标题：基于口腔执业医师资格考试的教学改革及备考策略分析

      作者：朱博文 1，陈立妹 1，郭竹玲 1,2    (1.海南医学院口腔医学院，海南 海口 570100；2.海南医学院第一附属医院口腔科，海南 海口 570102)

      卷次： 2018年29卷19期

      【摘要】 目的 基于海南医学院口腔(简称“海医口腔”)医学专业近年执业医师资格考试情况，对口腔专业教学工作及考生执考备考提出策略指导。方法 对比分析2011-2016年海医口腔医学专业本科毕业生执考通过率、综合考试各学科及各考核题型平均成绩与全国平均水平的差异，结合影响执考成绩的各方面因素提出口腔专业课改方向及执考备考策略。结果 2011-2016年全国参加口腔执考的人数逐年上升，海医口腔毕业生占全国考生的1.2%。2016年海医口腔执考总通过率较全国下降近9%，与全国平均水平比较差异有统计学意义(P<0.05)。按执考综合笔试各认知层次成绩统计，2014年海医考生理解层次题目与2016年海医考生应用层次题目的平均成绩与全国平均水平比较差异均有统计学意义(P<0.05)；2016年理解层次的平均成绩与全国平均水平比较差异有显著统计学意义(P<0.01)。按执考综合笔试各学科成绩统计，2016年海医口腔考生有16门课程平均成绩低于全国考生执考相应部分，其中医学免疫学、儿科学以及口腔黏膜病学 3门课程与全国平均水平比较差异均有统计学意义(P<0.05)；外科学、儿童口腔医学、口腔解剖生理学、预防口腔医学与口腔颌面外科学等5门课程与全国平均水平比较差异有显著统计学意义(P<0.01)。结论 从教学改革及备考策略等层面，针对性提出以口腔执考为教学导向，加强学生应用能力训练，以期切实深化口腔医学院教学改革并提升执考一次通过率。
      【关键词】 执业医师资格考试；口腔；教学改革；备考策略
      【中图分类号】 R78 【文献标识码】 C 【文章编号】 1003—6350（2018）19—2764—05

Teaching reforms and test strategies for School of Stomatology in Hainan Medical University based on thequalification examination of dental practitioners.
ZHU Bo-wen 1, CHEN Li-mei 1, GUO Zhu-ling 1,2. 1. School ofStomatology, Hainan Medical University, Haikou 570100, Hainan, CHINA; 2. Department of Stomatology, the FirstAffiliated Hospital of Hainan Medical University, Haikou 570102, Hainan, CHINA
【Abstract】 Objective To explore the teaching reforms and test strategies for School of Stomatology in Hain-an Medical University based on the status of the qualification examination of practicing doctors in the Stomatology.Methods Through the National Medical Examination Center, we collected basic information, average score, passing rateand the master of various subjects and different cognitive level topics tested in qualification examinations of dental practi-tioners graduated from Hainan Medical University in 2011-2016, which were compared with the national average level.The teaching reforms and test strategies were proposed based on the factors that affect the test scores. Results From 2011to 2016, the number of people taking the oral exam nationwide increased year by year, and the oral exam candidates inHainan Medical University accounted for 1.2% of national candidates. In 2016, the comprehensive written test and to-tal pass rate of Hainan Medical University decreased by nearly 9% compared with the the corresponding parts in the na-tional examination, and the difference between the comprehensive written test pass rate and the national level was sta-tistically significant (P<0.05). The difference between the average scores at the level of understanding in 2014 and lev-el of application in 2016 was statistically significant compared with the corresponding part in the national examination(P<0.05). And the difference between the average scores at the level of understanding in 2016 was significant com-pared with the corresponding part in the national examination (P<0.01). In the comprehensive written examination, thedifference between average proficiency level of three subjects were statistically significant compared with the corre-sponding parts in the national examination, including medical immunology (P<0.05), pediatrics (P<0.05) and oral mu-cosa (P<0.05). The difference between the average scores at the level of five subjects was significant compared withthe corresponding parts in the national examination, including surgery (P<0.01), pedodontics (P<0.01), oral anatomyand physiology (P<0.01), preventive dentistry (P<0.01), oral and maxillofacial surgery (P<0.01). Conclusion To putforward the teaching orientation of oral examination and strengthen the training of students' application ability can helpto deepen the teaching reform in School of Stomatology and improve the passing rate of the qualification examination.
      【Key words】 The qualification examination for medical practitioners; Stomatology; Teaching reforms; Test strategies·医学教育·doi:10.3969/j.issn.1003-6350.2018.19.030基金项目：海南省高等学校科学研究项目(编号：Hnky2017-31)；海南医学院第一附属医院青年培育基金项目(编号：HYFYPY201702)