标准化病人在住院医师情绪障碍课程评估中的应用：简要报告
Use of standardised patients in the evaluation of a residency mood disorders curriculum: a brief report.
作者信息
Kobus A M, Heintzman J, Garvin R D
机构信息
Departments of Psychiatry and Family Medicine, Oregon Health and Science University, Portland, OR, USA.
Department of Family Medicine, Oregon Health and Science University, Portland, OR, USA.
出版信息
Ment Health Fam Med. 2013 Jan;10(1):45-51.
Background and objectives The purpose of this paper is to describe the use of resident performance on an observed structured clinical examination (OSCE) as a tool to refine a mood disorders curriculum, and to disseminate a mood disorders OSCE for use in other residency settings. Methods A depression-focused OSCE and a direct observation evaluation tool were developed and implemented. A total of 24 first-year family medicine residents (PGY1) participated in the OSCE, and their performance was used to direct changes in a mood disorders curriculum. Results Residents performed well on general interview behaviours, and 67% were able to uncover depression in a patient presenting with headaches. Less than 50% of the residents asked about suicidal ideation and recreational drug use. Curriculum was added that addressed the latter deficiencies. Conclusions Tracking of resident performance on specific behaviours during OSCE sessions can be used for curriculum evaluation purposes. The mood disorders curriculum in additional family medicine residency programmes can now be evaluated using our depression-focused OSCE and Clinical Performance Checklist.
背景与目标 本文旨在描述如何将住院医师在客观结构化临床考试（OSCE）中的表现作为完善心境障碍课程的工具，并推广一种用于其他住院医师培训环境的心境障碍OSCE。方法 开发并实施了以抑郁症为重点的OSCE和直接观察评估工具。共有24名一年级家庭医学住院医师（PGY1）参加了OSCE，他们的表现被用于指导心境障碍课程的变革。结果 住院医师在一般问诊行为方面表现良好，67%的人能够在头痛患者中发现抑郁症。不到50%的住院医师询问了自杀意念和娱乐性药物使用情况。针对后述不足增加了课程内容。结论 在OSCE环节中跟踪住院医师在特定行为上的表现可用于课程评估。现在可以使用我们以抑郁症为重点的OSCE和临床绩效清单对其他家庭医学住院医师培训项目中的心境障碍课程进行评估。
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