J Vet Med Educ. 2022 Feb;49(1):16-24. doi: 10.3138/jvme-2020-0084. Epub 2021 Mar 3.
In spring 2020, the COVID-19 pandemic forced educators to adjust the delivery and assessment of curriculum. While didactic courses moved online, laboratory courses were not amenable to this shift. In particular, assessment of clinical skills courses through common methods including objective structured clinical examinations (OSCEs) became inadvisable. This article describes decisions made for first-, second-, and third-year veterinary students ( = 368) with respect to clinical skills at one US college. This includes the remote completion of a surgical skills curriculum using instructional videos and models and the delaying of laboratory sessions deemed impossible to deliver remotely. First- and third-year students were subsequently assessed using modified remote OSCEs. Second-year students were assessed using the standard surgical skills examination, video-recorded. All first- and third-year students successfully passed their OSCE upon either first attempt or remediation. Two second-year students failed their remediation examination and were offered additional faculty tutoring and another remediation attempt at the start of the fall semester. The remediation rate on the surgical skills examination was not different from that of previous years. One incident of suspected academic dishonesty occurred in the first-year OSCE. Students learned surgical skills successfully at home by practicing on models and receiving feedback of their skills on video recordings. While disappointing, one case of academic dishonesty among the 368 total students tested was not surprising. Remote assessment using modified OSCEs and surgical skills exams appears feasible and fair when in-person testing is not possible.
2020 年春季,COVID-19 大流行迫使教育工作者调整课程的教学和评估方式。虽然理论课程已转移到线上,但实验室课程却无法适应这种转变。特别是,通过常见方法(包括客观结构化临床考试(OSCE))评估临床技能课程变得不可行。本文描述了美国一所高校针对兽医专业一、二、三年级学生(=368 人)的临床技能所做出的决策。这包括使用教学视频和模型远程完成外科技能课程,以及延迟无法远程进行的实验室课程。随后,使用修改后的远程 OSCE 对一、三年级学生进行评估。二年级学生使用标准的外科技能考试进行视频录制评估。所有一、三年级学生在第一次尝试或补救后都成功通过了 OSCE。两名二年级学生在补救考试中失败,他们获得了额外的教师辅导,并在秋季学期开始时再次尝试补救。外科技能考试的补救率与往年相同。在第一年的 OSCE 中发生了一起疑似学术不诚实的事件。学生通过在家练习模型和在视频记录中收到对其技能的反馈,成功地在家中学习外科技能。虽然令人失望,但在 368 名受测试的学生中仅发生了一起学术不诚实的案例,这并不令人惊讶。在无法进行面对面测试时,使用修改后的 OSCE 和外科技能考试进行远程评估似乎是可行且公平的。