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远程客观结构化临床考试:COVID疫情封锁期间及之后的远程临床检查

The rOSCE: A remote clinical examination during COVID lockdown and beyond.

作者信息

Stewart Claire, Kumaravel Bharathy, O'Dowd Jacqueline, McKeown Andrew, Harris Joanne

机构信息

University of Buckingham.

出版信息

MedEdPublish (2016). 2021 Jan 14;10:11. doi: 10.15694/mep.2021.000011.1. eCollection 2021.

DOI:10.15694/mep.2021.000011.1
PMID:38486571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10939528/
Abstract

This article was migrated. The article was marked as recommended. The COVID-19 pandemic has created a challenge for all medical educators. There is a clear need to train the next generation of doctors whilst ensuring that patient safety is preserved. The OSCE has long been used as the gold standard for assessing clinical competency in undergraduates ( Khan ., 2013a). However, social distancing rules have meant that we have had to reconsider our traditional assessment methods. We held a remote eight-station summative OSCE (rOSCE) for three final year resit students using Microsoft Teams. Apart from clinical examinations and practical procedures which are assessed elsewhere in our programme, the content was similar to our standard OSCE. Staff and student training ensured familiarity with the assessment modality. The rOSCE was found to be a feasible tool with high face validity. The rOSCE is a remote assessment tool that can offer an alternative to the traditional face to face OSCEs for use in high stakes examinations. Although further research is needed, we believe that the rOSCE is scalable to larger cohorts of students and is adaptable to the needs of most undergraduate clinical competency assessments.

摘要

本文已迁移。该文章被标记为推荐文章。新冠疫情给所有医学教育工作者带来了挑战。显然有必要培养下一代医生,同时确保患者安全。长期以来,客观结构化临床考试(OSCE)一直被用作评估本科生临床能力的金标准(汗,2013a)。然而,社交距离规定意味着我们不得不重新考虑传统的评估方法。我们使用微软团队为三名三年级补考学生举办了一场远程八站总结性客观结构化临床考试(rOSCE)。除了在我们课程的其他地方评估的临床检查和实践操作外,其内容与我们的标准客观结构化临床考试相似。工作人员和学生培训确保了对评估方式的熟悉。结果发现,远程客观结构化临床考试是一种具有较高表面效度的可行工具。远程客观结构化临床考试是一种远程评估工具,可在高风险考试中替代传统的面对面客观结构化临床考试。尽管还需要进一步研究,但我们认为远程客观结构化临床考试可扩展至更大规模的学生群体,并能适应大多数本科临床能力评估的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dc/10939528/d5a853e129f7/mep-10-18840-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dc/10939528/6910990ecf98/mep-10-18840-g0000.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dc/10939528/547b486bb015/mep-10-18840-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dc/10939528/d5a853e129f7/mep-10-18840-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dc/10939528/6910990ecf98/mep-10-18840-g0000.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dc/10939528/547b486bb015/mep-10-18840-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dc/10939528/d5a853e129f7/mep-10-18840-g0002.jpg

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本文引用的文献

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MedEdPublish (2016). 2017 Oct 23;6:189. doi: 10.15694/mep.2017.000189. eCollection 2017.
2
A systematic review of 7 years of research on entrustable professional activities in graduate medical education, 2011-2018.一项对 2011 年至 2018 年研究生医学教育中可委托专业活动研究的 7 年系统回顾。
Med Educ. 2019 Mar;53(3):234-249. doi: 10.1111/medu.13792. Epub 2019 Jan 4.
3
Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No. 99.
疫情期间虚拟客观结构化临床考试的实施与质量保证:对未来的启示
Front Med (Lausanne). 2022 Apr 4;9:844884. doi: 10.3389/fmed.2022.844884. eCollection 2022.
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Med Teach. 2015;37(11):983-1002. doi: 10.3109/0142159X.2015.1060308. Epub 2015 Jul 14.
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Money makes the (medical assessment) world go round: The cost of components of a summative final year Objective Structured Clinical Examination (OSCE).金钱推动(医学评估)世界运转:毕业综合客观结构化临床考试(OSCE)各组成部分的成本。
Med Teach. 2015 Jul;37(7):653-659. doi: 10.3109/0142159X.2015.1033389. Epub 2015 Apr 29.
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The Objective Structured Clinical Examination (OSCE): AMEE Guide No. 81. Part II: organisation & administration.客观结构化临床考试(OSCE):AMEE 指南第 81 号。第二部分:组织与管理。
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