中华医学教育杂志
中華醫學教育雜誌
중화의학교육잡지
CHINESE JOURNAL OF MEDICAL EDUCATION
2014年
2期
306-311
,共6页
张丽娜%张颖%康晓平%何佳%黄广仕
張麗娜%張穎%康曉平%何佳%黃廣仕
장려나%장영%강효평%하가%황엄사
临床执业医师资格考试%报考次数%特征%成绩分析
臨床執業醫師資格攷試%報攷次數%特徵%成績分析
림상집업의사자격고시%보고차수%특정%성적분석
Clinical licensing examination%Register times%Trait%Score analysis
目的 分析多次报考考生的背景特征及历次考试笔试成绩的变化情况,了解考生难以通过考试的原因,为完善我国医师资格考试制度提供理论依据.方法 以2011年通过全国临床执业医师医学综合笔试的46 529名多次报考考生为研究对象,运用SAS软件,分析考生的背景特征及历次报考过程中背景特征的纵向变化;分析考生历次医学综合笔试,临床、基础成绩的变化趋势和增长幅度.结果 2011年通过临床执业医师资格考试的多次报考考生,最少报考次数为2次,最多报考次数为11次,50.0％的报考者在3次以上.随着报考次数的增多,最高学历为本科以下、在职、有助理医师资格、西部考区、县及县以下单位的考生所占比例增大;特别是县以下医疗机构的考生中,已经获得助理医师资格的占比为78.2％,而且随着报考次数增多其占比增大.首次报考学历相同的考生,学历提升幅度越大,报考次数越少;提升了学历的考生报考次数平均不超过7次.报考次数在7次以内的考生,医学综合笔试、临床、基础成绩随着考试次数的增加均呈上升趋势,但增长幅度逐渐减小,其笔试成绩的上升主要得益于临床医学成绩的提高.结论 提高自身医学学历可以将最多考试次数减少到7次,是早日通过考试的有效途径.已经获得助理医师资格的县级以下考生在多次考试中的比例较高,国家应当为基层卫生工作者另行制订职称和职务评定体系,以减少无效的报考.
目的 分析多次報攷攷生的揹景特徵及歷次攷試筆試成績的變化情況,瞭解攷生難以通過攷試的原因,為完善我國醫師資格攷試製度提供理論依據.方法 以2011年通過全國臨床執業醫師醫學綜閤筆試的46 529名多次報攷攷生為研究對象,運用SAS軟件,分析攷生的揹景特徵及歷次報攷過程中揹景特徵的縱嚮變化;分析攷生歷次醫學綜閤筆試,臨床、基礎成績的變化趨勢和增長幅度.結果 2011年通過臨床執業醫師資格攷試的多次報攷攷生,最少報攷次數為2次,最多報攷次數為11次,50.0％的報攷者在3次以上.隨著報攷次數的增多,最高學歷為本科以下、在職、有助理醫師資格、西部攷區、縣及縣以下單位的攷生所佔比例增大;特彆是縣以下醫療機構的攷生中,已經穫得助理醫師資格的佔比為78.2％,而且隨著報攷次數增多其佔比增大.首次報攷學歷相同的攷生,學歷提升幅度越大,報攷次數越少;提升瞭學歷的攷生報攷次數平均不超過7次.報攷次數在7次以內的攷生,醫學綜閤筆試、臨床、基礎成績隨著攷試次數的增加均呈上升趨勢,但增長幅度逐漸減小,其筆試成績的上升主要得益于臨床醫學成績的提高.結論 提高自身醫學學歷可以將最多攷試次數減少到7次,是早日通過攷試的有效途徑.已經穫得助理醫師資格的縣級以下攷生在多次攷試中的比例較高,國傢應噹為基層衛生工作者另行製訂職稱和職務評定體繫,以減少無效的報攷.
목적 분석다차보고고생적배경특정급력차고시필시성적적변화정황,료해고생난이통과고시적원인,위완선아국의사자격고시제도제공이론의거.방법 이2011년통과전국림상집업의사의학종합필시적46 529명다차보고고생위연구대상,운용SAS연건,분석고생적배경특정급력차보고과정중배경특정적종향변화;분석고생력차의학종합필시,림상、기출성적적변화추세화증장폭도.결과 2011년통과림상집업의사자격고시적다차보고고생,최소보고차수위2차,최다보고차수위11차,50.0％적보고자재3차이상.수착보고차수적증다,최고학력위본과이하、재직、유조리의사자격、서부고구、현급현이하단위적고생소점비례증대;특별시현이하의료궤구적고생중,이경획득조리의사자격적점비위78.2％,이차수착보고차수증다기점비증대.수차보고학력상동적고생,학력제승폭도월대,보고차수월소;제승료학력적고생보고차수평균불초과7차.보고차수재7차이내적고생,의학종합필시、림상、기출성적수착고시차수적증가균정상승추세,단증장폭도축점감소,기필시성적적상승주요득익우림상의학성적적제고.결론 제고자신의학학력가이장최다고시차수감소도7차,시조일통과고시적유효도경.이경획득조리의사자격적현급이하고생재다차고시중적비례교고,국가응당위기층위생공작자령행제정직칭화직무평정체계,이감소무효적보고.
Objective To analyze the backgrounds of examinees registering for exam multi-times and the variation of every exam scores,that can provide theoretical basis for remedying the policy of National Medical Licensing Examination (NMLE).Methods 46 529 examinees that entered for clinical licensing examination multi-times and finally passed the exam in 2011 were involved.It was used SAS software to explore their backgrounds,historical change of backgrounds in previous examination and the change of written test,clinical test and basic test.Results The register times of 46 529 examinees ranged from 2 to 11,and 50.0 percent of them registered three times or more.As exam times increased more,those examinees who were on the job,from western exam area,had a bachelor degree or above,had qualification for assistant practicing doctors or worked in country-level units or below accounted for a higher percentage.Especially,78.2 percent of examinees working at units under country level had acquired qualification for assistant practicing doctors,and a larger percent as the times increased.For those examinees whose degrees were at the same level on the first exam,the more their degree improved,the sooner they passed the exam.The register times of examinees whose degrees got improved were all less than 7 times.For those examinees whose register times was less than 7,the historical scores of written test,clinical test and basic test increased successively in previous examination,but the growth rates decreased gradually,and the growth of written test' s scores were attributed to the growth of clinical test's scores.Conclusions Improving medicine degree will be helpful to reduce exam times to 7 and pass the exam easily.The examinees under country level who had acquired qualification for assistant practicing doctors accounted for a high percentage of research subjects.The suitable system of professional title appraisal should be set for primary health workers and it is an effective way to avoid their futile exam.
