执业医师资格分阶段考试临床理论考试成绩的评价与思考

Evaluation and thinking on the clinical theoretical exam of phased examination for medical practitioner qualification

目的分析某校医学院五年制临床医学专业学生医师资格分阶段考试临床理论考试成绩,探讨该校医学教育存在的问题和教育教学改革的方向。方法采用难度、区分度分析试题质量,采用SPSS 24.0行F检验和LSD-t检验分析基础医学、医学人文、临床医学和预防医学各模块及二级学科掌握率。结果试卷总体难度系数为0.74,区分度为0.37;各模块难度系数均大于0.70,区分度均在0.40左右;基础医学、医学人文、临床医学和预防医学掌握率都在70%以上,临床医学最高,医学人文和基础医学最低;各二级学科掌握率均在60%以上,差异较大。结论此次考试较简单,区分度好,学生知识总体掌握较好;但仍需要根据薄弱点创新教育教学改革,提高教学质量。

Objective To analyze the performance of clinical theoretical examination of the five year clinical medical students in a medical school,and to explore the existing problems and direction involving in the medical education.Methods The difficulty coefficient and degree of discrimination were used to analyze the quality of this test,and F test and LSD-t test were conducted with SPSS 24.0 to analyze the mastery rate of various modules and secondary disciplines including basic medicine,medical humanities,clinical medicine and preventive medicine.Results The overall difficulty coefficient of the test was 0.74,and the degree of discrimination was 0.37.The coefficient of difficulty of each module is more than 0.70,and the degree of discrimination is about 0.40.The mastery rates of each module were all greater than 70%,with clinical medicine being the highest and medical humanities and basic medicine being the lowest,and the mastery rate of each secondary discipline was more than 60%,with a significant difference.Conclusion This exam is sample,the degree of discrimination is good,and the overall knowledge is well mastered.However,it is still necessary to innovate education reform and improve the teaching quality based on weak points.