由临床执业医师资格考试引发的医学教育改革思考

目的：通过分析某校临床执业医师资格考试成绩，了解某校学生成绩的薄弱之处，分析原因，提出建议。方法选择2006至2011年5年间某校参加临床执业医师资格考试的全部本科毕业生共3060人为研究对象，运用Excel 2007分析其平均成绩、平均通过率以及学科掌握率。运用文献查阅法了解各个院校对提高临床执业医师资格考试成绩采取的改革措施。结果某校近几年考生平均成绩波动不大，学科掌握率有升有降，但平均通过率从2006年的83.6%下降至2011年的71.65%。结论临床执业医师资格考试成绩是检验医学院校学生培养质量的重要指标，应引起各医学院校的高度重视。综合各考试相关因素，建议应调整课程比例、加强实践技能教学、改革教学方法与手段、改革考试方法以及重视考务工作。

Reflection on medical education reform from medical licensing examination

Objective To find out the weak points of students through analyzing the scores of medical licensing examination, to explore the causes and to put forwards some advices. Methods Excel 2007 was used to statistically analyze the average scores, average passing rate and the mastering rate of 3 060 candidates who took the exam from 2006 to 2011. Literatures were reviewed to find out reforming measures taken by other schools. Results The average scores changed lightly. The master-ing rate changed differently. The average passing rate declined from 83.6% in 2006 to 71.65% in 2011. Conclusions Score of medical licensing examination is an important index of the teaching quality of medical universities, which should be emphasized on. Some practicable methods are put forward taken into all related factors：adjusting course setting, strengthening teaching of practical skills, reforming teaching methods and examination systems, placing more emphasis on examination work.