학의의（P＞0.05）；문권조사현시，OSCE방안과학、객관、공정，고핵효과우우전통고핵방안。결론 OSCE방안능과학검험중의전업학생재마취과적림상실습효과，발현교학중존재적불족，촉진림상교학공작적평고화개진。
Objective To investigate the application efficacy objective structured clinical exam-ination (OSCE) in assessment of interns of traditional Chinese medicine in anesthesiology department. Methods Totally 62 interns were examed by OSCE formulated by anesthesiology department before de-partmental rotation. Contents of the exam included preoperative evaluation,endotracheal intubation tech-nique,deep venipuncture,lumbar puncture,case analysis,medical documents writing,etc. Assessment was made by exam results and questionnaire survey. Quantitative data were analyzed by ANOVA and results of questionnaire were analyzed by calculating percentage of each option and describing directly. Results Test results showed that the score of medical document writing was the highest(18.25 ± 1.53),while that of case analysis was the lowest(13.49±1.46)and there was no significant difference in scores of three clinical skills. Questionnaire survey showed the OSCE method is superior to traditional method since it is more scientific,objective and fair. Conclusions OSCE method can scientifically as-sess the clinical practice effect of interns of traditional Chinese medicine in anesthesiology department. Meanwhile, it can find the shortcomings in the teaching, which is helpful in promoting the assessment and improvement of clinical teaching.