Peninsula Allied Health Centre, School of Health Professions, Plymouth University, Plymouth, UK.
Nutr Diet. 2019 Nov;76(5):628-633. doi: 10.1111/1747-0080.12537. Epub 2019 Apr 24.
Objective structured clinical examinations (OSCEs) are used extensively in medical education to prepare students for the clinical setting. Their use in dietetic education is still relatively new, and relationships to placement outcomes are unknown. The aim of this study was to explore 11 years of OSCE and placement data to answer the following questions: Does the OSCE predict dietetic placement outcome? and, What are the student perceptions of the benefits of OSCE in preparation for practice?
Data were collected retrospectively from 328 students between 2006 and 2017 who had completed their final year OSCE and placement. Aggregate OSCE marks and mean marks obtained in active and passive OSCE stations were compared with placement outcome. Evaluation questionnaires completed by students at the end of the OSCE were collated.
Aggregate marks achieved in OSCE stations were significantly different for students who passed (mean = 63.24, SD = 7.94), struggled (mean = 58.25, SD = 8.82) or failed (mean = 57.31, SD = 8.28) placement, P < 0.001. Majority of students perceived the OSCE as a meaningful and fair assessment (92%) that helped to prepare them for practice (82%).
The OSCE provides a meaningful assessment of dietetic student skills in preparation for practice. Aggregate OSCE marks provide a consistent indicator of students who are likely to struggle in practice.
客观结构化临床考试（OSCE）在医学教育中被广泛用于为学生做好临床准备。在营养学教育中的应用仍然相对较新，与实习结果的关系尚不清楚。本研究旨在探讨 11 年来 OSCE 和实习数据，以回答以下问题：OSCE 是否能预测营养实习的结果？学生对 OSCE 在实践准备方面的益处有何看法？
本研究回顾性地收集了 2006 年至 2017 年间 328 名完成最后一年 OSCE 和实习的学生的数据。将综合 OSCE 分数和主动及被动 OSCE 站的平均分数与实习结果进行比较。整理学生在 OSCE 结束时完成的评估问卷。
通过（平均=63.24，SD=7.94）、挣扎（平均=58.25，SD=8.82）或失败（平均=57.31，SD=8.28）实习的学生，在 OSCE 站获得的综合分数有显著差异，P<0.001。大多数学生认为 OSCE 是一种有意义和公平的评估（92%），有助于他们为实践做好准备（82%）。
OSCE 为营养学生的实践技能提供了有意义的评估。综合 OSCE 分数为可能在实践中挣扎的学生提供了一致的指标。
