客觀結構式臨床測驗(OSCE)執行指引

A Guideline for the Implementation of Objective Structured Clinical Examination

蔡詩力(Stanley SL Tsai) ； 陳震寰(Chen-Huan Chen) ； 方基存(Ji-Tseng Fang) ； 蔡景仁(Jing-Jane Tsai) ； 張上淳(Shan-Chwen Chang)

《Journal of Medical Education》 12卷2期 (2008/06) Pp. 118-132

https://doi.org/10.6145/jme.200806_12(2).0007

摘要

近年來醫療服務的觀念皆強調以病人為中心，醫學教育的方向也除了傳統醫療知識傳授，更著重技能的訓練與態度的培養，客觀結構式臨床測驗(OSCE)突破以往紙本筆試無法評量學生真正臨床能力之缺憾。加拿大自1992年起在醫師國家考試中加入OSCE，美國也自2004年起在醫師國家考試中加入OSCE。台灣醫學教育學會為提昇我國醫學教育品質，由學術委員會成立OSCE小組，並且進行工作小組之任務編組：指引(guideline)小組、標準化病人訓練小組、教師訓練小組。指引小組進行資料收集、文獻回顧與初稿編纂後，於2007年8月1日舉行共識會議，修訂完成初稿後，並於2007年8月8日呈OSCE小組第二次會議定稿，所有委員給予了許多寶貴的意見，希望本指引提供各醫學院與教學醫院，能夠在未來推行OSCE時做為參考。

關鍵字

客觀結構式臨床測驗 ； 臨床能力 ； 標準化病人

並列摘要

The goals of medical education are to cultivate physicians capable of applying their medical skills to meet the needs of patients and society, and to create a high quality medical care environment. Many studies have concluded that by using objective structured clinical examinations (OSCE), clinical instructors are able to better understand students' clinical competency in terms of patient care. National licensure assessment has been applied in Canada since 1992 and in the United States since 2004 and these both include a national standardized assessment of clinical competency such as patient-physician communication, clinical history taking and clinical examination skills. To promote quality medical education in Taiwan, the Academy Committee of Taiwan Association of Medical Education established an OSCE division. This consists of a guideline division, a standardized patient training division and a faculty development division. The guideline division developed a guideline for the implementation of OSCE that will act as a reference when medical schools and teaching hospitals perform OSCE in the future.

並列關鍵字

objective structured clinical examination OSCE ； clinical competence ； standardized patient SP