[Structured clinical examinations with simulated patients during internal medicine clerkship].

Abstract:

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.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Bozzo Navarrete S,Arancibia Salvo C,Contreras Reyes D,Pérez González L

doi

10.4067/S0034-98872020000600810

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

810-817

issue

6

eissn

0034-9887

issn

0717-6163

pii

S0034-98872020000600810

journal_volume

148

pub_type

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