Exploration and practice of scenario-based onsite first-aid skills station in objective structured clinical examination
10.3760/cma.j.cn116021-20231013-01697
- VernacularTitle:OSCE情景化现场急救技能站的探索与实践研究
- Author:
Qijun CHENG
1
;
Xiaolin ZHANG
;
Chi SHU
;
Hongxiao FAN
;
Yongtao HE
;
Chunji HUANG
Author Information
1. 陆军军医大学教学考评中心，重庆 400038
- Keywords:
Onsite first aid;
Scenario-based;
Objective structured clinical examination;
Examination reform
- From:
Chinese Journal of Medical Education Research
2024;23(4):496-500
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of a scenario-based onsite first-aid skills station in objective structured clinical examination (OSCE).Methods:Based on common scenarios and cases in medical practice, an evaluation framework of the OSCE onsite first-aid skills station—containing assessment indicators, exam room setting, examiner training, and assessment process—was designed to evaluate the onsite first-aid competencies of medical graduates of the five-year program for three consecutive years. SPSS 24.0 was used to perform the Kruskal-Wallis test and Pearson correlation analysis to calculate the correlation between course examination scores and OSCE onsite first-aid skills station assessment scores. Excel was used to calculate the difficulty index and discrimination index of test items.Results:The graduates' OSCE onsite first-aid skills station assessment scores were improved year by year, with a mean score of about 80 points. The station assessment items showed a moderate difficulty level (0.7-0.8), a good discrimination level (>0.4), and good internal consistency (Cronbach's α>0.7). The examiners and examinees had a high recognition of the design and effectiveness of this station assessment method. There was a positive correlation between the OSCE scores and corresponding course scores (2016, r=0.245, P=0.001; 2017, r=0.108, P=0.026; 2018, r=0.198, P=0.006). Conclusions:Through scientific scoring and strict examination management, the OSCE scenario-based onsite first-aid skills station can effectively evaluate examinees' injury treatment competencies in different situations, which can provide a reference for course teaching.
