衡量住院医师处理肿瘤问题的能力。

Measuring the ability of residents to manage oncologic problems.

作者信息

Sloan D A, Donnelly M B, Schwartz R W, McGrath P C, Kenady D E, Wood D P, Strodel W E

机构信息

Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536-0084, USA.

出版信息

J Surg Oncol. 1997 Feb;64(2):135-42. doi: 10.1002/(sici)1096-9098(199702)64:2<135::aid-jso9>3.0.co;2-c.

DOI:10.1002/(sici)1096-9098(199702)64:2<135::aid-jso9>3.0.co;2-c

PMID:9047251

Abstract

BACKGROUND

An OSCE was used to measure the ability of a cohort of residents to manage oncologic problems.

METHODS

Nine oncologic clinical problems were presented to 56 surgical residents. Each problem contained a 5-minute data-gathering period (DGP) and a 5-minute data-interpretation period (DIP). A performance score was determined for each resident for each problem. Reliability was estimated by coefficient alpha; validity, by the construct of experience. Wilks's lambda criterion was used to determine whether training level could be identified by OSCE performance.

RESULTS

The DGP reliability was 0.80; the DIP, 0.49. Senior residents performed significantly better than junior residents (P = 0.0001), who performed significantly better than interns (P = 0.0009). Of the residents, 62% were competent on the DGP, but only 21% on the DIP. Important deficits in knowledge and clinical skills were apparent at all levels of training.

CONCLUSION

The education and evaluation of residents in oncology need improvement.

摘要

背景

采用客观结构化临床考试（OSCE）来评估一组住院医师处理肿瘤学问题的能力。

方法

向56名外科住院医师呈现9个肿瘤学临床问题。每个问题包含一个5分钟的数据收集期（DGP）和一个5分钟的数据解读期（DIP）。为每位住院医师针对每个问题确定一个表现分数。通过α系数估计信度；通过经验结构估计效度。采用威尔克斯λ准则来确定是否可以通过OSCE表现识别培训水平。

结果

DGP的信度为0.80；DIP的信度为0.49。高年资住院医师的表现显著优于低年资住院医师（P = 0.0001），低年资住院医师的表现显著优于实习医师（P = 0.0009）。在住院医师中，62%在DGP方面表现合格，但在DIP方面只有21%表现合格。在所有培训水平上，知识和临床技能方面的重要缺陷都很明显。