目的 对近几年北京市康复科住院医师规范化培训结业理论考核及临床技能综合考核数据进行分析,为今后建立更加规范的考试标准和考核模式提供可供借鉴的依据。方法 针对2011年至2016年结业理论考核及临床技能综合考核成绩建立数据文件,分析试题难度、区分度以及影响临床技能考核结果的因素。结果 2014年至2016年考核试卷难度都较高,试卷区分度较好。学历和年度对临床技能考核成绩无影响(P>0.05);医院级别对临床技能考核成绩有影响(P<0.05)。结论 应继续重视康复医学科住院医师规范化培训与考核,结合考核分析结果以及考核中暴露出的相关问题,提出切实可行的方案,以提高住院医师培训质量。
Objective To analyze the results of theoretical test and clinical skills examination of standardized resident training graduation exam in Beijing in recent years, to improve the examination standards and assessment models. Methods The results of theoretical test and clinical skills examination from 2011 to 2016 were collected. The difficulty, degree of differentiation, and factors related with the result of clinical skills examination were analyzed. Results The test paper is difficult with good degree of differentiation from 2014 to 2016. Education degree and year were not related with the clinical skills (P>0.05), while the hospital level was (P<0.05). Conclusion The standardized training and assessment of residents in rehabilitation medicine need continuously attention. Combined with the results of the assessment and the problems exposed in the assessment, a feasible scheme should be put forward, in order to improve the quality of resident training.
[1] 胡永善. 华盛顿大学培养康复医学住院医师的启迪[J]. 中国康复理论与实践, 2000, 6(3): 121-122.
[2] 张皓,张小年. 要重视康复住院医师培训工作[J]. 中国康复理论与实践, 2010, 16(9):894-895.
[3] 卫生部毕业后医学教育委员会. 专科医师培训标准[M]. 北京:中国协和医科大学出版社, 2007: 1-329.
[4] 卫生部毕业后医学教育委员会. 专科医师培训基地标准[M]. 北京:中国协和医科大学出版社, 2007: 1-150.
[5] 程传苗,罗旭. 住院医师规范化培训的实践与思考[J]. 医学教育探索, 2006, 19(7): 662-664.
[6] 张凤仁,纪树荣,张皓. 康复住院医师规范化培训的探索与实践[J]. 中国康复理论与实践, 2013, 19(3): 298-300.
[7] 朱滨海,沈历宗,王哲,等. 住院医师培训质量保证体系基本框架初探[J]. 中国医院, 2009, 13(11): 65-67.
[8] 张凤仁,李洪霞,赵扬. 康复治疗学专业学生临床实践能力培养的探索与实践[J]. 中国康复理论与实践, 2012, 18(1): 96-98.
[9] 黄国琼. 从医学教育发展趋势谈课程体系和教学模式的转变[J]. 西北医学教育, 2000, 9(3): 131-132.
[10] 张毅. 中美住院医师培训制度现状及启示[J]. 首都医科大学学报(社科版), 2008(1): 59-61.