摘要
目的通过对新疆维吾尔自治区住院医师客观结构化临床考试（OSCE）的考官进行短期培训，了解开展OSCE的需求与可行性，为进一步推广OSCE应用于全科住院医师能力评估提供依据。方法2016年3月对参与新疆维吾尔自治区首届全科规范化培训住院医师结业考核的60名考官进行为时半天的集中培训，培训前后采用自行设计的调查问卷了解OSCE的认知情况及培训需求，并评价培训效果。结果培训前78．3％（47／60）的考官知晓OSCE，49名（81．7％）对其概念有所了解，44名（73．3％）对OSCE的实施步骤有所了解，21．7％（13／60）曾参与过OSCE，95．0％（57／60）的考官希望了解“如何实施OSCE”。培训后60名考官对OSCE的6个考站（病史采集、体格检查、病史书写、病例分析、临床操作、医患沟通）考核项目及实施方法的完全理解和基本理解的比例均超过90．0％。90．0％以上的考官认同OSCE在评价住院医师临床能力方面的优点。对于培训的时间、内容、方式总体满意度较高，均超过70．0％。结论考官认同OSCE在评价住院医师临床能力方面的优势，有较强的参与意愿，短期培训具有一定效果与可操作性。
Objective To evaluate the effect of short-term training of objective structured clinical examination （OSCE） examiner in general practice residency training final examination. Methods Sixty examiners from Xinjiang Uygur Autonomous Region participated in half-day workshop of OSCE. The participants were interviewed with questionnaire before and after the training program and the effect of training was evaluated. Results The study showed that 78. 3% （47/60）examiners knew OSCE and understood the concept and implementation steps before the training; 21.7% （13/60）had used it before; 95.0% （57/60） examiners intended to learn the performance of OSCE. After training most participants completely or basically understood the 6 test stands and implementation methods of OSCE; the participants were highly satisfied with the training duration, contents and methods, and the satisfaction rates were all over 70%. Conclusion The examiners recognize the advantages of OSCE in assessment of clinical skills and have strong intention of application. Short-term training has a certain effect and feasibility.
作者
陈倩
张向杰
许淼
潘志刚
Chen Q;Zhang X J;Pan ZG;x~ M(Department of General Practice, Zhongshan Hospital, Fudan University, Shanghai 200032, China;Transaction Center of Resident Standardization Training, Shanghai 200040, China)
出处
《中华全科医师杂志》
2018年第2期99-103,共5页
Chinese Journal of General Practitioners
基金
上海市重要薄弱学科建设项目（2015ZB0601）
中华医学会医学教育分会/中国高等教育学会医学教育专业委员会医学教育研究课题（2016B-QK008）
关键词
培训
客观结构化临床考试
全科医师
Training
Objective structured clinical examination
General practitioner
