摘要
目的:分析安徽省临床类别医师资格考试实践技能考试通过率及其影响因素,为政府相关部门采取针对性的举措提供决策依据。方法:以安徽省2022年度实际参加临床类别医师资格考试实践技能考试的3327名某国家级考试基地考生为研究对象,分析其考试通过率,并与安徽省其他基地的平均水平进行对比;采用单因素分析和多因素logistic回归分析考试通过率的影响因素。结果:3327名参加临床类别实践技能考试的考生中2579名考生通过实践技能考试,通过率为77.52%;考试通过率与安徽省其他基地无统计学差异(χ~2=3.385,P=0.066);考试难度系数为67.94%;考生对第一考站掌握率最低(65.27%),尤其是病史采集和病例分析,掌握率仅有63.45%;多因素logistic回归分析显示,考试类别(OR=0.318,95%CI:0.256-0.395,P<0.01)、毕业情况(OR=1.484,95%CI:1.172-1.878,P<0.01)、年龄(OR=0.986,95%CI:0.974-0.998,P<0.05)、性别(OR=1.621,95%CI:1.352-1.944,P<0.01)以及单位等级(OR=1.605,95%CI:1.391-1.852,P<0.01)为通过临床类别实践技能考试的影响因素。结论:应深化教育体制改革,强化高等医学院校和医院间管理体制和教学方式的融合;政府决策部门应制定优抚政策,提升基层医生的职业认同感;考试基地应提升规范化建设水平以及考务组织的精细化管理水平,以提高考试通过率。
Objective:This study analyzes the pass rate and influencing factors of the practical skills examination in the clinical category of the National Medical Licensing Examination in Anhui Province,so as to provide evidence-based support for relevant government departments to develop targeted policy measures.Methods:A total of 3327 candidates who participated in the practical skills examination from an national examination base of Anhui Province in 2022 were selected as study objects and the pass rate was analyzed,which was compared with the average level of other examination bases in Anhui Province.The factors influencing the pass rate of practical skills examination were analyzed by univariate analysis and multi-variate logistic regression analysis respectively.Results:Among 3327 candidates who took the practical skills examination for clinical category,2579 candidates passed,yielding a pass rate of 77.52%.Compared with other examination bases of Anhui Province,there was no statistical difference(χ2=3.385,P=0.066).The difficulty coefficient was 67.94%.The mastery rate of the first test station was the lowest(65.27%),especially history collection and case analysis,with a mastery rate of 63.45%.Multi-variate logistic regression analysis showed that test category(OR=0.318,95%CI:0.256-0.395,P<0.01),graduation status(OR=1.484,95%CI:1.172-1.878,P<0.01),the age(OR=0.986,95%CI:0.974-0.998,P<0.05),the gender(OR=1.621,95%CI:1.352-1.944,P<0.01)and hospital level(OR=1.605,95%CI:1.391-1.852,P<0.01)were the affected factors.Conclusion:The reform of education system should be deepened,the integration of management system and teaching methods between medical colleges and medical institutions ought to be enhanced.The decision-making departments of government should formulate preferential care policies to enhance the professional identity of grass-roots doctors.In addition,the examination bases should improve the level of standardized construction and refined management to improve the pass rate.
作者
范冬冬
李爽
雷洁
姚自勤
郑昌成
FAN Dongdong(Department of Medical Affairs,The First Affiliated Hospital of University of Science and Technology of China,Hefei,Anhui,230001,China)
出处
《医学与社会》
北大核心
2025年第8期90-95,共6页
Medicine and Society
基金
国家卫生健康委员会委托项目“多院区模式下公立医院医疗质量同质化管理研究”,编号为2022034。
关键词
医师资格考试
实践技能考试
临床类别
通过率
安徽
Medical Licensing Examination
Practice Skills Examination
Clinical Category
Pass Rate
Anhui
