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我们对运动与运动医学中的客观结构化临床考试了解多少?一项范围综述。

What do we know about Objective Structured Clinical Examination in Sport and Exercise Medicine? A scoping review.

作者信息

El Sherif Reem, Shrier Ian, Paul-Tellier Pierre, Rodriguez Charo

机构信息

Department of Family Medicine, McGill University, Quebec, Canada.

Centre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada.

出版信息

Can Med Educ J. 2024 Jul 12;15(3):57-72. doi: 10.36834/cmej.77841. eCollection 2024 Jul.

Abstract

BACKGROUND AND OBJECTIVES

Despite the importance of the Objective Structured Clinical Examination (OSCE) in Sport and Exercise Medicine, the literature on the topic is fragmented and has been poorly developed. The goal of this review was to map current knowledge about how the OSCE is used in Sport and Exercise Medicine, and to identify knowledge gaps for future research.

METHOD

The authors conducted a scoping review. They searched PubMed and Scopus for articles using key terms related to 'OSCE' and 'sport medicine' with no limit on search start date and up to July 2022. Retrieved records were imported, abstracts were screened, and full-text articles were reviewed. A forward and backward citation tracking was conducted. Data was extracted and a qualitative meta-summary of the studies was conducted.

RESULTS

A total of 469 records were screened, and 22 studies were included. The objectives of the studies included using OSCEs to assess knowledge/skills after a training program ( = 11), to assess an intervention ( = 8), and to assess and improve the OSCE itself ( = 3). Thirteen studies reported validity and/or reliability of the OSCE.

CONCLUSION

Despite the widespread use of OSCEs in the examination of Sport and Exercise Medicine trainees, only a handful of scholarly works have been published. More research is needed to support the use of OSCE in Sport and Exercise Medicine for its initial purpose. We highlight avenues for future research such as assessing the need for a deeper exploration of the relationship between candidate characteristics and OSCE scores.

摘要

背景与目的

尽管客观结构化临床考试(OSCE)在运动与运动医学中具有重要意义,但关于该主题的文献较为零散且发展不足。本综述的目的是梳理当前关于OSCE在运动与运动医学中应用的知识,并确定未来研究的知识空白。

方法

作者进行了一项范围综述。他们在PubMed和Scopus上搜索了与“OSCE”和“运动医学”相关的关键词文章,搜索起始日期不限,截至2022年7月。检索到的记录被导入,摘要进行筛选,全文进行评审。进行了向前和向后的引文追踪。提取数据并对研究进行定性元总结。

结果

共筛选了469条记录,纳入22项研究。这些研究的目的包括使用OSCE评估培训项目后的知识/技能(n = 11)、评估一项干预措施(n = 8)以及评估和改进OSCE本身(n = 3)。13项研究报告了OSCE的有效性和/或可靠性。

结论

尽管OSCE在运动与运动医学实习生考试中广泛使用,但仅发表了少数学术著作。需要更多研究来支持OSCE在运动与运动医学中的最初用途。我们强调了未来研究的方向,如评估是否需要更深入地探索考生特征与OSCE分数之间的关系。

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