基于核心能力的客观结构化临床考试（OSCE）用于评估住院医师规范化培训第 1 年（PGY₁）住院医师的临床表现。
A core competence-based objective structured clinical examination (OSCE) in evaluation of clinical performance of postgraduate year-1 (PGY₁) residents.
机构信息
Division of General Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
出版信息
J Chin Med Assoc. 2011 May;74(5):198-204. doi: 10.1016/j.jcma.2011.03.003. Epub 2011 Apr 11.
BACKGROUND
Clinical competency certifications are important parts of internal medicine residency training. This study aims to evaluate a composite objective structured clinical examination (OSCE) that assesses postgraduate year-1 (PGY(1)) residents' acquisition of the six core competencies defined by the Accreditation council for Graduate Medical Education (ACGME).
METHODS
Six-core-competency-based OSCE was used as examination of the clinical performance of 192 PGY(1) residents during their 3-month internal medicine training between 2007 January and 2009 December. For each year, the reliability of the entire examination was calculated with Cronbach's alpha.
RESULTS
The reliability of six-core-competency-based OSCE was acceptable, ranging from 0.69 to 0.87 between 2007 and 2009. In comparison with baseline scores, the summary scores and core-competency subscores all showed significant increase after PGY(1) residents finished their 3-month internal medicine training program.
CONCLUSION
By using a structured development process, the authors were able to create reliable evaluation items for determining PGY(1) residents' acquisition of the ACGME core competencies.
背景
临床能力认证是内科住院医师培训的重要组成部分。本研究旨在评估一种综合的客观结构化临床考试（OSCE），以评估住院医师培训第一年（PGY(1)）住院医师获得由研究生医学教育认证委员会（ACGME）定义的六项核心能力的情况。
方法
在 2007 年 1 月至 2009 年 12 月期间，对 192 名 PGY(1)住院医师进行了为期 3 个月的内科培训，采用基于六核能力的 OSCE 对他们的临床表现进行评估。对于每一年，用 Cronbach's alpha 计算整个考试的可靠性。
结果
基于六核能力的 OSCE 的可靠性在 2007 年至 2009 年之间可接受，范围在 0.69 至 0.87 之间。与基线分数相比，在 PGY(1)住院医师完成他们的 3 个月的内科培训计划后，综合分数和核心能力子分数均显示出显著增加。
结论
通过使用结构化的发展过程，作者能够为确定 PGY(1)住院医师获得 ACGME 核心能力创建可靠的评估项目。
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