Hassell A B
Staffordshire Rheumatology Centre and Keele University, Haywood Hospital, High Lane, Burslem, Stoke-on-Trent, Staffordshire ST6 7AG, UK.
Rheumatology (Oxford). 2002 Nov;41(11):1323-8. doi: 10.1093/rheumatology/41.11.1323.
Assessment of higher medical trainees (specialist registrars) in rheumatology is an important challenge facing the rheumatology community, particularly with the advent of the implemention of the changes recommended by the Calman Report in the UK. So far there has been remarkably little work in this area. Our aim was to implement and evaluate an objective structured clinical examination (OSCE) for rheumatology specialist registrars (SpRs).
Twelve SpRs completed a 12-station OSCE designed to assess core rheumatological clinical skills. The OSCE was designed and manned by consultant members of the West Midlands Rheumatology Services and Training Committee. The OSCE was evaluated by the SpRs, the participating consultant supervisors and the patients, by means of questionnaires.
We present the details of the OSCE stations and the scores for each station. In terms of evaluation, 11 out of 12 SpRs felt that it was a very worthwhile exercise. Participating patients found it interesting, if tiring. All would be happy to participate in such an examination again. All participating consultants found it interesting and useful in terms of establishing the level of competence among trainees.
The OSCE represents one practical approach to assessing clinical skills in rheumatology SpRs. It has potential in both formative and summative assessment. The broader issues around the assessment of rheumatology trainees are discussed.
对风湿病专科高级医学培训生（专科住院医师）进行评估是风湿病学界面临的一项重大挑战，尤其是在英国卡尔曼报告所建议的变革实施之后。到目前为止，该领域的相关工作非常少。我们的目的是为风湿病专科住院医师实施并评估一项客观结构化临床考试（OSCE）。
12名专科住院医师完成了一项包含12个站点的OSCE，旨在评估核心风湿病临床技能。该OSCE由西米德兰兹郡风湿病服务与培训委员会的顾问成员设计并负责实施。通过问卷调查的方式，由专科住院医师、参与的顾问督导员和患者对OSCE进行评估。
我们展示了OSCE各站点的详细信息以及每个站点的得分。在评估方面，12名专科住院医师中有11名认为这是一项非常有价值的活动。参与的患者觉得它有趣，尽管很累。所有人都愿意再次参加这样的考试。所有参与的顾问都认为它对于确定培训生的能力水平很有趣且有用。
OSCE是评估风湿病专科住院医师临床技能的一种实用方法。它在形成性评估和总结性评估中都具有潜力。文中还讨论了围绕风湿病培训生评估的更广泛问题。
