[Application of Objective Structured Clinical Examination (OSCE) for pediatric internship assessment in two schools of medicine].
BACKGROUND
The Objective Structured Clinical Examination (OSCE) has become a respected and widely used tool for the assessment of clinical competence in medical education.


OBJECTIVE
To describe the first experience of an OSCE as a summative assessment in undergraduate Pediatric Internship, in two universities.


METHODS
The OSCE was structured by a committee of faculty members of the 5 campi of University of Chile and I campus of the Catholic University. A 21 station OSCE was administered simultaneously to 124 Pediatric Interns (University of Chile = 104, Catholic University = 20), in 3 centers. A total of 50 faculty members participated in the examination. The OSCE consisted of 20 clinical problems, including videotape recordings, photographs, x-rays and laboratory exams, phantoms and 7 simulated standardized parents.


RESULTS
The average total OSCE score was 67.3% (range: 84.5%-43.5%). The maximum theoretic score was achieved in 19 stations. A significant correlation between station and total score, was found for 18 of the 20 clinical problems.


CONCLUSIONS
The experience of using OSCE has been a success. The OSCE was an adequate procedure to assess a large number of interns simultaneously and it allowed us to measure the main objectives in all domains and a wide range of clinical competence of Pediatric Internship Programs.
Triviño
Ximena
X
Departamento de Pediatría, Escuela de Medicina, Pontificia Universidad Católica de Chile. xtrivino@med.puc.cl
Vásquez
Alicia
A
Mena
Andrea
A
López
Ana
A
Aldunate
Margarita
M
Varas
Mónica
M
Lillo
Ricardo
R
Wright
Ana
A
D002983:Clinical Competence; D003479:Curriculum; D004503:Education, Medical, Graduate; D004521:Educational Measurement; D006801:Humans; D007396:Internship and Residency; D010372:Pediatrics / Q000193:education*; D010817:Physician-Patient Relations