標準化病人測驗於外科系之實施經驗

Using Standardized Patients in Surgical Tests

蔡明憲(Ming-Shian Tsai) ； 陳晉興(Jin-Shing Chen) ； 賴逸儒(I-Rue Lai) ； 林明燦(Ming-Tsan Lin) ； 賴鴻緒(Hong-Shiee Lai) ； 李伯皇(Po-Huang Lee)

《Journal of Medical Education》 10卷1期 (2006/03) Pp. 34-44

https://doi.org/10.6145/jme.200603_10(1).0005

摘要

Background: The standardized patient test (SPY) is a tool used to measure the clinical ability of students by the simulation of clinical situations. In this paper, we reported our experience using standardized patients in surgical tests. Material and Methods: In 2005, we held two standardized patient tests in our department, and, in total, 104 interns took part in this examination. Results: The interns average grades for the SPY was (84.7+6.46), which was not significantly different from the scores they got from the purely written examination (84.2+13.1). However, there was no significant correlation between the scores from the SPY and the written test. Furthermore, the variance of the scores from the SPY was significantly lower than that from the written test. When asked to comment, most of the examinees thought: firstly, that the standardized patients worked well; secondly, that the content of the SPY included what they had encountered in daily clinical practice; thirdly, that the difficulty of the SPY was fair to the students and finally that the simulation of the clinical environment was appropriate. However, approximately 40% of the examinees complained of the limited time available to complete the SPY. Conclusions: SPY is feasible in Taiwan. If it is well designed, an SPY is able to reflect the medical student's clinical ability and guide their study attitudes.

關鍵字

標準病人 ； 臨床能力

並列摘要

Background: The standardized patient test (SPY) is a tool used to measure the clinical ability of students by the simulation of clinical situations. In this paper, we reported our experience using standardized patients in surgical tests. Material and Methods: In 2005, we held two standardized patient tests in our department, and, in total, 104 interns took part in this examination. Results: The interns average grades for the SPY was (84.7+6.46), which was not significantly different from the scores they got from the purely written examination (84.2+13.1). However, there was no significant correlation between the scores from the SPY and the written test. Furthermore, the variance of the scores from the SPY was significantly lower than that from the written test. When asked to comment, most of the examinees thought: firstly, that the standardized patients worked well; secondly, that the content of the SPY included what they had encountered in daily clinical practice; thirdly, that the difficulty of the SPY was fair to the students and finally that the simulation of the clinical environment was appropriate. However, approximately 40% of the examinees complained of the limited time available to complete the SPY. Conclusions: SPY is feasible in Taiwan. If it is well designed, an SPY is able to reflect the medical student's clinical ability and guide their study attitudes.

並列關鍵字

objective structured clinical examination ； standardized patient ； clinical ability

參考文獻

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Reznick RK(1993).An Objective Structured Clinical Examination for the Licentiate of the medical Council of Canada: From research to reality. In the proceedings of the thirty-second annual conference on research in medical education.Acad Med.68,4S-6S.