Annual General Practice/Resident Physician Standardized Training Clinical Skills Assessment Methods 1. Assessment Purpose Through periodic clinical skills assessment, evaluate the status of participants in standardized training in mastering the basic theories, basic knowledge, and basic skills of the profession. Understand their ability to apply clinical knowledge and skills, evaluate the actual effect of standardized training in the residency stage, and test the quality of clinical teaching in each training base, thereby further enhancing the awareness of medical institutions at all levels about the importance of clinical skills training in the residency stage, and increasing participation in Training personnel should strengthen their consciousness and initiative in clinical skills training, and correctly guide the development of standardized training for general practitioners and residents.
2. Application conditions Candidates who participate in the assessment should meet the following conditions: (1) Complete the prescribed clinical practice and clinical ability training in accordance with the requirements of the standardized training rules for general practitioners and the standardized training program for residents in our province . (2) Pass the 2014 Jiangsu Provincial Resident Physician Standardized Training and pass the corresponding theoretical unified examination. (3) Those who have passed the theoretical unified examination at the corresponding stages of the standardized training of general practitioners or residents in Jiangsu Province in previous years and have passed the examination, but have not participated in the clinical skills assessment or have failed the assessment.
3. Assessment Form and Time Arrangement This year’s clinical skills assessment will continue to implement a unified assessment model, unified assessment plan, unified assessment period, and unified scoring requirements. Standardized training and clinical skills assessment for general practitioners and residents are carried out simultaneously. The proposition and examination work are organized and implemented by the health bureaus of each city. Hospitals directly under the department, ministry- and provincial-affiliated hospitals (including units in Ningxia) that participate in standardized training in our province, hospitals in the military units stationed in Jiangsu, and hospitals outside the system such as private hospitals, schools, factories and mines, are all managed by the health department of the province or city where they are located in accordance with the requirements of territorial management. The bureau organizes the assessment in a unified manner. This assessment adopts a multi-station objective structured assessment form. In order to strengthen the cultivation and assessment of the clinical knowledge and skills application ability of regular trainees and test the clinical teaching level of each training base, each municipal health bureau should advocate and implement the assessment method of real scenes and bedside assessment during the assessment process. According to different professional characteristics and assessment content, each examination point can also use auxiliary assessment means such as simulation teaching aids, multimedia teaching systems, animal experiments or standardized patients. All municipal health bureaus are requested to complete the clinical skills assessment from June 28 to July 13. The assessment results of general practitioners and residents shall be reported to the Provincial General Medical Training Center and the Provincial Post-Graduation Medical Teaching Center respectively before July 18. /p>
Education Research Laboratory (Schedule 1 Internal Medicine, Surgery, Obstetrics and Gynecology, Pediatrics, Emergency Department, Neurology, Otolaryngology
Department of Medicine, Ophthalmology, Psychiatry, Pediatric Surgery, Rehabilitation Medicine The department’s objective structured clinical examination program consists of nine stations. The main contents are as follows: Station 1: Interpretation of imaging examinations. Select corresponding imaging examinations according to the characteristics of each specialty, including X-rays, CT films, MRI films, ultrasonic images, Radionuclide scintigraphy and other imaging materials are demonstrated using multimedia, and candidates of the same test subject are tested at the same time. The test time is 20 minutes. The main points of the test are brief description, diagnosis, etc. The second stop: electrocardiogram interpretation. . Select the corresponding electrocardiogram according to the characteristics of each major, and use multimedia demonstrations. Candidates in the same examination subject will take 20 minutes. The third station: select based on the characteristics of each major. Corresponding clinical test reports, including basic clinical tests, chemical tests, immunology tests, hematology tests, microbiology tests, etc., are presented using multimedia and candidates in the same examination subject are tested at the same time. The test time is 10 minutes. The scoring points are a brief description, Diagnosis, etc. Station 4: Medical history collection. The internal medicine examination cases include 1 question each of cardiovascular system cases, respiratory system cases, urinary system cases, metabolic and endocrine system cases, and candidates will randomly select 1 question from them. The examination time is 15 minutes. The scoring points are current medical history, past history, communication skills, etc. The fifth station: Physical examination. The examinee performs a physical examination on the standardized patient's medical history. The examination time is 15 minutes. and specialist physical examination. The sixth station: answer questions based on medical history collection and physical examination. The examination time is 10 minutes. The key points are clinical thinking, diagnosis and basis. Differential diagnosis, treatment plan, etc.
Seventh station: Writing medical records. Based on the medical history collection and physical examination, write a record of the first disease course. The examination time is 20 minutes. The key points are diagnosis and basis. Differential diagnosis, treatment plan, etc. Station 8: Case analysis. Answer the questions asked based on the case given. The test method is a written test, and the test time is 20 minutes. The scoring points for candidates in the same test subject are diagnosis and basis. , differential diagnosis, treatment plan, etc. Station 9: Basic skill operations. According to the characteristics of each major, internal medicine candidates randomly select one item from chest puncture, abdominal puncture, lumbar puncture, cardiopulmonary resuscitation, etc. The test time is 20 minutes. The key points for scoring are preoperative preparation, sterile concepts, operating procedures, proficiency, postoperative treatment, etc.
The entire exam is scored in three parts: the first part is auxiliary inspection interpretation and inspection report analysis, which is from the first station to the third station. The total standard is divided into 100 points, of which the first and second stations are divided into 40 points. The three stations are divided into 20 points; the second part is to receive patients, which is from the fourth station to the eighth station. The total standard is divided into 100 points, and each station is divided into 20 points; the third part is divided into 20 points. Part of it is basic skill operations, which is the ninth station, with a standard score of 100 points. The assessment of dermatology, anesthesiology, medical imaging, medical laboratory, pathology, stomatology, general medicine and other subjects has been adjusted according to the different characteristics of each discipline. Please refer to the assessment plan for details. (3) The structure of the assessment plan for the specialist training stage is the same as that for the resident physician training stage, and the assessment content is formulated by each municipal health bureau. 5. Scoring requires that the total score of each assessment part for residents is 100 points, and 80 points is considered passing. A single elimination system is implemented, that is, those who fail in any part will be judged to have failed the entire assessment.
The total score of general medicine is 100 points, and 60 points is a passing grade. When summarizing and reporting the candidates' clinical skills examination scores, in addition to reporting the total score, the scores for each site are also reported. If there are no scores for each site, the candidate's score will be deemed unqualified. Single elimination and last-place elimination will be implemented in the clinical skills assessment. The pass rate of the clinical skills assessment (pass rate = number of qualified persons/number of actual participants in the exam) is based on the province and municipality as the statistical unit, and shall not exceed 95%. At the same time, attention should be paid to the balance of the pass rates of each discipline. For examination points where the passing rate does not meet the requirements, the assessment results will not be accepted. 3.
Assessment Organization Each municipal health bureau should set up a special committee with professional groups and several assessment groups. The members are composed of senior experts with professional titles of attending physicians or above from local provincial training bases. Each subject must set up a complete site according to the assessment plan. The assessment team at each site must not be less than 2 experts, and one of the examiners must have a senior professional title. Members of the assessment team should be familiar with the assessment plan and strictly grasp the assessment standards. The assessment scores and evaluation results should be filled in the "Assessment Score Sheet" (Appendix 2) and signed and filed for future reference.