Design and thoughts of eight-year track of clinical medicine in the 10th National Medical Technical Skills Competition for College Students
Qi Xin, Gao Yusong, Zhang Hong, Li Yan, Liu Zhaoping, Wang Wei, Wang Ying, Li Haichao
Published 2022-07-01
Cite as Chin J Med Edu, 2022, 42(7): 586-590. DOI: 10.3760/cma.j.cn115259-20211215-01533
Abstract
ObjectiveTo analyze the test questions and results from the eight-year track competition of clinical medicine in the 10th National Medical Technical Skills Competition joined by medical undergraduates, discuss and evaluate the rationality and assessment efficiency, and put forward some suggestions for improvment.
MethodsBased on Accreditation Standards for Basic Medical Education in China(2016), the examination scope of the 10th Medical Technical Skills Competition for Chinese College Students, the Operation guide of Clinical Skills for Chinese medical students and relevant competency frameworks, the eight-year track and the results of each team were analyzed. SPSS 26.0 was used to evaluate the difficulty, discrimination and reliability of each station. The correlation between each station's score and the total score was analyzed.
ResultsThe eight-year track covers Accreditation Standards for Basic Medical Education in China and Examination Scope of the 10th Medical Technical Skills Competition for Chinese College Students. The difficulty of the silver medal competition was 0.63, the discrimination was 0.79 and the Cronbach coefficient was 0.93. The difficulty of the gold medal competition was 0.79, the discrimination was 0.81 and the Cronbach coefficient was 0.66. Items with the scoring percentage of less than 60% in the silver medal competition, included Medical Expert, Collaborator and Scholar within the CanMEDS and gathering history and performing physical examination during patient encounter, selecting and interpreting auxiliary examinations, diagnosis and differential diagnosis, developing the comprehensive management plan for patients, preparing and responding to public health events within Core Residency Entrustable Professional Activities.
ConclusionsThe design of eight-year track is reasonable. The evaluation is accurate and the results are reliable and stable. The teams still need to improve in terms of competencies. It is suggested to design and optimize the competition of clinical medical technical skills according to relevant competency frameworks.
Key words:
Students, Medical; Eight-year medical education; Technical skills competition; Competency; Entrustable professional activities
Contributor Information
Qi Xin
Department of Plastic Surgery &
Burns, Peking University First Hospital, Beijing 100034, China
Gao Yusong
Department of Emergency, Peking University First Hospital, Beijing 100034, China
Zhang Hong
Department of Anesthesiology, Peking University First Hospital, Beijing 100034, China
Li Yan
Department of Cardiac Surgery, Peking University First Hospital, Beijing 100034, China
Liu Zhaoping
Department of Cardiology, Peking University First Hospital, Beijing 100034, China
Wang Wei
Department of Education, Peking University First Hospital, Beijing 100034, China
Wang Ying
Department of Education, Peking University First Hospital, Beijing 100034, China
Li Haichao
Peking University First Hospital, Beijing 100034, China
