手术目标结构化临床检查:文献综述
Brynn Petras Charron1, Carson Norkum2, Parham Rasoulinejad1
1Department of Orthopedic Surgery, Western University, London, Canada.
Journal of surgical education
|January 28, 2026
概括
外科目的结构化临床检查 (S-OSCEs) 提供了对外科学员的全面评估. 基于视频的S-OSCE显示出克服基于能力的医学教育采用障碍的希望.
科学领域:
- 医学教育 医学教育
- 手术培训评估的评估
- 基于能力的医学教育 (CBME)
背景情况:
- 传统的外科评估工具,如欧安组织和OSATS具有局限性.
- 手术目标结构化临床检查 (S-OSCE) 整合了理论和技术技能评估.
- S-OSCE与基于能力的医学教育 (CBME) 框架如CanMEDS和ACGME保持一致.
研究的目的:
- 审查S-OSCE在外科培训中的实施情况.
- 确定S-OSCE发展和应用的趋势.
- 在外科课程中为未来的评估策略提供信息.
主要方法:
- 在PubMed,Web of Science和Scopus进行了全面的文献搜索.
- 纳入标准集中在评估外科学科理论和技术技能的研究上.
- 在选了1101篇文章后,有16项研究符合标准.
主要成果:
- 这16项研究涵盖了6个外科专业.
- 大多数S-OSCE使用多选项/简短答案测试和OSATS/全球评级表.
- 基于视频的评估越来越多地用于减轻偏见和后勤挑战,加拿大计划在研究中领先.
结论:
- S-OSCE 证明了有效和可靠的外科能力评估的潜力.
- 后勤,财务和人员问题阻碍了S-OSCE的广泛采用.
- 基于视频的S-OSCE提供了一个可扩展的解决方案,改善反和减少资源需求.
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