多元化临床能力评估在住院医师规范化培训中的实践

Application of diversity assessment on clinical competence in standardized training of residents

为了进一步提高住院医师规范化培训的质量，探索建立一套实用、有效的住院医师临床能力考评体系。通过在住院医师规范化培训的不同阶段联合应用迷你临床演练评估、病例答辩、临床步骤的直接观察和客观结构化临床考试等多种方法，对住院医师的临床能力进行全方位的评估。结果表明，多元化评估方法的应用具有知识与技能并重、考核与培训互促、强化人文素质培养的优势，值得进一步推广。

To establish a practical and effective evaluation system for residents＇ clinical competence in the standardized residents training program, multiple means of Mini-CEX, Cbd, DOPS and OSCE were implemented in different stages of training. Results demonstrated that multi-directional and diverse evaluation strategies valued both knowledge and skills, mutually promoted training and evaluation, and intensified humane quality culture, which are worth popularizing.