国外客观结构化临床考试在药学临床技能评估中的应用及对我国的启示

发布时间：2018-10-16 10:49

【摘要】：目的:为我国临床药学专业和药学专业学生的临床实践技能考核体系的建立提供参考。方法:检索国外药学客观结构化临床考试(OSCE)文献和相关网站,介绍美国、英国、加拿大、日本及马来西亚等国家的药学OSCE内容和药学OSCE的评价情况,并为我国高校临床药学专业和药学专业开展药学OSCE提出建议。结果与结论:OSCE已广泛应用于医学、护理等专业的临床技能考核。美国、英国等国已把OSCE应用于药学领域,并证实了其在药学学生临床技能考核方面的重要性。由于OSCE无统一的标准,不同国家、不同学校的药学OSCE考试项目略有不同,都是根据学校开设的课程和授课内容而决定,主要考察学生在药物治疗学、临床药动学、药物情报、药学监护、医患沟通及临床药物相关问题的鉴别和解决能力。国内很多高校药学院在已开设的相关课程中增加了学生的实践能力部分,但是缺乏相应的考核体系和考核方法,尚未将OSCE用于药学学生能力的评估。OSCE在药学教育中的应用时间较短,研究相对较少,建议国内高校借鉴国外药学OSCE方式评估学生临床能力,并结合我国的药学教育现状建立和完善适合于我国的药学OSCE。
[Abstract]:Objective: to provide reference for the establishment of clinical practical skills assessment system for clinical pharmacy majors and pharmaceutical majors in China. Methods: to search the (OSCE) literature and related websites of overseas pharmacological objective structured clinical examination, and introduce the contents of pharmaceutical OSCE and the evaluation of pharmaceutical OSCE in the United States, Britain, Canada, Japan and Malaysia. Some suggestions on developing pharmaceutical OSCE for clinical pharmacy and pharmaceutical specialty in colleges and universities in China are also put forward. Results & conclusion: OSCE has been widely used in the examination of clinical skills in medicine and nursing. Countries such as the United States and the United Kingdom have applied OSCE in the field of pharmacy and have confirmed its importance in the examination of clinical skills of pharmaceutical students. Because there is no uniform standard for OSCE, different countries and different schools have slightly different OSCE examination items in pharmacy, which are all decided according to the curriculum and teaching content offered by the school. Students are mainly investigated in the fields of drug therapy, clinical pharmacokinetics, and drug intelligence. Pharmaceutical monitoring, doctor-patient communication and clinical drug-related problem identification and resolution. Many colleges and universities in China have increased the students' practical ability in the relevant courses, but they lack the corresponding examination system and methods. OSCE has not been applied to the evaluation of pharmaceutical students' ability. The application time of OSCE in pharmaceutical education is relatively short and the research is relatively few. It is suggested that domestic colleges and universities use foreign pharmaceutical OSCE methods for reference to evaluate students' clinical ability. Combined with the current situation of pharmaceutical education in China, the pharmaceutical OSCE. suitable for our country is established and perfected.
【作者单位】：中国药科大学药学院;
【分类号】：R95

【参考文献】