Sensi S, Ben-David M F, Guagnano M T, Merlitti D, Pace-Palitti V, Danieli G, Gabrielli A, Vettore L, Benini F, Capelli M C, Bartoli E, Tenore A, Bernasconi C, Grignani G, Monga G, Del Prever E B, Cavallo-Perin P, Massè A, Pagliardi G, Curtoni S
Dipartimento di Medicina Interna e Scienze dell'Invecchiamento, Università di Chieti.
Recenti Prog Med. 1998 Nov;89(11):575-7.
An international collaborative project for the evaluation of clinical competence at the end of the Medical School curriculum using the ECFMG-CSA (Educational Commission for Foreign Medical Graduates--Clinical Skills Assessment) prototype was started in Italy in April 1996. Faculty representatives from Italian Medical Schools and experts from the ECFMG in Philadelphia participated in the Project. The CSA consists of integrated clinical encounters with 10 standardized patients during which the examinee is asked to obtain a focused history, perform a relevant physical examination and communicate initial diagnoses and management plan to the Standardized Patient (SP). The SP then completes checklists that are scored by Faculty members. The project was concluded in Spring 1998 and a total of 173 new graduates were examined. The data elaborated by the primary site in Chieti University will be available in the Fall 1998 by the ECFMG in Philadelphia. This preliminary communication reports the opinions of the examinees on the ECFMG-CSA, contained in the questionnaires administered after the test. Most of the examinees considered this new methodology as a valid tool for the assessment of clinical competence, especially history-taking and interpersonal skills and stated that the SP simulations were realistic. The 72% of examinees indicated that the Medical School curriculum does not adequately prepare for the CSA examination. Lastly, 68% was in favour of including the SP in the Medical Licensing Examination.
1996年4月，意大利启动了一个国际合作项目，使用外国医学毕业生教育委员会临床技能评估（ECFMG-CSA）原型对医学院课程结束时的临床能力进行评估。意大利医学院的教师代表和费城ECFMG的专家参与了该项目。CSA包括与10名标准化病人进行综合临床问诊，在此过程中，应试者要获取重点病史、进行相关体格检查，并向标准化病人（SP）传达初步诊断和管理计划。然后，标准化病人完成检查表，由教师打分。该项目于1998年春季结束，共有173名新毕业生接受了测试。基耶蒂大学主要站点整理的数据将于1998年秋季由费城的ECFMG提供。这份初步报告汇报了应试者对ECFMG-CSA的看法，这些看法包含在测试后发放的问卷中。大多数应试者认为这种新方法是评估临床能力的有效工具，尤其是病史采集和人际沟通技巧，并表示标准化病人模拟很逼真。72%的应试者表示医学院课程没有为CSA考试提供充分准备。最后，68%的人赞成在行医执照考试中纳入标准化病人。
