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开展客观结构化临床考试五年后:我们做对了吗?以医学生评估作为衡量指标。

Five years after commencing the objective structured clinical examination: are we getting it right? Medical students' assessment as the measuring index.

作者信息

Okugbo Stanley Ukadike, Agbonrofo Peter, Irowa Omorodion

机构信息

Department of Surgery, School of Medicine, University of Benin, Benin City.

出版信息

Afr Health Sci. 2020 Jun;20(2):960-965. doi: 10.4314/ahs.v20i2.52.

Abstract

INTRODUCTION

The aim of this study was to assess our use of OSCE from the perception of final year medical students.

MATERIALS AND METHODS

This is a cross sectional survey of final year medical students undergoing the final examination in Surgery. All 102 medical students in the class were given the self-administered questionnaire to fill. The data were collated into excel spreadsheets and analysed using the SPSS version 21.

RESULTS

A total of 79 completed questionnaires were retrieved (return rate of 78%).All the students knew about and had participated previously in OSCE, 94.9% accorded the OSCE fair. 76(93.2%) wanted the examination as the main method of clinical assessment, 38(46.6%) had adequate preparation.In terms of the OSCE stations not mirroring real clinical scenarios, 38(48.1%) disagreed, and 26(20.5%) strongly disagreed. 34(43%) disagreeing that the logistics was poor. The students rating of the OSCE, on a scale of 1 - 10, gave a mean score of >8 for spread of the OSCE stations, detail of the questions and objectivity of the examination. The nearness to clinical reality was rated as 7.52 with artificiality of the stations rated as 4.12.

CONCLUSION

The OSCE has gained acceptance amongst final year medical students.

摘要

引言

本研究旨在从医学专业最后一年学生的认知角度评估我们对客观结构化临床考试(OSCE)的使用情况。

材料与方法

这是一项对正在进行外科期末考试的医学专业最后一年学生的横断面调查。该班级的102名医学生均收到了自行填写的问卷。数据被整理到Excel电子表格中,并使用SPSS 21版进行分析。

结果

共收回79份完整问卷(回收率为78%)。所有学生都了解并曾参与过客观结构化临床考试,94.9%的学生认为该考试公平。76名(93.2%)学生希望将该考试作为临床评估的主要方法,38名(46.6%)学生准备充分。在客观结构化临床考试站点未能反映真实临床场景方面,38名(48.1%)学生不同意,26名(20.5%)学生强烈不同意。34名(43%)学生不同意后勤保障差的说法。学生对客观结构化临床考试的评分,从1到10分,在考试站点分布、问题细节和考试客观性方面的平均得分>8分。与临床现实的接近程度评分为7.52分,站点的人为性评分为4.12分。

结论

客观结构化临床考试已在医学专业最后一年学生中获得认可。

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