上海市浦东新区全科医师临床能力水平考试结果分析

Analysis of clinical competence test results of general practitioners in Shanghai Pudong New Area

目的 了解上海市浦东新区全科医师临床能力水平状况,以促进全科医师加强自我学习,提高临床能力.方法 组织上海市浦东新区1 160名全科医师参加临床能力水平考试,包括理论知识和技能操作两部分,考试方式采用人机对话和仿真模拟人,分数均由电脑审阅生成,对考试成绩进行相关分析.结果 参试者理论考试平均（64.24±12.23）分,及格率64.2％ （745/1 155）.学历分类上硕士及以上学历者的平均分最高,为（67.09±13.38）分;但本科学历者及格率最高,为69.7％（349/501）.职称分类上副高及以上者平均分和及格率均最高,分别为（68.26±9.92）分和82.7％（43/52）.各科目理论考试正确率前3名分别为全科概论（69.7％）、内科（68.6％）与肿瘤（66.9％）.其中327人参加技能操作考试,平均及格率39.1％（128/327人）.秩均值硕士及以上学历和初级职称最高,分别为192.87和171.08.硕士及以上学历和中级职称及格率最高,分别为50.0％（8/16）和40.1％（97/242）.结论 全科医师理论和技能操作平均分和及格率均较低,对全科医学概论、内科等理论知识掌握较好,专科理论知识掌握欠佳;提示全科医师的临床能力需进一步提高,要强化专科知识学习.

Objective To analyze the clinical competency test results of general practitioners （GPs） in Shanghai Pudong New Area.Methods Total 1 160 GPs from Pudong New Area attended the clinical ability tests,all participated in theory test and 327 GPs attended practice skill tests.The results were reviewed by computer and the scores were automatically generated.Results The average score and pass rate of theory test were （64.24 ± 12.23） points and 64.2% （745/1 155）,respectively.The average scores of GPs with master or above degree were the highest （67.09 ± 13.38 points）,however,the pass rate of GPs with undergradnate degree was the highest （69.7%,349/501）.GPs with senior professional title got the highest average score and pass rate [68.26 ± 9.92 points and 82.7% （43/52）,respectively].Introduction to General Practice （69.7%）,Internal Medicine （68.6%） and Cancer （66.9%） were the top 3 subjects with the highest correct rate.The pass rate of clinical skills was 39.1% （128/327）,GPs with master degree or above （192.87） and those with junior professional titles （171.08） had the highest scores.GPs with master degree or above （50.0%,8/16） and those with intermediate professional title （40.1%,97/242）had the highest pass rate.Conclusions The analysis shows that the average score and pass rate of both theory test and clinic practice skills test are not satisfactory among GPs in Shanghai Pudong New Area.The clinical ability of GPs need to be further improved,and the study of some specific disciplines need to be further strengthened.