Research on assessment system of medical dental students' clinical competence before entering clinical clerkship

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We have introduced the common achievement test system to medical and dental schools. This system measured students' competence just before entering clerkship education in hospitals and community. This system was consisted with computer-based testing (CBT) and objective structured clinical examination (OSCE). Our research focused on reliability, validity, objectivity, efficiency and specificity of CBT and OSCE. Results showed the need of introduction of item response theory to assessment of students' CBT scores. A brand new MCQ types were established to measure students' clinical reasoning ; these were called type W and type Q. A feature of the OSCE was exchange raters. There was significant difference in raters' score between good-trained and poor-trained raters. Further investigation on rater training system and evaluation items on OSCE are needed.