J Am Acad Orthop Surg. 2013 Oct;21(10):592-600. doi: 10.5435/JAAOS-21-10-592.
Objective Structured Clinical Examinations (OSCEs) have been used extensively in medical schools and residency programs to evaluate various skills, including the six core competencies outlined by the Accreditation Council for Graduate Medical Education (ACGME). Orthopaedic surgery residency programs will be required by the ACGME to assess residents on core competencies in the Milestone Project. Thus, it is important that evaluations be made in a consistent, objective manner. Orthopaedic residency programs can also use simulation models in the examination to accurately and objectively assess residents' skills as they progress through training. The use of these models will become essential as resident work hours are decreased and opportunities to observe skills become more limited. In addition to providing a method to assess competency, OSCEs are a valuable tool for residents to develop and practice important clinical skills. Here, we describe a method for developing a successful OSCE for use in orthopaedic surgical resident training.
客观结构化临床考试（OSCE）已广泛应用于医学院校和住院医师培训计划中，以评估各种技能，包括研究生医学教育认证委员会（ACGME）概述的六项核心能力。ACGME 将要求骨科住院医师培训计划在里程碑项目中评估住院医师的核心能力。因此，以一致、客观的方式进行评估非常重要。骨科住院医师培训计划也可以在考试中使用模拟模型，以在培训过程中准确、客观地评估住院医师的技能。随着住院医师工作时间的减少和观察技能的机会变得更加有限，这些模型的使用将变得至关重要。除了提供评估能力的方法外，OSCE 还是住院医师发展和练习重要临床技能的宝贵工具。在这里，我们描述了一种用于开发成功的 OSCE 的方法，该方法可用于骨科住院医师培训。
