Henry D. Janowitz Division of Gastroenterology, Mount Sinai School of Medicine, New York, New York, USA.
Am J Gastroenterol. 2011 Sep;106(9):1575-9. doi: 10.1038/ajg.2011.124.
The American Gastroenterological Association fellowship curriculum identifies geriatric components for gastroenterology (GI) training; however, few tools are available for this purpose. Using an objective structured clinical examination (OSCE), we aimed to assess ACGME competencies of communication, professionalism, and geriatric-specific patient care among GI fellows.
We developed an informed-consent case involving a geriatric patient who needs surveillance colonoscopy. We used a validated faculty skills checklist to rate fellows across three competency domains. Fifteen fellows from four GI training programs participated.
Although the fellows excelled at communication and professionalism, only 51% excelled at geriatric-specific patient-care skills. Fellows were least likely to demonstrate collaboration with the patient, to assess patient understanding, and to explain the limits of the test. Communication and geriatric-specific skills were correlated.
OSCEs are a feasible method for assessing geriatric-related ACGME competencies for fellows. The results highlight the need for curriculum development.
美国胃肠病学会奖学金课程确定了胃肠病学（GI）培训的老年学内容；然而，为此目的可用的工具很少。我们使用客观结构化临床考试（OSCE），旨在评估 GI 研究员在沟通、专业精神和老年患者护理方面的 ACGME 能力。
我们开发了一个涉及需要监测结肠镜检查的老年患者的知情同意案例。我们使用经过验证的教师技能检查表来评估三个能力领域的研究员。来自四个 GI 培训计划的 15 名研究员参加了。
尽管研究员在沟通和专业精神方面表现出色，但只有 51%的人在老年患者护理技能方面表现出色。研究员最不可能表现出与患者合作、评估患者理解能力以及解释测试限制的能力。沟通和老年特定技能是相关的。
OSCE 是评估研究员与老年相关的 ACGME 能力的可行方法。结果强调了课程开发的必要性。
