应用教育测量法分析南京医科大学五年制临床医学专业部分试卷质量

目的：分析试卷命题中存在的问题及其原因并提出相关建议．为今后教学改革及题库建设提供科学依据。方法：应用教育测量学对南京医科大学五年制临床医学专业2003～2005级病理学和药理学（代表基础医学课程）、妇产科学和内科学（代表临床课程）试卷的质量进行统计分析。结果：各年级四门课程信度系数都达到了0．6分以上，且91．7％在0．7分以上，显示了较高的信度．但是难度普遍中等偏低，区分度不高。结论：在未经教育测量学原理指导的试题编制状态下．该校临床医学专业基础课和临床专业课部分课程考试试题存在一些问题，表现为信度仍有一定的提升空间。部分试题的难度、区分度不符合命题原则，需做整改或者淘汰，题库需进行不断的更新与维护。

Application of education measurement to analyze the quality of the examination papers for five-year clinical students

Objective：To assess the exam paper,evaluate the teaching results and improve the test bank construction. Methods： Final examination papers of pathology,pharmacology, obstetrics and gynecology,internal medicine for five-year medical students from 2003 to 2005 Grade in Nanjing medical university were analyzed by applying education measurement. Results：Reliability coefficient of the four courses was above 0.6, and moreover 91.7% was above 0.7,but the difficulty and discrimination coefficient were not satisfied. Conclusion：Both the preclinical and clinical courses examination papers have some defects without the instruction of education measurement,for example,the reliability can be evaluated, and the difficulty and discrimination coefficient of some items are not conform to the principle of the test,so some improvements should be recommended and performed.