目的 评价2016年乡村全科执业助理医师资格考试(试点)医学综合笔试试卷的质量.方法 本研究对2016年乡村全科执业助理医师资格考试(试点)医学综合笔试试卷的总体情况、考生成绩、掌握率、通过率进行分析,并对试卷的难度、区分度、信度及效度进行分析.结果 2016年在我国9个省、市、自治区进行了乡村全科执业助理医师资格考试,共14 137人参加了医学综合笔试,其中合格人数7 282例,考试通过率为51.51%;成绩37~255分,平均成绩(169.64±25.16)分,掌握率为56.55%.全体考生在医学人文、公共卫生、全科医疗3个模块的平均成绩分别为(11.36±2.45)、(35.98±5.53)、(122.30±20.55)分,掌握率分别为63.12%、57.11%、55.85%.本次考试的试题难度基本分布在0.2~0.9,平均难度为(0.57±0.23);试题平均区分度为0.2.本次考试试卷的内部一致性信度KR20为0.886;医学人文、公共卫生、全科医疗与总分的相关系数分别为0.663、0.739、0.979(P<0.05).结论 考生的医学综合笔试分数基本呈正态分布,略右偏.试题整体难度分布比较平均,区分度较好;信度良好,具有较好的结构效度和内容效度.试卷整体质量符合标准参照考试的基本要求.%Objective To assess the quality of general written test paper for Rural General Practice Assistant Physician Licensing Examination(pilot) conducted in China in 2016.Methods We analyzed the general status,difficulty,discrimination,reliability and validity of the general written test paper for Rural General Practice Assistant Physician Licensing Examination(pilot) conducted in China in 2016,and the scores,rate of mastering the knowledge covered by the test paper and passing rate in the examinees.Results The Rural General Practice Assistant Physician Licensing Examination(pilot) was conducted in 6 provinces,1 municipality and 2 autonomous regions in China in 2016.A total of 14 137 persons participated in the general written test,51.51%(7 282/14 137) of thempassed it;the scores of the examinees ranged from 37 to 255,averaging(169.64±25.16),with a rate of mastering the knowledge covered by the test paper of 56.55%;the average scores of the examinees in modules of medical humanities,public health and general practice were (11.36±2.45),(35.98±5.53),(122.30±20.55) respectively,suggesting that the rate of mastering the knowledge covered by the above modules in the examinees were 63.12%,57.11%,55.85%,respectively.The difficulty of the test paper was 0.2~0.9,averaging (0.57±0.23),the average discrimination of the test paper was 0.2.The internal consistency reliability of this test paper measured by KR20 was 0.886;the correlation coefficient between scores of medical humanities and total scores of the test,scores of public health and total scores of the test,scores of general practice and total scores of the test respectively were 0.663,0.739,0.979(P<0.05)Conclusion The scores of the examinees present normal distribution with a slightly positive skewness;the items arranged in the test paper have similar difficulty with good discrimination,construct validity and content validity;the overall quality of the test paper meets the basic requirements of the criterion-referenced test.
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