Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de Chile

Background: Practice is essential in clinical training and can be carried out with simulations. The medical school of the University of Chile performs Objective Structured Clinical Examinations (OSCE) using standardized simulated patients for interns. Aim: To report the experience with OSCE in an...

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Autores principales: Bozzo Navarrete,Sergio, Arancibia Salvo,Claudia, Contreras Reyes,Daniel, Pérez González,Leonardo
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000600810
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spelling oai:scielo:S0034-988720200006008102020-09-29Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de ChileBozzo Navarrete,SergioArancibia Salvo,ClaudiaContreras Reyes,DanielPérez González,Leonardo Clinical Competence Education, Medical Patient Simulation Simulation Training Background: Practice is essential in clinical training and can be carried out with simulations. The medical school of the University of Chile performs Objective Structured Clinical Examinations (OSCE) using standardized simulated patients for interns. Aim: To report the experience with OSCE in an environment with a high number of students. Material and Methods: Four hundred sixty-two students, participated in three OSCEs during 2016 and 2017, during their internal medicine clerkship. Each OSCE consisted of five scenarios of ambulatory care patients with prevalent medical conditions. Every student had to perform history taking, physical examination and deliver a diagnostic hypothesis, and a plan for management and counseling. Simulated patients provided feedback. To assess validity and reliability, in an argument-based model, planning and activity development were declared. The results were evaluated according to students' and organization variables, internal consistency, interobserver and theoretical concordance tests. Results: No significant bias was found by demographic features or evaluation moment. Internal consistency was good (Cronbach 0.8). Simulated patient evaluators had a high correlation with medical evaluators (r = 0.7). There was a low correlation between OSCE results and theoretical tests. Conclusions: OSCE's continuously assess competences during internal medicine clerkship in an environment with a high number of students.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.6 20202020-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000600810es10.4067/S0034-98872020000600810
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Clinical Competence
Education, Medical
Patient Simulation
Simulation Training
spellingShingle Clinical Competence
Education, Medical
Patient Simulation
Simulation Training
Bozzo Navarrete,Sergio
Arancibia Salvo,Claudia
Contreras Reyes,Daniel
Pérez González,Leonardo
Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de Chile
description Background: Practice is essential in clinical training and can be carried out with simulations. The medical school of the University of Chile performs Objective Structured Clinical Examinations (OSCE) using standardized simulated patients for interns. Aim: To report the experience with OSCE in an environment with a high number of students. Material and Methods: Four hundred sixty-two students, participated in three OSCEs during 2016 and 2017, during their internal medicine clerkship. Each OSCE consisted of five scenarios of ambulatory care patients with prevalent medical conditions. Every student had to perform history taking, physical examination and deliver a diagnostic hypothesis, and a plan for management and counseling. Simulated patients provided feedback. To assess validity and reliability, in an argument-based model, planning and activity development were declared. The results were evaluated according to students' and organization variables, internal consistency, interobserver and theoretical concordance tests. Results: No significant bias was found by demographic features or evaluation moment. Internal consistency was good (Cronbach 0.8). Simulated patient evaluators had a high correlation with medical evaluators (r = 0.7). There was a low correlation between OSCE results and theoretical tests. Conclusions: OSCE's continuously assess competences during internal medicine clerkship in an environment with a high number of students.
author Bozzo Navarrete,Sergio
Arancibia Salvo,Claudia
Contreras Reyes,Daniel
Pérez González,Leonardo
author_facet Bozzo Navarrete,Sergio
Arancibia Salvo,Claudia
Contreras Reyes,Daniel
Pérez González,Leonardo
author_sort Bozzo Navarrete,Sergio
title Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de Chile
title_short Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de Chile
title_full Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de Chile
title_fullStr Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de Chile
title_full_unstemmed Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de Chile
title_sort descripción y análisis de ecoe con pacientes simulados en internado de medicina interna 2016-2017 en facultad de medicina universidad de chile
publisher Sociedad Médica de Santiago
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000600810
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