Noel Kendall, Archibald Douglas, Brailovsky Carlos, Mautbur Ashley
a University of Ottawa , Canada .
b College of Family Physicians of Canada , Canada.
Med Teach. 2016;38(4):364-8. doi: 10.3109/0142159X.2015.1031733. Epub 2015 May 13.
Simulated office orals (SOOs) are used by the College of Family Physicians of Canada as a method to evaluate family medicine resident readiness for clinical practice. The use of SOOs as a progress test would provide residency programs with useful information to determine resident readiness for challenging the certification exam. The data from a progress test could then be easily manipulated to generate a risk assessment plot.
During a prospective cohort study conducted at the University of Ottawa, the feasibility of using practice SOO sessions, a structured clinical exam, as a progress test was explored. Twenty-three residents participated in all four practice SOO sessions and their results were entered into a risk assessment plot.
Repeated measures analysis of the data using ANOVA demonstrated that the residents' scores at each time point were statistically different from each other, generating an F(3, 66) = 27.52, p < 0.001, η(2) = 0.55.and that the relationship over time was linear with an F(1, 22) = 123.80, p < 0.001, η(2) = 0.85. At the final time point, a risk assessment resulted in no learners mapping to quadrants III or IV.
Our results demonstrate the feasibility of utilizing a SOO exam, a clinical exam, as a progress test. In addition, we propose generating a risk assessment plot, using the data from the Fall 2013 and Spring 2014 practice SOO sessions, as a means of identifying residents at risk. Further studies will be needed to confirm the utility of this analysis. Combined with other measures acquired during in-training evaluation, the utilization of practice SOOs as a progress test will provide program directors with valuable information on resident progression.
加拿大家庭医师学院使用模拟门诊口试（SOO）作为评估家庭医学住院医师临床实践准备情况的一种方法。将SOO用作进度测试可为住院医师培训项目提供有用信息，以确定住院医师是否准备好挑战认证考试。然后可以轻松处理进度测试的数据以生成风险评估图。
在渥太华大学进行的一项前瞻性队列研究中，探讨了将实践SOO课程（一种结构化临床考试）用作进度测试的可行性。23名住院医师参加了所有四次实践SOO课程，并将他们的结果输入风险评估图。
使用方差分析对数据进行重复测量分析表明，住院医师在每个时间点的分数在统计学上彼此不同，F(3, 66) = 27.52，p < 0.001，η(2) = 0.55，并且随着时间的推移关系呈线性，F(1, 22) = 123.80，p < 0.001，η(2) = 0.85。在最后一个时间点，风险评估结果显示没有学习者处于第三或第四象限。
我们的结果证明了将SOO考试（一种临床考试）用作进度测试的可行性。此外，我们建议使用2013年秋季和2014年春季实践SOO课程的数据生成风险评估图，作为识别有风险住院医师的一种手段。需要进一步的研究来证实这种分析的效用。结合培训期间评估中获得的其他措施，将实践SOO用作进度测试将为项目主任提供有关住院医师进展的有价值信息。
