Chew Cindy, O'Dwyer Patrick J, Jaap Alan, McDowall Suanne, Remers Olga Jl, Williams Jjz, McPhee I, Bjelogrlic Predrag
School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.
Edinburgh Medical School, Chancellor's Building, Edinburgh, UK.
BJR Open. 2020 Dec 11;2(1):20200047. doi: 10.1259/bjro.20200047. eCollection 2020.
Assessments are a key part of life for medical students at University. We know there is variation in these assessments across Universities. The aims of this study were to expatiate summative assessments in Scottish Medical Schools and to examine how frequently radiological images feature in them.
All Scottish medical schools were invited to participate in the study. Data on objective structured clinical examinations (OSCEs; 5 years) and written assessments (3 years) were retrospectively collected for each university and results were collated. Each University was randomly assigned a letter from A to E and anonymised for data presentation.
10,534 multiple choice questions (MCQ) and 1083 OSCE stations were included in this study. There was wide variation in the number, type and timing of assessments across Scottish medical schools. There were highly significant differences in the number of OSCE stations and the number of MCQs set over the study period ( < 0.0001). Radiological images were used on average 0.6 times (range 0-1.1) in each OSCE examination and 2.4 times (range 0.1-3.7) for written assessments.
In this detailed study, we demonstrated significant differences in medical student assessments across Scottish Universities. Given the importance of Radiology in modern medicine, the frequency and differences in which radiological images were used in assessments across Universities should be addressed.
This is the first national longitudinal study to quantify the role of radiological images in summative Medical Student Assessments. Great variability exists in the extent and how (clinical versus written assessments) radiological images are used to assess Scottish medical students. Radiological images are used infrequently in clinical assessments, but are present in every written assessment. These findings could help inform medical schools and academic radiologists as they prepare medical students for the imminent unified medical licensing examination, where Clinical Imaging is a subject with one of the highest number of associated conditions examinable.
评估是大学生医学生活的关键部分。我们知道不同大学的这些评估存在差异。本研究的目的是阐述苏格兰医学院校的结业性评估，并研究放射影像在其中出现的频率。
邀请所有苏格兰医学院校参与本研究。回顾性收集每所大学关于客观结构化临床考试（OSCE；5年）和笔试（3年）的数据，并整理结果。每所大学被随机分配一个从A到E的字母，数据呈现时进行匿名处理。
本研究纳入了10534道多项选择题（MCQ）和1083个OSCE考站。苏格兰各医学院校在评估的数量、类型和时间安排上存在很大差异。在研究期间，OSCE考站数量和设置的MCQ数量存在极显著差异（<0.0001）。在每次OSCE考试中，放射影像平均使用0.6次（范围0 - 1.1），在笔试中平均使用2.4次（范围0.1 - 3.7）。
在这项详细研究中，我们证明了苏格兰各大学在医学生评估方面存在显著差异。鉴于放射学在现代医学中的重要性，应解决各大学在评估中使用放射影像的频率和差异问题。
这是第一项量化放射影像在医学生结业性评估中作用的全国性纵向研究。在评估苏格兰医学生时，放射影像的使用程度和方式（临床评估与笔试）存在很大差异。放射影像在临床评估中使用频率较低，但在每次笔试中都有出现。这些发现可为医学院校和放射学学术专家提供参考，帮助他们为即将到来的统一医学执照考试培养医学生，在该考试中，临床影像学是可考查相关病症数量最多的科目之一。
