CAJ | 학술논문

目的：在实习结束后对临床医学生进行客观结构化临床考试（objective structured clinical exami-nation，OSCE），探索客观评估医学生临床能力的方法。方法受试对象为济宁医学院2014届和2015届临床医学专业本科学生1831名。考试由两部分组成，分别为标准化病人（standardized patients，SP）站和非标准化病人站，学生依次通过各考站，全部考站结束完成考试，考试过程中注重考官对学生的当面反馈，并对考试结果进行分析。结果2015届学生的 SP 问诊和外科、妇产科操作技能、辅助检查结果判读、病历书写成绩高于2014届学生，2015届学生操作熟练程度及规范性、交流技巧、爱伤观念评分成绩优良，表现出了较高的医德医风。结论加强医学生在临床实习过程中的技能操作培训和指导，不断优化 OSCE，可以对其临床能力进行全面客观评估，提高其临床技能操作水平和综合素质，从而为其今后的临床实践打下良好基础。
목적：재실습결속후대림상의학생진행객관결구화림상고시（objective structured clinical exami-nation，OSCE），탐색객관평고의학생림상능력적방법。방법수시대상위제저의학원2014계화2015계림상의학전업본과학생1831명。고시유량부분조성，분별위표준화병인（standardized patients，SP）참화비표준화병인참，학생의차통과각고참，전부고참결속완성고시，고시과정중주중고관대학생적당면반궤，병대고시결과진행분석。결과2015계학생적 SP 문진화외과、부산과조작기능、보조검사결과판독、병역서사성적고우2014계학생，2015계학생조작숙련정도급규범성、교류기교、애상관념평분성적우량，표현출료교고적의덕의풍。결론가강의학생재림상실습과정중적기능조작배훈화지도，불단우화 OSCE，가이대기림상능력진행전면객관평고，제고기림상기능조작수평화종합소질，종이위기금후적림상실천타하량호기출。
Objective Through OSCE for medical students after their internship,to explore methods for objec-tively assessing medical students'clinical ability.Methods We took 1831 undergraduate students of Jining Medical University as respondents.The examination consisted of two parts,namely standardized patient (Standardized Pa-tients,SP)stations and non-standardized patient station.When students completed all the test stations in proper se-quences,their test results were analyzed.And examiners should pay attention to the feedback face to face.Results The medical records of 2015 students were higher than those of 2014 in inquirying,operation skills,interpreta-tion of test results and taking medical records.The 2015 students showed better proficient and normative opera-tion,communication skills,the sense of injury-loving and a higher medical ethics.Conclusion OSCE could conduct a comprehensive and objective assessment of medical students'clinical capabilities at the end of their internship,and could be conducive to improve students'comprehensive skills and future clinical practice.