Research on assessment system of medical dental students' clinical competence before entering clinical clerkship

医学牙科学生进入临床实习前临床能力评价体系研究

• 批准号: 13800002
• 负责人: KURIHARA Satoshi
• 金额: $ 10.82万
• 依托单位: The Jikei University School of Medicine
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Special Purposes
• 财政年份: 2001
• 资助国家: 日本
• 起止时间: 2001 至 2002
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13800002/
• 关键词: Medical education; pre-clerkship education; common achievement test; computer-based testing; objective structured clinical examination; 学生評価; computer-based testing; 外部試験官制度; 前臨床実習教育; 臨床能力; 試験問題の質

We have introduced the common achievement test system to medical and dental schools. This system measured students' competence just before entering clerkship education in hospitals and community. This system was consisted with computer-based testing (CBT) and objective structured clinical examination (OSCE). Our research focused on reliability, validity, objectivity, efficiency and specificity of CBT and OSCE. Results showed the need of introduction of item response theory to assessment of students' CBT scores. A brand new MCQ types were established to measure students' clinical reasoning ; these were called type W and type Q. A feature of the OSCE was exchange raters. There was significant difference in raters' score between good-trained and poor-trained raters. Further investigation on rater training system and evaluation items on OSCE are needed.

我们向医学院和牙科学校引入了通用成绩测试系统。该系统在学生进入医院和社区见习教育之前测量学生的能力。该系统由基于计算机的测试（CBT）和客观结构化临床检查（OSCE）组成。我们的研究重点是 CBT 和 OSCE 的可靠性、有效性、客观性、效率和特异性。结果表明需要引入项目反应理论来评估学生的CBT成绩。建立了全新的MCQ类型来衡量学生的临床推理能力；它们被称为 W 型和 Q 型。欧安组织的一个特点是汇率制定者。训练有素的评分者和训练不良的评分者之间的评分存在显着差异。需要对欧安组织的评估员培训体系和评估项目进行进一步的研究。

项目成果

Ken-ichi Michi, Kouji Araki, Kan Mouri: "On Dental CBT (in Japanese)"Dental Medical Education (Japan). 18. 47-56 (2003)

Ken-ichi Michi、Kouji Araki、Kan Mouri：“论牙科 CBT（日语）”牙科医学教育（日本）。

福島 統: "これからの医学教育-コア・カリキュラムと共用試験"Journal of Clinical Rehabilitation. 10・11. 948-989 (2001)

福岛修：“未来医学教育 - 核心课程和通用考试”临床康复杂志 10・11（2001 年）。

福島 統: "共用試験-CBTとOSCE-"医学教育. 33・2(印刷中). (2002)

Osamu Fukushima：“通用测试 - CBT 和 OSCE”医学教育。33・2（印刷中）。

Nobuo Nara, Yoshio Nitta, Tatsuki Isida, Osamu Fukushima, et.al.: "Investigation on making medical CBT items using a common achievement test system for entering to clerkship education,(in Japanese)"Medical Education (Japan). 34 in press. (2003)

Nobuo Nara、Yoshio Nitta、Tatsuki Isida、Osamu Fukushima 等人：“使用通用成绩测试系统进入实习教育制作医疗 CBT 项目的调查（日语）”医学教育（日本）。

森尾郁子, 鶴田 潤, 江藤一洋: "歯学教育モデル・コア・カリキュラム-その意義と課題"日本歯科医学教育学会誌. 18. 42-46 (2003)

Ikuko Morio、Jun Tsuruta、Kazuhiro Eto：“牙科教育模型核心课程 - 其意义和挑战”日本牙科教育学会杂志 18. 42-46 (2003)。