The implementation of a mobile problem-specific electronic CEX for assessing directly observed student-patient encounters
The implementation of a mobile problem-specific electronic CEX for assessing directly observed student-patient encounters
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DOI：
10.3402/meo.v15i0.4276
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发表时间：
2010-01-01
影响因子：
4.6
通讯作者：
Mohmand, Asad
中科院分区：
文献类型：
--
作者：
Ferenchick, Gary S.;Foreback, Jami;Mohmand, Asad
背景资料：促进直接观察医学生的临床quiets.Methods：我们开发了一个电子的问题具体的临床评价练习（eCEX）的基础上，国家课程。我们评估了它的可行性，在监测和记录学生的能力，并在内科见习的直接观察的频率的分级激励的影响。三个临床研究中心的学生（n = 56）使用eCEX，其他三个临床研究中心的对照学生（n = 56）没有使用。eCEX组的学生被要求安排10个评估与教师导师。第二组的学生被要求记录一个单一的，教师观察到的“完整的历史和身体”遇到一个病人。结果：eCEX增加了学生和评估者对直接观察目标的理解，并对评估者提供反馈和评估的能力产生了积极的影响。分级激励增加了学生报告的次数直接observation by a resident preceptor.Conclusions：eCEX似乎是一种有效的手段，提高学生的评价。
Background: Facilitating direct observation of medical students' clinical competencies is a pressing need.Methods: We developed an electronic problem-specific Clinical Evaluation Exercise (eCEX) based on a national curriculum. We assessed its feasibility in monitoring and recording students' competencies and the impact of a grading incentive on the frequency of direct observations in an internal medicine clerkship. Students (n = 56) at three clinical sites used the eCEX and comparison students (n = 56) at three other clinical sites did not. Students in the eCEX group were required to arrange 10 evaluations with faculty preceptors. Students in the second group were required to document a single, faculty observed 'Full History and Physical' encounter with a patient. Students and preceptors were surveyed at the end of each rotation.Results: eCEX increased students' and evaluators' understanding of direct-observation objectives and had a positive impact on the evaluators' ability to provide feedback and assessments. The grading incentive increased the number of times a student reported direct observation by a resident preceptor.Conclusions: eCEX appears to be an effective means of enhancing student evaluation.