CAJ | 학술논문

目的分析客观结构化考试(objecitve structured clinical examination,OSCE)成绩,改进临床医学专业型硕士临床技能培训模式. 方法选择重庆医科大学附属第一医院2010级、2011级临床医学专业型硕士研究生为研究对象.分析2010级临床医学专业型硕士研究生毕业考试OSCE成绩,总结临床技能培训中的问题,在对2011级临床医学专业型硕士研究生最后一年临床培训中,针对临床技能培训实施改革. 改革提出①公布往年成绩;②分析OSCE量化评定表,加强对教研室临床技能培训的监督;③加强对出科考试的考核力度;④组织集体培训等改进措施.最后,通过2010级与2011级两次OSCE成绩对比,评估实施改进措施的效果.应用SPSS 19.0软件对两次毕业操作考试成绩进行统计分析,计量资料以均数±标准差(x±s)表示,采用t检验、卡方检验进行统计分析. 结果 2010级临床医学专业型硕士研究生毕业考试OSCE成绩显示:SP站、体格检查站、外科操作站、现场急救站、CPR站、病例分析站6站,考试成绩不及格率均超过5%.经过临床技能培养改进,采用独立样本t检验及卡方检验,与对比2010级成绩,2011级硕士毕业考试OSCE成绩中体格检查站、外科操作站、现场急救站、CPR站、病例分析站5站,成绩不及格率明显改善(P<0.05). 结论合理进行OSCE考核及成绩分析,改进临床技能培养模式,可有效促进提高学生的临床实践能力.
목적 분석객관결구화고시(objecitve structured clinical examination,OSCE)성적,개진림상의학전업형석사림상기능배훈모식. 방법 선택중경의과대학부속제일의원2010급、2011급림상의학전업형석사연구생위연구대상.분석2010급림상의학전업형석사연구생필업고시OSCE성적,총결림상기능배훈중적문제,재대2011급림상의학전업형석사연구생최후일년림상배훈중,침대림상기능배훈실시개혁. 개혁제출①공포왕년성적;②분석OSCE양화평정표,가강대교연실림상기능배훈적감독;③가강대출과고시적고핵력도;④조직집체배훈등개진조시.최후,통과2010급여2011급량차OSCE성적대비,평고실시개진조시적효과.응용SPSS 19.0연건대량차필업조작고시성적진행통계분석,계량자료이균수±표준차(x±s)표시,채용t검험、잡방검험진행통계분석. 결과 2010급림상의학전업형석사연구생필업고시OSCE성적현시:SP참、체격검사참、외과조작참、현장급구참、CPR참、병례분석참6참,고시성적불급격솔균초과5%.경과림상기능배양개진,채용독립양본t검험급잡방검험,여대비2010급성적,2011급석사필업고시OSCE성적중체격검사참、외과조작참、현장급구참、CPR참、병례분석참5참,성적불급격솔명현개선(P<0.05). 결론 합리진행OSCE고핵급성적분석,개진림상기능배양모식,가유효촉진제고학생적림상실천능력.
Objective To improve the mode of clinical medicine postgraduates for specialty degree by OSCE. Methods Clinical medicine postgraduates for specialty degree of Grade 2010 and 2011 were enrolled as research objects. The OSCE scores of the students of Grade 2010 were analyzed and the problems in clinical skills training were summarized. In the last year of clinical training for the clinical medical students of Grade 2011, the reform of clinical skills training was implemented with such improvement measures as publishing last year achievement, analyzing OSCE assessment, strength-ening the supervision of the department of clinical skill training, strengthening the examination as-sessment efforts and organizing collective training. And finally the OSCE scores of the students of Grade 2011 were compared with the scores of the students of Grade 2010. SPSS 19.0 was used to analyze the OSCE scores. Quantitative data were expressed as x±s. T test and Chi-squared test were em-ployed to do statistical analysis, with the inspection level of α=0.05. Result The graduate exami-nation OSCE scores of clinical medicine professional master's degree postgraduates of Grade 2010 display that the failure rate of SP, Physical, Surgical Operation, CPR and Case analysis are more than 5%. After the improvement of clinical skill training, using independent samples t test and chi square test, and contrasting grade 2010, the failure rate of the OSCE score of Grade 2011 in physical examination, surgical operation, site emergency station, CPR station, and case analysis station is significantly improved (P<0.05). Conclusions Improving the mode of clinical skill training by OSCE and performance analysis can effectively enhance clinical competence.