医学与社会
醫學與社會
의학여사회
Medicine and Society
2015年
9期
98-100
,共3页
客观结构化临床考试%全科医师%培养%考核
客觀結構化臨床攷試%全科醫師%培養%攷覈
객관결구화림상고시%전과의사%배양%고핵
Objective Structured Clinical Examination%General Practitioner%Training%Assessment
目的：探讨客观结构化临床考试（ OSCE）在全科医师培养和技能考核中应用的可行性和可靠性。方法：运用OSCE的理念和方法，建立并实施全科医师培养及考核方案，使用Cronbach系数、难度系数等统计指标对方案的可行性和可靠性进行评价。结果：本次OSCE考试成绩最低得分为47．99分，最高得分为79．23分，平均成绩为（66．37±6．18）分，正态性k－s检验显示考生成绩呈正态分布（Z＝0．582，P＝0．887＞0．05）；Cronbach系数＝0．783，说明本次OSCE信度较高；12个站点考试成绩去站点Cronbach系数中，回答问题去站点Cronbach系数最小（0．701），基本技能操作去站点Cronbach系数最大（0．735）；12个考试站点的难度系数在0．601－0．714，难度指数平均值为0．660，难度比较适宜；心电图判断最难，病例分析最易。结论：在全科医师培养及考核中应用OSCE具有较好的可行性和可靠行，值得在临床能力考核中推广。
目的：探討客觀結構化臨床攷試（ OSCE）在全科醫師培養和技能攷覈中應用的可行性和可靠性。方法：運用OSCE的理唸和方法，建立併實施全科醫師培養及攷覈方案，使用Cronbach繫數、難度繫數等統計指標對方案的可行性和可靠性進行評價。結果：本次OSCE攷試成績最低得分為47．99分，最高得分為79．23分，平均成績為（66．37±6．18）分，正態性k－s檢驗顯示攷生成績呈正態分佈（Z＝0．582，P＝0．887＞0．05）；Cronbach繫數＝0．783，說明本次OSCE信度較高；12箇站點攷試成績去站點Cronbach繫數中，迴答問題去站點Cronbach繫數最小（0．701），基本技能操作去站點Cronbach繫數最大（0．735）；12箇攷試站點的難度繫數在0．601－0．714，難度指數平均值為0．660，難度比較適宜；心電圖判斷最難，病例分析最易。結論：在全科醫師培養及攷覈中應用OSCE具有較好的可行性和可靠行，值得在臨床能力攷覈中推廣。
목적：탐토객관결구화림상고시（ OSCE）재전과의사배양화기능고핵중응용적가행성화가고성。방법：운용OSCE적이념화방법，건립병실시전과의사배양급고핵방안，사용Cronbach계수、난도계수등통계지표대방안적가행성화가고성진행평개。결과：본차OSCE고시성적최저득분위47．99분，최고득분위79．23분，평균성적위（66．37±6．18）분，정태성k－s검험현시고생성적정정태분포（Z＝0．582，P＝0．887＞0．05）；Cronbach계수＝0．783，설명본차OSCE신도교고；12개참점고시성적거참점Cronbach계수중，회답문제거참점Cronbach계수최소（0．701），기본기능조작거참점Cronbach계수최대（0．735）；12개고시참점적난도계수재0．601－0．714，난도지수평균치위0．660，난도비교괄의；심전도판단최난，병례분석최역。결론：재전과의사배양급고핵중응용OSCE구유교호적가행성화가고행，치득재림상능력고핵중추엄。
Objective:To investigate objective structured clinical examination ( OSCE) application feasibility and reliability in the general practitioners training and skills assessment. Methods:used the concept and method of OSCE, the establishment of general practitioner training and assessment scheme and Implementation, used Cronbach coefficient, difficulty coefficient and so on statistical indexes to evaluate the feasibility and reliability of the scheme. Results:The OSCE scores the lowest score was 47. 99 points, the highest score was 79. 23 points, the average score was (66.37 ±6.18) points, normality K-S test showed the examinee scores normally distributed (Z=0.582, P=0.887>0.05); The Cron?bach coefficient was 0. 783, shows that the OSCE with higher reliability;The 12 site test scores delete site the Cronbach coefficient, answer the questions delete site Cronbach coefficient was the smallest (0. 701), the operation of basic skills delete site Cronbach coefficient was the maximum (0. 735);12 test sites difficulty coefficient in the 0. 601-0. 714, difficulty coefficient mean value is 0. 660, the difficulty of OSCE is more appro?priate;ECG judgement was the most difficult, case analysis was the most easy. Conclusion:Application of OSCE has good feasibility and relia?bility in general practitioner training and assessment, is worth popularizing in clinical ability assessment.
