...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Clinical kidney journal. >The dialysis orders objective structured clinical examination (OSCE): a formative assessment for nephrology fellows
【24h】

The dialysis orders objective structured clinical examination (OSCE): a formative assessment for nephrology fellows

机译：透析令的客观结构化临床检查（OSCE）：肾病学专家的形成性评估

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Few quantitative nephrology-specific simulations assess fellow competency. We describe the development and initial validation of a formative objective structured clinical examination (OSCE) assessing fellow competence in ordering acute dialysis. Methods The three test scenarios were acute continuous renal replacement therapy, chronic dialysis initiation in moderate uremia and acute dialysis in end-stage renal disease-associated hyperkalemia. The test committee included five academic nephrologists and four clinically practicing nephrologists outside of academia. There were 49 test items (58 points). A passing score was 46/58 points. No item had median relevance less than ‘important’. The content validity index was 0.91. Ninety-five percent of positive-point items were easy–medium difficulty. Preliminary validation was by 10 board-certified volunteers, not test committee members, a median of 3.5?years from graduation. The mean score was 49 [95% confidence interval (CI) 46–51], κ?=?0.68 (95% CI 0.59–0.77), Cronbach’s α?=?0.84. Results We subsequently administered the test to 25 fellows. The mean score was 44 (95% CI 43–45); 36% passed the test. Fellows scored significantly less than validators (P?
机译：背景技术很少有专门针对肾脏病的定量模拟可以评估同伴的能力。我们描述了形成性客观结构化临床检查（OSCE）的发展和初步验证，该检查旨在评估急性透析中的同伴能力。方法三种测试方案分别为急性连续肾脏替代治疗，中度尿毒症慢性透析开始和终末期肾脏疾病相关高钾血症的急性透析。测试委员会包括五位学术界的肾病学家和四位学术界以外的临床实践肾病学家。有49个测试项目（58分）。及格分数为46/58分。中位数相关性均不低于“重要”项目。内容有效性指数为0.91。 95％的阳性项目为中度难易程度。初步验证是由10名获得董事会认证的志愿者（而不是测试委员会成员）进行的，他们的平均毕业时间为3.5年。平均得分为49 [95％置信区间（CI）46-51]，κ？=？0.68（95％CI 0.59-0.77），克朗巴赫（Cronbach's）α？=？0.84。结果我们随后对25名研究员进行了测试。平均得分为44（95％CI 43–45）; 36％通过了测试。研究员的得分明显低于验证者（P <0.001）。在基于证据的问题中，有72％的人正确地通过了验证，而54％的人是正确的（P = 0.018）。研究员和验证者在急性高钾血症问题上得分最低。在自我评估能力方面，有71％的受访者同意或强烈同意欧安组织是有用的。结论OSCE可用于形成性评估急性透析实践的三个常见领域的同伴水平。进一步的验证研究正在进行中。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号