客观结构化临床考试在口腔住院医师规范化培训中的应用

Application of objective structured clinical examination in the dental standardized residency training

目的掌握口腔住院医师规范化培训学员的2018年年度考核口腔操作技能考核成绩,探究口腔住培过程中的薄弱环节,为今后的口腔住培临床技能教学提供数据支撑和科学依据。方法收集南昌大学附属口腔医院口腔住院医师规范化培训2018年年度考核口腔操作技能考核的成绩,采用Excel进行数据整理,运用SPSS 22.0进行统计分析,使用独立样本t检验进行单因素分析。结果2017级住培学员牙体预备专家结果分(23.72±2.13)和窝洞预备专家过程分(25.82±1.53)高于2016级住培学员,2017级住培学员窝洞预备结果分(21.08±3.13)低于2016级住培学员分(23.36±2.32),社会住培学员牙体预备过程得分(24.59±2.03)低于专硕住培学员的(26.29±1.64),且结果均有统计学意义(P<0.05)。不同年级和身份类型的住培学员每个项目得分最低的3个得分指标几乎一致。结论不同年级和身份类别的住培学员在不同操作项目和不同操作项目的各指标中的得分不同,提示在今后的口腔住院医师规范化培养过程中针对薄弱的项目和每个项目得分最低的指标要进行集中培训,尽快补齐短板,提高住培质量。

Objective To master the 2018 annual oral operation skills assessment of dental standardized residency training trainees,to explore the weak links in the process of the dental residency training,and to provide data support and scientific basis for improving the teaching of clinical skills for dental residency training in the future.Methods The results of 2018 annual oral operating skills examination of dental standardized residency training trainees in the Affiliated Stomatological Hospital of Nanchang University were collected,the data were sorted by excel and analyzed statistically by SPSS 22.0,and independent sample t test was performed for univariate analysis.Results The tooth preparation expert results and the scores of cavity preparation expert process in Batch 2017 were higher than those in Batch 2016[(23.72±2.13)scores vs.(25.82±1.53)scores],and the cavity preparation results of Batch 2017[(21.08±3.13)scores]were lower than those of Batch 2016[(23.36±2.32)scores].The scores of social trainees in the process of tooth preparation[(24.59±2.03)points]were lower than those of the professional postgraduates[(26.29±1.64)points],and the results were all statistically significant(P<0.05).The three lowest scores of each item in different grades and status types were almost the same.Conclusion Different grades and different status categories have different scores in different operation items and different score indicators,which suggests that the dental standardized residency training should focus on the weak items and the indicators with lowest scores of each item,so as to make up the shortage and improve the quality of standardized residency training.