Abstract Title
Objective Structured Clinical Examination for Post-Graduate Training

Authors

Theme

Clinical Assessment and the OSCE

INSTITUTION

Taipei Medical University
Shuang Ho Hospital, Taipei Medical University, Education and Research,

Background

 

One-year post-graduate (PGY) training has been implemented in Taiwan since 2011. The training course consisted of internal medicine for 4 months, surgery for 2 months, community medicine for 2 months and emergency medicine, pediatrics, obstetrics and gynecology (OBS/GYN), elective course for 1 month respectively.
In the mean time, objective structured clinical examination (OSCE) is included into the national board examination since 2013.
To assess the performance of the resident trainees (PGY), objective structured clinical examination (OSCE) was implemented in our hospital (SHH).
Summary of Work

 

A committee was responsible for preparing OSCE, which is different from the national board
examination for medical students.

 

OSCE for PGY is designed with longer time, more tasks and more complicated situation for every
stop.

 

The PGY trainees were asked to do more clinical reasoning, decision making and more precise
physical examination. This is a formative assessment accompanied by feedback in every stop.

 

Summary of Results

 

We have developed 19 stops of OCSE with reliability and validity analysis and finally conducted a 9-stop OSCE for PGY.
We found the PGY trainees are familiar with OSCE.
The OSCE performance was not correlated with the evaluation of any subgroups of 360 dgree evaluation. We also found the PGY trainees could not handle the psychiatry patients (insomnia) well. This phenomenon alerts us to modify the training course.
Conclusion

 

There is no significant correlation between OSCE performance and the scores of 360 degree evaluation by subgroups.
OSCE could provide important and independent information not only for PGY learning but also the training curriculum.
Take-home Messages

 

OSCE could be a good formative assessment for PGY.
OSCE could provide information for training curriculum improvement.
Background

 

A committee was responsible for preparing OSCE, which is different from the national board examination for medical students.
OSCE for PGY is designed with longer time, more tasks and more complicated situation for every stop.
The PGY trainees were asked to do more clinical reasoning, decision making and more precise physical examination. This is a formative assessment accompanied by feedback in every stop.
Summary of Work

 

 

PGY
UGY
Time/stop (min)
12+3 (feedback)
8+2 (feedback)
Feed back
+
+
Tasks
Multiple
(reasoning)
single
(skills)
Question Bank
19
27
6 competences of ACGME
All
System-based practice  (-)
Summary of Results
Conclusion
Take-home Messages
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