Performance of an objective structured clinical examination in a national certification process of trainees in rheumatology.

Autor:	Pascual Ramos V; Consejo Mexicano de Reumatología, México DF, México. Electronic address: virtichu@gmail.com., Medrano Ramírez G; Consejo Mexicano de Reumatología, México DF, México., Solís Vallejo E; Consejo Mexicano de Reumatología, México DF, México., Bernard Medina AG; Consejo Mexicano de Reumatología, México DF, México., Flores Alvarado DE; Consejo Mexicano de Reumatología, México DF, México., Portela Hernández M; Consejo Mexicano de Reumatología, México DF, México., Andrade Ortega L; Consejo Mexicano de Reumatología, México DF, México., Vera Lastra O; Consejo Mexicano de Reumatología, México DF, México., Espinosa Morales R; Consejo Mexicano de Reumatología, México DF, México., Miranda Limón JM; Consejo Mexicano de Reumatología, México DF, México., Maldonado Velázquez Mdel R; Consejo Mexicano de Reumatología, México DF, México., Jara Quezada LJ; Consejo Mexicano de Reumatología, México DF, México., Amezcua Guerra LM; Consejo Mexicano de Reumatología, México DF, México., López Zepeda J; Consejo Mexicano de Reumatología, México DF, México., Saavedra Salinas MÁ; Consejo Mexicano de Reumatología, México DF, México., Arce Salinas CA; Consejo Mexicano de Reumatología, México DF, México.
Jazyk:	English; Spanish; Castilian
Zdroj:	Reumatologia clinica [Reumatol Clin] 2015 Jul-Aug; Vol. 11 (4), pp. 215-20. Date of Electronic Publication: 2014 Dec 15.
DOI:	10.1016/j.reuma.2014.10.007
Abstrakt:	Objective: To assess reliability and validity of the objectively-structured clinical examination (OSCE) applied in postgraduate certification processes by the Mexican Board of Rheumatology. Method: Thirty-two (2013) and 38 (2014) Rheumatology trainees (RTs) underwent an OSCE consisting of 12 and 15 stations respectively, scored according to a validated check-list, as well as 300-multiple-choice 300 question examination (MCQ). Previously, 3 certified rheumatologists underwent a pilot-OSCE. A composite OSCE score was obtained for each participant and its performance examined. Results: In 2013, OSCE mean score was 7.1±0.6 with none RT receiving a failing score while the MCQ score was 6.5±0.6 and 7 (21.9%) RTs receiving a failing (< 6) score. In 2014, the OSCE score was 6.7±0.6, with 3 (7.9%) RTs receiving a failing score (2 of them also failed MCQ) while the MCQ score was 6.4±0.5 and 7 (18.5%) RTs were disqualified (2 of them also failed OSCE). A significant correlation between the MCQ and the OSCE scores was observed in the 2013 (r=0.44; P=0.006). Certified rheumatologists performed better than RTs at both OSCE. Overall, 86% of RTs obtaining an OSCE passing score also obtained a MCQ passing score, while this was only 67% (P=.02) among those who obtained an OSCE failing score. Nine stations were applied at both consecutive years. Their performance was similar in both certification processes, with correlation coefficients ranging from 0.81 to 0.95 (P≤0.01). Conclusion: The OSCE is a valid and reliable tool to assess the Rheumatology clinical skills in RTs. (Copyright © 2014 Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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