江苏省妇产科住院医师规范化培训结业考核中客观结构化临床考试的实施与评价

目的 江苏省妇产科住院医师规范化培训结业考核实施客观结构化临床考试（objective structured clinical examination,OSCE）方案,并通过考试成绩分析,评价客观结构化临床考试的有效性、可靠性和适宜性,以进一步优化客观结构化临床考试方案.方法 运用教育测量学和教育统计学原理,对客观结构化临床考试方案及其成绩的效度、信度、难度、区分度等指标进行统计分析和综合评价分析.结果 客观结构化临床考试方案共有3个部分9个站点;内容效度较高,内部一致性信度较好;成绩呈正态分布;各站点的难度系数、区分度、站点一总分相关系数、去站点Cronbach系数等指标较为适宜;综合评价提示,需要进一步提高客观结构化临床考试实施效果.结论 江苏省妇产科住院医师规范化培训结业考核实施客观结构化临床考试方案是比较有效的、可靠的和适宜的,但仍然需要进一步优化客观结构化临床考试方案,提高实施效果.

Implementation and evaluation of objective structured clinical examination in residency standardized training graduation examination of gynecology and obstetrics in Jiangsu Province

Objectives To implement the OSCE program in residency standardized training graduation examination of gynecology and obstetrics in Jiangsu Province,and assess effectiveness,reliability and suitability of the program by analyzing score,so as to improve the program.Methods Using educational measurement and statistics principle to make statistical and comprehensive evaluation analysis of the validity,reliability,difficulty,discrimination index of OSCE program and the score.Results The program consists of three parts of nine sites; high content validity; good intramural consistency validity; normal distribution of the score; appropriate coefficient of difficulty,differentiation,site-total score correlation and dislodgement site Cronbach; comprehensive evaluation prompts the effect of OSCE should be further enhanced.Conclusions The OSCE program in residency standardized training graduation examination of gynecology and obstetrics in Jiangsu Province is effective,reliable and suitable,but the program still needs to be further optimized to improve the operation effect.