Experiencia con el empleo del examen OSCE en el ciclo de evaluación de competencias clínicas de médicos que revalidan su título

Morales, Claudia; Alvarez, Natalia; Candia, Paula; Celedón, Felipe; Meyer, Lital; Daniel, Katherine Lyon; Lombardic, Nebenka; Guiraldes, Ernesto

doi:10.4067/s0034-98872018000300341

Cited by 3 publications

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“…Su adecuado cumplimiento requiere de un trabajo dirigido, iterativo y que considere estándares de buenas prácticas 18,19 . Hay experiencias a nivel nacional publicadas sobre el trabajo con PSE, especialmente participando en el Examen Clínico Objetivo Estructurado (ECOE) [20][21][22] , pero aún dista de lo que se realiza en centros de USA, Europa y Asia 23 .…”

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Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de Chile

et al. 2020

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Structured clinical examinations with simulated patients during internal medicine clerkship Background: Practice is essential in clinical training and can be carried out with simulations. The medical school of the University of Chile performs Objective Structured Clinical Examinations (OSCE) using standardized simulated patients for interns. Aim: To report the experience with OSCE in an environment with a high number of students. Material and Methods: Four hundred sixty-two students, participated in three OSCEs during 2016 and 2017, during their internal medicine clerkship. Each OSCE consisted of five scenarios of ambulatory care patients with prevalent medical conditions. Every student had to perform history taking, physical examination and deliver a diagnostic hypothesis, and a plan for management and counseling. Simulated patients provided feedback. To assess validity and reliability, in an argument-based model, planning and activity development were declared. The results were evaluated according to students' and organization variables, internal consistency, interobserver and theoretical concordance tests. Results: No significant bias was found by demographic features or evaluation moment. Internal consistency was good (Cronbach 0.8). Simulated patient evaluators had a high correlation with medical evaluators (r = 0.7). There was a low correlation between OSCE results and theoretical tests. Conclusions: OSCE´s continuously assess competences during internal medicine clerkship in an environment with a high number of students.

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Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de Chile

et al. 2020

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Validación de la versión en español de un instrumento de evaluación de la comunicación centrada en el paciente en OSCE

et al. 2021

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Overuse of Health Care in the Emergency Services in Chile

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Rojas

Carrasco

et al. 2021

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The Public Health Service in Chile consists of different levels of complexity and coverage depending on the severity and degree of specialization of the pathology to be treated. From primary to tertiary care, tertiary care is highly complex and has low coverage. This work focuses on an analysis of the public health system with emphasis on the healthcare network and tertiary care, whose objectives are designed to respond to the needs of each patient. A review of the literature and a field study of the problem of studying the perception of internal and external users is presented. This study intends to be a contribution in the detection of opportunities for the relevant actors and the processes involved through the performance of Triage. The main causes and limitations of the excessive use of emergency services in Chile are analyzed and concrete proposals are generated aiming to benefit clinical care in emergency services. Finally, improvements related to management are proposed and the main aspects are determined to improve decision-making in hospitals, which could be a contribution to public health policies.

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Experiencia con el empleo del examen OSCE en el ciclo de evaluación de competencias clínicas de médicos que revalidan su título

Abstract: (Rev Med Chile 2018; 146: 341-343)

Cited by 3 publications

References 3 publications

Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de Chile

Descripción y análisis de ECOE con pacientes simulados en internado de Medicina Interna 2016-2017 en Facultad de Medicina Universidad de Chile

Validación de la versión en español de un instrumento de evaluación de la comunicación centrada en el paciente en OSCE

Overuse of Health Care in the Emergency Services in Chile

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