Juul Dorthea, Brooks Beth Ann, Jozefowicz Ralph, Jibson Michael, Faulkner Larry
J Grad Med Educ. 2015 Mar;7(1):98-100. doi: 10.4300/JGME-D-14-00265.1.
A few years ago, when the American Board of Psychiatry and Neurology decided to phase out the patient-based oral examinations in its 3 primary specialties, requirements for assessing clinical skills during residency training were instituted.
The purpose of this report is to describe the experiences of training program directors and graduates with these new credentialing requirements (labeled CSEs) as well as other effects on the specialties.
Surveys were administered electronically in 2012 to all current neurology, child neurology, and psychiatry program directors, and to a convenience sample of graduates who applied for the 2012 certification examinations.
Response rates for graduates were similar across the 3 specialties but low (28%-33%). Response rates were higher for program directors (53%-62%) and were similar across the 3 specialties. The results indicated that the CSEs were usually administered early in training, were completed toward the end, were often passed on first attempt, generally took place during routine clinical assignments, were used to assess additional competencies, almost always included feedback to the residents, and did not often lead to remediation. Furthermore, the CSEs were perceived to be useful components in the assessment of clinical skills.
The results obtained from the early implementation of the CSEs suggest that they provide an opportunity to assess clinical skills with the additional benefit of feedback to trainees. Other effects included eventual incorporation into training program requirements, milestones, and related faculty development and research efforts.
几年前，当美国精神病学与神经病学委员会决定逐步淘汰其3个主要专业基于患者的口试时，制定了住院医师培训期间临床技能评估的要求。
本报告旨在描述培训项目主任和毕业生在这些新的认证要求（称为CSEs）方面的经历，以及对这些专业的其他影响。
2012年通过电子方式对所有现任神经病学、儿童神经病学和精神病学项目主任，以及申请2012年认证考试的毕业生便利样本进行了调查。
3个专业毕业生的回复率相似，但较低（28%-33%）。项目主任的回复率较高（53%-62%），且3个专业相似。结果表明，CSEs通常在培训早期进行，在培训接近尾声时完成，通常首次尝试就能通过，一般在常规临床任务期间进行，用于评估额外的能力，几乎总是会向住院医师提供反馈，且不常导致补救措施。此外，CSEs被认为是临床技能评估中有用的组成部分。
CSEs早期实施的结果表明，它们提供了一个评估临床技能的机会，同时还能为学员提供反馈这一额外好处。其他影响包括最终纳入培训项目要求、里程碑以及相关的教师发展和研究工作。
