Application Of Objective Structured Clinical Examination In Final Exam Of Pediatric Interns

Objective: The Objective structured clinical examination (OSCE) is akind of strong objectivity examination method to evaluate medicalstudents’ clinical skills. It can effectively and objectively to assess students’ability of clinical skills and clinical decision.So，it’s widely used in manymedical education institutions at home and abroad. Pediatrics is thetheoretical and practical are both strong clinical discipline,it’s particularityis very significant,then the cultivation of excellent pediatricians should payattention to clinical skills training and assessment. Our college attempts toapply the OSCE to pediatric students graduation exams, considering thecharacteristics of widely recruiting students in our school, reform theOSCE assessment, to evaluate the feasibility of the evaluation of medicalstudents clinical ability.Methods: As the research object in five-year clinical medicinepediatrics in grade2008of Chongqing medical university students, toimplement the objective structured clinical graduation examination.Summarize the OSCE test and the traditional theory of graduation examination results（x±s）, at the same time, the questionnaire surveyresults are compared. SPSS18.0software was employed for statistical dataanalysis.Result:1The text result analyzing: Statistical analysis revealed thatthe five-year level2008pediatric graduates OSCE theory of examinationand graduation examination results are accord with normal distribution, thedifference had no statistical significance (P=0.447); And practiceassessment in more than90points, the skew normal distribution,2Questionnaire survey results:(1) The candidate survey:78.2%thought the OSCE assessment more reasonable setting, moderate difficultyand time, the content covers the requirements of teaching outline.89.9%feel different level nervous in the examination, only18.1%impact theassessment results.About90%think the OSCE assessment can be objectiveinvestigation interrogation, doctor-patient communication, medical andother clinical skills,60.5%agree with the way clinical teachers as astandardized patient assessment. More than95%think the OSCEassessment is helpful to theoretical knowledge and clinical skills to master,then promote it into professional ability.90.8%thought the comprehensivepromotion of the OSCE assessment is necessary.(2) The examiner survey:86.4%think score set is reasonable, but72.7%think the inspection effectordinary,50.0%thought moderate difficulty level.More than75%of theteachers think cases inspection station weakest point,it is necessary to improve the clinical thinking, more than60%of the teachers think thatoperation is not standard, sterile weak concept is widespread;68.2%thinkit necessary to training the OSCE on a regular basis.Conclusion:(1) In the pediatric graduate examination, examination ofthe OSCE and theory examination results are accord with normaldistribution, and no statistical difference between them.The OSCEassessment of fairness, effectiveness is similar with the traditionalexamination way.It is prompt that candidates through clinical practice toconsolidate theoretical basis, make it to the clinical ability, consistent withquestionnaire. Objective structured clinical examination can objectivelyand effectively evaluate pediatric medical students clinical ability, promotethe study enthusiasm, is worth promoting.(2) The OSCE training on aregular basis, to make the students familiar with the test form, skilledoperation skills, clinical thinking.(3) Strengthening teacher training, makethe evaluation more standardized, objective, at the same time should enrichteaching methods and means, and perfecting the evaluation system inpractice.（4）Cultivating qualified standard patient is advantageous to theOSCE assessment objective and effective.