Hall-Turner W J
Med Educ. 1983 Mar;17(2):112-9. doi: 10.1111/j.1365-2923.1983.tb01110.x.
Professional examinations should be fair, comprehensive, objective, and appropriate to the discipline above all. If at the same time they can be made administratively easier, interesting and in themselves a teaching/learning experience, so much the better. General Practice is a difficult subject to examine in the traditional subjective manner, yet unless students and their courses are assessed then the subject loses credibility and respect in the frenetic run-up to Finals. The Objective Structured Clinical Examination seemed a more appropriate examination than any tried so far and an experiment was mounted to instruct the Liverpool University Medical School Department of General Practice Tutors in the technique and to test several station 'formats'. At this first attempt many snags were found, but some interesting lines of enquiry and further study were opened up. No attempt was made to produce an accurate mark for individual students in this test, although all were given an insight into strong and weak areas. The experiment demonstrated that an OSCE in Primary Care or General Practice is possible and can be organized. The examiners can be taught the technique reasonably quickly and need have no previous experience of formal examinations. A working Health Centre can be used.
专业考试首先应该公平、全面、客观且适合该学科。如果同时能使其在管理上更简便、有趣,并本身成为一种教学/学习体验,那就更好了。全科医学是一门难以用传统主观方式进行考试的学科,然而,除非对学生及其课程进行评估,否则在临近期末考试的紧张阶段,这门学科就会失去可信度和尊重。客观结构化临床考试似乎比目前所尝试的任何考试都更合适,于是开展了一项实验,指导利物浦大学医学院全科医学系的导师掌握该技术,并测试几种考站“形式”。在首次尝试中发现了许多问题,但也开辟了一些有趣的探究方向和进一步研究的途径。在这次测试中,没有试图为个别学生给出准确分数,尽管所有人都对自己的强项和弱项有了一定了解。该实验表明,在初级保健或全科医学中进行客观结构化临床考试是可行的,并且可以组织实施。考官能够相对较快地学会该技术,而且无需有正式考试的经验。可以使用实际运营的健康中心。