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  1. Evaluation of clinical competence : The gap between expectation and performance.

    Article - En anglais

    Objective

    To evaluate a 3-year experience with the Objective Structured Clinical Examinations (OSCEs) and to compare faculty expectations with resident performance.

    Design

    Descriptive analysis of measures of resident performance.

    Setting

    Community-based pediatric residency program in Michigan.

    Participants

    One hundred twenty-six pediatric residents at all levels of training.

    Methods

    The three examinations consisted of 36 to 42 5-minute stations, testing skills in physical examination, history, counseling, telephone management, and test interpretation.

    A committee of faculty and chief residents predetermined minimum pass levels for each resident level.

    Results were compared with other indices of resident performance.

    Results

    There was evidence for content, construct, and concurrent validity, as well as a high degree of reliability.

    However, 40% to 96% of residents scored below the minimum pass levels for their levels.

    In each examination, third-year residents had the highest failure rates, yet they scored well on the American Board of Pediatrics in-training examination and on their monthly clinical evaluations.

    Furthermore, for residents at all levels, the scores reflecting application of data were significantly lower than those assessing data gathering.

    Conclusions

    (...)

    Mots-clés Pascal : Formation professionnelle, Contrôle connaissance, Enseignement universitaire, Résident, Interne(étudiant), Médecine, Evaluation, Evaluation performance, Méthodologie, Homme

    Mots-clés Pascal anglais : Occupational training, Examination, Higher education, Resident, Resident(student), Medicine, Evaluation, Performance evaluation, Methodology, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0378570

    Code Inist : 002B30A09. Création : 12/09/1997.