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采用客观结构化视频考试(OSVE)对医学学士实习生的沟通技能进行评估。

Assessment of Communication Skills in MBBS Interns with Objective Structured Video Examination (OSVE).

作者信息

Luthra Megha, Ohri Puneet, Sharma Utkarsh, Sharma Ashwani, Mohanty Soumya, Maheshwari Sonam

机构信息

Department of Community Medicine, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India.

Department of Paediatrics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India.

出版信息

Indian J Community Med. 2023 Sep-Oct;48(5):771-774. doi: 10.4103/ijcm.ijcm_640_22. Epub 2023 Sep 7.

DOI:10.4103/ijcm.ijcm_640_22
PMID:37970158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10637593/
Abstract

BACKGROUND

Medical graduates enter work force with substantial knowledge but are they prepared for practice in diverse settings? To train medical interns in communication skills using Demonstration Observation Assistance and Performance (DOAP) and to assess communication skills in medical interns using objective structured video examination (OSVE).

METHODS AND MATERIALS

DOAP sessions of all 27 interns posted in Community Medicine and Pediatrics departments during the duration of the study were conducted in six clinical scenarios followed by two OSVEs.

METHODS AND MATERIAL

Interns performed selected activity independently twice for assessments. Videos submitted by interns were assessed by Gap Kalamazoo assessment forms (OSVE). Data analysis was done by appropriate methods. Percentages and proportions and calculation of median scores with interquartile ranges.

RESULTS

Seventy one point four percent of faculty and 96.3% of interns were satisfied with module implementation. More than = 57.8% marks were scored by 94.45% interns in self-assessment and faculty assessment and by 100% interns in patient assessment. Median scores of all second assessments were higher.

CONCLUSIONS

DOAP method is good for training of interns in communication skills. OSVE may be an appropriate assessment tool as it leads to progression in learning.

摘要

背景

医学毕业生带着丰富的知识进入职场,但他们是否为在不同环境中执业做好了准备?使用示范、观察、协助和表现(DOAP)方法培训医学实习生的沟通技巧,并使用客观结构化视频考试(OSVE)评估医学实习生的沟通技巧。

方法和材料

在研究期间,对分配到社区医学和儿科学科的所有27名实习生进行DOAP课程培训,培训内容包括六种临床场景,随后进行两次OSVE评估。

方法和材料

实习生独立进行选定的活动两次以进行评估。实习生提交的视频由Gap Kalamazoo评估表(OSVE)进行评估。采用适当的方法进行数据分析。计算百分比、比例以及中位数分数和四分位间距。

结果

71.4%的教员和96.3%的实习生对课程实施感到满意。在自我评估和教员评估中,94.45%的实习生得分超过57.8分,在患者评估中,100%的实习生得分超过57.8分。所有第二次评估的中位数分数更高。

结论

DOAP方法有助于培训实习生的沟通技巧。OSVE可能是一种合适的评估工具,因为它能促进学习进步。

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本文引用的文献

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Workplace violence against doctors: Characteristics, risk factors, and mitigation strategies.针对医生的职场暴力:特征、风险因素及缓解策略。
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OSVE or OSCE?客观结构化视频考试还是客观结构化临床考试?
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BMC Med Educ. 2014 Jun 24;14:123. doi: 10.1186/1472-6920-14-123.
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