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将客观结构化临床考试（OSCE）纳入牙科预考。

Integration of an Objective Structured Clinical Examination (OSCE) into the dental preliminary exams.

作者信息

Ratzmann Anja, Wiesmann Ulrich, Kordaß Bernd

机构信息

University Medicine Greifswald, Community Dentistry ZZMK, Greifswald, Germany.

出版信息

GMS Z Med Ausbild. 2012;29(1):Doc09. doi: 10.3205/zma000779. Epub 2012 Feb 15.

DOI:10.3205/zma000779
PMID:22403594
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3296098/
Abstract

INTRODUCTION

In the pre-clinical phase of the study of dentistry at the University of Greifswald, the course "Early Patient Contact (EPC)" is conducted within the framework of Community Medicine/Dentistry. The course is based on three pillars: the patient visiting program, special problem-oriented seminars, and communication training for doctors. The essential goal consists of providing students with real patient contact right at the beginning of their study of dentistry, thus making the study of dentistry patient-based very early on. Students are trained in taking comprehensive anamneses and recording clinical findings.

METHODS

Within the framework of the dental preliminary exams, the course is evaluated using an OSCE on a standardized patient. Furthermore, the added value of an additional training unit (conducting anamnesis and clinical examination) in preparation for the OSCE was evaluated. The exam results of a group without training (control group) were compared with those of a group with training (intervention group).

RESULTS

The intervention group performed significantly better than the control on the following items: the total number of points achieved on the OSCE early patient contact, and in the most important points of the anamnesis and clinical examination. In addition, the intervention group tended to score higher in terms of the item "oral health status".

CONCLUSION

The present study showed a positive effect of an additional training unit on students' performance in the OSCE. Taking the limitations of the study and the results of a literature review into account, we recommend conducting such training as preparation for the OSCE.

摘要

引言

在格赖夫斯瓦尔德大学牙医学的临床前研究阶段，“早期患者接触（EPC）”课程是在社区医学/牙医学的框架内开展的。该课程基于三个支柱：患者访问计划、特殊的问题导向研讨会以及医生沟通培训。其主要目标是在牙医学学习伊始就让学生与真实患者接触，从而使牙医学学习很早就以患者为基础。学生接受全面问诊和记录临床发现的培训。

方法

在牙科预考框架内，使用标准化患者通过客观结构化临床考试（OSCE）对该课程进行评估。此外，还评估了为准备OSCE而增设的一个培训单元（进行问诊和临床检查）的附加值。将未接受培训的一组（对照组）的考试成绩与接受培训的一组（干预组）的成绩进行比较。

结果

在以下项目上，干预组的表现明显优于对照组：OSCE早期患者接触的总得分，以及问诊和临床检查最重要项目的得分。此外，干预组在“口腔健康状况”项目上往往得分更高。

结论

本研究表明增设的培训单元对学生在OSCE中的表现有积极影响。考虑到本研究的局限性和文献综述结果，我们建议开展此类培训作为OSCE的准备工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/b07d4c8cb2d1/ZMA-29-09-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/0be08d3a752b/ZMA-29-09-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/47d0cc849f94/ZMA-29-09-t-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/f375bae949c8/ZMA-29-09-t-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/1eee805686d6/ZMA-29-09-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/1eee805686d6/ZMA-29-09-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/b07d4c8cb2d1/ZMA-29-09-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/0be08d3a752b/ZMA-29-09-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/47d0cc849f94/ZMA-29-09-t-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/f375bae949c8/ZMA-29-09-t-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/1eee805686d6/ZMA-29-09-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/1eee805686d6/ZMA-29-09-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/3296098/b07d4c8cb2d1/ZMA-29-09-g-003.jpg

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