کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4298219 | 1288346 | 2011 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Differential Diagnosis in a 3-Station Acute Abdominal Pain Objective Structured Clinical Examination (OSCE): A Needs Assessment in Third-Year Medical Student Performance and Summative Evaluation in the Surgical Clerkship Differential Diagnosis in a 3-Station Acute Abdominal Pain Objective Structured Clinical Examination (OSCE): A Needs Assessment in Third-Year Medical Student Performance and Summative Evaluation in the Surgical Clerkship](/preview/png/4298219.png)
BackgroundThere is poor interrater reliability in the assessment of a medical student's ability to generate a differential diagnosis list using Likert-based scales in the surgical clerkship. This important clinical skill is tested on the United States Medical Licensing Examination Step 2 Clinical Skills Examination.ObjectiveWe hypothesize that third-year medical students in the surgical clerkship will be able to accurately diagnose adult patients with acute abdominal pain after performing a focused history and physical examination in a 3-station Objective Structured Clinical Examination (OSCE). Second, we want to test our hypothesis that service assessments of a student's ability to analyze data will not correspond with OSCE performance.MethodsIn this retrospective study, third-year medical student differential diagnosis lists from a 3-station OSCE and medical student clerkship assessments were collected from the 2009-2010 academic year. Differential diagnosis lists were scored for accuracy. Differences between groups were compared with nonparametric statistics, using an α = 0.05.ResultsSeventy-eight third-year medical students (56.4% female) were evaluated. For 2 stations, more than half of the medical students had the correct diagnosis on the differential diagnosis list (p < 0.0001). For 1 station, less than half of the medical students had the correct diagnosis on the differential diagnosis list (p = 0.0001). There were no differences in the service evaluation scores and the number of correct differential diagnosis lists for the students (p = 0.91).ConclusionsThird-year medical students are generally accurate with the ability to diagnosis adult patients with acute abdominal pain after performing a history and physical examination. Additionally, surgical service faculty and resident assessments of a student's ability to analyze data do not correspond with OSCE performance. We recommend some changes that might lead to improved grading for third-year medical students in the surgical clerkship.
Journal: Journal of Surgical Education - Volume 68, Issue 4, July–August 2011, Pages 266–269