Implementation of an OSCE at Kaohsiung Medical University

客觀結構式臨床測驗(OSCE)是一種能客觀且公平地評量醫學生臨床技能的評量工具，目前廣泛應用於世界各國的醫學教育。然而，台灣大部分的醫學院才剛開始採用OSCE來評量學生能力。高雄醫學大學在2003年建立了台灣第一個標準化病人計劃，並且將標準化病人應用於OSCE。此文章敘述本校實行OSCE的過程，從資料收集、參觀國外臨床技能中心、諮詢外國醫學教育專家、舉辦國際研討會、設立OSCE委員會、編寫個案及訓練標準化病人，到實際實施OSCE及調查學生意見。大部分學生對於測驗感到滿意，並覺得這是很好的學習經驗。基於本次經驗，0SCE委員會決定採用OSCE做為評估醫學生臨床能力的方法之一。OSCE除了廣用於評量醫學生之外，亦被用於評量牙醫系、護理系、藥學系等醫學相關科系的學生，因此我們將醫學系實施OSCE的經驗推廣至本校其他科系。

關鍵字

評量；臨床技能；客觀結構式臨床測驗；標準化病人

並列摘要

The Objective Structured Clinical Examination (OSCE), a tool to objectively and fairly assess medical students' clinical competences, has become widely used in medical education worldwide. However, most medical schools in Taiwan have just begun to adopt this assessment method. In 2003, Kaohsiung Medical University (KMU) established the first standardized patient (SP) program in Taiwan and applied SPs with an OSCE. This study reports the process of the implementation of an OSCE at KMU, which includes collecting information, visiting leading clinical skills centers, consulting medical educators from other countries, holding international conferences, establishing an OSCE committee, writing cases, training SPs, administrating the OSCE, and receiving feedback from medical students. Most students were satisfied with the assessment and appreciated the learning experience. Based on the experience in 2003, the OSCE committee decided to incorporate the OSCE into the medical curriculum as a measure to assess medical students' clinical competences. In addition to assessing medical students' clinical competence, the OSCE can also be applied to other professional health education, such as dentistry, nursing, and pharmacy. We are currently sharing our experience with other colleges at KMU.

並列關鍵字

assessment ； clinical competence ； Objective Structured Clinical Examination ； standardized patients

國際替代計量

Implementation of an OSCE at Kaohsiung Medical University

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