Basic Medical Teaching Experiment Center, Basic Medical College, Air Force Medical University Xi'an, China.
Adv Physiol Educ. 2021 Jun 1;45(2):269-275. doi: 10.1152/advan.00157.2020.
Basic medical laboratory courses (BMLCs) play an important role in medical educational courses helping the student acquire three important skills of surgical operating, collaborative learning, and problem solving. The outcome-based student assessment (OBSA) is a learning evaluation method that establishes specific evaluation points based on performance of students in three aspects: surgical operating, collaborative learning, and problem solving in the BMLC curriculum practices. The purpose of the present randomized controlled trial study is to explore the efficiency of OBSA program in BMLCs. The 233 students attending BMLCs were randomly divided into 2 groups, 118 in the OBSA group and 115 in the control group. We conducted multiple-choice examination questions (MCQs) test and two questionnaires with the method of two-sample test for statistics. The results of MCQs in total eight BMLC blocks showed that the academic performance of the OBSA group was significantly better than that of the control group ( < 0.05). In addition, the average scores of direct observation of procedural skills (DOPS) and mini-experimental evaluation exercise in OBSA group were significantly higher than those in control group ( < 0.05). The majority of the medical students preferred the OBSA and considered OBSA could effectively improve their surgical operating skills (83.9%), collaborative learning skills (92.1%), and problem-solving skills (91.1%). From the above, OBSA is an effective evaluation method for the implementation of the BMLC curriculum.
基础医学实验室课程(BMLC)在医学教育课程中发挥着重要作用,帮助学生获得三项重要技能,即手术操作、协作学习和解决问题。基于成果的学生评估(OBSA)是一种学习评估方法,它根据学生在 BMLC 课程实践中的手术操作、协作学习和解决问题三个方面的表现,建立具体的评估点。本随机对照试验研究的目的是探讨 OBSA 方案在 BMLC 中的效率。参加 BMLC 的 233 名学生被随机分为两组,OBSA 组 118 名,对照组 115 名。我们采用两样本 t 检验的方法进行多项选择题(MCQs)测试和两份问卷。在总共 8 个 BMLC 模块的 MCQs 结果中,OBSA 组的学业成绩明显优于对照组(<0.05)。此外,OBSA 组的直接观察程序技能(DOPS)和迷你实验评估练习的平均分数明显高于对照组(<0.05)。大多数医学生更喜欢 OBSA,并认为 OBSA 可以有效提高他们的手术操作技能(83.9%)、协作学习技能(92.1%)和解决问题的技能(91.1%)。综上所述,OBSA 是 BMLC 课程实施的有效评估方法。