计算机化OSCE在口腔临床实践技能考核中的应用

An exploration on computerized examination system of dental objective structured clinical examination

目的 :针对我国目前口腔医学生临床技能考核中存在的弊端,构建和实施口腔临床客观结构化考核体系(objective structured clinical examination,OSCE)。方法 :OSCE采用计算机信息化作业,考核方式为多站式考核,共分为3大部分、8个站点,考核内容包括基础知识选择题、辅助检查结果评判、病例分析测试题、医患沟通以及基本技能操作考核等。结果:运用OSCE,能够在较短时间内对口腔医学生分析、解决临床表现和问题的能力进行测试;从多方面、多目的评估应试者的临床实践能力、学习能力及职业素质;信息化操作平台也更加方便、环保。结论:计算机化OSCE有助于学生提早适应执业医师考试,提高学生的临床综合技能,值得在口腔教学中推广应用。

PURPOSE：In view of the present problems of clinical skill examination, in order to evaluate the candidate＇s clinical ability comprehensively and objectively, we constructed and implemented dental objective structured clinical examination system mainly based on computer. METHODS：This system was a multi-station examination which had 3 parts and 8 sites. The stations were composed of a variety of testing methods, including choice questions, auxiliary examinations, case analysis and basic operation skill. RESULTS： By using the computerized dental objective structured clinical examination system, we could smoothly test the ability of stomatological students in a relatively short time. The clinical ability, learning ability and professional quality could be evaluated more objectively in many ways. CONCLUSIONS：This system help students adapt to early examination of medical practitioners, improve students＇ clinical skills, and is worthy of wide application.