摘要
目的:探讨全国高等医学院校大学生临床技能竞赛总决赛(简称全国总决赛)的不同竞赛形式,即客观结构化临床考试(objective structured clinical examination,OSCE)和赛道式对竞赛结果的影响,为进一步完善全国总决赛的竞赛形式提出改进建议。方法:采用资料分析方法,对第七届全国总决赛的具体赛制和42所院校代表队168名参赛选手的初赛与复赛成绩进行分析。结果:总决赛的初赛采用了以OSCE为主、赛道式为辅的形式。初赛OSCE有14站29个项目,赛道式有3站5个项目,42所院校OSCE比赛结果的信度系数为0.847,远高于赛道式的信度系数0.637。复赛20所院校代表队采用赛道式3站5个项目,复赛结束后,初赛OSCE排名前8位的学校有一半无缘半决赛。结论:赛道式的竞赛形式存在不合理因素。针对高利益相关的临床技能竞赛,OSCE比赛道式更加公平和公正,建议全国总决赛的竞赛形式由单纯赛道式改为以OSCE为主、赛道式为辅的形式。
Objective To explore the impacts of different competition forms,like OSCE and tracks contest,on the results of the finals of the National Clinical Skills Competition which is developed for evaluation of training outcomes of medical undergraduates in China,and puts forward some suggestions for further improving the competition forms of the national finals.Methods The specific competition system and the results of the preliminary and quarter-final of 168 medical students from 42 colleges and universities participating in the 7th National Clinical Skills Competition were analyzed.Results The preliminary part of the 7th National Clinical Skills Competition was dominated by OSCE and combined with the track contest.There were 29 tasks in 14 stations in the preliminary OSCE,and 5 tasks in 3 stations in the track contest.The data analysis showed that the reliability coefficient of the OSCE(α=0.847)is much higher than that of the track contest(α=0.637).The quarter-final by 20 colleges and universities adopted the track contest with 5 tasks in 3 stations.Compared with the preliminary OSCE,half of the top 8 colleges in the preliminary OSCE failed to reach the semi-final.It is suggested that the difference may be caused by the unreasonable design of the competition form.Conclusions In order to make the National Clinical Skills Competition more fairness,more justice and more openness,it is suggested that the competition form of national final competition should take OSCE as a major form and supplemented by track contest.
作者
厉岩
Li Yan(School of Pharmacy,Tongji Medical College of Huazhong University of Science&Technology,Wuhan 430030,China)
出处
《中华医学教育杂志》
2021年第7期616-621,共6页
Chinese Journal of Medical Education
关键词
临床技能竞赛
医学生
客观结构化临床考试
赛道式
竞赛形式
Clinical skills competition
Medical undergraduates
Objective structured clinical examination(OSCE)
Tracks contest
Form of competition
