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Traditional finals and OSCEs in predicting consultant and self-reported clinical skills of PRHOs: a pilot study.

机译:传统的决赛和OSCE在预测PRHO的顾问和自我报告的临床技能方面:一项试点研究。

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INTRODUCTION: As we move from standard 'long case' final examinations to new objective structured formats, we need to ensure the new is at least as good as the old. Furthermore, knowledge of which examination format best predicts medical student progression and clinical skills development would be of value. METHODS: A group of medical students sat both the standard long case examination and the new objective structured clinical examination (OSCE) to introduce this latter examination to our Medical School for final MB. At the end of their pre-registration year, the group and their supervising consultants submitted performance evaluation questionnaires. RESULTS: Thirty medical students sat both examinations and 20 returned evaluation questionnaires. Of the 72 consultants approached, 60 (83%) returned completed questionnaires. No correlation existed between self- and consultant reported performance. The traditional finals examination was inversely associated with consultant assessment. Better performing students were not rated as better doctors. The OSCE (and its components) was more consistent and showed positive associations with consultant ratings across the board. DISCUSSION: Major discrepancies exist between the 2 examination formats, in data interpretation and practical skills, which are explicitly tested in OSCEs but less so in traditional finals. Standardised marking schemes may reduce examiner variability and discretion and weaken correlations across the 2 examinations. This pilot provides empirical evidence that OSCEs assess different clinical domains than do traditional finals. Additionally, OSCEs improve prediction of clinical performance as assessed by independent consultants. CONCLUSION: Traditional finals and OSCEs correlate poorly with one another. Objective structured clinical examinations appear to correlate well with consultant assessment at the end of the pre-registration house officer year.
机译:简介:当我们从标准的“大案”期末考试过渡到新的客观结构形式时,我们需要确保新的至少与旧的一样好。此外,了解哪种考试形式最能预测医学生的进步和临床技能的发展将是有价值的。方法:一组医学生参加了标准的长期病例检查和新的客观结构化临床检查(OSCE),以将后一种检查介绍给我们的医学院以获得最终MB。在预注册年末,该小组及其监督顾问提交了绩效评估调查表。结果:30名医学生参加了考试和20份评估问卷。在接洽的72名顾问中,有60名(83%)返回了已完成的调查表。自我报告的和顾问报告的绩效之间没有相关性。传统的期末考试与顾问评估成反比。表现较好的学生没有被评为更好的医生。欧安组织(及其组成部分)更加一致,并且与顾问评级总体上显示出积极的联系。讨论:在数据解释和实践技能方面,这两种考试形式之间存在重大差异,这在OSCE中得到了明确测试,而在传统的决赛中则没有。标准化的评分方案可能会减少考官的变异性和判断力,并削弱两次考试之间的相关性。该飞行员提供了经验证据,表明OSCE与传统决赛相比评估了不同的临床领域。此外,由独立顾问评估,OSCE可改善对临床表现的预测。结论:传统的决赛和OSCE之间的关联性很差。在注册前官员年度结束时,客观的结构化临床检查似乎与顾问评估非常相关。

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