目标结构实践考试的实用性和可行性用于生理学中的形成性评估:来自印度的混合方法研究
Anumeha Bhagat1, Kiran Prakash1, Rashmi Chandel1
1Department of Physiology, Government Medical College and Hospital, Chandigarh, India.
Advances in physiology education
|November 22, 2025
概括
目标 结构化实践考试 (OSPE) 提高了学生在实践生理学方面的表现. 这种形成性评估工具是可行的,并且受到印度医学学生的好评.
科学领域:
- 医学教育 医学教育
- 生理学评估的评估.
背景情况:
- 目标 结构化实践考试 (OSPE) 是一种结构化,基于能力的评估方法.
- 它在印度的生理学等临床前科目中用于形成性评估的用途尚未得到充分探索.
- 印度的基于能力的医学教育 (CBME) 框架需要有效的实践技能评估.
研究的目的:
- 评估OSPE的可行性和实用性,用于对实践生理学能力的形成性评估.
- 评估学生在印度医学教育背景下对OSPE的看法.
- 在生理学中确定OSPE实施的优点,弱点和威胁.
主要方法:
- 一项混合方法研究,涉及印度100名MBBS一年级学生.
- 两个OSPE评估间隔一个月进行,重点是血压测量和神经检查.
- 通过问卷和主题分析,对成绩进行定量分析和对学生反进行定性分析.
主要成果:
- 与第一个相比,学生在第二次OSPE评估中显著改善 (P < 0.001).
- 高学生同意OSPE的公平性 (80%) 和相关性 (97.3%),其中81.3%主张定期使用.
- 主题分析揭示了优势 (客观性,技能重点) 和弱点 (时间限制,有限的反).
结论:
- 在印度的CBME框架内,OSPE是一种可行和有效的生理学形成性评估工具.
- 重复的OSPE可以提高学生的成绩,可能受到测试效应的影响.
- 特定背景的洞察力突出了在资源有限的环境中可持续OSPE集成的实际方向.
相关概念视频
01:05Data Collection III
3.9K
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
3.9K
01:17Assessment of Diffusion and Perfusion
1.5K
Understanding and evaluating diffusion and perfusion is critical in assessing a patient's respiratory and circulatory health. These processes play key roles in maintaining the body's internal environment, ensuring that tissues receive adequate oxygen while waste products are efficiently removed.
The Role of Diffusion in Respiration
Diffusion is the process by which molecules move from an area of higher concentration to an area of lower concentration. In the respiratory system, this...
The Role of Diffusion in Respiration
Diffusion is the process by which molecules move from an area of higher concentration to an area of lower concentration. In the respiratory system, this...
1.5K
01:23Assessment of the Cardiovascular System I: Subjective Data
740
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
740
01:23Assessment of Respiration
1.8K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.8K
01:25Pulmonary Function Tests
720
Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
720
01:27Assessment of the Cardiovascular System III: Palpation
974
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
974