OSCE考核在住院医师规培中的作用探讨

Discussion on the role of OSCE assessment in resident physician standardized training

目的探讨客观结构化临床考核(objective structural clinical examination,OSCE)在住院医师规培中的作用。方法采用回顾性分析的方法,将2015年10月~2016年10月在我院接受规范化培训的56例住院医师作为研究对象,所有住院医师均给予OSCE考核,对培训前后不同站点住院医师的OSCE得分、住院医师的认同情况以及住院医师的满意度进行综合评价。结果在规范化培训中应用OSCE考核后,发现住院医师在病史采集、病历书写、基本操作技能等站点的OSCE得分显著优于OSCE考核应用前,差异有统计学意义(P<0.05)。OSCE考核后,住院医师对OSCE考核的认可度显著优于应用前,差异有统计学意义(P<0.05)。通过对OSCE考核应用前后住院医师满意度进行分析,结果显示应用后满意度显著优于应用前,差异有统计学意义(P<0.05)。结论 OSCE考核在住院医师规范化培训中的应用,能够有效提升培训效果,增强住院医师的临床技能,提升住院医师的综合素质,值得广泛推广应用。

Objective To explore the role of objective structural clinical examination（OSCE） in resident physician standardized training. Methods A total of 56 resident physicians who received standardized training in our hospital from October 2015 to October 2016 were enrolled by retrospective analysis. All residents were given OSCE assessment. The OSCE scores of the resident physicians at different sites before and after the training, the resident physician＇s identity and the satisfaction of the resident were evaluated synthetically. Results The OSCE scores of the resident physician in the history acquisition, medical record writing, basic operating skills, etc. after the application of OSCE assessment in standardized training were significantly better than the those before the application of OSCE assessment（P〈0.05）. The degree of accreditation of the resident physician to the OSCE after the OSCE assessment was significantly better than that before the application, with statistically significant difference （P〈0,05）. The satisfaction degree after the application was significantly better than that before the application through＂ the analysis of the satisfaction degree of the resident before and after OSCE assessment, which was statistically significant （P〈0.05）. Conclusion The application of OSCE in standardized training of resident physicians can effectively improve the training effect, enhance the clinical skills and the comprehensive quality of the residents. It is worthy of popularization and application.