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客观结构化临床考核在耳鼻咽喉专业住院医师出科考核中的应用

Application of objective structured clinical examination on phase examinations for otolaryngology residents

摘要客观结构化临床考核是目前考察医学生临床思维和临床能力的重要手段.我科较早地在每季度一次的出科考核中应用客观结构化临床考核.根据耳鼻咽喉专业特点,考核中设置共性项考站3站及个性化考站5站;结合住院医师前一阶段轮转内容的不同,在个性化考站中进行不同培训内容的考核.考核中学员轮流进入各站点,考官根据各站点的评分细则打分.考核结束后进行学员与教师的双向评估及反馈.通过近几年在住院医师培训中的实践,发现这种考核更全面和灵活,获得很好的应用效果.

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abstractsObjective structured clinical examination (OSCE) is an important assessment method for examining clinical thinking and clinical skills of medical students. OSCE has been applied in the quarterly phase examination in our department. According to the characteristics of otolaryngology, three stations of common items and five stations for personalized tests were set in the assessment. According to the different training that residents received during their stay in the previous department , different contents were assessed in the station for personalized examination. During the OSCE, residents took turns entering into each examine station and teachers gave scores according to the marking criteria of different station. After the examinations, two-way assessment and feedback were conducted between students and teachers. Through the practice in standardized training of residents in recent years, we found that OSCE was more comprehensive and flexible than others, which gained good application effects.

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