客观结构化临床考试在北京市精神科住院医师临床技能考核中的应用

Application of objective structure clinical examination in evaluation of clinical skills for psychiatric residents of Beijing City

新出台的《精神科住院医师规范化培训细则(试行)》更加注重临床能力的培养,对精神科医师的临床技能水平提出了更高的要求,这也使精神科临床技能考核的客观化和公平性日益受到关注。精神检查在精神科临床技能考核中占有很大的比重,而精神病患者常常不能有效配合或者经过治疗后症状消失,使得传统的床旁考试难以顺利进行,无法客观体现考生的真实临床技能和综合能力。客观结构化临床考试(OSCE)由于较好地整合了临床知识和技能,在国外临床考试中应用日趋广泛,本文对此予以简要介绍,并总结了采用OSCE的利弊,以期在北京市精神科住院医师临床技能考核中有所借鉴。

The new standardized psychiatric resident policy pay more attention on clinical competence. Higher requirements for clinical skills of psychiatric residents are suggested. Attention has recently drawn to the object and fairness of psychiatric evaluation of clinical skills. Mental examination plays a major part in the psychiatric evaluation of clinical skills. The psychiatric patients often cannot effectively cope with or after treatment the symptoms disappeared, which makes the traditional bedside examination cannot run smoothly. Examination in such a way could not objectively reflect the examinee＇s true clinical skills and comprehensive ability. OSCE, the objective structure clinical examination, is a better integration of clinical knowledge and skills and has become popular in medical clinical examinations overseas. The article briefly introduces and summarizes the advantages and disadvantages of using OSCE, in order to give some reference in clinical skills evaluation in psychiatry in Beijing City.