医学教育管理

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基于OBE理念的临床药学专业实习带教与 OSCE考核模式探索


  

  1. 1.昆明医科大学第二附属医院药学部,昆明 650101; 2.昆明医科大学药学院,昆明 650500; 3.昆明医科大学第二附属医院内分泌科,昆明 650101
  • 收稿日期:2025-07-23 修回日期:2025-08-08 出版日期:2026-07-01 发布日期:2026-07-01
  • 基金资助:
     1.昆明医科大学教育教学研究课题项目(2023-JY-Y-014);2.昆明医科大学第二附属医院人才梯队项目后备人才(RCTDHB202316);3.云南省高层次卫生健康技术人才培养专项(H-2025049)

Exploration of the teaching and OSCE assessment model for clinical pharmacy internship based on OBE concept

  1. 1. Department of Pharmacy,Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China; 2. School of Pharmaceutical Science, Kunming Medical University, Kunming 650500, China; 3. Department of Endocrinology,Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China
  • Received:2025-07-23 Revised:2025-08-08 Online:2026-07-01 Published:2026-07-01

摘要: 目的 基于成果导向教育(outcome-based education,OBE)理念,采用客观结构化临床考试(objective structured clinical examination, OSCE)模式,为临床药学本科专业实习生临床实践技能培养与考核体系的建立提供参考。方法 选取昆明医科大学第二临床医学院临床药学教研室实习的2019—2020级临床药学专业本科生(n=20)为研究对象,采用随机数字表法分为观察组和对照组。对照组采用传统教学方法,观察组则采用以岗位胜任力为导向的教学模式。两组学生实习前进行OSCE摸底考试,实习结束后采用OSCE进行结业考核。结果 培训前对照组学生平均总成绩为(369.11±31.42)分,观察组学生平均总成绩为(346.73±46.64)分,对照组和观察组总成绩差异无统计学意义(P>0.05)。培训后对照组学生平均总成绩为(392.27±19.41)分,观察组学生平均总成绩为(412.00±24.88)分,总成绩差异有统计学意义(P<0.05)。90.91%的学生认为考核题目设置合理,100%的学生认为OSCE模式考核更能反映综合能力。91.67%的考官及标准化病人(standard patients, SP)认为OSCE模式优于传统教学考核,客观性强,可以提升学生综合临床思维能力。83.33%的考官及SP认为本次考核难度适中且时间设置合理。结论 基于OBE理念,运用OSCE考核模式更能反映学生真实水平,且可以有效提高学生的临床实践技能,有助于创建和完善适合临床药学本科的教育体系。

关键词:

 , 临床药学|成果导向教育|客观结构化临床考试|教育体系|问卷调查|临床实践技能

Abstract:

 Objective Based on the concept of outcome-based education (OBE), and using the objective structured clinical examination (OSCE) model, this study aims to provide a reference for the establishment of a clinical practice skills training and assessment system for undergraduate clinical pharmacy interns.Methods The research subjects were the 2019 and 2020 grade clinical pharmacy undergraduate students who were interning at the Clinical Pharmacy Teaching and Research Section of the Second Clinical Medical College of Kunming Medical University. The students were divided into an observation group and a control group. The control group was taught using traditional methods, while the observation group was taught using a job competency-oriented teaching model. Both groups took an OSCE baseline test before their internship and an OSCE final assessment after the internship, with the same assessment criteria.Results Before the training, the mean total score of students in the control group was 369.11±31.42, while that of students in the observation group was 346.73±46.64. There was no statistically significant difference in total scores between the control and observation groups (P>0.05). After the training, the mean total score of students in the control group was 392.27±19.41, whereas that of students in the observation group was 412.00±24.88. The difference in total scores between the two groups was statistically significant (P<0.05). In addition, 90.91% of students considered the assessment items to be appropriately designed, and100% believed that the OSCE-based assessment better reflected their comprehensive competence. Furthermore, 91.67% of examiners and standardized patients (SPs) considered the OSCE model superior to traditional teaching assessment methods, with greater objectivity and the potential to improve students' comprehensive clinical reasoning ability. Moreover, 83.33% of examiners and SPs believed that the difficulty level of the assessment was appropriate and that the time allocation was reasonable.Conclusion Based on the concept of OBE, OSCE assessment model can better reflect students' real level, and can effectively improve students' clinical practice skills, which is helpful to establish and perfect the education system suitable for clinical pharmacy undergraduate.

Key words:

 , clinical pharmacy|outcome-based education| objective structured clinical examination| education system| questionnaire survey| clinical practical skills