CAJ | 학술논문

为检验改良客观结构化临床考试(OSCE)在临床医学专业本科毕业考试中应用的有效性,本研究通过统计北京大学医学部临床医学专业本科毕业考试成绩,分析OSCE信度、效度、难易度及区分度;通过调查问卷了解考生对OSCE的认可程度. 结果表明:本次OSCE内部一致性信度系数为0.671,与专业理论考试成绩的相关系数为0.561(P=0.000),总体难度0.81,区分度0.21;71.43%的学生认为OSCE能客观全面地反映自身的临床技能水平. 因此,改良OSCE考核结果可靠、有效,可用于本科毕业考试中对学生临床基本技能的评估.
위검험개량객관결구화림상고시(OSCE)재림상의학전업본과필업고시중응용적유효성,본연구통과통계북경대학의학부림상의학전업본과필업고시성적,분석OSCE신도、효도、난역도급구분도;통과조사문권료해고생대OSCE적인가정도. 결과표명:본차OSCE내부일치성신도계수위0.671,여전업이론고시성적적상관계수위0.561(P=0.000),총체난도0.81,구분도0.21;71.43%적학생인위OSCE능객관전면지반영자신적림상기능수평. 인차,개량OSCE고핵결과가고、유효,가용우본과필업고시중대학생림상기본기능적평고.
To study the effectiveness of the application of modified objective structured clinical examination (OSCE) in the graduation examination in clinical medicine, the reliability, validity, difficulty and discrimination of OSCE are analyzed by gathering scores of graduation examination for undergraduates majored in clinical medicine . Questionnaire is used to get the opinions on the OSCE from examinees. It is found that the internal consistency reliability coefficient is 0.671 and the Pearson correlation coefficient between the OSCE and the theory test is 0.561 (P=0.000). The overall difficulty and discrimination are 0.81 and 0.21 separately. 71.43 percent of students maintain that OSCE could reflect the level of their clinical skills objectively and comprehensively. Therefore, the modified OSCE results are reliable and effective, which can be used for the evaluation of students' clinical skills in college graduation examination.