執(zhí)業(yè)醫(yī)師資格分階段考試實(shí)證分析

邢宏微 張春慶

[摘要] 執(zhí)業(yè)醫(yī)師資格證在國(guó)內(nèi)乃至世界范圍內(nèi)都是普遍采用的行業(yè)準(zhǔn)入門檻。近年來，社會(huì)的發(fā)展和科學(xué)技術(shù)的進(jìn)步，對(duì)從業(yè)醫(yī)師的專業(yè)水平提出了更高的要求。該文以筆者所在的某醫(yī)學(xué)院894名醫(yī)學(xué)學(xué)生為研究對(duì)象，通過對(duì)其分階段考試的成績(jī)進(jìn)行實(shí)證分析，證實(shí)了分階段的執(zhí)業(yè)醫(yī)師資格考試模式能夠進(jìn)一步鞏固醫(yī)學(xué)生的理論知識(shí)，提高其臨床技能，并根據(jù)實(shí)證研究的結(jié)果提出了教學(xué)方面的一些改進(jìn)建議與策略，旨在能夠更好地提高分階段考試的通過率，為社會(huì)輸入更多的優(yōu)秀醫(yī)學(xué)執(zhí)業(yè)者。

[關(guān)鍵詞] 執(zhí)業(yè)醫(yī)師;資格考試;分階段考試;實(shí)證;建議;策略

[中圖分類號(hào)] R7 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2020）01（c）-0161-03

[Abstract] The qualification certificate for medical practitioners is a widely used industry entry threshold in China and even worldwide. In recent years， the development of society and the advancement of science and technology have put forward higher requirements on the professional level of practitioners. This article takes 894 medical students in a medical school as the research objects， and through an empirical analysis of the results of the staged examination， it is confirmed that the staged medical practitioner qualification examination model can further consolidate the theoretical knowledge of medical students and improve their clinical based on the results of empirical research， some suggestions and strategies for teaching improvement are proposed， which can better improve the passing rate of staged examinations and bring in more excellent medical practitioners for the society.

[Key words] Practitioner; Qualification exam; Staged examination; Empirical; Suggestion; Strategy

醫(yī)師資格證的考試從2000年開始在我國(guó)實(shí)行，雖然其從實(shí)施之初到現(xiàn)在，在一定程度上提高了我國(guó)醫(yī)師隊(duì)伍的整體從業(yè)水平，但是隨著社會(huì)的發(fā)展，這一模式也逐漸呈現(xiàn)出越來越多的弊端，例如考試的內(nèi)容過于雜亂、考試的方法單一以及考試與教育分離等。職業(yè)資格的考試應(yīng)該能夠檢驗(yàn)出考試者是否具備從事醫(yī)療行業(yè)必須的專業(yè)和技能，是否能夠真正在一線崗位上勝任[1-3]。但是現(xiàn)實(shí)中由于醫(yī)患關(guān)系等各種原因，一些醫(yī)學(xué)生缺乏實(shí)踐機(jī)會(huì)，臨床操作技能不能得到有效提高等問題[4-5]。執(zhí)業(yè)醫(yī)師隊(duì)伍的建設(shè)是醫(yī)學(xué)教育改革的重中之重，執(zhí)業(yè)醫(yī)師資格考試作為我國(guó)醫(yī)療衛(wèi)生行業(yè)的門檻，理應(yīng)順應(yīng)改革的需要，做出相應(yīng)改變。……