文章摘要
宋巧玲,吴建浓,高祥福,等.基于中医执业医师分阶段考试的中医学专业成绩分析与策略研究[J].浙江中医药大学学报,2024,48(7):848-854.
基于中医执业医师分阶段考试的中医学专业成绩分析与策略研究
Analysis and Strategic Research on the Students’Achievement of Chinese Medicine Based on the Medical Licensing Examina. tion Empirical Research of Traditional Chinese Medicine Physician
DOI:10.16466/j.issn1005-5509.2024.07.016
中文关键词: 中医执业医师  分阶段考试  中医学专业  理论考试  技能考核  成绩分析
英文关键词: traditional Chinese medicine practicing physician  staged examination  major of Traditional Chinese Medicine  theoreticalexamination  skill assessment  performance analysis
基金项目:浙江中医药大学 2021年度教育教学改革项目(ZB21002) Fund project: Education and Teaching Research Project of Zhejiang Chinese Medical University(ZB21002)
作者单位
宋巧玲 浙江中医药大学附属第一医院浙江省中医院杭州 310006 
吴建浓 浙江中医药大学附属第一医院浙江省中医院杭州 310006 
高祥福 浙江中医药大学附属第一医院浙江省中医院杭州 310006 
卢建华 浙江中医药大学附属第一医院浙江省中医院杭州 310006 
刘姗 浙江中医药大学附属第一医院浙江省中医院杭州 310006 
潘磊 浙江中医药大学附属第一医院浙江省中医院杭州 310006 
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中文摘要:
      [目的]总结和分析浙江中医药大学中医学专业学生的培养质量和存在问题,为中医药院校提高教学质量和学生临床知识及技能提供参考。[方法]以该校 2018至 2020年参加中医执业医师分阶段考试(第一阶段)实证研究的中医学专业学生为研究对象,2采用方差分析和c检验进行数据分析,比较分阶段考试成绩与在校学习成绩的相关性、考试通过率、掌握率。[结果]分阶段考试成绩能够较好地反映学生在校学习成绩情况,理论考试平均通过率为 68.64%,技能考试平均通过率 95.27%。理论考试平均总掌握率为 65.06%,其中西医(基础医学类)55.57%、西医(临床医学类)52.12%,与理论考试总掌握率比较,差异有统计学意义(P<0.05);技能考试总掌握率为 76.57%,第 3~4站(体格检查)的平均掌握率分别为 71.24%、72.24%。可以通过制定考试激励机制来提高学生考试内驱力,通过强化西医课程培训来提升理论考试通过率,通过反复临床技能训练来补齐技能考核的短板等改进措施和策略,从而提高学生的临床知识和技能,可为中医药院校提高教学质量作参考。[结论]中医药院校可以通过制定考试激励机制、强化西医课程培训、反复临床技能训练来提高学生的临床知识和技能,从而提高中医学专业学生的培养质量。
英文摘要:
      [Objective] To summarize and analyze the educational quality and problems of Traditional Chinese Medicine students inZhejiang Chinese Medical University,and provide reference for improving the teaching quality and students’clinical knowledge and skills.[Methods] Taking the students of Traditional Chinese Medicine who participated in the step-1 medical licensing examination empiricalresearch in Zhejiang Chinese Medical University from 2018 to 2020 as the research objects,the data was analyzed by variance analysis and c2 test. [Results] Staged examination scores could reflect students’academic performance,the average passing rate of theoretical examination was 68.64%,and the average passing rate of skill assessment was 95.27%. The average total mastery rate of theoretical examination was 65.06%,including basic medicine(55.57%)and clinical medicine(52.12%),whose comparison with the total masteryrate of theoretical examination was statistically significant(P<0.05). The total mastery rate of skill assessment was 76.57%,and the average mastery rates of stations 3~4(physical examination) were 71.24% and 72.24%,whose comparison with the total mastery rate of skill assessment was statistically significant(P<0.05). It proposed improvement measures and strategies such as establishing exam incentive mechanisms to enhance students’internal motivation in exams,strengthening clinical medicine course training to improve staged examination pass rates of theoretical part,and repeatedly training clinical skills to fill the gaps in skill assessment. [Conclusion]Traditional Chinese medicine universities can improve the clinical knowledge and skills of students by establishing examination incentivemechanisms,strengthening clinical medicine course training and repeating clinical skill training,so as to improve the quality of trainingfor students majoring in Traditional Chinese Medicine.
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