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将书面结构化反馈纳入外科客观结构化临床考试。

Implementation of written structured feedback into a surgical OSCE.

机构信息

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.

Department of General and Visceral Surgery, University Hospital Frankfurt, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.

出版信息

BMC Med Educ. 2021 Apr 6;21(1):192. doi: 10.1186/s12909-021-02581-3.

DOI:10.1186/s12909-021-02581-3
PMID:33823844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8022414/
Abstract

BACKGROUND

Feedback is an essential element of learning. Despite this, students complain about receiving too little feedback in medical examinations, e.g., in an objective structured clinical examination (OSCE). This study aims to implement a written structured feedback tool for use in OSCEs and to analyse the attitudes of students and examiners towards this kind of feedback.

METHODS

The participants were OSCE examiners and third-year medical students. This prospective study was conducted using a multistage design. In the first step, an unstructured interrogation of the examiners formed the basis for developing a feedback tool, which was evaluated and then adopted in the next steps.

RESULTS

In total, 351 students and 51 examiners participated in this study. A baseline was created for each category of OSCE station and was supplemented with station-specific items. Each of these items was rated on a three-point scale. In addition to the preformulated answer options, each domain had space for individual comments. A total of 87.5% of the students and 91.6% of the examiners agreed or rather agreed that written feedback should continue to be used in upcoming OSCEs.

CONCLUSION

The implementation of structured, written feedback in a curricular, summative examination is possible, and examiners and students would like the feedback to be constant.

摘要

背景

反馈是学习的重要组成部分。尽管如此,学生们还是抱怨在医学考试中得到的反馈太少,例如在客观结构化临床考试(OSCE)中。本研究旨在为 OSCE 实施书面结构化反馈工具,并分析学生和考官对这种反馈的态度。

方法

参与者为 OSCE 考官和三年级医学生。这项前瞻性研究采用多阶段设计进行。在第一步中,对考官进行非结构化询问,为制定反馈工具奠定基础,对该工具进行评估,然后在下一阶段采用。

结果

共有 351 名学生和 51 名考官参加了这项研究。为每个 OSCE 站类别创建了基线,并补充了特定于站的项目。这些项目的每一项都在三分制上进行了评分。除了预先制定的答案选项外,每个领域都有空间用于个人评论。共有 87.5%的学生和 91.6%的考官同意或更倾向于在即将到来的 OSCE 中继续使用书面反馈。

结论

在课程总结性考试中实施结构化、书面反馈是可行的,考官和学生希望反馈是持续的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b3/8022414/5db5612bab02/12909_2021_2581_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b3/8022414/dcf9c2f0307e/12909_2021_2581_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b3/8022414/715d455df2de/12909_2021_2581_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b3/8022414/a616f9cd647d/12909_2021_2581_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b3/8022414/5db5612bab02/12909_2021_2581_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b3/8022414/dcf9c2f0307e/12909_2021_2581_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b3/8022414/715d455df2de/12909_2021_2581_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b3/8022414/a616f9cd647d/12909_2021_2581_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b3/8022414/5db5612bab02/12909_2021_2581_Fig4_HTML.jpg

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Motivation for feedback-seeking among pediatric residents: a mixed methods study.儿科住院医师寻求反馈的动机:一项混合方法研究。
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