引用本文:姚隆1 李华2 曾闽榕3 袁继梅3 邱发祥1 曹洁3,4.基于器官系统的OSCE在临床实践教学中的应用[J].中华医学教育探索杂志,2020,19(4):458-462
基于器官系统的OSCE在临床实践教学中的应用
Application of OSCE based on organ system in clinical practice teaching
DOI:
中文关键词:  客观结构化临床考试  临床能力  实践教学  教学方法
英文关键词:Objective structured clinical examination  Clinical ability  Practice teaching  Teaching method
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作者单位
姚隆1 李华2 曾闽榕3 袁继梅3 邱发祥1 曹洁3,4 1重庆市江津区中心医院急救部 4022602重庆市江津区中心医院办公室 4022603重庆市江津区中心医院科教部 4022604重庆市江津区中心医院消化科 402260 
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中文摘要:
      目的 探讨基于器官系统的客观结构化临床考试(objective structured clinical examination,OSCE)在临床医学专业实习生实践教学中的应用。方法 选取重庆市江津区中心医院2017年(对照组)和2018年(研究组)临床医学专业本科实习生为研究对象;分别应用传统实践教学方法和传统床边教学结合基于器官系统的OSCE进行实践培训;通过理论考试和OSCE测试成绩评价教学效果,通过问卷调查和现场座谈得到教师和学生的反馈信息,比较两组医学生在培养临床能力方面的差异。结果 研究组和对照组理论考试平均成绩相当,差异无统计学意义(P>0.05);在OSCE测试中,研究组病史采集站、体格检查站、技能操作站、医患沟通站平均成绩以及平均总成绩明显高于对照组(P<0.05),两组在辅助检查判读站和文献检索站平均成绩相当,差异无统计学意义(P>0.05)。研究组实习生对临床教学的满意率明显高于对照组(P<0.05)。结论 基于器官系统的OSCE在培养医学生的病史采集、体格检查、技能操作、医患沟通等综合临床能力方面明显优于传统实践教学方法。
英文摘要:
      Objective To study the application of objective structured clinical examination (OSCE) based on organ system in the practice teaching for clinical interns. Methods Undergraduate interns majored in clinical medicine in grade 2017 (control group) and 2018 (experimental group) of Jiangjin Central Hospital of Chongqing were selected as the research objects and divided into control group and experimental group. In the control group, the interns received traditional practice teaching, and the interns in the experimental group received traditional bedside teaching combined with OSCE based on organ system. Results of theoretical examination and OSCE test were used to evaluate the teaching effect, and feedbacks were obtained from teachers and students through questionnaire survey and field discussion, so as to compare the differences between the two teaching methods in cultivating clinical ability of medical students. Results The average scores of theoretical examination of the two groups were similar, the difference was not statistically significant (P>0.05). In OSCE test, the average scores and total scores of medical history collection station, physical examination station, skill operation station, doctor-patient communication station in the research group were significantly higher than those in the control group (P<0.05). The average scores of the two groups in the auxiliary examination interpretation station and literature retrieval station were similar, and the differences were not statistically significant (P>0.05). Conclusion The OSCE based on organ system is obviously superior to traditional practice teaching in the development of medical students' comprehensive clinical capacity such as medical history collection, physical examination, skill operation and doctor-patient communication.
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