Cargando…
Performance of China’s new medical licensing examination for rural general practice
BACKGROUND: To evaluate the performance of China’s new medical licensing examination (MLE) for rural general practice, which determines the number of qualified doctors who can provide primary care for China’s rural residents, and to identify associated factors. METHODS: Data came from all 547 examin...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7499991/ https://www.ncbi.nlm.nih.gov/pubmed/32943039 http://dx.doi.org/10.1186/s12909-020-02234-x |
_version_ | 1783583776857653248 |
---|---|
author | Han, Xinxin Li, Xiaotong Cheng, Liang Wu, Zhuoqing Zhu, Jiming |
author_facet | Han, Xinxin Li, Xiaotong Cheng, Liang Wu, Zhuoqing Zhu, Jiming |
author_sort | Han, Xinxin |
collection | PubMed |
description | BACKGROUND: To evaluate the performance of China’s new medical licensing examination (MLE) for rural general practice, which determines the number of qualified doctors who can provide primary care for China’s rural residents, and to identify associated factors. METHODS: Data came from all 547 examinees of the 2017 MLE for rural general practice in Hainan province, China. Overall pass rates of the MLE and pass rates of the MLE Step 1 practical skills examination and Step 2 written exam were examined. Chi-square tests and multivariable logistic regression were used to identify examinee characteristics associated with passing Step 1 and Step 2, respectively. RESULTS: Of the 547 examinees, 68% passed Step 1, while only 23% of Step 1 passers passed Step 2, yielding an 15% (82 of 547) overall pass rate of the whole examination. Junior college medical graduates were 2.236 (95% CI, 1.127–4.435) times more likely to pass Step 1 than secondary school medical graduates. Other characteristics, including age, gender, forms of study and years of graduation, were also significantly associated with passing Step 1. In contrast, examinees’ vocational school major and Step 1 score were the only two significant predictors of passing Step 2. CONCLUSIONS: Our study reveals a low pass rate of China’s new MLE for rural general practice in Hainan province, indicating a relatively weak competency of graduates from China’s alternative medical education. An effective long-term solution might be to improve examinees’ clinical competency through mandating residency training for graduates of China’s alternative medical education. |
format | Online Article Text |
id | pubmed-7499991 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-74999912020-09-21 Performance of China’s new medical licensing examination for rural general practice Han, Xinxin Li, Xiaotong Cheng, Liang Wu, Zhuoqing Zhu, Jiming BMC Med Educ Research Article BACKGROUND: To evaluate the performance of China’s new medical licensing examination (MLE) for rural general practice, which determines the number of qualified doctors who can provide primary care for China’s rural residents, and to identify associated factors. METHODS: Data came from all 547 examinees of the 2017 MLE for rural general practice in Hainan province, China. Overall pass rates of the MLE and pass rates of the MLE Step 1 practical skills examination and Step 2 written exam were examined. Chi-square tests and multivariable logistic regression were used to identify examinee characteristics associated with passing Step 1 and Step 2, respectively. RESULTS: Of the 547 examinees, 68% passed Step 1, while only 23% of Step 1 passers passed Step 2, yielding an 15% (82 of 547) overall pass rate of the whole examination. Junior college medical graduates were 2.236 (95% CI, 1.127–4.435) times more likely to pass Step 1 than secondary school medical graduates. Other characteristics, including age, gender, forms of study and years of graduation, were also significantly associated with passing Step 1. In contrast, examinees’ vocational school major and Step 1 score were the only two significant predictors of passing Step 2. CONCLUSIONS: Our study reveals a low pass rate of China’s new MLE for rural general practice in Hainan province, indicating a relatively weak competency of graduates from China’s alternative medical education. An effective long-term solution might be to improve examinees’ clinical competency through mandating residency training for graduates of China’s alternative medical education. BioMed Central 2020-09-17 /pmc/articles/PMC7499991/ /pubmed/32943039 http://dx.doi.org/10.1186/s12909-020-02234-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Han, Xinxin Li, Xiaotong Cheng, Liang Wu, Zhuoqing Zhu, Jiming Performance of China’s new medical licensing examination for rural general practice |
title | Performance of China’s new medical licensing examination for rural general practice |
title_full | Performance of China’s new medical licensing examination for rural general practice |
title_fullStr | Performance of China’s new medical licensing examination for rural general practice |
title_full_unstemmed | Performance of China’s new medical licensing examination for rural general practice |
title_short | Performance of China’s new medical licensing examination for rural general practice |
title_sort | performance of china’s new medical licensing examination for rural general practice |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7499991/ https://www.ncbi.nlm.nih.gov/pubmed/32943039 http://dx.doi.org/10.1186/s12909-020-02234-x |
work_keys_str_mv | AT hanxinxin performanceofchinasnewmedicallicensingexaminationforruralgeneralpractice AT lixiaotong performanceofchinasnewmedicallicensingexaminationforruralgeneralpractice AT chengliang performanceofchinasnewmedicallicensingexaminationforruralgeneralpractice AT wuzhuoqing performanceofchinasnewmedicallicensingexaminationforruralgeneralpractice AT zhujiming performanceofchinasnewmedicallicensingexaminationforruralgeneralpractice |