住院医师规范化培训年度业务水平测试成绩分析及影响因素研究

Results of annual professional proficiency testing for standardized residency training and related influencing factors

目的通过分析2022年度住院医师年度业务水平测试模拟及正式测试成绩,探讨其影响因素及模拟测试有效性,提出提高年度业务水平测试成绩的对策。方法对2022年度202名住院医师的年度业务水平测试成绩进行分析,收集住院医师的性别、学历、人员类型、执业医师资格考试(“执医考试”)通过情况以及模拟测试成绩等资料进行影响因素分析。采用SPSS 23.0、GraphPad Prism 8进行卡方检验、t检验、单因素方差分析及Fisher确切概率法,筛选影响因素采用多元线性回归分析,评价相关性采用Pearson相关性分析。结果202名住院医师年度业务水平测试成绩呈正态分布,其中分数在90~99分的考生人数最多,<70分的考生人数最少;通过执医考试的住院医师年度业务水平测试成绩高于未通过者(t=2.87,P=0.005),3次模拟测试及格的住院医师年度业务水平测试成绩均高于模拟测试未及格者,差异均有统计学意义(P<0.05);其中,二模成绩、三模成绩、执医考试通过情况是住院医师年度业务水平测试成绩的独立影响因素(R^(2)=0.236,R2=0.201,F=6.60,P<0.05);相关分析显示,3次模拟测试均与最终成绩具有一定正相关性(r=0.189、0.373、0.311,P<0.05)。结论提高执医考试通过率、加强考前模拟测试有助于提升年度业务水平测试成绩。同时,加强不同类型学员同质化管理、提高各层级重视力度和积极性、加快题库建设等措施,全面提升培训质量。

Objective To analyze the results of the practice test and formal test of the annual professional proficiency test for residents in 2022,to investigate related influencing factors and the effectiveness of the practice test,and to propose the measures for improving the results of the annual professional proficiency test.Methods The scores of the annual professional proficiency test were analyzed for 202 residents who participated in the test in 2022,and the data on sex,education background,type of personnel,whether they passed the medical licensing examination,and practice test scores were analyzed to investigate related influencing factors.SPSS 23.0 and GraphPad Prism 8 were used for the chi-square test,the t-test,the one-way of variance,and the Fisher's exact test.A multiple linear regression analysis was used to identify influencing factors,and a Pearson correlation analysis was also performed.Results The scores of the annual professional proficiency test for 202 residents were normally distributed with the highest number of the residents with a score of 90-99 points and the lowest number of the residents with a score of<70 points.The residents who passed the medical licensing examination had a significantly higher score of the annual professional proficiency test than those who failed the examination(t=2.87,P=0.005),and the residents who passed the three practice tests had a significantly higher score of the annual professional proficiency test than those who failed the practice tests(P<0.05).The score of the second practice test,the score of the third practice test,and the passing of medical licensing examination were independent influencing factors for the score of annual professional proficiency test(R2=0.236,R2=0.201,F=6.60,P<0.05).The correlation analysis showed that the scores of the three practice tests were positively correlated with the final score(r=0.189,0.373,and 0.311,P<0.05).Conclusions Improving the passing rate of medical licensing examination and strengthening pre-examination practice tests can help to improve the score of annual professional proficiency test.At the same time,it is necessary to improve the quality of training through the measures such as strengthening the homogenization management of different types of students,improving the attention and enthusiasm of all levels,and accelerating the construction of question banks.