Risse J, Busato T, Dufrost V, Perri M, Zuily S, Wahl D
Service de médecine vasculaire et centre de compétence régional des maladies vasculaires rares et systémiques auto-immunes, CHRU de Nancy, 54511 Vandoeuvre-lès-Nancy cedex, France; Inserm, UMR S 1116, université de Lorraine, 54000 Nancy, France.
Service de médecine vasculaire et centre de compétence régional des maladies vasculaires rares et systémiques auto-immunes, CHRU de Nancy, 54511 Vandoeuvre-lès-Nancy cedex, France.
J Med Vasc. 2017 May;42(3):141-147. doi: 10.1016/j.jdmv.2017.02.002. Epub 2017 Apr 18.
Vascular medicine is now a clinical specialty in France. During their studies, students will acquire clinical reasoning in addition to technical skills. An Objective Structured Clinical Examination (OSCE) is considered as the gold standard for evaluating clinical competence. Our main objective was to evaluate the feasibility and acceptability of OSCE for the evaluation of students, secondarily their performance.
Three representative clinical cases of the specialty were developed. The OSCE consisted of a sequence of clinical situations presented in three stations of 7minutes each. The role of the simulated patient was played by medical students. At the end of the OSCE, observers and students completed the evaluation form. We compared the performances between junior and senior vascular medicine students. Written questionnaires were used to measure OSCE satisfaction.
We were able to develop and organize this examination without difficulties. Fifteen students were evaluated. All participants agreed that the clinical situations were representative of vascular medicine practice, the cases were realistic and standardized patients were convincing. The performance of senior students was statistically higher than junior students in one case.
Our study demonstrates the feasibility and acceptability of the OSCE in students in vascular medicine. The small number of stations and candidates requires further studies on a larger scale to evaluate their performance.
血管医学目前在法国是一个临床专科。在学习过程中，学生除了获得技术技能外，还将培养临床推理能力。客观结构化临床考试（OSCE）被视为评估临床能力的金标准。我们的主要目标是评估OSCE用于评估学生的可行性和可接受性，其次是评估他们的表现。
开发了该专科的三个具有代表性的临床病例。OSCE由一系列临床情境组成，在三个站点依次呈现，每个站点7分钟。模拟患者的角色由医学生扮演。在OSCE结束时，观察者和学生完成评估表。我们比较了血管医学低年级和高年级学生的表现。使用书面问卷来衡量对OSCE的满意度。
我们能够顺利开发和组织这次考试。对15名学生进行了评估。所有参与者都认为临床情境代表了血管医学实践，病例真实且标准化患者令人信服。在一个病例中，高年级学生的表现统计学上高于低年级学生。
我们的研究证明了OSCE在血管医学专业学生中的可行性和可接受性。站点和考生数量较少，需要进一步开展更大规模的研究来评估他们的表现。
