基于知识图谱的国内外OSCE研究的现状分析

An analysis of current status of research on objective structured clinical examination in China and globally based on knowledge graph

探讨国内外客观结构化临床考试在医学教育中的研究现状和趋势,为临床教学和医学教育的研究提供参考思路。以CNKI和Web of science核心合集建库至今收录的客观结构化临床考试期刊论文为研究对象,利用CtieSpace V软件对国内外OSCE的研究机构、作者、高被引文献和主题词变迁进行基于科学知识图谱的可视化分析。国内外的OSCE研究成果整体上呈现发文量逐渐上升趋势,但国外发文量明显高于国内。国内外OSCE科研机构和研究作者分布广泛,国外主要以综合性大学为主要研究机构,彼此合作联系较少。国内前期主要以医学教育研究为主,中期研究主要集中于SP的培训和标准化,后期则是关于住院医师、护士等临床胜任力的研究逐渐增多。国外前期研究主要集中于医学教育和临床胜任力等方面,后期主要以医患沟通、评估能力为主。预计国内未来研究将集中在OSCE模式基础上构建临床胜任力的评价体系,而国外未来研究趋势将集中在医患沟通及人文关怀考核等方面。

To investigate the research status and trends of application of objective structured clinical examination(OSCE)in medical education in China and globally,and to provide a reference for clinical teaching and medical education research.CNKI and Web of Science Core Collection were searched to identify journal articles related to OSCE published up to the present day.CtieSpace V software was used to visually analyze the research institutions,authors,highly cited literature,and keyword changes of the articles based on scientific knowledge maps.The overall number of publications on OSCE published in China and globally showed an increasing trend,but foreign publications were significantly more than Chinese publications.The institutions and authors were widely distributed.Comprehensive universities were the main institutions in foreign publications,with relatively little cooperation between each other.Domestic research primarily focused on medical education in the early stage,SP training and standardization in the middle stage,and clinical competence for resident physicians,nurses,and other clinical professionals in the late stage.Early foreign research focused mainly on medical education and clinical competence,while later research focused primarily on communication with patients and ability assessment.It is expected that future domestic research will focus on building clinical competence evaluation systems based on the OSCE model,while future foreign research will focus on patient communication and humanistic care assessment.