2011, Number 3
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Bol Med Hosp Infant Mex 2011; 68 (3)
Objective Structured Clinical Examination as an instrument for evaluation of clinical competence in pediatrics. A pilot study
Gamboa-Salcedo T, Martínez-Viniegra N, Peña-Alonso YR, Pacheco-Ríos A, García-Durán R, Sánchez-Medina J
Language: Spanish
References: 29
Page: 184-192
PDF size: 312.09 Kb.
ABSTRACT
Background. Assessment is an essential component of the teaching-learning process that stimulates and leads learners towards their
goals and allows teachers to ascertain whether the students have acquired the necessary knowledge and clinical skills to be professionally
competent. In medicine, the ideal assessment method does not exist; therefore, the use of several assessment instruments is advised;
among them, the Objective Structured Clinical Examination (OSCE) has proven its advantage assessing clinical skills. The aim of this work
is to describe the experience of teachers and learners developing and applying an OSCE in a children’s hospital.
Methods. Twenty OSCE stations were designed and applied in a pilot study. The assessment criteria for each station were defined. Individual
marks were recorded and means for each station and year of residency were calculated (two first-year residents, seven second-year
residents and 11 third-year residents).
Results. The OSCE lasted 2 h and 20 min. Overall, 12 stations were accredited. The overall mean was 6.53, standard deviation (SD) 0.62;
the mean for first-year residents was 6.13 (SD 0.43), for second-year residents 6.26 (SD 0.60) and 6.76 for third-year residents (SD 0.59).
Conclusions. The OSCE is a valid and reliable method that permits an integral evaluation of clinical competence. The experience with this
instrument has been limited to assessing postgraduate students. This study, however, shows that it is a useful tool that may be valuable
for resident pediatricians and their professors.
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