2009年上海地区具有规定学历中医医师资格实践技能考试试卷及成绩分析

Analysis of scores and papers for the practical skills of traditional Chinese medical qualification examination of the year 2009 in Shanghai area

目的:通过分析试卷及学生成绩,了解上海地区具有规定学历人员的临床实践技能掌握情况,评价教学成果,揭示薄弱环节,为今后的临床教学改革提供科学依据。方法:收集2009年上海考区具有规定学历人员中医医师资格实践技能考试试卷共721份,运用教学统计学的原理和方法对试卷进行分析,考核试卷难度、信度、区分度及考生成绩。结果:试卷信度为0.527,试题各部分难度系数为0.582～0.828,区分度为0.401～0.753;平均成绩为(75.519±11.073)分,其中,中医操作1平均分最高,西医答辩平均分最低。结论:试卷的信度、区分度较好,难度适中。学生平均成绩较好,但西医科目答辩能力及操作能力欠佳。

Objective：To understand the degree of local medical students＇ clinical practice skills,evaluate teaching achievements and reveal weaknesses by analyzing the test papers and grades,so as to provide scientific advices for reform in clinical education.Methods：Test papers of 721 copies of traditional Chinese medical qualification examination（practical skills examination）were collected from the examination district of Shanghai in 2009.The papers were analyzed by using the principle and method of teaching statistics.The difficulty and reliability coefficients,discrimination and scores were evaluated.Results：The reliability coefficient of the paper was 0.527,the difficulty coefficients of different parts differed from 0.582 to 0.828 and the discrimination ranged from 0.401 to 0.753.The average score was 75.519 with the standard deviation of 11.073.The examinees had high scores in Chinese medicine training,including acupoint location and methods of acupuncture and moxibustion,but low scores in practice and display of Western medicine.Conclusion：The reliability coefficient,discrimination and the difficulty are all preferable.The students got a satisfying average while they had a shortage of ability in practice and display of Western medicine.