tailieunhanh - Báo cáo y học: "Objective Structured Clinical Examinations (OSCEs), psychiatry and the Clinical assessment of Skills and Competencies (CASC)Same Evidence, Different Judgement"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Objective Structured Clinical Examinations (OSCEs), psychiatry and the Clinical assessment of Skills and Competencies (CASC)Same Evidence, Different Judgement | Marwaha BMC Psychiatry 2011 11 85 http 1471-244X 11 85 BMC Psychiatry DEBATE Open Access Objective Structured Clinical Examinations OSCEs psychiatry and the Clinical assessment of Skills and Competencies CASC Same Evidence Different Judgement Steven Marwaha Abstract Background The Objective Structured Clinical Examination OSCE originally developed in the 1970 s has been hailed as the gold standard of clinical assessments for medical students and is used within medical schools throughout the world. The Clinical assessment of Skills and Competencies CASC is an OSCE used as a clinical examination gateway granting access to becoming a senior Psychiatrist in the UK. Discussion Van der Vleuten s utility model is used to examine the CASC from the viewpoint of a senior psychiatrist. Reliability may be equivalent to more traditional examinations. Whilst the CASC is likely to have content validity other forms of validity are untested and authenticity is poor. Educational impact has the potential to change facets of psychiatric professionalism and influence future patient care. There are doubts about acceptability from candidates and more senior psychiatrists. Summary Whilst OSCEs may be the best choice for medical student examinations their use in post graduate psychiatric examination in the UK is subject to challenge on the grounds of validity authenticity and educational impact. Background The Objective Structured Clinical Examination OSCE originally developed in the 1970 s has been hailed as the gold standard of clinical assessments for medical students 1 and is used within medical schools throughout the world 2 . In terms of Miller s triangle 3 describing a framework for clinical assessment OSCEs aim to examine skills and ability at the shows how level with an expectation that this might reflect performance in day to day real life clinical situations. OSCEs developed in response to the difficulties identified with traditional long case clinical .