临床医学专业“七转八”入学考试增加客观结构化临床考试实践探索

Development and implementation of an objective structured clinical examination( OSCE) in clinical medicine “7 to 8 transferring project”admission examination

目的招收优秀的临床医学七年制医学生进入北京协和医学院临床医学八年制＂七转八＂项目学习。方法在临床医学专业＂七转八＂项目入学考试中增加5个考站的客观结构化临床考试（OSCE）。结果对考试成绩进行分析显示,OSCE的总成绩、笔试总分和沟通交流等项目近乎于正态分布,测试能力较好;SP问诊、查体和英语笔试没能区分出差异。考生的笔试成绩与各考站的相关系数在0.048-0.334之间。结论 2014年＂七转八＂入学OSCE项目的设计是成功的,有必要在＂七转八＂入学考试增加OSCE。

Objective To recruit top students from the medical institutions who completed six year education in a 7-year curriculum system at those schools in 8-year curriculum system in PUMC. Methods The selection of candidates is based on 5-station OSCE in admission examination. Results Analyzing the test scores showed that,total score of OSCE / medical theory test / communication station shows a near-normal distribute. However history taking /physical examination / English test is not able to distinguish the difference. The correlation coefficient of t of each test station is between 0. 048 - 0. 334. Conclusions It is necessary to develop and implement an OSCE for recruiting top medical students,and OSCE is proved a reliable tool for testing clinical ability.