Análise de um sistema de avaliação de aprendizagem para internato em pediatria baseado em exame clínico objetivo estruturado, observação de prática clínica e exame escrito

Abstract

Objective: To describe and analyze three tools used in the assessment system applied to the pediatric internship over a 7-year period at the School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile. Methods:Retrospective observational research design for the assessment modalities implemented in the pediatric internship from 2001 through 2007. The tools were as follows: objective structured clinical examination (OSCE), written examination and daily clinical practice observation guidelines (DCPOG). The assessment methods were applied to the sixth-year pediatric internship with a total of 697 students. Statistical analysis included a descriptive assessment, with correlation and simple linear and multiple regressions (ANOVA), Bonferroni test and Cronbach's alpha coefficient. Significance level was set at p < 0.05.Results: OSCE success scores were reached in 75.7±8%, with a better mean among females (p < 0.001). OSCE scores improved after the third year of implementation. Cronbach's alpha coefficient was 0.11-0.78. Written examination had a mean score of 79.8±10% and there were no sex differences. Mean DCPOG score was 97.1±3% and the results were better among females (p < 0.005). Correlation between the three assessment methods showed a moderate positive relationship except in the year of 2007, where the correlation was higher (p < 0.001). Conclusions:Analysis of the learning assessment system was performed using OSCE, written examination and DCPOG, which are complementary to each other, and yielded good results.

End of Paediatric Posting Assessment of Medical Interns at a Teaching hospital from Coastal Karnataka

“…In a study done Gloria et al, they opined that the feasibility of the continuous implementation of a system should be taken into account from the beginning of the project since the resources available such as human and material may be limited 10 . We also agree with the same as it requires lot of eff orts and time to prepare the stations and coordination among faculty members.…”

Avaliação de Habilidades de Comunicação em Ambiente Simulado na Formação Médica: Conceitos, Desafios e Possibilidades

“…Esse método ficou mundialmente conhecido como OSCE, sigla em inglês para objective structured clinical examination (exame clínico objetivo estruturado). Assim também se popularizou no Brasil, sendo amplamente utilizado na literatura científica nacional 30,[38][39][40][41][42] . Dessa forma, usaremos o anglicismo OSCE para nos referirmos a esse tipo de avaliação.…”

“…OSCE é um exame baseado no desempenho que permite a avaliação estruturada de habilidades clínicas, incluindo as HC, tanto em nível de graduação quanto pós-graduação 24,43 , bastante empregado no Brasil 30,38,40,[44][45][46] . Durante o exame, os estudantes realizam tarefas em um cenário simulado, denominado de estação, e são avaliados por examinadores treinados.…”