From the Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota.
Department of Anesthesiology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Anesth Analg. 2020 Jan;130(1):258-264. doi: 10.1213/ANE.0000000000004496.
With its first administration of an Objective Structured Clinical Examination (OSCE) in 2018, the American Board of Anesthesiology (ABA) became the first US medical specialty certifying board to incorporate this type of assessment into its high-stakes certification examination system. The fundamental rationale for the ABA's introduction of the OSCE is to include an assessment that allows candidates for board certification to demonstrate what they actually "do" in domains relevant to clinical practice. Inherent in this rationale is that the OSCE will capture competencies not well assessed in the current written and oral examinations-competencies that will allow the ABA to judge whether a candidate meets the standards expected for board certification more properly. This special article describes the ABA's journey from initial conceptualization through first administration of the OSCE, including the format of the OSCE, the process for scenario development, the standardized patient program that supports OSCE administration, examiner training, scoring, and future assessment of reliability, validity, and impact of the OSCE. This information will be beneficial to both those involved in the initial certification process, such as residency graduate candidates and program directors, and others contemplating the use of high-stakes summative OSCE assessments.
2018 年，美国麻醉师协会（ABA）首次进行了客观结构化临床考试（OSCE），成为美国第一个将这种评估纳入高风险认证考试系统的医学专业认证委员会。ABA 引入 OSCE 的基本原理是纳入一种评估，使委员会认证候选人能够展示他们在与临床实践相关的领域中实际“做”的事情。这一原理的内在含义是，OSCE 将捕捉到当前书面和口头考试中评估不佳的能力——这些能力将使 ABA 能够更恰当地判断候选人是否符合委员会认证的标准。这篇特别文章描述了 ABA 从最初的概念化到首次进行 OSCE 的历程，包括 OSCE 的格式、情景开发过程、支持 OSCE 管理的标准化患者计划、考官培训、评分以及未来对 OSCE 的可靠性、有效性和影响的评估。这些信息将对参与初始认证过程的人员（如住院医师毕业生候选人和项目主任）以及其他考虑使用高风险总结性 OSCE 评估的人员都有帮助。
