Application of structured interview to optimize medical students' clinical competency assessment

目的 通过比较结构化面试与传统面试在儿科学见习学生出科考核中的应用,为考核方式改革提供参考.通过调查了解学生对结构化面试方式的评价,发现其中的不足,实现考核方式的优化.方法 以北京大学医学部2010级八年制临床医学专业47名学生作为研究对象,在儿科学见习结束后分别分2天依次进行结构化面试及传统面试,并对结构化面试方式进行无记名问卷调查.对不同考官间评分、结构化面试及传统面试成绩及调查问卷进行分析.结果 结构化面试的3名考官之间及传统面试的2名考官之间的评分均具有极高的一致性.传统面试的成绩高于结构化面试的成绩,差异具有统计学意义.结构化面试成绩离散度大,成绩差异较大.结构化面试对于学生进行的优、中、差区分更加合理.学生对于结构化面试评价较好,但亦存在少许不足.结论 结构化面试可以作为一种独立的考核方式应用于医学生岗位胜任力的考评.目前的结构化面试还有一些不足,尚待进一步优化.Objective Provide a reference for the reform of assessment by comparing structured oral examinations with traditional oral examinations in pediatric trainee students' departmental rotation examination.Discover the deficiency of structured oral examinations and optimize the examination method through investigation of students' evaluation of structured oral examinations.Methods There were 47 eight-year medical apprentices of Peking University in this study.After pediatric probation,structured and traditional oral examinations were carried out sequentially in two days,and anonymous questionnaire for the evaluation of structured oral examinations was conducted.The scores of different examiners,the scores of structured and traditional oral examinations,and the results of questionnaire were analyzed.Results The scores among three examiners in structured oral examinations and the scores between two examiners in traditional oral examinations both had a high consistency.The score of traditional oral examinations was higher than that of structured oral examinations,the difference was statistically significant.The scores of structured oral examinations had a bigger discrete degree,and the results had larger difference.Distinguish students by using structured oral examinations was more reasonable.Students' evaluations of the structured oral examinations were well,however,there was also a little scarcity.Conclusions Structured oral examinations is available as a separate examination method used in medical competency evaluation.Currently,the structured oral examinations has some drawbacks,and needs to be further optimized.2014年北京大学医学部教育教学研究课题; “结构化面试结合笔试推进对儿科住院医师岗位胜任力的评估”(北医(2014)部教学177号)2014 Education and Teaching Research Project of Peking University Health Science Center:Structured Oral Examinations Combined with Written Tests Promote the Competency Assessment of Pediatric Residency中国科技核心期刊(ISTIC)2311-3163