What are the contents of the TCM Practical Skills Test?

The 2019 National Physician Practical Skills Examination will be held from June 15 to June 21, 2019.

1. The first stop of the exam:

1) Test content: case analysis.

2) Examination method: paper-based test.

2. The second stop of the exam:

1) Examination content: basic operational skills, including clinical technical operation of traditional Chinese medicine, physical examination and clinical technical operation of Western medicine.

2) Examination method: Operate on the physical examiner or on equipment such as medical teaching simulators or medical modules.

3. The third stop of the exam:

1) Examination content: clinical defense, including clinical defense of traditional Chinese medicine, clinical defense of Western medicine (teachers and those with real expertise do not test this item), clinical interpretation of auxiliary examination results.

2) Examination method: on-site oral examination.

The first stage of the examination: syndrome differentiation and treatment provides a case information, which requires candidates to conduct TCM syndrome differentiation analysis (**, pathogenesis, disease location, disease, etc.) and syndrome differentiation (only for TCM practice candidates), complete TCM diagnosis, treatment, prescription name, specific drug prescription (drug, dosage, decoction method, etc.) according to the clinical data provided by TCM four diagnoses, and put forward measures and precautions for TCM prevention and care according to the condition; Candidates for the integration of traditional Chinese and Western medicine are also required to complete the test content of Western medicine diagnosis basis, Western medicine disease diagnosis, differential diagnosis and Western medicine diagnosis and treatment plan.

Note: The setting of scoring items in the dialectical and governance examination shall be reasonably adjusted according to the proposition situation of each year.

Second Stop: Basic Operations.

1) TCM clinical technical operation;

2) Physical examination of internal medicine of Western medicine (teachers and those with real expertise do not test this item); (3) Western medicine clinical technical operation (teachers and people with expertise do not test this item).

The third stage of the exam: clinical defense.

1) TCM clinical question defense test: TCM questioning technique related questions; Test other TCM clinical questions.

2) Western medicine clinical questions defense test Western medicine clinical questions (teachers and people with real expertise do not test this item).

3) Clinical interpretation of auxiliary examination results (teachers and those with real expertise do not test this item).

2. Examination method.

Candidates will randomly select the question numbers at the designated test locations to complete the test at each station.

The first test: Dialectical Argument and GovernanceComplete the written dialectical argument on a unified answer sheet.

Second Stop: Basic Operations.

1) TCM clinical technique operation acupuncture acupoint body surface positioning: mutual operation of candidates of the same gender; Clinical technical operations such as acupuncture, cupping, and massage: narrating and on-site actual operation; The operation of TCM looking, smelling, and palpation techniques: narration or on-site actual operation.

2) Physical examination of Western medicine internal medicine: mutual operation by candidates of the same gender;

3) Basic operation of Western medicine: describe and practice on the spot.

The third stage of the examination: the clinical defense is based on the test questions randomly selected by the candidates, and the questions tested are answered on the spot.

TCM Clinical Question Defense: On-site oral examination; Western medicine clinical question defense: on-site oral examination; Clinical interpretation of auxiliary examination results: on-site oral examination.

3. The amount of questions in the exam.

Dialectical Argument: 1 question;

Basic operation: 4 test questions (3 test questions for teachers and those with real expertise);

Clinical defense: 4 questions;

The Practical Skills Examination for TCM Practitioners focuses on the candidates' hands-on ability and ability to comprehensively use the knowledge they have learned to analyze and solve problems, including six parts: professional quality, medical history collection, case analysis, physical examination, basic operation and auxiliary examination.

The following is the content and examination method of the TCM Practitioner Practical Skills Exam, I hope it will be helpful to you, and I wish you all the best in the exam!

TCM Practical Skills Test Content:

1. Medical skills test (full score of 100 points, 60 points pass).

The skills test is divided into three stations. The first station is case analysis, the second station is clinical operation, and the third station is clinical defense.

1) The first station is case analysis, which is divided into two questions, these two questions are 40 points, accounting for a large proportion. One question is to test the medical records of internal medicine, and the other is to test the medical records of external medicine, gynecology and children, and the examination needs to answer the name of the disease, pathogenesis, syndrome type, treatment, prescription, etc. The most important thing here is to get the disease right, because if you make the wrong diagnosis, then you will be all wrong.

