Diseño e implementación de OSCE para evaluar competencias de egreso en estudiantes de medicina en un consorcio de universidades chilenas

Background: Outcomes-based education is a trend in medical education and its assessment is one of the main challenges. The Objective Structured Clinical Examination (OSCE) is one of the tools used to assess clinical competencies. Although Chilean medical schools have used OSCEs for 18 years, there i...

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Autores principales:	BEHRENS,CLAUDIA, MORALES,VERÓNICA, PARRA,PAULA, HURTADO,AMELIA, FERNÁNDEZ,ROSARIO, GIACONI,ELISA, SANTELICES,LUCÍA, ARMIJO,SOLEDAD, FURMAN,GAIL
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Clinical Competence Educational Measurement Students, Medical
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001001197
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spelling	oai:scielo:S0034-988720180010011972019-03-07Diseño e implementación de OSCE para evaluar competencias de egreso en estudiantes de medicina en un consorcio de universidades chilenasBEHRENS,CLAUDIAMORALES,VERÓNICAPARRA,PAULAHURTADO,AMELIAFERNÁNDEZ,ROSARIOGIACONI,ELISASANTELICES,LUCÍAARMIJO,SOLEDADFURMAN,GAIL Clinical Competence Educational Measurement Students, Medical Background: Outcomes-based education is a trend in medical education and its assessment is one of the main challenges. The Objective Structured Clinical Examination (OSCE) is one of the tools used to assess clinical competencies. Although Chilean medical schools have used OSCEs for 18 years, there is a vast variability in the way these examinations are administered. Aim: To design and implement an integrated OSCE to assess clinical competencies at the end of the medical program in Chilean medical schools, aiming to reduce variability between these schools. Material and Methods: Seven medical schools, supported by experts from the National Board of Medical Examiners, designed a 12 station OSCE to measure clinical outcomes at the end of the seventh year of medical training. Unlike traditional OSCEs, this new examination incorporated the assessment of clinical reasoning and communication skills, evaluated from patients’ perspective. Results: One hundred twenty-five volunteers took the same exam at five different venues. The internal consistency was 0.62. Following a compensatory approach, 85% of students passed the exam. Communication assessment showed poorer results than those reported in the literature. Conclusions: Among Chilean medical students, the assessment of clinical outcomes in a collaborative way, through a valid and reliable exam, is feasible. A consensus on how to teach and assess clinical reasoning across the medical curriculum is required. The assessment of students’ communication skills requires further development.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.10 20182018-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001001197es10.4067/S0034-98872018001001197
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Clinical Competence Educational Measurement Students, Medical
spellingShingle	Clinical Competence Educational Measurement Students, Medical BEHRENS,CLAUDIA MORALES,VERÓNICA PARRA,PAULA HURTADO,AMELIA FERNÁNDEZ,ROSARIO GIACONI,ELISA SANTELICES,LUCÍA ARMIJO,SOLEDAD FURMAN,GAIL Diseño e implementación de OSCE para evaluar competencias de egreso en estudiantes de medicina en un consorcio de universidades chilenas
description	Background: Outcomes-based education is a trend in medical education and its assessment is one of the main challenges. The Objective Structured Clinical Examination (OSCE) is one of the tools used to assess clinical competencies. Although Chilean medical schools have used OSCEs for 18 years, there is a vast variability in the way these examinations are administered. Aim: To design and implement an integrated OSCE to assess clinical competencies at the end of the medical program in Chilean medical schools, aiming to reduce variability between these schools. Material and Methods: Seven medical schools, supported by experts from the National Board of Medical Examiners, designed a 12 station OSCE to measure clinical outcomes at the end of the seventh year of medical training. Unlike traditional OSCEs, this new examination incorporated the assessment of clinical reasoning and communication skills, evaluated from patients’ perspective. Results: One hundred twenty-five volunteers took the same exam at five different venues. The internal consistency was 0.62. Following a compensatory approach, 85% of students passed the exam. Communication assessment showed poorer results than those reported in the literature. Conclusions: Among Chilean medical students, the assessment of clinical outcomes in a collaborative way, through a valid and reliable exam, is feasible. A consensus on how to teach and assess clinical reasoning across the medical curriculum is required. The assessment of students’ communication skills requires further development.
author	BEHRENS,CLAUDIA MORALES,VERÓNICA PARRA,PAULA HURTADO,AMELIA FERNÁNDEZ,ROSARIO GIACONI,ELISA SANTELICES,LUCÍA ARMIJO,SOLEDAD FURMAN,GAIL
author_facet	BEHRENS,CLAUDIA MORALES,VERÓNICA PARRA,PAULA HURTADO,AMELIA FERNÁNDEZ,ROSARIO GIACONI,ELISA SANTELICES,LUCÍA ARMIJO,SOLEDAD FURMAN,GAIL
author_sort	BEHRENS,CLAUDIA
title	Diseño e implementación de OSCE para evaluar competencias de egreso en estudiantes de medicina en un consorcio de universidades chilenas
title_short	Diseño e implementación de OSCE para evaluar competencias de egreso en estudiantes de medicina en un consorcio de universidades chilenas
title_full	Diseño e implementación de OSCE para evaluar competencias de egreso en estudiantes de medicina en un consorcio de universidades chilenas
title_fullStr	Diseño e implementación de OSCE para evaluar competencias de egreso en estudiantes de medicina en un consorcio de universidades chilenas
title_full_unstemmed	Diseño e implementación de OSCE para evaluar competencias de egreso en estudiantes de medicina en un consorcio de universidades chilenas
title_sort	diseño e implementación de osce para evaluar competencias de egreso en estudiantes de medicina en un consorcio de universidades chilenas
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001001197
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Diseño e implementación de OSCE para evaluar competencias de egreso en estudiantes de medicina en un consorcio de universidades chilenas

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