家庭醫學科住院醫師對客觀結構式臨床測驗的態度

Abstract

客觀結構式臨床測驗(OSCE)在各國家都被許多醫學教育學者所廣泛採用，作為評估醫學生臨床能力的方法。台灣考選部於2013年開始正式納入OSCE於醫師國家考試，醫學院畢業生必須先通過OSCE才能報考第二階段的國家醫師執照考試。此研究的目的是探討考生們對於OSCE作為臨床培訓和高階執照考試評估的態度。研究分析了88位家庭醫學科第一年住院醫師，在考完家醫科舉辦的OSCE後所填的回饋問卷。我們將問卷答案與考試成績進行了比較，計算Pearson相關係數和Spearman相關係數，以確定數據的線性關係，並應用多變數回歸分析。大多數的住院醫師都認同OSCE納入高階國家考試及專科醫師考試。他們對這種形式的考試方式也有正面的回應。然而，住院醫師的考試成績和他們對OSCE的接受度並沒有顯著關係。此研究結果為臨床醫學教育學者提供了有價值的資訊，旨在了解考生對OSCE的接受程度和意見。未來的研究可以進一步調查其他部門的住院醫師和已接受過國家考試舉辦的OSCE之住院醫師的態度。

The Objective Structured Clinical Examination (OSCE) has been widely adopted by many medical educators as a method of evaluating clinical competence. Due to its comprehensive nature, it has been used as formative and summative examinations in medical curricula and sometimes as part of high-stakes license exams by many medical educators. In 2013, the OSCE was officially incorporated into Taiwan’s National Medical License Examination (NMLE). All medical students must pass the exam to obtain their medical license. The aim of this study is to explore the attitudes that medical learners have towards the OSCE as a choice of evaluation in their clinical training and licensure exams. Eighty-eight first year family medicine residents who underwent an OSCE in their clinical training answered a survey regarding their views towards this type of exam. Their answers were compared to their examination scores. Pearson correlation coefficient and Spearman’s rank correlation coefficient was calculated to determine the linear relationships of the data and multivariate regression analysis was applied. Most residents accept the inclusion of the OSCE in their license exam and subspecialty license exam. The residents also reflected positively on this form of examination. However, no significance was found between their exam scores and acceptance of the OSCE. In conclusion, OSCE is seen as a favorable method of examination by medical learners. These results provide valuable information for medical educators and researchers seeking to understand learners’ acceptance and views on the OSCE. Further investigation is needed to determine the attitudes of residents from other departments and those who have underwent the NMLE’s OSCE.