[Development of an objective structured clinical examination (OSCE) for evaluating clinical competence in vascular medicine]. 2017

J Risse, and T Busato, and V Dufrost, and M Perri, and S Zuily, and D Wahl
Service de médecine vasculaire et centre de compétence régional des maladies vasculaires rares et systémiques auto-immunes, CHRU de Nancy, 54511 Vandoeuvre-lès-Nancy cedex, France; Inserm, UMR S 1116, université de Lorraine, 54000 Nancy, France. Electronic address: j.risse@chru-nancy.fr.

OBJECTIVE Vascular medicine is now a clinical specialty in France. During their studies, students will acquire clinical reasoning in addition to technical skills. An Objective Structured Clinical Examination (OSCE) is considered as the gold standard for evaluating clinical competence. Our main objective was to evaluate the feasibility and acceptability of OSCE for the evaluation of students, secondarily their performance. METHODS Three representative clinical cases of the specialty were developed. The OSCE consisted of a sequence of clinical situations presented in three stations of 7minutes each. The role of the simulated patient was played by medical students. At the end of the OSCE, observers and students completed the evaluation form. We compared the performances between junior and senior vascular medicine students. Written questionnaires were used to measure OSCE satisfaction. RESULTS We were able to develop and organize this examination without difficulties. Fifteen students were evaluated. All participants agreed that the clinical situations were representative of vascular medicine practice, the cases were realistic and standardized patients were convincing. The performance of senior students was statistically higher than junior students in one case. CONCLUSIONS Our study demonstrates the feasibility and acceptability of the OSCE in students in vascular medicine. The small number of stations and candidates requires further studies on a larger scale to evaluate their performance.

UI MeSH Term Description Entries
D002309 Cardiology The study of the heart, its physiology, and its functions. Angiology,Cardiovascular Disease Specialty,Vascular Medicine,Disease Specialty, Cardiovascular,Medicine, Vascular,Specialty, Cardiovascular Disease
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D005240 Feasibility Studies Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project. Feasibility Study,Studies, Feasibility,Study, Feasibility
D016544 Patient Simulation The use of persons coached to feign symptoms or conditions of real diseases in a life-like manner in order to teach or evaluate medical personnel. Patient Simulations,Simulation, Patient,Simulations, Patient
D057566 Self Report Method for obtaining information through verbal responses, written or oral, from subjects. Report, Self,Reports, Self,Self Reports

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