关键词: 住院医师规范化培训; 脑血管病; 客观结构化考核; 年度考核; 结业考核

Abstract:

Objective To investigate the effect of objective structured clinical examination (OSCE) in annual assessment on improving the results of completion assessment in cerebrovascular disease residents. 

Methods Cerebrovascular disease residents from Beijing Tiantan Hospital, Capital Medical University who participated in the completion skill assessment of standardized training for resident doctors in Beijing from 2018 to 2021 were selected. Their annual assessment of the third year of training and completion assessment results were collected. According to the annual assessment results of the third year of training, they were divided into three groups: top 1/3 group, middle 1/3 group and bottom 1/3 group. The changes in annual assessment and final assessment results (the completion assessment results - the annual assessment results of the third year) among the three groups were compared, and the effect of OSCE in annual assessment on improving the completion assessment results was analyzed. 

Results A total of 133 resident physicians were included in the study, with an average age of 27.01±1.87 years and 20 males (15.0%), including 30 (22.6%) in 2018, 33 (24.8%) in 2019, and 36 (27.1%) in 2020, 34 (25.%) in 2021. In terms of the overall trend, the changes in the scores of completion examination in the residents with the scores of auxiliary examination, clinical assessment, skill assessment and total score in the annual assessment ranking in the bottom 1/3 group were better than those in the top 1/3 and middle 1/3 group, with statistical differences. With the gradual application of OSCE, the proportion of improved scores of auxiliary examination (P =0.001), clinical examination (P <0.001) and total score (P <0.001) in completion examination in residents in 2018, 2019 and 2020 increased year by year, compared with the annual examination in the third year. 

Conclusions The application of OSCE in annual assessment can improve the results of completion examination of residents, which help to improve the quality of standardized training for residents.

Key words: Standardized training for residents; Cerebrovascular disease; Objective structured clinical examination; Annual assessment; Completion examination