COVID-19 大流行头三年的医学生在线 OSCE 考试与大流行前三年的比较:澳大利亚精神病学和成瘾医学的经验。

IF 3.3 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Medical Teacher Pub Date : 2024-06-01 Epub Date: 2023-12-19 DOI:10.1080/0142159X.2023.2279918
Fiona A Wilkes, Jeffrey C L Looi, Paul A Maguire, Daniel Bonner, Rebecca E Reay, Matthew Brazel, Philip Keightley, Michael Tedeschi, Claire Wardle, David Kramer
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引用次数: 0

摘要

目的:我们评估了四年制医学研究生学位课程中最后一年精神病学与成瘾医学(PAM)的终结性客观结构化临床考试(OSCE),将前三年作为基线对比,并在COVID-19大流行的三年中(2020-2022年)进行了评估:方法:对医学生的终结性 OSCE 考试成绩进行去标识分析,并对大流行前三年和大流行期间每年的成绩进行比较审查:结果:大流行开始后,以 R 方衡量的考试成绩内部可靠性保持不变或有所提高。大流行开始后,与大流行前相比,所有毕业年级学科的OSCE综合分数以及PAM角色扮演OSCE的平均测试分数都有明显提高,但PAM精神状态检查OSCE的平均测试分数却没有提高:结论:在大流行病期间改用在线 OSCE 考试与部分(而非全部)测试领域分数的提高有关。这与大流行开始后有关医学教学和考试的新文献一致。要优化大流行后医学院环境中的教学和考试,还需要进一步的研究。
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Online medical student OSCE examinations during the first three years of the COVID-19 pandemic compared to three years pre-pandemic: An Australian experience in psychiatry and addiction medicine.

Purpose: We have evaluated the final-year Psychiatry and Addiction Medicine (PAM) summative Objective Structured Clinical Examination (OSCE) examinations in a four-year graduate medical degree program, for the previous three years as a baseline comparator, and during three years of the COVID-19 pandemic (2020-2022).

Methods: A de-identified analysis of medical student summative OSCE examination performance, and comparative review for the 3 years before, and for each year of the pandemic.

Results: Internal reliability in test scores as measured by R-squared remained the same or increased following the start of the pandemic. There was a significant increase in mean test scores after the start of the pandemic compared to pre-pandemic for combined OSCE scores for all final-year disciplines, as well as for the PAM role-play OSCEs, but not for the PAM mental state examination OSCEs.

Conclusions: Changing to online OSCEs during the pandemic was related to an increase in scores for some but not all domains of the tests. This is in line with a nascent body of literature on medical teaching and examination following the start of the pandemic. Further research is needed to optimise teaching and examination in a post-pandemic medical school environment.

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来源期刊
Medical Teacher
Medical Teacher 医学-卫生保健
CiteScore
7.80
自引率
8.50%
发文量
396
审稿时长
3-6 weeks
期刊介绍: Medical Teacher provides accounts of new teaching methods, guidance on structuring courses and assessing achievement, and serves as a forum for communication between medical teachers and those involved in general education. In particular, the journal recognizes the problems teachers have in keeping up-to-date with the developments in educational methods that lead to more effective teaching and learning at a time when the content of the curriculum—from medical procedures to policy changes in health care provision—is also changing. The journal features reports of innovation and research in medical education, case studies, survey articles, practical guidelines, reviews of current literature and book reviews. All articles are peer reviewed.
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