摘要
目的探讨在客观结构化临床考试（objectivestructuredclinicalexamination，OSCE）中使用学生标准化病人（studentstandardizedpatients，SSP）的客观l生和准确性。方法以参~H2013年3月30—31日毕业OSCE的2006级七年制临床医学专业168名学生为受试者，分析3个sP站点（冠心病心绞痛SSP站、急性胆囊炎SSP站、抑郁症SSP站）中SSP对受试者评分与专业医师评分间的差异。每一站点的考核内容均分为4项，总分为100，严格按照统一制定的细则评分；计数资料用x±s表示，数据采用t检验，P〈0．05为差异有统计学意义。结果冠心病心绞痛站SSP和专业医师对受试学生的总评分分别为（85．2±7．1）和（85．5±6．6），P=0．688；急性胆囊炎站SSP和专业医师对受试学生的总评分分别为（89．1±5．2）和（88．2±6．2），P=0．150；抑郁症站SSP和专业医师对受试学生的总评分分别为（79．8±7．5）和（78．2±7．0），P=0．078。结论SSP在OSCE中对受试学生的评分与专业医师评分间差异均无统计学意义，说明规范化培训的SSP应用于OSCE具有公平性和准确性，值得推广应用。
Objective To discuss the accuracy and objectivity of student standardized patients （ SSP ） in objective structured clinical examination （ OSCE ）. Methods On March 30 and 31, 2013, 168 seven-year program medical students of class 2006 and 2007 took part in OSCE. Differences in as- sessment results between SPP and those given by professional doctors at 3 SP sites （ angina pectoris SSP station, acute cholecystitis SSP station, depression SSP station ） were analyzed. Each site had d items for assessment, with a total score of 100. Scores were given in strict accordance with a set of unified scoring rules. Counting data were presented as x ± s. Data were verified using t test. P〈0.05 was considered statis- tically considerable. Results At angina pectoris station, respective scores of SSP and professional physi- cians were 85.2 ±7.1 and 85.5 ± 6.6, P=-.688. At acute cholecystitis station, respective score of SSP and professional physicians were 89.1 ± 5.2 and 88.2± 6.2, P=0.150. At depression station, respec-tive score of SSP and professional physicians were 79.8 ± 7.5 and 78.2 ± 7.0, P=0.078. Conclusion There is no statistical difference between scores given by SSP and those given by the physicians in OSCE. This proves that SSP who received standardized training delivers fair and accurate results in OSCE, and therefore is recommended for future application.
出处
《中华医学教育探索杂志》
2013年第7期723-725,共3页
Chinese Journal of Medical Education Research
基金
基金项目：重庆市教育科学“十一五”规划课题（2008-GJ-007）
重庆市高等教育教学改革重点课题（102101）
关键词
学生标准化病人
客观结构化临床考试
Student standardized patients
Objective structured clinical examination