It is necessary to memorize the syndrome types and prescriptions of each disease on the operation book first, and then cooperate with some medical records to strengthen and consolidate. In particular, the syndrome types of some recurrent diseases must be summarized and summarized, and there is a great possibility of examination. The difficulty of this question is relatively large and important, and you need to score about 30 points in order to roll through the more smoothly in the future.

2) The second station is clinical operation, divided into four items, the first of which is the four diagnoses of traditional Chinese medicine, including looking, smelling, asking, and cutting, and memorize the essentials of operation in the book, and can express it during the examination, which is easier to pass. The second is acupuncture, including the positioning and operation methods of acupuncture points, and the positioning of acupuncture points needs to take time to memorize. Physical examination and Western medicine operations are more difficult, you need to read **, and you need to read the essentials in the book.

There are many contents of the physical examination, and it is difficult to grasp. However, the operation of Western medicine is the key operations on the examination book, and it is easier to pass the test several times**, and read the book to remember the operation steps. Finally, it is emphasized that there are some details that are easy to overlook in the operation, otherwise it is easy to make mistakes.

You need to get about 20 points at this stop.

3) The third station is the clinical defense, which is divided into four items, the first consultation is to send sub-questions, and you only need to memorize a questionnaire to get 10 points. The second question is the problem of dust and residual Chinese medicine, which requires more reading, and there are more exams in acupuncture.

The third topic is double diagnosis, according to a medical record, to distinguish the name of traditional Chinese medicine and Western medicine, this depends on luck, and it is more difficult to distinguish if it is difficult to draw. The fourth question is a laboratory balance check, which is more difficult, but fortunately, the score is not large. At least 15 points must be scored in this stop, which is quite good to score.

The content of the TCM skills test includes basic knowledge of TCM, TCM diagnostic ability, and TCM knowledge.

1. Basic knowledge of traditional Chinese medicine.

The basic knowledge of traditional Chinese medicine is one of the important contents of the traditional Chinese medicine skills examination, which requires candidates to master the basic theories of traditional Chinese medicine, including the theory of yin and yang and the five elements, the theory of meridians, the theory of viscera, the theory of qi, blood and fluid, as well as the diagnostic methods and principles of traditional Chinese medicine.

Details: 1. The doctrine of viscera.

Traditional Chinese medicine divides the internal organs of the human body into five internal organs, including the heart, liver, spleen, lungs, kidneys, gall bladder, stomach, small intestine, large intestine, bladder, etc. Each viscera has its own specific physiological functions and pathological manifestations, and candidates need to understand the functions and interrelationships of each viscera.

2. The principle of traditional Chinese medicine.

The principle of TCM is based on the specific condition of the patient. The commonly used principles include attacking evil spirits and promoting the lungs, dissipating cold and warming yang, clearing heat and dampness, and reconciling the liver meridians. Candidates need to understand the indications and application methods of various ** principles.

2. Diagnostic ability of traditional Chinese medicine.

TCM diagnostic ability is one of the important contents of the TCM skills test. The examination will cover TCM diagnostic methods, such as the application of the four diagnostic methods of looking, smelling, asking and cutting, including observation of patients and oak questioning, as well as pulse diagnosis and tongue diagnosis.

Details: 1. Consultation.

By observing the patient's complexion, tongue coating, fundus, ** and other external manifestations to understand the patient's condition. For example, a pale and hungry complexion may be associated with qi deficiency, and a ruddy complexion may be associated with fever.

2. Smell and diagnose. Judge the condition by listening to the patient's voice, breath, etc. For example, hearing a cough may be related to lung heat, lung cold, etc., and hearing a muffled voice may be related to qi deficiency.

3. Knowledge of traditional Chinese medicine.

The examination requires candidates to have a basic knowledge of Chinese medicines, including the classification, efficacy, usage and dosage of Chinese medicines, as well as knowledge and understanding of commonly used Chinese medicines.

Details: 1. Classification of traditional Chinese medicine.

Traditional Chinese medicines are classified according to their different characteristics, such as their nature, and use. Common classifications include herbs, mineral medicines, animal medicines, etc. Candidates need to be familiar with the characteristics and application scope of various types of Chinese medicine.

2. Efficacy of traditional Chinese medicine.

Traditional Chinese medicine has different efficacy and effects depending on its specific chemical composition and mechanism of action. Candidates need to understand the effects of various types of Chinese medicines, such as clearing heat and detoxifying, invigorating blood circulation and removing blood stasis, replenishing qi and nourishing blood, etc.