医学教育管理 ›› 2025, Vol. 11 ›› Issue (5): 614-619.doi: 10.3969/j.issn.2096-045X.2025.05.018

• 调查研究 • 上一篇    下一篇

执业医师资格考试成绩与住培结业考核成绩的相关性研究

沈丽琼,  李雅慧,  陈谨瑜   

  1. Teaching Office, Zhongnan Hospital of Wuhan University, Wuhan 430062, China
  • 收稿日期:2025-02-07 修回日期:2025-02-19 出版日期:2025-10-20 发布日期:2025-11-07

Correlation between the results of the licensed physician qualification examination and resident graduation assessment

Shen Liqiong, Li Yahui, Chen Jinyu   

  1. 武汉大学中南医院教学办公室,武汉 430062
  • Received:2025-02-07 Revised:2025-02-19 Online:2025-10-20 Published:2025-11-07

摘要: 目的 分析武汉大学中南医院住院医师执业医师资格考试成绩与住院医师规范化培训(以下简称住培)结业考核成绩的相关性,为能尽早识别能力较差的住院医师并对其开展针对性的培训提供参考。方法 参照Kane效度框架,对武汉大学中南医院454名住院医师的执业医师资格考试成绩和住培结业考核成绩采用χ2检验、趋势χ2检验和Logistic回归模型进行分析。结果 入培前通过执业医师资格考试的住院医师更可能通过住培结业考核(χ2=6.026,P=0.014);住培结业考核通过率在执业医师资格理论成绩不同组之间的差异均有统计学意义(χ2=24.033,χ2趋势=18.559, P<0.05);采用Logistic回归控制性别、年龄、学历、住院医师类型等可能的混杂变量后,执业医师资格考试首考未通过与住培结业考核成绩之间存在显著负相关性(β=-1.378, P<0.05)。结论 执业医师考核成绩与住培结业考核成绩存在正向关联,是评价培训质量的有效工具,应当重视对其成绩的应用并通过针对性的指导和反馈,提升住培质量。

关键词: 住院医师规范化培训, 执业医师资格考试, 结业考核, 相关性

Abstract: Objective To analyze the correlation between the results of the licensed physician qualification examination and resident graduation assessment in Zhongnan Hospital of Wuhan University, providing suggestions for early identification and targeted training of residents with relatively weak abilities.Methods Based on the Kane validity framework, the results of the licensed physician qualification examination and the residential training graduation assessment of 454 residents in our hospital were evaluated using χ2 test and trend χ2 test and logistic regression model for analysis.Results Residents who pass the licensed physician qualification examination before entering the residency training program were more likely to pass the resident graduation assessment (χ2=6.026, P=0.014). There is a significant difference in the passing rate of resident graduation assessment among different scores of the licensed physician qualification examination (χ2=24.033, χ2trend=18.559, P<0.05). After using logistic regression to control for possible confounding variables such as gender, age, education level, and resident type, a significant negative correlation was found between the failure in the first attempt of licensed physician qualification examination and resident graduation assessment (β=-1.378, P<0.05).Conclusion There is a positive correlation between the assessment results of the licensed physician qualification examination and resident graduation assessment, which is an effective tool for evaluating residency training quality. Attention should be paid to the application of their results and targeted guidance and feedback should be provided to improve the quality of residential training.

Key words: standardized training for resident physicians,  licensed physician qualification examination,  resident graduation assessment,  correlation

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