OSCE在中医专业学生麻醉科出科考核中的应用

目的探讨客观结构化临床考试（objectivestructuredclinicalexamination，OSCE）在中医专业学生麻醉科实习出科考核的应用效果。方法制定中医专业学生麻醉科出科考核OSCE方案，并应用此方案对62名学生进行考核，考核内容为术前评估、气管插管术、深静脉置管术、腰椎穿刺术、病例分析、医疗文书书写掌握情况。通过考核成绩和问卷调查进行评估，定量资料采用单因素方差分析，问卷结果采用百分比，直接描述调查结果。结果考核成绩显示，医疗文书书写得分最高（18．25±1．53），病例分析得分最低（13．49t1．46），三大操作技能得分差异无统计学意义（P〉0．05）；问卷调查显示，OSCE方案科学、客观、公正，考核效果优于传统考核方案。结论OSCE方案能科学检验中医专业学生在麻醉科的临床实习效果，发现教学中存在的不足，促进临床教学工作的评估和改进。

Application of objective structured clinical examination in assessment of interns of traditional Chinese medicine in anesthesiology department

Objective To investigate the application efficacy objective structured clinical exam- ination （ OSCE ） in assessment of interns of traditional Chinese medicine in anesthesiology department. Methods Totally 62 interns were examed by OSCE formulated by anesthesiology department before de- partmental rotation. Contents of the exam included preoperative evaluation, endotracheal intubation tech- nique, deep venipuncture, lumbar puncture, case analysis, medical documents writing, etc. Assessment was made by exam results and questionnaire survey. Quantitative data were analyzed by ANOVA and results of questionnaire were analyzed by calculating percentage of each option and describing directly. Results Test results showed that the score of medical document writing was the highest （ 18.25 ＋ 1.53 ） , while that of case analysis was the lowest （ 13.49 ＋ 1.46 ） and there was no significant difference in scores of three clinical skills. Questionnaire survey showed the OSCE method is superior to traditional method since it is more scientific, objective and fair. Conclusions OSCE method can scientifically as- sess the clinical practice effect of interns of traditional Chinese medicine in anesthesiology department. Meanwhile, it can find the shortcomings in the teaching, which is helpful in promoting the assessment and improvement of clinical teaching.