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目的总结分析住院医师规范化培训考试存在的问题,探讨解决问题的可行方案。方法汇总2013-2015年北京地区住院医师规范化培训考试的成绩和生源资料,统计临床技能考试的题型、考点和成绩分布百分比。结果 3年临床技能考试成绩<70分的比例为12%~20%,>80分的比例为34%~45%,高分考生主要来自6家培训基地。临床检验结果判读、神经解剖生理学知识、神经电生理学技能是当前住院医师的主要薄弱环节。结论应该通过精选优化培训基地、改善教学方法等多种措施提高住院医师的临床技能水平。
Objective To summarize and analyze the problems existing in the standardized training exams for residents, and discuss the feasible solutions to the problems. Methods The results of Beijing Normal University Residents’ standardized training and examination of 2013-2015 were summarized. The types of clinical skills test, the test sites and the percentage distribution of scores were collected. Results 3-year clinical skills test scores <70 points for the ratio of 12% to 20%> 80 points for the 34% to 45%, high score candidates mainly from six training bases. Interpretation of clinical test results, knowledge of neuro-anatomy and physiology, and neuroelectrophysiology skills are the main weaknesses of current residents. Conclusions A variety of measures should be taken to improve the clinical skills of residents by selecting optimized training bases and improving teaching methods.