A core competence-based objective structured clinical examination (OSCE) in evaluation of clinical performance of postgraduate year-1 (PGY(1)) residents

作者：Yang Ying Ying; Lee Fa Yauh^*; Hsu Hui Chi; Huang Chin Chou; Chen Jaw Wen; Lee Wen Shin; Chuang Chiao Lin; Chang Ching Chih; Chen Hao Min; Huang Chia Chang

来源：Journal of the Chinese Medical Association, 2011, 74(5): 198-204.

DOI：10.1016/j.jcma.2011.03.003

• Objective structured clinical examination
• Postgraduate year-1 residents
• Six core competencies

Background: Clinical competency certifications are important parts of internal medicine residency training. This study aims to evaluate a composite objective structured clinical examination (OSCE) that assesses postgraduate year-1 (PGY(1)) residents' acquisition of the six core competencies defined by the Accreditation council for Graduate Medical Education (ACGME).
Methods: Six-core-competency-based OSCE was used as examination of the clinical performance of 192 PGY(1), residents during their 3-month internal medicine training between 2007 January and 2009 December. For each year, the reliability of the entire examination was calculated with Cronbach's alpha.
Results: The reliability of six-core-competency-based OSCE was acceptable, ranging from 0.69 to 0.87 between 2007 and 2009. In comparison with baseline scores, the summary scores and core-competency subscores all showed significant increase after PGY(1) residents finished their 3-month internal medicine training program.
Conclusion: By using a structured development process, the authors were able to create reliable evaluation items for determining PGY(1) residents' acquisition of the ACGME core competencies.

• 出版日期2011-5