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• 住院医师规范化培训 •
ENGLISH ABSTRACT
广东省住院医师规范化培训结业考核结果分析
肖亚婷
刘理
作者及单位信息
·
DOI： 10.3760/cma.j.cn116021-20190826-00132
Analysis of examination results of residents' standardized training in Guangdong Province
Xiao Yating
Liu Li
Authors Info & Affiliations
Xiao Yating
School of Health Services Management, Southern Medical University, Guangzhou 510000, China
Liu Li
School of Continuing Education, Southern Medical University, Guangzhou 510000, China
·
DOI： 10.3760/cma.j.cn116021-20190826-00132
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摘要

目的对2016至2018年广东省住院医师规范化培训学生结业考核结果进行分析，探讨考核结果差异及影响因素。

方法收集整理三年来住院规范化培训结业考核成绩，其中参加理论考核共9 175人，参加临床综合技能考核共8 949人。分析理论试卷的难度及区分度，利用 t检验、 F检验和逐步线性回归，分析成绩差异及其影响因素。

结果2016至2018年试卷难度较高，区分度不太好。不同性别、学历、年份和来源之间的理论和技能成绩的差异均有统计学意义（ P<0.05），不同医院类别之间的理论成绩差异有统计学意义（ P<0.05）。医院类别、学历和来源是影响理论成绩的主要因素，学历和来源是影响技能成绩的主要因素。

结论继续加强规培基地建设，规范结业考核标准，促进规培制度的完善与发展。

住院医师规范化培训;结业考核;影响因素;医学教育
ABSTRACT

ObjectiveTo analyze the assessment results of the students who completed the standardized resident training in Guangdong Province from 2016 to 2018, and to explore the differences in the assessment results and the influencing factors.

MethodsThe final examination results of standardized training in hospital in the past three years were collected and sorted out, including those of 9175 participants in theoretical examination and 8949 participants in clinical comprehensive skills assessment. The difficulty and discrimination of theoretical tests were analyzed. T test, F test and stepwise linear regression were used to analyze the difference of achievement and its influencing factors.

ResultsDuring the period of 2016 to 2018, the difficulty level of the tests was high, and the discrimination degree was not very good. Besides, there were statistically significant differences in theoretical and skill scores among different gender, academic background, year and source ( P<0.05), and there was significant difference in theoretical scores among different hospital categories ( P<0.05). Hospital category, academic background and source were the main factors that affected the theoretical achievement, and the academic background and source were the main factors affecting the skill achievement.

ConclusionWe should continue to strengthen the construction of training base, standardize the completion assessment, and promote the development of regulation system.

Standardized resident training;Completion assessment;Influencing factors;Medical education
Liu Li, Email: mocdef.uabmmifuiliL
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引用本文

肖亚婷,刘理. 广东省住院医师规范化培训结业考核结果分析[J]. 中华医学教育探索杂志,2020,19(05)：580-585.

DOI:10.3760/cma.j.cn116021-20190826-00132

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住院医师规范化培训（简称"规培"）是医学终身教育体系承前启后的关键阶段，是临床医学生成长成为合格医生的必经之路 [ 1 ]。2015年广东省全面启动住院医师规范化培训工作，结业考核包括理论考核和临床实践能力考核。其中，理论考核采用人机对话的形式对学员的公共及专业理论进行鉴定，技能考核基于客观结构化临床考试（OSCE），采用多站式对考生能力进行评估。有效的考核方式是鉴定与保证培养成效的核心环节 [ 2 ]。本研究旨在通过对广东省2016至2018年规培结业理论考核及临床技能考核成绩数据分析，运用统计学方法对结业考核难易程度、考核成绩进行科学总结，为今后优化考试标准及考核模式提供依据，以进一步提高今后住院医师培训的质量。
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备注信息
A
刘理，Email： mocdef.uabmmifuiliL
B

肖亚婷：提出论文构思、撰写论文；刘理：总体把关、审订论文

C
所有作者均声明不存在利益冲突
D
广东省医学科学技术研究基金项目 (C2017038)
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