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["2017年浙江省住院医师规范化培训临床实践能力结业考核项目"]
["考站名称",null,"考核内容","考核形式","考官人数","考核用时","分值","合格\n分值","场地要求","设备要求","病人要求","考官人数","考官要求","试题要求","评分表","考试时间安排","备注"]
["临床结果判读",null,"X线、CT或MRI、超声、心电图、其它实验室检查","人机对话考试","——","——","100分","60分","不变","不变","不变","不变","不变","不变","不变","不变","提前至与结业理论一并考核"]
["病人接诊","病史采集","病史采集、医患沟通","临床/模拟临床","2人","20’","100分","80分","无","无","SP",2,"不变","统一对SP病人进行培训，设计10个病例进行问诊。","可与其他科目统一","全省统一时间进行结业考核","挑选考核规定的建议选用病种，对病人/SP进行重点问诊，并按要求检查相应部位；取两项平均分为该考站最终得分，任一项得分低于80分即视为该考站不合格。"]
[null,"体格检查","重点/专科体格检查",{"$nulls":3},"100分","80分","无特殊要求","能放下盆腔双合诊+窥阴器检查或产科四步触诊法+骨盆外测量的模具","鉴于妇产科的特殊性，建议此项考试采用模具",2,"不变","根据问诊病例进行体格检查","我院可提供更细化和精准的两项专科体格检查评分标准","全省统一时间进行结业考核"]
["医疗文书书写","首次病程录","首次病程录1份","根据病人接诊考站的病例手写一份首次病程录","2人","15’","100分","80分",{"$nulls":8},"考官根据考核要求评分"]
[null,"大病历","病历1份","随机抽取1份大病历进行考核评分","——","——","100分","80分",{"$nulls":8},"考官根据考核要求评分"]
["临床思维与决策",null,"根据所给的病例回答问题","面试","2人","20’","100分","80分","无","无","无",2,"此项考试中，建议增加医患沟通的内容。可设置：根据目前的诊断，跟家属沟通下一步处理方案。考官充当家属，并进行相应评分","建议设立10个以上病例分析题，采取抽考形式，病例分析中加医患沟通内容","加医患沟通评分标准","全省统一时间进行结业考核","根据各学科培训标准及考试大纲中的要求，单独命题并考核，考官根据考核要求评分"]
["临床技能操作","基本技能操作","心肺复苏术、气管插管术","临床/模拟临床","2人","10’","100分","80分","不变","不变","不变","不变","不变","不变","采用新的指南进行评分标准设计。原来的评分标准是2010版指南","全省统一时间进行结业考核","基本技能操作：心肺复苏术或气管插管术,按各50%的几率抽取，进行考核。\n专科技能操作：按各学科培训标准的要求单独命题并考核。\n取两项平均分为该考站最终得分，任一项得分低于80分即视为该考站不合格。"]
[null,"专科技能操作","专科技能操作1项","临床/模拟临床","2人","15’","100分","80分","根据相应的操作项目，设置相应的场地要求","模具，其中会阴裂伤缝合采用牛舌进行缝合。消毒铺巾可设置腹部手术或阴道手术，而考核不同的消毒铺巾方法","模具或牛舌",2,"此项考试中，可以根据考核内容设置提示项，考核考生的应急反应能力。例如：人工流产术进行到一半时，可出示提示考，告知考生目前患者突发腹痛，大汗淋漓，心跳加速，请考生判断目前状况及下一步处理。考核综合能力，而非单一的操作。","以四项专科技能操作评分标准为基础，分别设计提干和关卡","以四项专科技能操作评分标准为基础，分别设计提干和关卡，相应的关卡设计相应的评分标准","全省统一时间进行结业考核"]

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