为深化中医学长学制教育改革，契合中医学专业“5+3”大类培养学生专业方向合理分流的需求，北京中医药大学开展了阶段性综合考试的探索与优化，打造了以“融合题”为特色与主体的考核模式，以满足选拔性考试对高阶性、创新性、挑战度的要求。为了科学地评价试卷质量是阶段性综合考试实证研究的重要内容，对考试的总体情况及试卷的难度、区分度、信度、效度等参数情况进行了分析。调研结果显示，考生成绩基本服从正态分布，且试卷总体情况良好，难度适中、区分度好，具有较好的信度和效度。此次分析结果提示，教育工作者需要更加重视课程间的联系和融合，以岗位胜任力为导向进行课程改革。如何更精确地把握考核的质量，打造有深度、有挑战度的选拔性综合考试，将是持续探索与完善的方向。

To advance the reform of education for “5+3” Chinese medicine students and address the need for rational specialization， Beijing University of Chinese Medicine （BUCM） has explored and optimized a phased comprehensive examination model. This model features “syncretic questions” as its core， aiming to meet the high-level， innovative， and challenging demands of selective examinations. A scientific evaluation of the exam quality was conducted， focusing on overall exam performance and test paper parameters such as difficulty， discrimination， reliability， and validity. The analysis revealed that the students' scores followed a normal distribution， with the test papers showing moderate difficulty， good discrimination， and satisfactory reliability and validity. The findings suggest that educators should emphasize the integration and connection between courses and carry out curriculum reforms based on clinical competence. Further exploration is needed to ensure precise evaluation of exam quality and to design comprehensive exams with appropriate depth and challenge.