Hand-off Education and Evaluation: Piloting the Observed Simulated Hand-off Experience (OSHE)
Hand-off Education and Evaluation: Piloting the Observed Simulated Hand-off Experience (OSHE)
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DOI：
10.1007/s11606-009-1170-y
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发表时间：
2010-02-01
影响因子：
5.7
通讯作者：
Arora, Vineet M.
中科院分区：
文献类型：
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作者：
Farnan, Jeanne M.;Paro, John A. M.;Arora, Vineet M.
目的：观察模拟交接经验（OSHE）的创建是为了评估医学生的签出技能，使用实时评估工具，交接CEX。设置：32个四年级医学生参加了选修课程的一部分。在一个互动研讨会上，学生们学习了有效的交接策略，学生们参与了一次体验，他们使用模拟的病史和体检数据以及简短的视频对模拟患者进行了交接。项目评估：内科住院医师担任标准化交接接收者，并接受了期望培训。学生提供反馈使用新开发的移交CEX，基于“迷你CEX”，它率整体移交性能和其组件上的9点李克特型规模。结果包括表现评级和前和后的学生自我评估的交接准备。使用Wilcoxon符号秩检验和描述性统计分析数据。居民接收器评价整体学生的表现与6.75（范围4-9，最高9）的平均分数。在进行有效交接的自我感知准备方面，观察到统计学上的显著改善（67%的报告后比27%的报告前“准备充分”，p
AIM: The Observed Simulated Hand-off Experience (OSHE) was created to evaluate medical students' sign-out skills using a real-time assessment tool, the Hand-off CEX.SETTING: Thirty-two 4th year medical students participated as part of an elective course.PROGRAM DESCRIPTION: One week following an interactive workshop where students learned effective hand-off strategies, students participated in an experience in which they performed a hand-off of a mock patient using simulated history and physical examination data and a brief video.PROGRAM EVALUATION: Internal medicine residents served as standardized hand-off receivers and were trained on expectations. Students were provided feedback using a newly developed Hand-off CEX, based on the "Mini-CEX," which rates overall hand-off performance and its components on a 9-point Likert-type scale. Outcomes included performance ratings and pre- and post-student self-assessments of hand-off preparedness. Data were analyzed using Wilcoxon signed-rank tests and descriptive statistics. Resident receivers rated overall student performance with a mean score of 6.75 (range 4-9, maximum 9). Statistically significant improvement was observed in self-perceived preparedness for performing an effective hand-off (67% post-vs. 27% pre-reporting 'well-prepared,' p