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Ver términos de la licenciaHernández Gutiérrez, Laura S., et al. (2017). Design of a structured objective clinical examination to assess neurological clinicalskills in fifth-year students. Investigación en Educación Médica; Vol. 6 Núm. 24, 2017: Investigación en Educación Médica; 248-254. Recuperado de https://repositorio.unam.mx/contenidos/4118474
Autor(es)
Hernández Gutiérrez, Laura S.; Trejo, Juan Andrés; Marín Campos, Yolanda
Tipo
Artículo de Investigación
Área del conocimiento
Medicina y Ciencias de la Salud
Título
Design of a structured objective clinical examination to assess neurological clinicalskills in fifth-year students
Fecha
2017-10-01
Resumen
Introduction: The clinical skills learned by students during their training are the main tools forthe diagnosis, prevention and treatment of neurological diseases. Assessment is essential in theteaching-learning process. A Structured Objective Clinical Examination (SOCE) is a method forassessing clinical skills that can be used both as summative and formative assessment. It consistsof stations that form a circuit. In each station the student faces a scenario that evaluates theclinical skills domain in three areas: cognitive, attitudinal, and psychomotor. Its implementationis helpful in evaluating professional skills of a curriculum with clinical qualities. Objective: The objective of this study was to design and pilot an SOCE to assess neurologicalclinical skills in medical internship students. Method: A committee was formed including 12 experts in neurology, who were trained to designan SOCE. A clinical skills specification table was constructed in order to assess clinical cases.This was followed by designing an SOCE with 7 clinical skills that included: history, physicalexamination, diagnosis, treatment, interpretation of studies, decision making, and prevention.In each test station, its contents and checklists were validated by the review committee. A pilottest was applied to 14 medical internship students. The mean, and overall, Cronbach alpha wasobtained for each station. Results: An SOCE of 18 stations was designed and pilot tested. A mean of 6.53 was obtained,with an overall Cronbach alpha of 0.62 in the examination. Conclusions: An SOCE allows clinical skills to be evaluated in a planned manner. The key elements for design are: the examination committee, table specifications, and design and logisticsof the test stations.
Idioma
spa
ISSN
ISSN electrónico: 2007-5057; ISSN impreso: 2007-865X
