网络信息化客观结构化临床考核在妇产科临床技能考核中的应用

目的　探讨客观结构化临床考核（objective structured clinical examination，OSCE）结合智能网络信息化平台在妇产科临床技能考核中的价值。方法　将2017年在第二军医大学参加妇产科实习的临床医学生112人，随机分为实验组（网络信息化OSCE）及对照组（传统OSCE），通过教师及学生的问卷调查及答题成绩考核评价教学效果，分别用卡方检验及t检验作统计分析。结果　两种技能考核方式的问卷调查结果显示，无论是教师还是学生，在各项满意度指标中实验组均高于对照组，且差异均有统计学意义（P<0.05），实验组的考试总时间低于对照组，差异具有统计学意义（P<0.05）。实验组学生期末总成绩及其中的病例分析类型试题及临床操作考核成绩均高于对照组，但差异无统计学意义（P>0.05）。结论　OSCE结合网络信息化系统在妇产科临床考核中有很大的优势，该系统将医学生在妇产科领域里的临床能力评估推向新的研究方向，并值得推广。

Application of network information combined with objective structured clinical examination (OSCE) in the evaluation of clinical skills in obstetrics and gynecology

Objective To explore the value of OSCE system combined with intelligent network in-formation platform in clinical skills assessment of obstetrics and gynecology. Methods 112 clinical medi-cal students who participated in the practice of gynecology and obstetrics in Second Military Medical Uni-versity in 2017 were randomly divided into the experimental group (network information OSCE) and the control group (traditional OSCE). The teaching results were evaluated by the questionnaire survey of teachers and students and the examination results as well. The statistical analysis was made with the Chi-square test and the t test respectively. Results According to the questionnaire survey of two skills assessment methods, the satisfaction index of the experimental group was higher than that of the control group in both teachers and students, and the difference was statistically significant (P<0.05). The total time of examination in the experimental group was lower than that of the control group, and the difference was statistically significant (P<0.05). The final total score and the results of case analysis and clinical operation examination of experi-mental group were all higher than those of the control group, but there was no statistical difference (P>0.05). Conclusion OSCE combined with the network information system has an unparalleled advantage in the assessment of the obstetrics and gynecology department. The system will promote clinical education of ob-stetrics and gynecology and the evaluation of the clinical ability of the medical students to a new height, which deserves popularization.