Objective To assess of feasibility and effectiveness about clinic skill test in the five clinical examination. Methods In our hospital, 23 medical students of 2006 grade seven-year systerm were divided into group A and group B. After clinical practice, the theory test and five clinical examination were completed in both groups, and group A un-derwent clinical skills competition, the results were taken for two independent samples t test, set α=0.05. Group A was taken the practical examination and clinical skills competition, results were taken for two related samples t test, set α=0.05. Results Group A had successful completion in practical assessment and five clinical examination. The results of theory test and five clinical examination had no significant difference in two groups (P>0.05), and clinical skills com-petition results had significantly difference in two groups (P=0.001). In group A, practical assessment and clinical skills competition results had no significantly difference(P>0.05). Conclusion The five clinical examination and practi-cal examination is applicable, which constitute "5+X" pattern. Through the practical examination, can promote the clinic skill of medical students.%目的：分析在五站式考核中增加实际操作考核的可行性与提高教学效果的有效性。方法将我院2006级7年制医学生23人，分为甲乙两组，按照教学大纲进行外科临床实习，完成理论考试和五站式考核，甲组增加实际操作考核，均参加临床技能大赛。两组医学生的理论考试、五站式考核和临床技能竞赛成绩进行两独立样本t检验，设α=0.05。甲组实际操作考核和临床技能竞赛成绩进行相关样本t检验，设α=0.05。结果甲组在五站式考核时进行实际操作考核，考核过程顺利完成。甲乙两组医学生的理论考试、五站式考核成绩差异无统计学意义(P>0.05)，临床技能竞赛成绩差异有统计学意义(P=0.001)。甲组实际操作考核和临床技能竞赛成绩差异无统计学意义(P>0.05)。结论在五站式考核时可以顺利进行实际操作考核，构成“5+X”模式。通过实际操作考核，可以有效地促进医学生掌握实际操作。
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