Last week, the National Health Commission released the syllabus of the 2024 medical qualification examination, in which the content of the clinical and dental syllabus has changed greatly.
Hundreds of Families Support Program Among them, the changes in the clinical skills examination syllabus are as follows: the sixth part of the practical synthesis will be sorted out after the merger of practical skills and practical synthesis in the original examination syllabus, and it is divided into three parts: clinical thinking, physical examination, and basic operation. The original medical history collection, case analysis, and practice synthesis parts were integrated and standardized into one place"Clinical thinking"., mainly examining information acquisition, data analysis and reasoning decision-making ability;Original electrocardiogram diagnosis, imaging diagnosis, and interpretation of auxiliary examination results were classified as corresponding diseases for examinationStreamlining the content of the "physical examination" to make it more systematic and comprehensive;In the "Basic Operations" section, the surgical brush technique in the original outline was changed to surgical hand disinfection. At the same time, the official candidate service system of the National Medical Examination Network has been newly launchedPhysician Thinking Ability Assessment System- Candidate Trial Version (Demo)-2023].
Outline change + new system online。In the past two days, there have been rumors on the Internet:The 2024 Physician Skills Exam will adopt a new systemCall the official ** of the National Medical Examination Center for consultationThe official reply was: There is no notice at this time.
Whether the new system will adopt the new exam format is recommended to refer to the official notice.
However, it is recommended that all 2024 physician candidates understand and master the relevant content of the new system in advance. It's best to do an assessment, understand the process in advance, and be prepared, and the latest assessment operations are sorted out as follows:
Physician Thinking Ability Assessment System
The steps are as follows
Open the official website of the National Medical Examination Network, enter the "Candidate Service" system, and conduct the "** evaluation".
Part I: Data collection stationsIn 20 minutes, the simulated outpatient doctor receives the patient for the first time, and completes the medical history, preliminary impression diagnosis, simple physical examination, and diagnosis and differential diagnosis.
It mainly consists of a stem and four modules: medical history taking, initial diagnosis, physical examination, and further diagnosis.
(1) Question stem.Part II: Data Analysis StationIn 20 minutes, the simulated resident doctor receives the patient for the first time, and the preliminary impression diagnosis should be made according to the patient's information and existing medical records, and then the auxiliary examinations necessary for a clear diagnosis should be completed, and the diagnosis will be interrupted and differentiated according to the examination results, and the corresponding medical history, physical examination, and auxiliary examination results will be provided.It is necessary to pay attention to gender, age, and chief complaint, as this question refines the information: female, 45 years old, dyspnea.
2) Medical history collection.
Select keyword 1 first, then select keyword 2, click search, there will be a question message, click on the prompt information below, you can start the consultation, and the computer will answer.
Multiple interviews can be conducted, and it is recommended to ask questions in the order of hello, discomfort, complaints, accompanying symptoms, diagnosis and treatment, general situation, and personal history.
3) Initial impressions.
Initial impressions, including diagnosis and differential diagnosis, need to be made based on the aforementioned history.
4) Physical examination.
According to the above diagnosis, the corresponding physical examination will be carried out, and the corresponding results will be available on the computer.
5) Diagnosis and differential diagnosis.
Based on the above information, a preliminary diagnosis and differential diagnosis are made.
It mainly contains the question stem and four modules: diagnosis and differential diagnosis, auxiliary examination, diagnosis and differential diagnosis, and diagnostic basis.
(1) Question stem.Part III: Diagnosis and Treatment Decision StationIn 20 minutes, the resident will be simulated to judge the condition of the first-time patient and clarify the first principle, complete the diagnosis and differential diagnosis, complete the necessary auxiliary examinations, and make the final diagnosis and the first principle.The information to be read is gender, age, medical history information, and precautions.
2) Initial impressions.
Initial diagnosis and differential diagnosis are made based on case information.
3) Ancillary examinations.
Select the ancillary tests that need to be performed and read the results.
4) Diagnosis and differential diagnosis.
The final primary diagnosis and differential diagnosis are selected.
5) Basis for diagnosis.
Each primary diagnosis is supported by a selection of supporting evidence, and a differential diagnosis is selected with and without a supporting basis.
It mainly consists of a question stem and four modules: diagnosis and differential diagnosis, auxiliary tests, and final diagnosis.
(1) Question stem.Part IV: Disease course decision-making station30 minutes, simulating the inpatient after giving medical orders and the inpatient's condition changes, we have to carry out laboratory tests, examinations, specific condition treatment, and specific medication.Attention needs to be paid to gender, age, medical history, and precautions.
b) Diagnosis and differential diagnosis.
Diagnosis and differential diagnosis based on medical records.
c) Further examination.
Select the secondary test and read the test results.
d) Final diagnosis.
Diagnosis is initial and final based on test results.
v) ** program.
Based on the final diagnosis, the corresponding ** is selected.
It mainly contains the question stem and five modules: auxiliary examination ** program Physical examination after the change of condition Auxiliary examination after the change of condition ** program after the change of the condition ** program.
(1) Question stem.Gender, age, medical history information, and precautions need to be understood.
2) Ancillary examinations.
Complete the ancillary tests that need to be performed.
c) ** Scheme.
Based on the above examination results and medical records, a ** plan is formulated.
4) Physical examination after the change of condition.
After the above treatment, the relevant physical examination was performed again after the condition changed.
5) Auxiliary examination after the change of condition.
After the above treatment, the relevant auxiliary examinations were carried out again after the condition changed.
6) ** plan after the change of condition.
According to the results of physical examination and auxiliary examinations, adjust the previous ** regimen.
Complete the exam.
The whole system is operated by computer, which completely simulates the thinking process of the resident physician in the outpatient clinic, the first time the patient is received in the ward and the ward is on duty to judge and deal with the patient's condition, the analysis of the results of the auxiliary examination and how to give medical orders.
It has not yet been clarified whether the new system will be enabled for the 2024 skills test, so you can find out first. Although the trend in recent years is that the exam is getting more and more difficult and the exam process is more complicated, as long as the Xi is good, nothing will be difficult for us. Generally speaking, the skills are better than the written test, so let's work hard, come on!
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