Ullmann Yehuda, Fodor Lucian, Meilick Benjamin, Eshach Haim, Ramon Yitzhak, Meilick Ahuva
Department of Plastic and Reconstructive Surgery, Rambam Medical Center, Haifa, Israel.
Med Teach. 2006 Jun;28(4):360-4. doi: 10.1080/01421590600605058.
Passing written and oral certifying examinations is a prerequisite to obtaining the license required from the Ministry of Health to start practicing as a Plastic Surgeon in Israel. In recent years, residents have complained about the unfairness of the method of the oral examination in terms of questions that varied according to the examiner. Before instituting changes, the position and attitudes of plastic surgeons in Israel, both senior surgeons and residents, regarding the oral examination was investigated. A detailed questionnaire containing 20 questions was distributed among 44 senior surgeons and 17 residents who attended the Annual Meeting of Israeli Plastic and Reconstructive Surgery Association in November 2001. The answers were analysed using the Pearson chi square test. According to this survey, a majority of responders agreed that the format of the oral examination should be changed. Although significant differences were found among the senior surgeons and the residents, the approach of the residents was found to be more acceptable. Reflecting the literature, the residents felt that the oral examination should be built of standardized questions and the anticipated answers should be pre-determined. The examination should cover a wide spectrum of subjects, with a restricted amount of time for each answer. A majority, 77% of the seniors and 64% of the residents, agreed that there was something to be learned about the abilities of the examinee from the presentation of a few case studies, and it was felt that this should be added to the revised examination. Only competent examiners should participate and each should rate the examinee independently. An observer from the same program was preferred. The majority of the responders also preferred a high quality and valid examination and did not like to view the examination as a barrier to entering the profession.
通过书面和口头认证考试是获得以色列卫生部颁发的整形外科医生执业许可证的先决条件。近年来，住院医师抱怨口头考试的方式不公平，因为问题会因考官而异。在进行改革之前，对以色列整形外科医生（包括资深外科医生和住院医师）对口头考试的立场和态度进行了调查。2001年11月，向44名资深外科医生和17名参加以色列整形与重建外科协会年会的住院医师发放了一份包含20个问题的详细问卷。使用Pearson卡方检验对答案进行分析。根据这项调查，大多数受访者同意应改变口头考试的形式。虽然在资深外科医生和住院医师之间发现了显著差异，但发现住院医师的方法更可接受。与文献反映的情况一致，住院医师认为口头考试应由标准化问题组成，预期答案应预先确定。考试应涵盖广泛的主题，每个答案的时间限制应严格。大多数人，77%的资深外科医生和64%的住院医师，同意从一些病例研究的展示中可以了解考生的能力，并且认为这应该添加到修订后的考试中。只有合格的考官才能参与，并且每个考官都应独立对考生进行评分。同一项目的观察员更受欢迎。大多数受访者也更喜欢高质量和有效的考试，不希望将考试视为进入该行业的障碍。
