Walker Robert, Phieffer Laura S, Bishop Julie Y
College of Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio.
J Surg Educ. 2016 Jul-Aug;73(4):648-54. doi: 10.1016/j.jsurg.2016.03.001. Epub 2016 May 3.
We studied 4 years of data from our objective structured clinical examination (OSCE) to determine whether residents improved skills in the trauma physical examination (PE). Our hypothesis was that residents would improve with each year of training, and that resident scores would also improve over time, with each year of OSCE testing.
We developed 2 polytrauma scenarios and alternated yearly. Residents were graded on PE, history taking, and professionalism. Scenarios simulated trauma cases residents could encounter during training. We compared each year for any significant (p < 0.05) changes overall and between postgraduate years.
The Ohio State University Wexner Medical Center.
Orthopedic faculty and residents.
Across years 2010 to 2013, we saw no significant improvement in PE skills. History-taking skills trended upwards, but this was not significant, and communication skills significantly improved.
We expected after instituting a trauma OSCE that we would see an improvement in residents' PE skills, which we did not. We observed an overall improvement in ability to interact and communicate with patients and ask appropriate questions.
我们研究了来自客观结构化临床考试（OSCE）的4年数据，以确定住院医师在创伤体格检查（PE）方面的技能是否有所提高。我们的假设是，住院医师会随着每年的培训而进步，并且随着每年OSCE测试的进行，住院医师的分数也会随着时间的推移而提高。
我们制定了2种多发伤场景，并逐年交替。对住院医师的体格检查、病史采集和职业素养进行评分。场景模拟了住院医师在培训期间可能遇到的创伤病例。我们比较了每年总体以及不同研究生年级之间的任何显著（p<0.05）变化。
俄亥俄州立大学韦克斯纳医学中心。
骨科教员和住院医师。
在2010年至2013年期间，我们未发现体格检查技能有显著提高。病史采集技能呈上升趋势，但不显著，而沟通技能有显著提高。
我们预期在引入创伤OSCE后，住院医师的体格检查技能会有所提高，但实际并非如此。我们观察到在与患者互动、沟通以及提出恰当问题的能力方面有整体提高。
